Concise Review: A Comprehensive Analysis of Reported Adverse Events in Patients Receiving Unproven Stem Cell-Based Interventions

被引:112
作者
Bauer, Gerhard [1 ]
Elsallab, Magdi [2 ]
Abou-El-Enein, Mohamed [2 ]
机构
[1] Univ Calif Davis, IRC, Sacramento, CA 95817 USA
[2] Charite Univ Med Berlin, BCRT, D-13353 Berlin, Germany
关键词
Stem cells; Mesenchymal stromal cells; Stem cell tourism; Stem cell clinics; Unproven interventions; Regulations; Clinical trials; Ethics; Adverse events; Risks; Hype; SPINAL-CORD-INJURY; ADVANCED THERAPIES; HUMAN BLASTOCYSTS; TOURISM; ACCESS; FDA; TRANSPLANTATION; TRANSLATION; PORTRAYALS; CHALLENGES;
D O I
10.1002/sctm.17-0282
中图分类号
Q813 [细胞工程];
学科分类号
100113 [医学细胞生物学];
摘要
The promise of stem cell (SC) therapies to restore functions of damaged tissues and organs brings enormous hope to patients, their families, loved ones, and caregivers. However, limits may exist for which indications SC therapies might be useful, efficacious, and safe. Applications of innovative therapies within regulatory boundaries and within the framework of controlled clinical trials are the norm in the scientific and medical community; such a system minimizes patient risk by setting a clear and acceptable safety and efficacy profile for new therapeutics before marketing authorization. This careful clinical validation approach often takes time, which patients suffering from terminal or debilitating diseases do not have. Not validated, unproven stem cell interventions (SCI) that promise a working treatment or cure for severe diseases have therefore found their way into the patient community, and providers of such treatments often take advantage of the public's willingness to pay large amounts of money for the misguided hope of a reliable recovery from their illnesses. We conducted a review of scientific publications, clinical case reports, and mass media publications to assess the reported cases and safety incidents associated with unproven SCI. The review also analyzes the main factors that were identified as contributing to the emergence and global rise of the "stem cell tourism" phenomenon.
引用
收藏
页码:676 / 685
页数:10
相关论文
共 92 条
[1]
Registry Contributions to Strengthen Cell and Gene Therapeutic Evidence [J].
Abou-El-Enein, Mohamed ;
Grainger, David W. ;
Kili, Sven .
MOLECULAR THERAPY, 2018, 26 (05) :1172-1176
[2]
Strategies for Derisking Translational Processes for Biomedical Technologies [J].
Abou-El-Enein, Mohamed ;
Duda, Georg N. ;
Gruskin, Elliott A. ;
Grainger, David W. .
TRENDS IN BIOTECHNOLOGY, 2017, 35 (02) :100-108
[3]
Overcoming Challenges Facing Advanced Therapies in the EU Market [J].
Abou-El-Enein, Mohamed ;
Elsanhoury, Ahmed ;
Reinke, Petra .
CELL STEM CELL, 2016, 19 (03) :293-297
[4]
A roadmap toward clinical translation of genetically-modified stem cells for treatment of HIV [J].
Abou-El-Enein, Mohamed ;
Bauer, Gerhard ;
Reinke, Petra ;
Renner, Matthias ;
Schneider, Christian K. .
TRENDS IN MOLECULAR MEDICINE, 2014, 20 (11) :632-642
[5]
Good Manufacturing Practices (GMP) manufacturing of advanced therapy medicinal products: a novel tailored model for optimizing performance and estimating costs [J].
Abou-El-Enein, Mohamed ;
Roemhild, Andy ;
Kaiser, Daniel ;
Beier, Carola ;
Bauer, Gerhard ;
Volk, Hans-Dieter ;
Reinke, Petra .
CYTOTHERAPY, 2013, 15 (03) :362-383
[6]
Catastrophic Demyelinating Encephalomyelitis After Intrathecal and Intravenous Stem Cell Transplantation in a Patient With Multiple Sclerosis [J].
Alderazi, Yazan J. ;
Coons, Stephen W. ;
Chapman, Kevin .
JOURNAL OF CHILD NEUROLOGY, 2012, 27 (05) :632-635
[7]
Donor-Derived Brain Tumor Following Neural Stem Cell Transplantation in an Ataxia Telangiectasia Patient [J].
Amariglio, Ninette ;
Hirshberg, Abraham ;
Scheithauer, Bernd W. ;
Cohen, Yoram ;
Loewenthal, Ron ;
Trakhtenbrot, Luba ;
Paz, Nurit ;
Koren-Michowitz, Maya ;
Waldman, Dalia ;
Leider-Trejo, Leonor ;
Toren, Amos ;
Constantini, Shlomi ;
Rechavi, Gideon .
PLOS MEDICINE, 2009, 6 (02) :221-231
[8]
[Anonymous], 2014, NAPLES DAILY NEWS
[9]
[Anonymous], 2014, BRISBANE TIMES
[10]
[Anonymous], 2016, PUBL WORKSH SCI EV D