- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03786744
Allogenic Cord Blood Transfusion in Patients With Autism
Efficiency Evaluation of Allogenic Umbilical Cord Blood (UCB) Transfusion in Patients With Autism
Autism is one of those disorders in Autism spectrum disorders (ASD), which characterized by social interaction abnormalities, impaired verbal and non-verbal communication, and repetitive, obsessive behavior, while the therapeutic effect of current treatments remains limited progress.
The possible reason for ASD is neural hypoperfusion and immune deregulation. The Human Umbilical Cord Blood Mononuclear Cells (hUCB-MNCs) have been shown to have the ability to modulate the immune response and enhance angiogenesis, suggesting the novel and promising therapeutic strategy. In this study, the safety and efficacy of hUCB-MNCs infusion will be evaluated in patients with Autism.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Autism Spectrum Disorders (ASD) are heterogeneous neuro-developed disorders. Autism is the most common disorder of the diseases characterized by dysfunctions in response social interaction and communication, as well as the presence of repetitive and stereotyped behaviors. Recent reports of a sharp increase in the number of children with autism. The exact etiology of autism remains unclear. Compliance, the definition of effective treatments for autism is particularly difficult.
Although it has been understood, it can be a question of immune dysregulation. Examination of the inflammatory cytokines, dysfunction of the immune system and the immune system. The Human Umbilical Cord Blood Mononuclear Cells (hUCB-MNCs) have been shown to have the ability to modulate the immune response and enhance angiogenesis, suggesting the novel and promising therapeutic strategy. The Our study suggest that infusion of cord blood mononuclear cells will affect Autism.
Study Type
Enrollment (Actual)
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Locations
-
-
-
Samara, Russian Federation, 443095
- Medical Centre Dinasty
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Confirmed diagnosis: autistic type disorder (ASD).
- Systemic speech underdevelopment
- The presence of attention deficit hyperactivity disorder as a comorbid state
- Cognitive impairment
Exclusion Criteria:
- organic pathology of the brain according to CT, MRI
- the presence of the following diseases in history: heart failure in the stage of decompensation, stroke in history less than 1 year ago, blood diseases;
- decompensation of chronic and endocrinological diseases;
- acute respiratory viral and bacterial infections, period less than 1 month after the acute phase.
- HIV infection, hepatitis B and C.
- oncological diseases, chemotherapy in the anamnesis;
- tuberculosis.
- Severe form of intellectual disability.
- Cerebral palsy.
- epilepsy.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NON_RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: ASD CB-MNC injection.
ASD CB-MNC injection from different donors and standard therapy.
|
The standard therapy can include drugs, special psychology training etc.
CB-MNC injection from different donors.
One dose consist 20-50 mil MNC/kg.The protocol include 3 injection at monthly intervals.
|
OTHER: Standard therapy.
Patients with standard therapy as control group.
|
The standard therapy can include drugs, special psychology training etc.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
A Number of Participants With Non-serious and Serious Adverse Events 24 Hrs Post-transfusion
Time Frame: 24hrs post transfusion
|
Safety assessment.
The adverse events rate will be assessed in all patients.
|
24hrs post transfusion
|
Autism Treatment Evaluation Checklist (ATEC).
Time Frame: score at baseline, 1, 2, 6, 12 months
|
The ATEC is designed to measure changes in the severity of ASD in response to treatment.
A total score and 4 subscale scores are reported.
Questions in the first 3 subscales are scored using a 0-3 scale (not true/partially true/absolutely true).
The 4 subscale, Health/Physical/Behavior, is scored using a 0-4 point scale (Not a problem/Minor problem/Moderate problem/Serious problem).
The first subscale, Speech/Language/Communication, contains 14 items where the score ranges from 0-28 points.
The Sociability subscale contains 20 items and participants can score from 0-40.
The third subscale, Sensory/Cognitive awareness, has 18 items and scores range from 0-36.
Finally, the Health/Physical/Behavior subscale contains 25 items and scores range from 0-75.
The scores from each subscale are combined in order to calculate a Total Score, which ranges from 0 to179 points.
A lower score indicates less severe symptoms of ASD and a higher score correlates with more severe symptoms of ASD.
|
score at baseline, 1, 2, 6, 12 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Cytokine Analysis.
Time Frame: score at baseline, 1, 2, 6 months
|
IL1b, IL6, TNF-alpha, IL8, y-IFN measure in patient peripheral blood
|
score at baseline, 1, 2, 6 months
|
Immune Status as Determined by Percentage of Peripheral Blood Cells
Time Frame: score at baseline, 6 month
|
Peripheral blood flow cytometry cell count for CD3; CD4; CD8; CD19; CD16-56 (%)
|
score at baseline, 6 month
|
Immune Status as Determined by Absolute Cell Count of Peripheral Blood Cells
Time Frame: score at baseline, 6 month
|
Peripheral blood flow cytometry cell count for CD3; CD4; CD8; CD19; CD16-56 (absolute v.)
|
score at baseline, 6 month
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 12112018
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.
Clinical Trials on Autism Spectrum Disorder
-
Stanford UniversityCalifornia Department of Developmental ServicesRecruitingAutism Spectrum Disorder | Autistic Disorder | Autism | Autism Spectrum Disorders | Autistic Disorders Spectrum | Autistic Spectrum Disorder | Autistic Spectrum DisordersUnited States
-
Hoffmann-La RocheActive, not recruitingAutism Spectrum Disorder (ASD)United States, Canada, Italy, Spain
-
Axial Therapeutics, Inc.Active, not recruitingAutism Spectrum Disorder (ASD)United States, Australia, New Zealand
-
Technion, Israel Institute of TechnologyCompleted
-
Stanford UniversityNational Institute on Deafness and Other Communication Disorders (NIDCD)CompletedAutism | Autism Spectrum Disorder (ASD)United States
-
Corporacion Parc TauliUnknown
-
Institut de Recherches Internationales ServierADIR, a Servier Group companyTerminatedAutism Spectrum Disorder (ASD)Spain, United States, Hungary, Poland, Australia, United Kingdom, Brazil, Czechia, France, Italy, Portugal, Slovakia
-
Florida Gulf Coast UniversityCompletedAutism Spectrum Disorder High-FunctioningUnited States
-
Hospital Universitario Dr. Jose E. GonzalezUnknownAutism | Autism SpectrumMexico
-
National Taiwan University HospitalCompletedAutism Spectrum Disorder High-FunctioningTaiwan
Clinical Trials on Standard therapy.
-
Castilla-La Mancha Health ServiceComplejo Hospitalario La Mancha CentroCompletedSubacromial Impingement Syndrome | Vojta TherapySpain
-
Institute of Cardiology, Warsaw, PolandUnknownCardiac RehabilitationPoland
-
Yonsei UniversityRecruitingRecurrent Epithelial Ovarian CancerKorea, Republic of
-
Jiangsu HengRui Medicine Co., Ltd.Active, not recruiting
-
Swiss Group for Clinical Cancer ResearchTerminatedMetastatic Colorectal CancerSwitzerland, Austria
-
University of Alabama at BirminghamWithdrawn
-
CardioRenal Systems, Inc.Active, not recruitingContrast Induced NephropathyUnited States
-
Emory UniversityNational Cancer Institute (NCI); National Center for Complementary and Integrative...RecruitingLymphoma | Multiple MyelomaUnited States
-
Brooke Army Medical CenterUniformed Services University of the Health Sciences; The Geneva FoundationRecruitingMetatarsal Stress Fracture | Stress Fracture of TibiaUnited States
-
Lawson Health Research InstituteCompleted