Evidence map›Paper›PMID 39740941›Full record

ArticleBMJ open2024

Effects of intravascular administration of mesenchymal stromal cells derived from Wharton's Jelly of the umbilical cord on systemic immunomodulation and neuroinflammation after traumatic brain injury (TRAUMACELL): study protocol for a multicentre randomised controlled trial.

Stéphanie Sigaut, Coralie Tardivon, Alice Jacquens, Michel Bottlaender, Philippe Gervais, Marie-Odile Habert, Antoine Monsel, Antoine Roquilly, Mathieu Boutonnet, Damien Galanaud and 7 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06146062 (Effects of Intravascular Administration of Mesenchymal Stromal Cells Derived from Wharton's Jelly of the Umbilical Cord on Systemic Immunomodulation and Neuroinflammation After Traumatic Brain Injury.), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06146062 phase2recruitingnot on this map

Effects of Intravascular Administration of Mesenchymal Stromal Cells Derived from Wharton's Jelly of the Umbilical Cord on Systemic Immunomodulation and Neuroinflammation After Traumatic Brain Injury.

TypeinterventionalSponsorAssistance Publique - Hôpitaux de ParisRan2024 to 2028Enrolled68ConditionsTraumatic Brain InjuryArmsMesenchymal Stromal Cells (MSC), placebo
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Stéphanie SigautAnesthesiology and Intensive Care, Beaujon Hospital, Assistance Publique-Hôpitaux de Paris, Clichy, Île-de-France, France stephanie.sigaut@aphp.fr.ORCID http://orcid.org/0000-0002-4888-7769
Coralie TardivonHôpital Bichat, DMU PRISME, Biostatistics Department and Clinical Trial Units, Assistance Publique-Hôpitaux de Paris, Paris, Île-de-France, France.
Alice JacquensNeuroDiderot, Neuroprotection of the Developing Brain, Université Paris Cité, INSERM, Paris, Île-de-France, France.
Michel BottlaenderCEA, INSERM, CNRS, BioMaps, Service Hospitalier Frédéric Joliot, Université Paris-Saclay Faculté des Sciences d'Orsay, Orsay, Île-de-France, France.
Philippe GervaisCEA, INSERM, CNRS, BioMaps, Service Hospitalier Frédéric Joliot, Paris-Saclay University Faculty of Science Orsay, Orsay, Île-de-France, France.
Marie-Odile HabertHôpital Pitié-Salpêtrière, Department of Nuclear Medicine, Assistance Publique-Hopitaux de Paris, Paris, Île-de-France, France.
Antoine MonselHôpital Pitié-Salpêtrière, Multidisciplinary Intensive Care Unit, Department of Anaesthesia and Critical Care, Assistance Publique-Hôpitaux de Paris, Paris, Île-de-France, France.
Antoine RoquillySAR, CHU Nantes, Nantes, France.
Mathieu BoutonnetFederation of Anaesthesiology, Intensive Care Unit, Burns and Operating Theatre, Hopital d'Instruction des Armees Percy, Clamart, France.ORCID http://orcid.org/0000-0002-7334-0132
Damien GalanaudCNRS, INSERM, Laboratoire d'Imagerie Biomédicale, LIB, Sorbonne University, Paris, Île-de-France, France.
Audrey CrasHôpital Saint-Louis, MEARY Center for Cell and Gene Therapy, Assistance Publique-Hôpitaux de Paris, Paris, Île-de-France, France.
Hélène Boucher-PilletHôpital Saint-Louis, MEARY Center for Cell and Gene Therapy, Assistance Publique-Hôpitaux de Paris, Paris, Île-de-France, France.
Aline-Marie FlorenceHôpital Bichat, DMU PRISME, Biostatistics Department and Clinical Trial Units, Assistance Publique-Hôpitaux de Paris, Paris, Île-de-France, France.
Ines CavalierHôpital Bichat, DMU PRISME, Biostatistics Department and Clinical Trial Units, Assistance Publique-Hôpitaux de Paris, Paris, Île-de-France, France.
Philippe MenascheCardiovascular Surgery, Hopital Europeen Georges Pompidou, Paris, France.
Vincent DegosNeuroDiderot, Neuroprotection of the Developing Brain, Université Paris Cité, INSERM, Paris, Île-de-France, France.
Camille CouffignalUnité de recherche Clinique, Hôpital Bichat-Claude-Bernard, Paris, Île-de-France, France.ORCID http://orcid.org/0000-0002-5006-6249

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTraumatic brain injury (TBI) is one of the leading causes of death and disability worldwide. Treatments for TBI patients are limited and none has been shown to provide prolonged and long-term neuroprotective or neurorestorative effects. A growing body of evidence suggests a link between TBI-induced neuro-inflammation and neurodegenerative post-traumatic disorders. Consequently, new therapies triggering immunomodulation and promoting neurological recovery are the subject of major research efforts. We hypothesise that repeated intravenous treatment with mesenchymal stromal cells derived from Wharton's Jelly of the umbilical cord-derived mesenchymal stromal cells ((WJ-UC-MSC) may be associated with a significant decrease of post-TBI neuroinflammation and improvement of neurological status. METHODS AND ANALYSIS: The TRAUMACELL trial is a prospective, national multicentre, phase III, superiority, double-arm comparative randomised (1:1) double-blinded clinical trial. Among patients aged between 18-50, with a severe TBI defined by a Glasgow score less than 12 (within the first 48 hours) with brain traumatic lesion on CT Scan and needing intracranial pressure monitoring, with no other significant organ trauma (abbreviated injury scale<2) and unresponsive to verbal commands after 5 days of sedation discontinuation, 68 will be randomly allocated to receive either WJ-UC-MSC solution or placebo, with three intravenous injections 1 week apart. The primary outcome is the [ ETHICS AND DISSEMINATION: The TRAUMACELL trial has been approved by an independent ethics committee (CPP SUD EST II) and French Medicines Agency (2023-504415-33-00) for all study centres. Participant recruitment will be starting in September 2024. Results will be published in international peer-reviewed medical journals. TRIAL REGISTRATION NUMBER: NCT06146062, first posted 24 November 2023 PROTOCOL VERSION IDENTIFIER: TRAUMACELL-V.2.0_20240102.

Indexed as

Brain Injuries, TraumaticMesenchymal Stem Cell TransplantationNeuroinflammatory DiseasesWharton JellyAdolescentAdultClinical Trials, Phase III as TopicDouble-Blind MethodEquivalence Trials as TopicFemaleHumansImmunomodulationMaleMesenchymal Stem CellsMiddle AgedMulticenter Studies as TopicAdult intensive & critical careBrain InjuriesClinical TrialMesenchymal Stem CellsNeuroradiologyNUCLEAR MEDICINE

Identifiers

PMID39740941
PMCPMC11749534

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.