Neural Cells for Neurodegenerative Diseases in Clinical Trials

Author:

Fan Yiping123ORCID,Goh Eyleen L K4,Chan Jerry Kok Yen123

Affiliation:

1. Department of Reproductive Medicine, KK Women’s and Children’s Hospital , Singapore , Singapore

2. Experimental Fetal Medicine Group, Department of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University Health System , Singapore , Singapore

3. Academic Clinical Program in Obstetrics and Gynaecology, Duke-NUS Medical School , Singapore , Singapore

4. Neuroscience and Mental Health Faculty, Lee Kong Chian School of Medicine, Nanyang Technological University , Singapore , Singapore

Abstract

Abstract Neurodegenerative diseases (ND) are an entire spectrum of clinical conditions that affect the central and peripheral nervous system. There is no cure currently, with treatment focusing mainly on slowing down progression or symptomatic relief. Cellular therapies with various cell types from different sources are being conducted as clinical trials for several ND diseases. They include neural, mesenchymal and hemopoietic stem cells, and neural cells derived from embryonic stem cells and induced pluripotent stem cells. In this review, we present the list of cellular therapies for ND comprising 33 trials that used neural stem progenitors, 8 that used differentiated neural cells ,and 109 trials that involved non-neural cells in the 7 ND. Encouraging results have been shown in a few early-phase clinical trials that require further investigations in a randomized setting. However, such definitive trials may not be possible given the relative cost of the trials, and in the setting of rare diseases.

Funder

Singapore’s Ministry of Health

National Medical Research Council

Publisher

Oxford University Press (OUP)

Subject

Cell Biology,Developmental Biology,General Medicine

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