Evaluation of Clinical and Bone Density Improvement After Implantation of Allogenic Mesenchymal Stem Cell From Umbilical Cord on Osteoporosis Patients

Study Overview
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Brief Summary
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This study will assess the effectiveness of the allogeneic mesenchymal cell from umbilical cord in improving the quality and quantity of spinal density of osteoporosis patients proven by the results of Bone Mass Density (BMD) examination compared to baseline and evaluate improvement of quality of pain with visual analog scale (VAS).

Detailed Description
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Currently, preventive and therapeutic strategies for osteoporosis patients are based on calcium and vitamin D supplementation, the use of pharmacological agents that inhibit bone resorption such as bisphosphonates, and sometimes calcitonin. Although bisphosphonates have been found to reduce osteoporosis, clinical use for these drugs has been limited because of its potential to produce serious side effects, such as mandibular osteonecrosis and atypical femoral fractures. Therefore, new therapeutic strategies for osteoporosis are needed. This study will assess the effectiveness of the allogeneic mesenchymal cell from umbilical cord. Patients who have received mesenchymal stem cell therapy (MSC) are expected to have positive effects such as reduced pain sensation in the back assessed by Visual Analog Scale (VAS), improvement in the range of motion (ROM), improving the quality of osteoporosis patients's bone proven by the results of Bone Mass Density (BMD) and improvement in patients' quality of life.

Official Title
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Evaluation of Clinical and Bone Density Improvement After Implantation of Allogenic Mesenchymal Stem Cell From Umbilical Cord on Osteoporosis Patients (Clinical Trial)

Conditions
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Osteoporosis

Intervention / Treatment
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* Drug: Mesenchymal Stem Cell


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male patients older than 50 yrs old. Female patients older than 40 years old. Patients enrolled in Cipto Mangunkusumo Hospital with osteoporosis confirmed by BMD test. Patients with no history of autoimun disease (SLE, Addison's disease, Chron's disease) and other diseases related to osteoporosis. Patients with no history of consuming drug related osteoporosis. No active infection confirmed by HbsAg, HIV, CMV, Rubella and Toxoplasma examination. Agree to participate the study by signing informed consent form. Exclusion Criteria: Patients with autoimun diesasde (SLE, Addison's diesase, Chron's disease and other osteoporosis related disease. Patients under immunosuppressive, anticoagulant or corticosteroid treatment. Paralysis patients after surgical treatment Patients under 20 years old Declined to participate in the study

Ages Eligible for Study
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Minimum Age: 40 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: UC-Mesenchymal Stem Cell<br>Allogeneic Mesenchymal Stem Cell from umbilical cord | Drug: Mesenchymal Stem Cell<br>* Mesenchymal Stem Cell + NaCl 0,9% 2ml<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Bone Mass Density (BMD) | Improvement of spinal density in osteoporosis patients proven by the results of Bone Mass Density (BMD). Above Standard Deviation (SD) (-1) means normal Between SD (-1) and (-2.5) is classified as osteopenia. Osteopenia is a condition when bone density is lower than the average, but not as low as osteoporosis. Below SD (-2.5) is categorized as osteoporosis. The numbers are expected to be higher after MSC implantation. | 6 months | 
| Visual Analog Scale (VAS) | Evaluates pain quality using Visual Analog Scale (VAS) from 0 - 10. Zero is no pain at all, one is the the least pain and ten is the most painful. The numbers are expected to be lower after MSC implantation. | 6 months |