Autoantibodies on Spinal Cord Injury

NCT02493543 — Completed, 110 participants, Hospital Nacional de Parapléjicos de Toledo

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Role of Autoantibodies in Spontaneous Functional Recovery After Spinal Cord Injury

RegistryNCT02493543
StatusCompleted
Study typeObservational
Enrollment110 (Estimated)
SponsorHospital Nacional de Parapléjicos de Toledo (Other); collaborators: Fundación Mutua Madrileña
ConditionsSpinal Cord Injuries
InterventionsBlood collection (Other)
Datesstart 2014-10-17, primary completion 2020-12-31, completion 2020-12-31, first posted 2015-07-09, last updated 2026-10-21
Locations2 sites in Germany, Spain

Related Papers Related Patents Related Grants Related Experts
All trials for Spinal Cord Injuries All trials of Blood collection

-Summary

The purpose of this study is to determine the autoantibody profiles after spinal cord injury and their role in spontaneous functional recovery.

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+Detailed description

Most patients experience variable degrees of functional recovery after spinal cord injury (SCI), predominantly in the first months after lesion. In SCI animal models, autoantibodies are pathogenic and their titers rise up at the time when spontaneous recovery stops. The aim of this study is to determine the autoantibody profiles after SCI and to infer their relation with functional recovery. To achieve this, autoantibody profiles, biochemical, hematological and immune-related parameters (cytokines, chemokines and growth factors) will be determined from a serum blood sample and functional recovery will be evaluated accordingly to standardized scales.

+Arms and interventions

ArmTypeInterventionsDescription
Spinal cord injuryOther: Blood collectionPatients (n=90) will undergo a common arm blood collection to determine autoantibody profiles in serum. This procedure will be performed twice: after recruitment and 3 months later.
ControlsOther: Blood collectionControl subjects (n=20) will undergo a common arm blood collection to determine autoantibody profiles in serum. This procedure will be performed only once.
  • Blood collection (Other): Blood collection from the subject's arm

+Outcome measures

Primary outcomes

  • Changes in ASIA scores [4 months]

Secondary outcomes

  • Change in neurological level of injury [4 months]
  • Change in ASIA impairment scale (AIS) [4 months]

Other outcomes

  • Spinal cord independence measure (SCIM) [Until discharge from the hospital (6-12 months)]

+Eligibility

Sex: All, ages: 18 Years to any, accepts healthy volunteers

Inclusion Criteria:

* Traumatic or non-progressive vascular SCI
* Less than 45 days after lesion
* Any neurological level
* Complete and incomplete lesions
* If patient has been treated with glucocorticoids, it should have passed at least 7 days from the end of the treatment

Exclusion Criteria:

* Cauda equina syndrome
* Autoimmune disorder
* Tumor (even if benign)
* Neurodegenerative disease

+Locations (2)

FacilityCityCountryStatus
Berufsgenossenschaftliche Unfallklinik MurnauMurnau am StaffelseeGermany
Hospital Nacional de Parapléjicos, SESCAMToledoSpain

+Publications

  • Results publication: Leister I, Altendorfer B, Maier D, Mach O, Wutte C, Grillhosl A, Arevalo-Martin A, Garcia-Ovejero D, Aigner L, Grassner L. Trajectory of Serum Levels of Glial Fibrillary Acidic Protein Within Four Weeks Post-Injury Is Related to Neurological Recovery During the Transition from Acute to Chronic Spinal Cord Injury. J Neurotrauma. 2023 May;40(9-10):999-1006. doi: 10.1089/neu.2022.0326. Epub 2022 Dec 9. PMID 36200629

+Investigators