(This is the sidebar, actual article below)
 
 Telltale Signs of Scams
 
 Beware of:
  Incredible claims ("100 percent safe and 80 percent effective") and 
 claims of effectiveness for many conditions.
   Claims that a therapy is one-of-a-kind, a secret or proprietary 
 cell or process.
   Being charged for clearly experimental therapies that have not yet 
 been proven to be safe and effective.
  So-called "clinical trials" that do not collect data or examine you 
 carefully before or after the treatment.
   Doctors or groups that do not publish their results in legitimate 
 scientific or medical journals.
  Thanks to www.carecure.
 
 ---
 Dr. Wise Young on Stem Cells
 By Tim Gilmer
 March 2008
  
 Dr. Wise Young 
 
 Dr. Wise Young's scientific work, passionate commitment and advocacy 
 have driven the field of SCI restorative research for the past two 
 decades. He is usually slow to criticize peers but minces no words 
 when speaking of India's Geeta Shroff or Beike Biotechnology in 
 Shenzhing.
 
 "I think Beike is a scam," he says. "I just don't think they're doing 
 anything that could be construed as a clinical trial, and they're 
 charging a lot of money for a procedure that probably has no effect." 
 He says the company is huge and treats two to five people per 
 day. "They have probably done thousands of procedures, and they're 
 trying to recruit people in the U.S. and in Europe. Their website has 
 blogs and testimonials from those they treated, but by their own 
 admission, they choose only the positive stories to display."
 
 Beike's promotional methodology is clearly disturbing to Young. He 
 says they charge foreigners much more than they charge people from 
 China and they encourage people to return every three or four months 
 to get repeated injections at $20,000 to $30,000 apiece. "This is 
 just not only unethical," he says, "it's fraudulent." 
 
 Young's assertions are based in science. "These guys are not using 
 HLA [human leukocyte antigen] matched cells. They have this theory 
 that UCB cells don't have to be matched in order for them to engraft. 
 This is total nonsense, 25 years of studies have shown that you have 
 to match UCB cells or else they don't engraft. They say they're doing 
 a clinical trial but they do no follow-up. All they have are 
 testimonials. And finally, they say it's 100 percent safe and 80 
 percent effective. This is directly out of their website  the 
 typical language and approach that is being used to take advantage of 
 people." 
 
 And Geeta Shroff?
 
 "She's also a scam. She has no background in stem cells, has never 
 done anything in stem cells, never published anything in stem cells, 
 and all of a sudden she comes out with something that she claims are 
 human embryonic stem cells. They've not allowed anyone to look at 
 these things, they've provided no evidence that these are human 
 embryonic stem cells. And what is also not being published is there 
 are multiple lawsuits against her by people who claim that she has 
 done nothing, and there are a number of investigations. Geeta Shroff 
 herself would take patients and tell them that she's going to cure 
 them  even before she sees them and examines them."
 
 Lack of scientific data on SCI cure/restoration procedures in China 
 and other countries points to the need for rigorous human clinical 
 trials. Partly to gather data, as well as raise standards of 
 neurological examination, evaluation and clinical trial design in 
 China, Wise Young has organized an SCI trials network involving 25 
 facilities, 15 of which are now Good Clinical Practices qualified. Xi 
 Shan Hospital, where Hongyun Huang offers his OEG implantation 
 procedure, is one of 10 facilities in the network that have not yet 
 met the GCP standard. Huang's procedure is not part of the network's 
 trials. 
 
 Young emphasizes the network is a nonprofit research project and is 
 in no way related to "Stem Cells China" or Beike Biotechnology. "The 
 China SCI Network is a consortium of 25 leading SCI Centers in China 
 and Taiwan," he says. "These are the top universities, top medical 
 centers, all who are taking care of large numbers of people with 
 SCI." 
 
 Are the trials open to Americans? 
 
 "Of course Americans can go to China, but we would expect them to go 
 through all the examinations over there. We're not going to have 
 people get their treatment in China, then come back to the U.S. and 
 not get follow-up. I've been saying to everybody, 'Look, instead of 
 going over to China, let's do [additional] clinical trials in the 
 U.S." 
  
 Presently, however, it will take two or more years to secure NIH 
 funding for U.S. clinical trials. Young says the best hope now is to 
 support the Christopher and Dana Reeve Paralysis Act, which would 
 provide about $100 million over three years for research to reverse 
 paralysis. "Right now we're very close," says Young. "The House 
 already passed the bill, and the Senate would have considered it in 
 December, except an Oklahoma senator put a secret hold on the bill 
 and has refused to lift it." 
 
 A second hope is for individual states to push for SCI restoration 
 research, but well-conceived clinical trials run about $50 million 
 each. In the meantime, the China SCI Network functions like a 
 national clinic/laboratory. The trials are based on a 2004 paper 
 published by Young's colleagues at Hong Kong University, which 
 reported that lithium not only stimulates regeneration in the spinal 
 cords of rats, but also causes stem cells to proliferate. "Lithium 
 also causes certain types of stem cells to produce a lot of growth 
 factors, particularly the neurotrophins.
 
 Additionally, the Hong Kong team found that UCB cells transplanted 
 into the spinal cord encourage axon growth and do not cause 
 tumors. "What we hypothesized,
 would be important to test as a potential source that could bridge 
 the injury site. And it was attractive that these cells poured out 
 neurotrophins when we gave the animals lithium."
 
 Young says two of the three requirements that he considers crucial to 
 the combination therapies of the future have already been fulfilled  
 a way to bridge the injury site, and sustained growth factor 
 support. "The third component, which we need to add," he says, "is a 
 drug that locks growth inhibitors. Within a very short time, we hope 
 to provide proof that we can actually do a combination therapy that 
 addresses all the major obstacles to regeneration in the spinal 
 cord." The design of the trials includes chronic as well as acute and 
 sub-acute SCIs.
 
 "China is a remarkable place to do SCI research," says Young. "In the 
 United States, there is somewhere around 34 new SCI cases per 
 year/per million. In China it's 64 per year/per million. 
 Since China has 4.5 times the U.S. population, that means 90,000 new 
 SCIs annually, or nine times more per year than in the United States.
 
 But numbers alone do not sum up the need. "These people are 
 absolutely desperate," Young says. "They are more desperate than 
 people in the United States simply because the care is not there. I'm 
 absolutely certain that people are dying of UTIs and all the problems 
 that people with SCI have. 
 
 "A lot of people didn't understand that the reason I started China 
 SCI Network is to bring some hope to the people in China; that they 
 need therapies, too; that China SCI Net is for China. And that we 
 should do a USA Network or North American SCI Net for the United 
 States," he says.
 
 "It does not make sense for us to go overseas for therapies. It's bad 
 for the clinical trials, and it's bad for the United States."
   Wise Young Explains China SCI Network Clinical Trials
 By Tim Gilmer 
  
 In 2004 Dr. Wise Young and colleagues at Hong Kong University 
 demonstrated that, in rats, lithium stimulates regeneration of the 
 spinal cord and causes stem cells to proliferate. The first in a 
 series of clinical trials, completed in Hong Kong in December 2007, 
 assessed the safety and feasibility of giving lithium for six weeks 
 to 20 human patients with SCI. "It basically showed that the 
 treatment is safe," says Young.
 
 A second double-blind phase II trial, started at the China 
 Rehabilitation Research Center in Beijing, randomized 40 patients to 
 lithium or placebo, to see whether or not the lithium is producing 
 any neurological benefit. 
 
 Before this, all 25 centers in the China SCI Network began 
 participating in an observational trial where each center collects 
 data on 20 patients according to protocol, examining the patients in 
 exactly the same way. Since 25 centers are involved and some collect 
 data from more than 20 patients, about 600 patients will have been 
 examined at least three times and followed for a period of one 
 year. "These patients will become the candidates for the phase III 
 trial that will start probably at the end of 2008," says 
 Young. "These are all chronic [long term] SCI patients. Our initial 
 approach is toward chronic patients." 
 The network also has completed a cell transplant phase I trial 
 involving 30 patients with acute and early SCI. "We operated on the 
 patients, but did not transplant any cells," says Young. [In phase I] 
 we did decompression of the spinal cords of patients between two days 
 and 69 days after injury. We opened up the dura, we exposed the 
 spinal cord, and we also cut into the spinal cord itself  if we 
 thought there was necrotic or broken-down tissue in the middle  to 
 wash out the dead tissue. These patients actually did very well with 
 this procedure. Many of the patients walked, and we just submitted 
 this for publication.
 
 The next study will involve 40 patients and transplantation of 
 umbilical cord blood cells. "These cells will contain most of the 
 stem cells in umbilical cord blood. Blood is damaging to the spinal 
 cord," says Young, "so you have to isolate them, and we're isolating 
 one particular faction of cells called mononuclear cells." These 
 cells will be transplanted into the 40 patients, with half getting a 
 single bolus dose of methylprednisolone. "We have seen in animal 
 studies that a single bolus dose of methylprednisolone  which is the 
 standard therapy for acute SCI  given intravenously, markedly 
 improved the survival of transplanted cells, and we want to see 
 whether this is true in humans. 
 
 "So we're going to do what we call a phase two umbilical cord blood 
 mononuclear cell transplant. Once we have completed all these things, 
 the phase I and the phase II, then we're going to take 400 of the 
 patients that have been examined in the observational study, and all 
 of these patients will get umbilical cord blood mononuclear cells   
 half of them will get lithium, the other half will not. It's a 
 randomized trial to assess the effect of lithium on the umbilical 
 cord blood cells." 
 
 What will be learned by this series of studies? 
 
 "We now know lithium is safe," says Young. "By the end of the trials 
 we will know whether umbilical cord blood mononuclear cell 
 transplants into the spinal cord are safe. We will also be able to 
 know whether or not it improves function, compared to before the 
 surgery. If we see improved function, we still may not necessarily 
 know that this is directly from the transplant itself. On the other 
 hand, if we see that lithium improves the effect, it must be that 
 lithium plus the cell transplants is better than the transplant by 
 itself," he says. "This, on its own, would be sufficient for us to 
 recommend that the lithium plus umbilical cord blood cells be used 
 for treatment of SCI. 
 
 "On the other hand, if we find that umbilical cord blood mononuclear 
 cells don't do anything for people with SCI  they don't improve or 
 even get worse  we would be able to say definitively that this 
 procedure should not be used."
  http://www.newmobil
 
 
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StemCells subscribers may also be interested in these sites:
Children's Neurobiological Solutions
http://www.CNSfoundation.org/
Cord Blood Registry
http://www.CordBlood.com/at.cgi?a=150123
The CNS Healing Group
http://groups.yahoo.com/group/CNS_Healing
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