Review Article

Classification and Characteristics of Mesenchymal Stem Cells and Its Potential Therapeutic Mechanisms and Applications against Ischemic Stroke

Table 1

Summary of clinical trials on mesenchymal stem cells and ischemic stroke.

S. no.Study titleStatusPhaseCell typePatient sample sizeRoute of therapyTreatment timeRegionOutcomes

1Umbilical cord-derived mesenchymal stem cells for ischemic strokeRecruitingIIhUC-MSCs200IVWithin 6 months after onsetShenyang, ChinaNo results available
2Safety of escalating doses of intravenous bone marrow-derived mesenchymal stem cells in patients with a new ischemic strokeWithdrawnI/IIBM-MSCs0IVWithin 24-72 hours after onsetCalifornia, United StatesNo results available
3Reparative therapy in acute ischemic stroke with allogenic mesenchymal stem cells from adipose tissue, safety assessment, a randomized, double-blind placebo controlled single-center pilot clinical trialCompletedIIAD-MSCs19IVAcute cerebral infarction of less than 12 h from stroke onsetMadrid, SpainSafe, feasible, and has improved neurologic recovery in patients with severe stroke
4Allogeneic adipose tissue-derived mesenchymal stem cells in ischemic strokeRecruitingIIAD-MSCs30IVThe first 4 days (+/-1) from acute stroke symptoms onsetMadrid, SpainNo results available
5Combination of conditioned medium and umbilical cord-mesenchymal stem cell therapy for subacute stroke infarctNot yet recruitingI/IIhUC-MSCs15Acute or subacute phaseJakarta, IndonesiaNo results available
6Mesenchymal stem cells for the treatment of acute ischemic strokeRecruitingIUMC119-069IVWithin 48 to 168 hours after onsetTaiwanNo results available
7Mesenchymal stromal cells for ischemic strokeWithdrawnI/IIBM-MSCs0IV3-10 days after strokeHoustonNo results available
8Autologous bone marrow mesenchymal stem cell transplantation for chronic ischemic strokeUnknownIBM-MSCs40IVWith stroke history of more than 6 months, less than 60 monthsGuangdong, ChinaNo results available
9Allogenic mesenchymal stem cell-derived exosome in patients with acute ischemic strokeRecruitingI/IIMSC-derived exosome5IVAcute phase within 24 h after onsetTehran, IranNo results available
10Evaluate the safety and explore efficacy of umbilical cord mesenchymal stem cells in acute ischemic strokeRecruitingIhUC-MSCs14IA and IVAcute phaseTaiwanNo results available
11Allogeneic mesenchymal stem cells for the survivors of ischemic stroke trial (ASSIST)Not yet recruitingI/IIait-hMSCs60IVMore than 6 months after onsetBeijing, ChinaNo results available
12Perinatal arterial stroke treated with stromal cells intranasallyRecruitingI/IIBM-MSCs10Nasal routeWithin the first week after onsetUtrecht, NetherlandsNo results available
13Clinical plan of ischemic strokeRecruitingIit-hMSCs60IVMore than 6 months after onsetBeijing, ChinaNo results available
14Intravenous stem cells after ischemic strokeCompletedIIBM-MSCs31IVWithin 6 weeks after onsetGrenoble, FranceSafe, feasible, and improved motor recovery
15Umbilical cord derived mesenchymal stem cell treatment in ischemic strokeUnknownIIhUC-MSCs2IVWithin 3 months after onsetBeijing, ChinaNo results available
16The STem cell Application Researches and Trials In NeuroloGy-2 (STARTING-2)UnknownIIIAutologous MSCs60IVWithin 90 days after onsetSeoul, KoreaFeasible and safe but not associated with improvements in the 3-month mRS score and 90-day outcomes in patients with chronic stroke
17Autologous bone marrow stromal cell and endothelial progenitor cell transplantation in ischemicCompletedI/IIBM-MSCs20IVWithin 7 days after the onsetGuangdong, ChinaNo toxicity events or infusional or allergic reactions and may improve recovery after stroke
18A study of allogeneic mesenchymal bone marrow cells in subjects with ischemic strokeCompletedI/IIBM-MSCs38IVMore than 6 months after the onsetCalifornia, United StatesSafe and suggested behavioral gains
19Autologous bone marrow mesenchymal stem cell transplantation for chronic strokeUnknownIBM-MSCs30Intracerebral injectionWithin 3 to 60 months after the onsetZhejiang, ChinaNo results available
20Ex vivo cultured adult allogenic MSCs in ischemic cerebral strokeWithdrawnI/IIAllogenic MSCs0Intravenous ex vivo culturedWithin 10 days after the onsetMalaysiaNo results available

hUC-MSCs: human umbilical cord mesenchymal stem cells; BM-MSCs: bone marrow mesenchymal stem cells; AD-MSCs: adipose tissue-derived mesenchymal stem cells; it-hMSCs: ischemia tolerant human allogeneic bone marrow mesenchymal stem cells; IA: intra-arterial injection; IV: intravenous injection.