FDA, Athersys Agree on Special Protocol for Cell Therapy

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FDA and Athersys have reached agreement on a special protocol assessment for the design and planned analysis of a Phase 3 clinical trial involving the company’s MultiStem cell therapy product for treating ischemic stroke. The agreement applies to the protocol design, clinical endpoints, planned conduct and statistical analyses, which are found acceptable to support a regulatory submission for product approval, according to the company. “The results from the Phase 3 trial entitled, ‘MultiStem Administration for Stroke Treatment and Enhanced Recovery Study-2’ (MASTERS-2), together with other available clinical data, would provide the foundation of the regulatory package to be submitted for marketing approval,” it says.

The randomized, double-blind, placebo-controlled clinical trial is designed to enroll 300 patients in North America and Europe who have suffered moderate to moderate-severe ischemic stroke.  The enrolled subjects will receive either a single intravenous dose of MultiStem cell therapy or placebo, administered within 18-36 hours of the occurrence of the stroke, in addition to the standard of care. The primary endpoint will evaluate disability using modified Rankin Scale scores at three months, comparing the distribution, or the “shift,” between the MultiStem treatment and placebo groups, the company says. “The mRS shift analysis considers disability across the full spectrum, enabling recognition of large and small improvements in disability and differences in mortality and other serious outcomes, among strokes of different severities,” it says.

MultiStem is a patented regenerative medicine product that has shown the ability to promote tissue repair and healing in a variety of ways, such as through the production of therapeutic factors produced in response to signals of inflammation and tissue damage, Athersys says. “The product represents a unique ‘off-the-shelf’ stem cell product that can be manufactured in a scalable manner, may be stored for years in frozen form, and is administered without tissue matching or the need for immune suppression,” it says.

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