Safety and Efficacy of Intravenous Administration of SHED-CM for ALS (SCA202401)

September 8, 2025 updated by: Hitonowa Medical
This study evaluates the safety and efficacy of Stem Cell from Human Exfoliated Deciduous teeth Conditioned Media (SHED-CM) in patients with Amyotrophic Lateral Sclerosis (ALS), using the Japanese version of the revised ALS Functional Rating Scale (ALSFRS-R) as an indicator.

Study Overview

Status

Active, not recruiting

Conditions

Intervention / Treatment

Detailed Description

The main objective of this study is to evaluate the safety and efficacy of Stem Cell from Human Exfoliated Deciduous teeth Conditioned Media in patients with Amyotrophic Lateral Sclerosis (ALS), Particular focus will be placed on improving neurological function, slowing the rate of symptom progression, and improving the patient's quality of life.

What are the advantages of this therapy over standard therapy? and for which patients it is most effective ?

Study Type

Interventional

Enrollment (Estimated)

10

Phase

  • Early Phase 1

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

    • Tokyo
      • Chiyoda City, Tokyo, Japan, 102-0085
        • Hitonowa Medical

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

Patients who meet the following inclusion criteria (1) to (6) at the time of Informed consent

  1. Patients who have provided written informed consent to participate in the study.
  2. Patients who are at least 20 years of age at the time of obtaining informed consent.
  3. Patients diagnosed with isolated or familial ALS and diagnosed as definite, the probable, or the probable laboratory-supported by updated Awaji criteria.
  4. Patients with severity 1 or 2 on ALS severity criteria.
  5. Outpatients.
  6. Patients residing in Japan who can communicate in Japanese.

Exclusion Criteria:

Patients who do not meet any of the exclusion criteria (1) to (15) at the time of Informed consent

  1. Patients with a tracheostomy
  2. Patients with a history of non-invasive respiratory support
  3. Patients with a percent FVC of 60 or less
  4. Patients with chronic obstructive pulmonary disease (COPD)
  5. Patients newly treated with edaravone or riluzole (oral) within 4 weeks prior to Informed consent
  6. Patients receiving HAL medical leg type treatment
  7. Patients receiving intravenous edaravone
  8. Patients with cognitive impairment
  9. Pregnant women or patients who may be pregnant
  10. Patients with serious respiratory, cardiovascular, hepatic, or renal disease
  11. Patients with malignant tumors
  12. Patients with uncontrolled infection
  13. Patients who have participated in other clinical trials within 12 weeks prior to obtaining consent
  14. Patients with a history of drug allergy or severe allergic disease (e.g., anaphylactic shock) or concomitant history
  15. Patients who are deemed inappropriate to participate in the study by the principal investigator or research coordinator.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Receiving the study drug
The study drug will be administered intravenously at 120 ml once a week for 12 week.
This study will involve informed consent, a 12-week observation period, a 12-week study drug administration period, and a 4-week follow-up period.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
All Adverse Events
Time Frame: Immediately after each administration and up to 4 weeks post-treatment
This measure will check the total number of adverse events (AEs) reported during the study, categorized by CTCAE Ver 5.0 .
Immediately after each administration and up to 4 weeks post-treatment
Number of Clinically Significant Changes in Laboratory Test Results
Time Frame: Baseline, Week 4, Week 8, Week 12, and at follow-up (Week 16).
This measure will track the number of events where clinically significant abnormalities are detected in laboratory test parameters, including blood count, biochemistry, and coagulation function tests. Changes from baseline to follow-up are evaluated based on predefined clinical thresholds.
Baseline, Week 4, Week 8, Week 12, and at follow-up (Week 16).
Number of Clinically Significant Changes in Vital Signs
Time Frame: Baseline, Week 4, Week 8, Week 12, and at follow-up (Week 16).
This measure will evaluate the number of events where clinically significant changes in vital signs occur. Parameters include systolic blood pressure, diastolic blood pressure, pulse rate, body temperature, and SpO2. Each event will be assessed at two time points: immediately after treatment and after follow-up session, comparing values to baseline.
Baseline, Week 4, Week 8, Week 12, and at follow-up (Week 16).
Safety assessment during the study period: Adverse events - Self- and other findings
Time Frame: Immediately after each administration and up to 4 weeks post-treatment
Medical examination, subjective findings, Other findings
Immediately after each administration and up to 4 weeks post-treatment

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Efficacy assessment: ALSFRS-R
Time Frame: Change from baseline ALSFRS-R at follow-up session
The revised ALS Functional Rating Scale in ALS Patients. This scale is scored from 0 to 48, the higher the score the better.
Change from baseline ALSFRS-R at follow-up session
Efficacy assessment: %FVC
Time Frame: Change from baseline %FVC at follow-up session
% forced vital capacity in ALS Patients
Change from baseline %FVC at follow-up session
Efficacy assessment: grip strength
Time Frame: Change from baseline grip strength at follow-up session
grip strength in ALS Patients
Change from baseline grip strength at follow-up session

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Collaborators

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

April 5, 2024

Primary Completion (Estimated)

December 31, 2026

Study Completion (Estimated)

December 31, 2026

Study Registration Dates

First Submitted

July 18, 2024

First Submitted That Met QC Criteria

March 17, 2025

First Posted (Actual)

March 21, 2025

Study Record Updates

Last Update Posted (Estimated)

September 15, 2025

Last Update Submitted That Met QC Criteria

September 8, 2025

Last Verified

September 1, 2025

More Information

Terms related to this study

Other Study ID Numbers

  • SHED-CM-ALS-202401

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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