Reports Evidence of Engraftment and Long-Term Survival of HuCNS-SC®
Cells
StemCells, Inc. (NASDAQ: STEM) announced today positive results from the
first Phase I clinical trial of its proprietary HuCNS-SC®
product candidate (purified human neural stem cells), including
demonstration of a favorable safety profile along with evidence of
engraftment and long-term survival of the HuCNS-SC cells.
The Phase I trial was designed primarily to assess the safety of
HuCNS-SC cells as a potential cell-based therapeutic. Six patients with
advanced stages of infantile and late infantile neuronal ceroid
lipofuscinosis (NCL), often referred to as Batten disease, were
transplanted with HuCNS-SC cells and followed for 12 months. Overall,
the Phase I data demonstrated that high doses of HuCNS-SC cells,
delivered by a direct transplantation procedure into multiple sites
within the brain, followed by twelve months of immunosuppression, were
well tolerated by all six patients enrolled in the trial. The patients’
medical, neurological and neuropsychological conditions, following
transplantation, appeared consistent with the normal course of the
disease. The independent Data Monitoring Committee (DMC), a
multi-disciplinary group of experts in neurosurgery, transplant
medicine, genetics, and neurology responsible for overseeing the safety
of the trial, has also concurred with the Company’s assessment of the
safety profile of the test product and procedure. The trial was
conducted at Oregon Health & Science University (OHSU) Doernbecher
Children's Hospital and was completed in January 2009. StemCells will
present the final study report to the FDA and plans to pursue future
clinical development of HuCNS-SC as a potential treatment for infantile
and late infantile NCL.
“We are very pleased and encouraged by the results of this landmark
trial,” said Martin McGlynn, president and chief executive officer of
StemCells. “As this was the first-ever FDA-authorized study of human
neural stem cells as a potential therapeutic agent in humans, the
favorable data we obtained is especially meaningful. Completing this
first trial also marked an important milestone in the evolution of our
cell-based product candidates from research and development to human
clinical studies. We are deeply grateful for the support of the
patients’ families who enabled us to make an important advance in our
search for a therapy that might one day benefit not only children with
Batten disease, but also those suffering from other serious
neurodegenerative diseases.”
Commenting on the trial data, Stephen Huhn, MD, FACS, FAAP, vice
president and head of the Company’s CNS Program, stated, “The HuCNS-SC
cells were well tolerated even at very high dose levels – as many as one
billion cells were transplanted into certain patients. Given the
considerable number of cells transplanted, together with the very
fragile nature of the patients involved, the positive safety data we
observed is particularly noteworthy.”
StemCells previously reported the loss of the second patient enrolled in
the trial, who died from the natural progression of the disease
approximately one year post-transplant. Because the family consented to
an autopsy examination of the brain, the Company was able to establish
that the donor cells had engrafted and survived, despite severe brain
atrophy related to the NCL. By permitting the autopsy, the family
allowed the researchers to learn very important details that will
potentially benefit future patients.
“Our strategy for these lysosomal storage diseases is to protect the
patient’s remaining neurons by transplanting donor cells without the
genetic defect that causes NCL into the brain,” continued Dr. Huhn.
“These healthy neural stem cells have the potential to produce the
enzyme currently lacking for proper function and survival of the
patient’s brain cells. In this first trial, however, the patients
already had a severe amount of neuronal degeneration and brain atrophy
due to the advanced stage of their disease and only a limited number of
brain cells remaining to protect, making it difficult to measure any
degree of efficacy. Our interpretation of potential efficacy
measurements was also limited by the number of subjects enrolled in the
trial and the absence of a control group. Consequently, now that we have
demonstrated a favorable safety profile and evidence of long term donor
cell survival, our objective is to initiate a second trial designed to
test the potential for efficacy in patients in a much earlier stage of
the disease.”
Robert Steiner, MD, FAAP, FACMG, co-principal investigator, professor of
pediatrics and molecular and medical genetics, and vice chairman for
pediatric research at OHSU Doernbecher Children's Hospital, stated, “The
OHSU research team worked very hard to carry out this highly complex
research and is heartened to see that this approach appears to be safe.
We are delighted that this first trial of human neural stem cells was
successful and offers some hope for effective treatment of NCL and other
neurodegenerative disorders.”
“It was a privilege for our team to care for these precious children,”
added Nathan Selden, MD, Ph.D., FACS, FAAP, co-principal investigator,
Campagna Associate Professor and head, division of pediatric
neurological surgery at OHSU Doernbecher Children’s Hospital. “We are
indebted to our patients and their families for taking us into this new
era of therapy for the central nervous system.