Clinical Trial of Human Umbilical Cord Mesenchymal Stem Cells (IxCell hUC-MSC-S) in the Treatment of Ischemic Stroke
A Phase I Study of Safety and Tolerability of Single-dose Human Umbilical Cord Mesenchymal Stem Cell (IxCell hUC-MSC-S) in Patients With Convalescent Phase of Ischemic Stroke
To evaluate the safety and tolerability of IxCellhUC-MSC-S as a single intravenous infusion in convalescent patients with ischemic stroke.
To explore the efficacy of IxCellhUC-MSC-S as a single intravenous infusion in patients with convalescent ischemic stroke.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
-
-
-
Beijing, China
- Xuanwu Hospital of Capital Medical University
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Beijing Municipality
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Beijing, Beijing Municipality, China
- Xuanwu Hospital of Capital Medical University
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 18 to 80 years old, both sexes;
- Diagnosed with ischemic stroke of the anterior circulation at 12-24 weeks after the first stroke symptom onset (including W12 and W24);
- National Institutes of Health Stroke Scale (NIHSS) score 6-20 points, and NlHSS score item 1a < 2 points;
- Life expectancy ≥ 12 months;
- Understand and comply with the study process, with informed consent form voluntarily signed by the patient or the authorized representatives.
Exclusion Criteria:
- Current or previous epilepsy, dementia, Parkinson's disease, major depression, or other neurological disorders or mental illnesses that the investigator believes will affect their ability to participate in the study or affect the study evaluation;
- Current or past intracranial hemorrhagic diseases (such as: cerebral hemorrhage, epidural hematoma, subdural hematoma, subarachnoid hemorrhage, ventricle hemorrhage, traumatic cerebral hemorrhage, etc.) or cerebral tumors, history of brain trauma, encephalitis and other symptoms leading to apoplexy;
- Current or past severe cardiovascular disease;
- Patients with pulmonary embolism, interstitial pneumonia, radiation pneumonia, drug-related pneumonia, severe impairment of lung function and other severe lung infections or other lung diseases (except those caused by stroke, bed rest after stroke or stroke treatment);
- Have any other clinically serious medical conditions currently or in the past that the investigators judge unsuitable for inclusion in this study, including but not limited to severe liver (e.g., cirrhosis, etc.), kidney (e.g., kidney diseases requiring hemodialysis or peritoneal dialysis, etc.), blood (e.g., hemophilia with bleeding tendencies, etc.), endocrine (e.g.,Diabetes mellitus with difficult blood glucose control (blood glucose > 16.8mmol/L or < 2.8mmol/L), or complicated with severe neurovascular complications, etc.), immune system (active or uncontrolled autoimmune diseases, primary or secondary immune deficiencies, etc.), malignant tumors (except cured non-melanoma skin cancer, cervical or breast ductal carcinoma in situ), etc.;
Organ function level meet the following any one or more:
absolute neutrophil cell count (ANC) < 1.5×109/L, platelet (PLT) < 100×109/L, hemoglobin (Hb) < 90g/L; Aspertate aminotransferase (AST) > 2.5×normal limit (ULN) and/or alanine aminotransferase (ALT) > 2.5×ULN, serum total bilirubin (TBIL) > 1.5×ULN; Creatinine (Cr) > 1.5×ULN; The international normalized ratio (INR) for those who did not receive anticoagulant or antithrombotic therapy > 1.7 or activated partial thromboplastin time (APTT) > 1.25×ULN, the international normalized ratio(INR) for those using anticoagulant or antithrombotic therapy > 3.0 or activated partial thromboplastin time (APTT) > 1.50×ULN.
- Hepatitis B virus surface antigen (HBsAg) or hepatitis B core antibody (HBcAb) positive for HBV-DNA, positive for hepatitis C virus antibody (HCVAb), treponema pallidum antibody (TPAb/RPR) or human immunodeficiency virus antibody (HIV), or within 14 days prior to receiving the test drug treatment,The emergence of any infected persons in need of systematic anti-infective treatment;
- Allergic constitution or history, or allergic to the test drug or any component of the test drug;
- Patients with MRI contraindications;
- Positive blood pregnancy test results for female subjects of reproductive age within 7 days prior to receiving the experimental drug treatment;All women of reproductive age, fertile men or their spouses who refused to use appropriate contraception (including at least one barrier contraceptive) throughout the study period, and lactating women;
- Those who required systemic corticosteroids (> 10mg/ day prednisone therapeutic dose) or other immunosuppressive agents within 14 days prior to receiving the trial drug or during the study period;
- Patients who used butylphthalein within 3 weeks before receiving the experimental drug;
- participated in any clinical trial and took any investigational drug within 3 months prior to receiving the investigational drug treatment (or the last time receiving the investigational drug did not exceed 5 half-lives, whichever is longer);
- Patients who had severe trauma or major surgery within 3 months before receiving the experimental drug treatment, or who plan to undergo surgery during the trial period;Patients with a history of blood transfusion within 3 months before receiving the experimental drug treatment;
- Those who had a history of drug abuse or alcoholism within 1 year before receiving the experimental drug treatment;
- Those who have previously received other stem cell treatments;
- Participants with other severe, acute, or chronic medical conditions that may increase the patient's risk or may interfere with the interpretation of the test results are judged by the investigator to be unsuitable for clinical trials.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: group 1
Human umbilical cord mesenchymal stem cells(hMSCs)5.0×10^7 cells
|
a single injection dose i.v.
|
|
Experimental: group 2
Human umbilical cord mesenchymal stem cells(hMSCs)10.0×10^7
cells
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a single injection dose i.v.
|
|
Experimental: group 3
Human umbilical cord mesenchymal stem cells(hMSCs)20.0×10^7
cells
|
a single injection dose i.v.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Safety and tolerability
Time Frame: 24 weeks
|
Adverse events and serious adverse events
|
24 weeks
|
|
Laboratory test:blood routine
Time Frame: 24 weeks
|
24 weeks
|
|
|
Laboratory test:urine routine
Time Frame: 24 weeks
|
24 weeks
|
|
|
Laboratory test:blood biochemistry
Time Frame: 24 weeks
|
24 weeks
|
|
|
Laboratory test:coagulation function
Time Frame: 24 weeks
|
24 weeks
|
|
|
12-lead electrocardiogram
Time Frame: 24 weeks
|
24 weeks
|
|
|
Head magnetic resonance imaging(MRI)
Time Frame: 24weeks
|
24weeks
|
|
|
Physical examination
Time Frame: 24weeks
|
24weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Preliminary efficacy
Time Frame: 24 weeks
|
Changes in mRS scores at W12 and W24 compared to baseline after administration
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24 weeks
|
|
Preliminary efficacy
Time Frame: 24 weeks
|
The proportion of patients with a Barthel index (BI) score of ≥95 at W12 and W24 after administration
|
24 weeks
|
|
Preliminary efficacy
Time Frame: 24 weeks
|
Changes in Barthel index (BI) at W12 and W24 compared to baseline after administration
|
24 weeks
|
|
Preliminary efficacy
Time Frame: 24 weeks
|
Changes in the National Institutes of Health Stroke Scale (NIHSS) at W12 and W24 after administration compared to baseline
|
24 weeks
|
|
Preliminary efficacy
Time Frame: 24 weeks
|
Changes in Fugl-Meyer(FM)scores at W12 and W24 compared to baseline after administration
|
24 weeks
|
|
Preliminary efficacy
Time Frame: 24 weeks
|
Changes in infarct volume on MRI (FLAIR sequence) at W12 and W24 after administration compared to baseline
|
24 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: junwei Hao, Doctor, Xuanwu Hospital of Capital Medical University
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- LC-MSC-IS21004
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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