Preclinical quality, safety, and efficacy of a human embryonic stem cell-derived product for the treatment of Parkinson's disease, STEM-PD
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Preclinical quality, safety, and efficacy of a human embryonic stem cell-derived product for the treatment of Parkinson's disease, STEM-PD. / Parmar, Malin; Novo Nordisk Cell Therapy R&D ; Christiansen, Josefine Rågård (Member of author collaboration).
In: Cell Stem Cell, Vol. 30, No. 10, 2023, p. 1299-1314.e9.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Preclinical quality, safety, and efficacy of a human embryonic stem cell-derived product for the treatment of Parkinson's disease, STEM-PD
AU - Kirkeby, Agnete
AU - Nelander, Jenny
AU - Hoban, Deirdre B.
AU - Rogelius, Nina
AU - Bjartmarz, Hjálmar
AU - Storm, Petter
AU - Fiorenzano, Alessandro
AU - Adler, Andrew F.
AU - Vale, Shelby
AU - Mudannayake, Janitha
AU - Zhang, Yu
AU - Cardoso, Tiago
AU - Mattsson, Bengt
AU - Landau, Anne M.
AU - Glud, Andreas N.
AU - Sørensen, Jens C.
AU - Lillethorup, Thea P.
AU - Lowdell, Mark
AU - Carvalho, Carla
AU - Bain, Owen
AU - van Vliet, Trinette
AU - Lindvall, Olle
AU - Björklund, Anders
AU - Harry, Bronwen
AU - Cutting, Emma
AU - Widner, Håkan
AU - Paul, Gesine
AU - Barker, Roger A.
AU - Parmar, Malin
AU - Novo Nordisk Cell Therapy R&D
A2 - Christiansen, Josefine Rågård
N1 - Publisher Copyright: © 2023 The Authors
PY - 2023
Y1 - 2023
N2 - Cell replacement therapies for Parkinson's disease (PD) based on transplantation of pluripotent stem cell-derived dopaminergic neurons are now entering clinical trials. Here, we present quality, safety, and efficacy data supporting the first-in-human STEM-PD phase I/IIa clinical trial along with the trial design. The STEM-PD product was manufactured under GMP and quality tested in vitro and in vivo to meet regulatory requirements. Importantly, no adverse effects were observed upon testing of the product in a 39-week rat GLP safety study for toxicity, tumorigenicity, and biodistribution, and a non-GLP efficacy study confirmed that the transplanted cells mediated full functional recovery in a pre-clinical rat model of PD. We further observed highly comparable efficacy results between two different GMP batches, verifying that the product can be serially manufactured. A fully in vivo-tested batch of STEM-PD is now being used in a clinical trial of 8 patients with moderate PD, initiated in 2022.
AB - Cell replacement therapies for Parkinson's disease (PD) based on transplantation of pluripotent stem cell-derived dopaminergic neurons are now entering clinical trials. Here, we present quality, safety, and efficacy data supporting the first-in-human STEM-PD phase I/IIa clinical trial along with the trial design. The STEM-PD product was manufactured under GMP and quality tested in vitro and in vivo to meet regulatory requirements. Importantly, no adverse effects were observed upon testing of the product in a 39-week rat GLP safety study for toxicity, tumorigenicity, and biodistribution, and a non-GLP efficacy study confirmed that the transplanted cells mediated full functional recovery in a pre-clinical rat model of PD. We further observed highly comparable efficacy results between two different GMP batches, verifying that the product can be serially manufactured. A fully in vivo-tested batch of STEM-PD is now being used in a clinical trial of 8 patients with moderate PD, initiated in 2022.
KW - ATMP
KW - clinical trial
KW - dopamine
KW - minipig
KW - neurosurgery
KW - neurosurgical
KW - Parkinson's
KW - pluripotent
KW - regulatory
KW - stem cell therapy
KW - transplantation
U2 - 10.1016/j.stem.2023.08.014
DO - 10.1016/j.stem.2023.08.014
M3 - Journal article
C2 - 37802036
AN - SCOPUS:85174454209
VL - 30
SP - 1299-1314.e9
JO - Cell Stem Cell
JF - Cell Stem Cell
SN - 1934-5909
IS - 10
ER -
ID: 371289695