FDA approves human embryonic stem cell study
http://www.cnn.com/2009/HEALTH/01/23/stem.cell/index.html?eref=rss_topstories
     (CNN) -- Federal regulators have cleared the way for the first
human trials of human embryonic stem-cell research, authorizing
researchers to test whether the cells are safe to use in spinal injury
patients, the company behind the trials announced Friday.


Embryonic stem cells are blank cells found in embryos, which have the
ability to turn into any cell in the body.

 The tests could begin by summer, said Dr. Thomas Okarma, president
and CEO of the Geron Corporation. The Food and Drug Administration has
approved the trials, which will use human stem cells authorized for
research by then-President George W. Bush in 2001.

The patients will be those with the most severe spinal cord injuries,
called complete spinal cord injuries.

"A complete spinal cord injury has no hope of recovery below the
injury," Okarma told CNN. "This is significant because it's the first
clinical trial of a human embryonic-based product."

The primary purpose of the trial will be to see whether injecting
these cells into patients is safe, but Okarma said researchers will
also look for any signs of recovery. Scientists will monitor the
patients for a year after the injections to see if they are regaining
any function below the injured point.

"If there is any movement below the injury, they will measure that and
record it," he said.

The trials will involve eight to 10 patients who are completely
paralyzed below the third to tenth vertebra, and who sustained their
spinal cord injury within seven to 14 days. The tests will use stem
cells cultured from embryos left over in fertility clinics, which
otherwise would have been discarded.

Using the stem cells, researchers have developed cells called
oligodendrocytes, which are precursors to nerve cells and which
produce a protective layer around nerve cells known as myelin.
Researchers will inject these nerve cells directly into the part of
the spine where the injury occurred.
President Obama is expected to loosen the restrictions, which many
researchers and advocates have complained severely set back work
toward curing disease such as Alzheimer's, Parkinson's and diabetes.

Okarma said Geron did not use any federal funding for its research,
and that the Bush restrictions had "devastated the field."

"People didn't think this would happen for another five years," Okarma
said. "But it will happen soon, and it would have happened sooner if
it weren't for the ridiculous Bush policies."

Geron owns patents on and licenses the procedure to make these stem
cell lines. The company spent $45 million of its own to produce
everything required to get approval for the upcoming trial, Okarma
said.

At least two other companies have said they plan to begin conducting
embryonic stem-cell tests in humans, but only Geron has received FDA
approval. Another U.S. company, Reneuron, plans to conduct trials
involving stem cells taken from fetal tissue in Britain this year.
Other companies have developed stem cells from adult tissue,
sidestepping the controversy.

In addition to producing stem cells to treat spinal cord injuries,
Geron says, it has seven other types of cells derived from stem cells
in its pipeline. Okarma said FDA scrutiny was stringent, and that
researchers studied the cells in petri dishes and in animals before
obtaining permission to test them in humans.

Getting approval was made harder and took longer because the FDA had
no other peer-reviewed research outside of Geron's to consult as it
reviewed the proposal, he said.

The trials are not expected to start until summer, because many of the
preparations could not begin until Geron had FDA approval, Okarma
said. Researchers have to be educated about how to use the stem cells,
how to prepare their laboratories for the research and how to read all
the magnetic resonance imaging (MRI) of the patients in the same way.

"We [also] have to train surgeons how to inject the stem cells,"
Okarma explained. His company even developed a device that is mounted
to the operating table to help surgeons inject the stem cells.

Geron still has to select the four to seven sites for the clinical
trials, Okarma said.

The first human embryonic stem cells were developed by Jamie Thomson
at the University of Wisconsin-Madison in 1998.

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