RECRUITING

Dose Escalation Pilot Study to Evaluate the Safety of Alocyte for the Treatment of Facetogenic Back Pain

Conditions

Facet Joints; Degeneration Back Pain Facet Joint Pain

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Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

The purpose of this study is to see if the use of Alocyte (cord blood plasma plus mononucleic cells) will be safe, well tolerated, and whether it causes any side effects. The study will also examine if the use of the Investigational Product (IP) is able to reduce local inflammation or alleviate Facetogenic back pain

Official Title

An Open Label Dose Escalation Pilot Study to Evaluate the Safety of Alocyte Delivered Via Intra-articular Facet Injection for the Treatment of Facetogenic Back Pain

Quick Facts

Study Start:2024-04-29

Study Completion:2026-10-01

Study Type:Not specified

Phase:Not Applicable

Enrollment:Not specified

Status:RECRUITING

Study ID

NCT05909709

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years

Sexes Eligible for Study:ALL

Accepts Healthy Volunteers:No

Standard Ages:ADULT, OLDER_ADULT

Inclusion Criteria	Exclusion Criteria
* In order to be eligible to participate in this study, all individuals must meet all of the following criteria: 1. Subjects age \> 18 years at the time of signing the Informed Consent Form. 2. Male or Female. 3. Ability of participant to understand and the willingness to sign a written informed consent document. 4. Facetogenic back pain diagnosed using the following diagnostic criteria Subjects who have chronic low back pain based on clinical evaluation. Pain onset at dorsal extension and release at flexion is often considered suggestive for facet pain, even if non-specific, such as maximal tenderness upon deep palpation of posterior elements. 5. Patient with up to 5 diseased facet joints 6. Chronic Facetogenic pain (≥ 6 months) in patients that have failed conservative management 7. Subjects must be reasonably able to return for multiple follow-up visits. 8. For Women of Child-Bearing Potential (WOCBP) only, willingness to use FDA-recommended birth control until 6 months post treatment. 9. Any male subject must agree to use contraceptives and not donate sperm during the study.	1. Previous surgical intervention for back pain 2. Previous stem cell injection(s) within the last year 3. Use of anticoagulation or NSAIDs within 5 days of the injection 4. MRI finding of severe high-grade lumbar stenosis 5. Leg pain exceeding back pain 6. Pain worse with flexion maneuvers 7. Fracture of lumbar vertebrae 8. Inability to perform any of the assessments required for endpoint analysis. 9. Clinically significant abnormal screening laboratory or clinical assessment values 10. Use of medications during the early phase of treatment such as chronic narcotic use, systemic corticosteroid administration, local corticosteroid injection at facets anticoagulant therapy and viscosupplementation into facets, any investigational drug used within 3 months prior to screening or during study and surgery in the facets 11. Subjects with serious co-morbidities are excluded. 12. Evidence of inflammatory arthritis (example, rheumatoid arthritis and ankylosing spondylitis) or traumatic fractures, osteoarthritis, meniscoid entrapment, synovial impingement, joint subluxation, synovial inflammation, loss of cartilage, and mechanical injury. 13. Have a clinical history of malignancy within 5 years (i.e., subjects with prior malignancy must be disease free for 5 years), except curatively treated basal cell carcinoma, squamous cell carcinoma, melanoma in situ or cervical carcinoma, if recurrence occurs. 14. Be currently participating (or participated within the previous 6 months) in an investigational therapeutic or device trial. 15. Exhibiting signs of moderate or severe chronic respiratory disease (such as COPD, asthma, or pulmonary fibrosis). 16. Patient with rheumatologic disorders. 17. History of chronic liver disease or patient showing signs of clinical jaundice at the time of screening. 18. History of severe chronic kidney disease or requiring dialysis. 19. Patient with NYHA Class III or IV congestive heart failure or life-threatening arrhythmias. 20. Subjects with a history of bleeding disorders, anticoagulation therapy that cannot be stopped as prior to the treatment. 21. Any unstable condition of clinical significance, e.g., uncontrolled hypertension, unstable angina pectoris, worsening asthma. 22. Hydroxychloroquine, oral or parenteral corticosteroids, immunosuppressants, or immunomodulating agents within 21 days prior to the Day 0/treatment visit. 23. Be a female who is pregnant, nursing, or of childbearing potential while not practicing effective contraceptive methods. Female subjects must undergo a blood pregnancy test at screening which will be within 72 hours of the IP infusion. 24. Subject has a body mass index (BMI) greater than 42 kg/m2 25. Subject has or had an active infection requiring systemic antibiotics within 12 weeks of enrollment in the study 26. Inability to perform any of the assessments required for endpoint analysis. 27. Active listing (or expected future listing) for transplant of any organ. 28. Be a solid organ transplant recipient. This does not include prior cell-based therapy (\>12 months prior to enrollment), bone, skin, ligament, tendon or corneal grafting. Have a history of organ or cell transplant rejection. 29. History of drug abuse (illegal "street" drugs except marijuana, if it is legal to use in states where patient resides), or prescription medications not being used appropriately for a pre-existing medical condition or alcohol abuse (≥ 5 drinks/day for ˃ 3 months), or documented medical, occupational, or legal problems arising from the use of alcohol or drugs within the past 24 months 30. Patients with untreated HIV infection. However, patients can be enrolled if have been treated for HIV and the test negative for HIV viral load but still test positive for antibodies.

Inclusion Criteria

Exclusion Criteria

* In order to be eligible to participate in this study, all individuals must meet all of the following criteria:
1. Subjects age \> 18 years at the time of signing the Informed Consent Form.
2. Male or Female.
3. Ability of participant to understand and the willingness to sign a written informed consent document.
4. Facetogenic back pain diagnosed using the following diagnostic criteria Subjects who have chronic low back pain based on clinical evaluation. Pain onset at dorsal extension and release at flexion is often considered suggestive for facet pain, even if non-specific, such as maximal tenderness upon deep palpation of posterior elements.
5. Patient with up to 5 diseased facet joints
6. Chronic Facetogenic pain (≥ 6 months) in patients that have failed conservative management
7. Subjects must be reasonably able to return for multiple follow-up visits.
8. For Women of Child-Bearing Potential (WOCBP) only, willingness to use FDA-recommended birth control until 6 months post treatment.
9. Any male subject must agree to use contraceptives and not donate sperm during the study.

1. Previous surgical intervention for back pain
2. Previous stem cell injection(s) within the last year
3. Use of anticoagulation or NSAIDs within 5 days of the injection
4. MRI finding of severe high-grade lumbar stenosis
5. Leg pain exceeding back pain
6. Pain worse with flexion maneuvers
7. Fracture of lumbar vertebrae
8. Inability to perform any of the assessments required for endpoint analysis.
9. Clinically significant abnormal screening laboratory or clinical assessment values
10. Use of medications during the early phase of treatment such as chronic narcotic use, systemic corticosteroid administration, local corticosteroid injection at facets anticoagulant therapy and viscosupplementation into facets, any investigational drug used within 3 months prior to screening or during study and surgery in the facets
11. Subjects with serious co-morbidities are excluded.
12. Evidence of inflammatory arthritis (example, rheumatoid arthritis and ankylosing spondylitis) or traumatic fractures, osteoarthritis, meniscoid entrapment, synovial impingement, joint subluxation, synovial inflammation, loss of cartilage, and mechanical injury.
13. Have a clinical history of malignancy within 5 years (i.e., subjects with prior malignancy must be disease free for 5 years), except curatively treated basal cell carcinoma, squamous cell carcinoma, melanoma in situ or cervical carcinoma, if recurrence occurs.
14. Be currently participating (or participated within the previous 6 months) in an investigational therapeutic or device trial.
15. Exhibiting signs of moderate or severe chronic respiratory disease (such as COPD, asthma, or pulmonary fibrosis).
16. Patient with rheumatologic disorders.
17. History of chronic liver disease or patient showing signs of clinical jaundice at the time of screening.
18. History of severe chronic kidney disease or requiring dialysis.
19. Patient with NYHA Class III or IV congestive heart failure or life-threatening arrhythmias.
20. Subjects with a history of bleeding disorders, anticoagulation therapy that cannot be stopped as prior to the treatment.
21. Any unstable condition of clinical significance, e.g., uncontrolled hypertension, unstable angina pectoris, worsening asthma.
22. Hydroxychloroquine, oral or parenteral corticosteroids, immunosuppressants, or immunomodulating agents within 21 days prior to the Day 0/treatment visit.
23. Be a female who is pregnant, nursing, or of childbearing potential while not practicing effective contraceptive methods. Female subjects must undergo a blood pregnancy test at screening which will be within 72 hours of the IP infusion.
24. Subject has a body mass index (BMI) greater than 42 kg/m2
25. Subject has or had an active infection requiring systemic antibiotics within 12 weeks of enrollment in the study
26. Inability to perform any of the assessments required for endpoint analysis.
27. Active listing (or expected future listing) for transplant of any organ.
28. Be a solid organ transplant recipient. This does not include prior cell-based therapy (\>12 months prior to enrollment), bone, skin, ligament, tendon or corneal grafting. Have a history of organ or cell transplant rejection.
29. History of drug abuse (illegal "street" drugs except marijuana, if it is legal to use in states where patient resides), or prescription medications not being used appropriately for a pre-existing medical condition or alcohol abuse (≥ 5 drinks/day for ˃ 3 months), or documented medical, occupational, or legal problems arising from the use of alcohol or drugs within the past 24 months
30. Patients with untreated HIV infection. However, patients can be enrolled if have been treated for HIV and the test negative for HIV viral load but still test positive for antibodies.

Contacts and Locations

Study Contact

Patricia Graham, MS, CCRC

CONTACT

3057889303

pgraham@assureimmune.com

Alimorad Farshchian, MD

CONTACT

3058914686

genorthix@yahoo.com

Principal Investigator

Alimorad Farshchian, MD

PRINCIPAL_INVESTIGATOR

The Center For Regenerative Medicine Laboratories

Study Locations (Sites)

The Center for Regenerative Medicine

North Miami, Florida, 33161

United States

Collaborators and Investigators

Sponsor: Alimorad Farshchian

Alimorad Farshchian, MD, PRINCIPAL_INVESTIGATOR, The Center For Regenerative Medicine Laboratories

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2024-04-29

Study Completion Date2026-10-01

Study Record Updates

Study Start Date2024-04-29

Study Completion Date2026-10-01

Terms related to this study

Keywords Provided by Researchers

Back pain
Facet joint pain

Additional Relevant MeSH Terms

Facet Joints; Degeneration
Back Pain
Facet Joint Pain