Cochrane · systematic review · CD011742

Cell‐based therapies for amyotrophic lateral sclerosis/motor neuron disease

Abdul Wahid, SF, Law, ZK, Ismail, NA, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

NeuromuscularAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
5
No studies
2
Included studies
NR
No studies 2 · 28.6%Ungraded 0 · 0%Very low 0 · 0%Low 5 · 71.4%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

BM‐MSC compared to no treatment for amyotrophic lateral sclerosis/motor neuron disease

Population: people with probable or definite amyotrophic lateral sclerosis/motor neuron disease (treated with riluzole)
7 questions
OutcomeEffectEvidenceStatus / GRADE
Functional impairment, assessed using a functional rating scale (change from baseline to 6 months): mean change in ALSFRS‐R score
BM‐MSC vs no treatment
no estimate extracted1 study · 56 participantsLow
Downgraded: risk of bias, imprecision
Functional impairment, assessed using a functional rating scale (change from baseline to 12 months)
BM‐MSC vs no treatment
no estimate extractedNRNo studies
Muscle strength: manual muscle testing (mean change from baseline to 12 months)
BM‐MSC vs no treatment
no estimate extractedNRNo studies
Respiratory function: change in FVC% (mean change from baseline to 12 months)
BM‐MSC vs no treatment
no estimate extracted1 study · 56 participantsLow
Downgraded: risk of bias, imprecision
Overall survival
BM‐MSC vs no treatment
RR 1.07 [0.94, 1.22]1 study · 64 participantsLow
Downgraded: risk of bias, imprecision
Adverse events, total
BM‐MSC vs no treatment
RR 0.86 [0.62, 1.19]1 study · 64 participantsLow
Downgraded: risk of bias, imprecision
Serious adverse events
BM‐MSC vs no treatment
RR 0.47 [0.13, 1.72]1 study · 64 participantsLow
Downgraded: risk of bias, imprecision