Cell-Based Therapy for White Matter Repair in Periventricular Leukomalacia
Phase 1 Study Evaluating the Safety and Preliminary Efficacy of a Novel Cell-Based and Small Molecule Combination Therapy for White Matter Injury in Patients With Periventricular Leukomalacia
The goal of this study is to explore a new treatment that may help repair brain damage in individuals with periventricular leukomalacia (PVL), a condition that affects white matter in the brain. Researchers are testing whether a combination of a novel cell therapy and specific molecular agents can support brain repair.
The main questions the study aims to answer are:
Can the treatment help regrow white matter and improve myelin repair? Does the treatment reduce scarring in the brain? Is the treatment safe and well-tolerated?
The study uses several components, including:
A specific type of neural progenitor cell to form the basis of the therapy. A small molecule compound to support cell function and survival. An agent designed to promote the repair of the myelin sheath. An enzyme intended to break down scar tissue in the brain. Researchers will study how these components work together to protect and repair the brain by influencing key pathways involved in damage and recovery.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Phase
Phase
- Early Phase 1
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Diagnosis of periventricular leukomalacia (PVL) confirmed by MRI
- Clinically stable at time of intervention
- Parental or legal guardian consent if participant is a minor
Exclusion Criteria:
- Severe congenital brain malformations unrelated to PVL
- Active CNS infection or systemic inflammatory disease
- History of severe intraventricular hemorrhage (Grade III/IV)
- Known allergy or history of a significant hypersensitivity reaction to the investigational product or any of its components.
- Participation in another interventional study within the past 30 days
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Experimental: Investigational Combination Therapy
Participants will receive an investigational combination therapy.
This therapy consists of a proprietary cell-based component administered with a cocktail of molecular and enzymatic agents.
These agents are designed to support cell health, promote myelin repair, and reduce inhibitory factors in the damaged brain tissue.
The overall goal of the intervention is to promote white matter regeneration in patients with periventricular leukomalacia by targeting key barriers that prevent natural repair.
|
This investigational therapy combines a proprietary, human-derived cell-based component with a unique blend of small molecules and an enzyme.
The components are designed to work synergistically to address the complex pathology of white matter injury.
The therapy aims to provide a source for cellular regeneration, support the survival of existing cells, enhance the potential for myelin repair, and modify the inhibitory environment of glial scar tissue.
This multi-pronged biological intervention is designed to promote neural regeneration and functional recovery in patients with PVL.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in White Matter Integrity
Time Frame: At baseline and 12 weeks post-intervention
|
Measured using fractional anisotropy (FA) values derived from diffusion tensor imaging (DTI) MRI to assess structural white matter characteristics in brain regions affected by periventricular leukomalacia (PVL).
|
At baseline and 12 weeks post-intervention
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Functional Motor Score
Time Frame: Baseline, 6 weeks, and 12 weeks post-intervention
|
Measured using the Gross Motor Function Measure-88 (GMFM-88).
The scale ranges from 0 to 100; higher scores indicate better motor function.
|
Baseline, 6 weeks, and 12 weeks post-intervention
|
|
Change in Glial Scar Density
Time Frame: 12 weeks post-intervention
|
Quantified using established biomarkers for astrogliosis, such as glial fibrillary acidic protein (GFAP), from cerebrospinal fluid or via advanced imaging.
This outcome is intended to measure the biological activity of the therapy's scar-reducing component.
|
12 weeks post-intervention
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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
Keywords
Additional Relevant MeSH Terms
- Cerebrovascular Disorders
- Central Nervous System Diseases
- Nervous System Diseases
- Vascular Diseases
- Cardiovascular Diseases
- Infant, Premature, Diseases
- Infant, Newborn, Diseases
- Signs and Symptoms, Respiratory
- Hypoxia, Brain
- Hypoxia
- Encephalomalacia
- Brain Diseases
- Leukoencephalopathies
- Brain Ischemia
- Hypoxia-Ischemia, Brain
- Demyelinating Diseases
- Leukomalacia, Periventricular
Other Study ID Numbers
Other Study ID Numbers
- MGAM-001
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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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