Safety and Tolerability Study of Human Neural Stem Cells for Huntington's Disease (REGEN4HD)
Phase 1B/2A Study of the Safety and Tolerability of Human Neural Stem Cells for Huntington's Disease
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: UCI Alpha Clinic
- Phone Number: 949-824-3990
- Email: alphaclinic@hs.uci.edu
Study Locations
-
-
California
-
Irvine, California, United States, 92697
- Recruiting
- University of California, Irvine
-
Contact:
- UCI Alpha Clinic
- Phone Number: 949-824-3990
- Email: alphaclinic@hs.uci.edu
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Please note this may not be a complete list of eligibility criteria.
Inclusion Criteria:
- Have decision-making capacity and be able to provide written informed consent.
- Are between 18 to 65 years of age
- Have genetically confirmed diagnosis of Huntington's Disease
- Able to undergo MRI scans, tolerate neurosurgical procedure, blood draws and lumbar puncture.
Exclusion Criteria:
- Are pregnant
- Test positive for human immunodeficiency virus (HIV), hepatitis C or chronic hepatitis B at Screening
- Have an implanted deep brain stimulation device.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Cohort A
Unilateral, low dose
|
neural stem cell therapy
|
|
Active Comparator: Cohort B
Bilateral, low dose
|
neural stem cell therapy
|
|
Active Comparator: Cohort C
Bilateral, mid-dose
|
neural stem cell therapy
|
|
Active Comparator: Cohort D
Bilateral, high dose
|
neural stem cell therapy
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of participants with treatment-related adverse events as assessed by CTCAE v5.0 after 6 and 12 weeks after dosing.
Time Frame: Safety is assessed 6 weeks following each surgery for Cohort A and 12 weeks following cohort B-D completion
|
To determine the safety and tolerability of hNSC-01s implanted into the striatum of individuals affected with HD.
|
Safety is assessed 6 weeks following each surgery for Cohort A and 12 weeks following cohort B-D completion
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of participants with treatment-related adverse events as assessed by CTCAE v5.0 after 12 months after dosing.
Time Frame: 12 months
|
Longer term (12 month) safety of implantation with absence of development of clinically significant inflammatory and/or immune reaction, and adverse events related to clinical safety laboratory tests, vital signs, ECGs, neurological and physical examinations.
|
12 months
|
|
Change in Total Motor Score (TMS)
Time Frame: 12 months
|
To evaluate change in TMS after 1-year post-implantation.
|
12 months
|
|
Change in Functional Imaging: FDG-PET
Time Frame: 12 months
|
To evaluate change in Functional Imaging: FDG-PET at 12 months compared to Baseline
|
12 months
|
|
Change in structural MRI
Time Frame: 12 months
|
To evaluate change in structural MRI at 12 months compared to Baseline
|
12 months
|
|
Change in NfL in CSF.
Time Frame: 12 months
|
To evaluate change in NfL levels in CSF.
|
12 months
|
|
Change in NfL in plasma.
Time Frame: 12 months
|
To evaluate change in NfL levels in plasma.
|
12 months
|
|
Change in PENK levels in CSF.
Time Frame: 12 months
|
To evaluate change in PENK levels in CSF.
|
12 months
|
|
Change in cognition using the MMSE.
Time Frame: 12 months
|
To evaluate change in cognition using the MMSE.
|
12 months
|
|
Change in cognition using Stroop Word Reading Test.
Time Frame: 12 months
|
To evaluate change in cognition using the Stroop Word Reading Test.
|
12 months
|
|
Change in Total Functional Capacity (TFC)
Time Frame: 12 months
|
To evaluate change in Total Functional Capacity (TFC) after 1-year post-implantation
|
12 months
|
|
Change in Problem Behaviors Assessment-short version
Time Frame: 12 months
|
Assess improvement in Problem Behaviors Assessment - short version (PBA-s) score
|
12 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
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
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Mental Disorders
- Genetic Diseases, Inborn
- Neurocognitive Disorders
- Cognition Disorders
- Dementia
- Neurodegenerative Diseases
- Movement Disorders
- Heredodegenerative Disorders, Nervous System
- Basal Ganglia Diseases
- Dyskinesias
- Chorea
- Congenital, Hereditary, and Neonatal Diseases and Abnormalities
- Huntington Disease
Other Study ID Numbers
Other Study ID Numbers
- ASCC-26-01 [STUDY00000867]
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
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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