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View Clinical Trial (Medical Research Study)


Peripheral Blood Stem Cell Collection From Adult Volunteers

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City:   Bethesda
State:   Maryland
Zip Code:   20892
Conditions:   Healthy
Purpose:   This study will examine the development of stem cells (very immature cells produced by the bone marrow) and their potential to change into cells of other organ types. These cells will be studied for their potential use in creating replacement tissue for diseases ranging from diabetes to Parkinson's. Healthy volunteers 18 years of age or older may be eligible for this study. Candidates will be screened with a medical history, physical examination, and blood tests. Participants will undergo a process called 'stem cell mobilization and apheresis' to collect bone marrow stem cells. For five days before the collection they will receive injections of a hormone called G-CSF, which stimulates release of stem cells from the bone marrow into the bloodstream. On the fifth day of the injections, stem cells will be collected through apheresis. For this procedure, blood is collected through a catheter (plastic tube) placed in an arm vein and directed into a cell separator machine. There, the white cells and stem cells are separated from the other blood components through a spinning process and collected in a bag inside the machine. The rest of the blood is returned to the donor through a catheter in the other arm.
Study Summary:   The concept that renewal of various tissues and organs at steady state or following damage relies upon a small population of locally residing tissue specific "stem cells" has remained unchallenged for decades; however, recent work by several groups has demonstrated a remarkable capacity of cells from one tissue to participate in the repair or repopulation of disparate organs, a process termed transdifferentiation. Stem cells from adult bone marrow represent an ideal stem cell source based on their ease of collection. In order to begin to explore the potential of adult bone marrow, we propose in vitro and in vivo mouse studies to examine the regulation of both normal differentiation and transdifferentiation of hematopoietic stem cells collected from adult volunteers. In order to obtain adult hematopoietic stem cells in large numbers for in vitro and in vivo studies, volunteers will undergo mobilization with G-CSF for 5 consecutive days followed by large volume apheresis on the 5th day of G-CSF injection. The harvested product will be immunomagnetically purified for the primitive progenitor population and viably cryopreserved in multiple aliquots.
Criteria:   - INCLUSION CRITERIA: Age 18 or greater. Normal renal function: creatinine less than1.5 mg/dL, proteinuria less than1+. Normal liver function: bilirubin less than 2.5 mg/dL, ALT less than 2.5 times the upper limit of normal, all other transminases less than 2.5 times the upper limit of normal. Normal blood counts: WBC 3,000-10,000/mm3, granulocytes greater than 1,500/mm3, platelets greater than 150,000/mm3, hemoglobin greater than 12.5g/dL, MCV within normal limits. Female volunteers of childbearing age should have a negative serum pregnancy test within one week of beginning G-CSF administration. Meets NIH Department of Transfusion Medicine (DTM) eligibility criteria for blood component donation for in vitro research use (negative serologic tests for syphilis, hepatitis B and C, HIV, and HTLV-1). Ability to give informed consent to participate in the protocol. EXCLUSION CRITERIA: Any underlying hematologic disorder including sickle cell disease. Active viral, bacterial, fungal, or parasitic infection. History of autoimmune disease, such as rheumatoid arthritis or systemic lupus erythematosus. History of cancer excluding squamous carcinoma of the skin and cervical carcinoma in situ. History of cardiovascular disease or related symptoms such as chest pain or shortness of breath. Any positive serum screening test as listed below. Allergy to G-CSF or bacterial E. coli products. Splenic enlargement at baseline on ultrasound.
NCT ID:   NCT00033774
Primary Contact:   Principal Investigator
John F Tisdale, M.D.
National Heart, Lung, and Blood Institute (NHLBI)

John F Tisdale, M.D.
Phone: (301) 402-6497
Email: johntis@mail.nih.gov
Backup Contact:   N/A
Location Contact:   Bethesda, Maryland 20892
United States

For more information at the NIH Clinical Center contact Patient Recruitment and Public Liaison Office (PRPL)
Phone: 800-411-1222
Email: prpl@mail.cc.nih.gov

Site Status: Recruiting

Data Source:   ClinicalTrials.gov
Date Processed:   May 18, 2013
Modifications to this listing:   Only selected fields are shown, please use the link below to view all information about this clinical trial.
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