- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06361433
Intracerebral Transplantation of Autologous MSC Combined With Scaffold Product for Chronic Intracerebral Hemorrhage (RAINBOW-Hx)
Phase I/II Trial of Intracerebral Transplantation of Autologous Bone Marrow Stromal Cells Combined With Recombinant Peptide Scaffold for Patients With Chronic Intracerebral Hemorrhage
The goal of this clinical trial is to test intracerebral transplantation of stem cell product in patient with chronic intracerebral hemorrhage. The main questions aims to answer are:
- The safety of the product
- The efficacy of the product
Study Overview
Detailed Description
Introduction:
Intracerebral hemorrhage stands as a leading global cause of death and disability, posing a significant challenge with limited treatment options, especially for chronic patients. Recent advances of stem cell therapies have opened new avenues for therapeutic potential. The investigators' previous preclinical research has demonstrated that intracerebral transplantation of bone marrow stromal cells (BMSCs) combined with a recombinant human collagen type I scaffold enables higher cell survival and engraftment, holds promising potential. The investigators present the protocol for a novel clinical trial, named "Research on Advanced Intervention using Novel Bone Marrow Stem Cells for Chronic Intracerebral Hemorrhage" (RAINBOW-Hx).
Methods and Analysis:
RAINBOW-Hx is a phase I/II, open-label, uncontrolled study with the primary objective of assessing the safety and efficacy of intracerebral transplantation of autologous BMSCs combined with the scaffold (HUFF-01) in patients with chronic intracerebral hemorrhage. Eight patients, experiencing moderate to severe neurological deficits for 12 months or longer, will be enrolled. The hemorrhage location will be limited to the basal ganglia and thalamus. Approximately 50 mL of bone marrow will be extracted from the iliac bone of each patient, and BMSCs will be cultured using autologous platelet lysate. Three days before transplantation, BMSCs will be combined with the scaffold to generate HUFF-01. Each patient will receive a 50,000 HUFF-01 dose, containing approximately 50 million BMSCs, through stereotactic transplantation into the hemorrhagic cavity. Neurological assessments, magnetic resonance imaging, 18F-fluorodeoxyglucose positron emission tomography, and 123I-Iomazenil single-photon emission computed tomography will be performed for one year after administration.
Study Type
Enrollment (Estimated)
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
- Name: Masahito Kawabori, MD, PHD
- Phone Number: +81117065987
- Email: masahitokawabori@yahoo.co.jp
Study Locations
-
-
Hokkaido
-
Sapporo, Hokkaido, Japan, 0608638
- Recruiting
- Hokkaido University Hospital
-
Contact:
- Masahito Kawabori
- Phone Number: +81117065987
- Email: masahitokawabori@yahoo.co.jp
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- 1. Age between 20 and 70 years
- 2. Clinical diagnosis of intracerebral hemorrhage 12 month or more from onset
- 3. Hemorrhagic location of unilateral basal ganglia or thalamus
- 4. Moderate to severe neurological symptoms; mRS 3 or 4, and Brunnstrom stage Ⅲ or IV
- 5. No significant neurological impairment before hemorrhage (Pre-hemorrhagic mRS of 0 or 1)
- 6. Subjects who can give informed consent by its self
Exclusion Criteria:
- 1. Severe microbleeds found by T2*
- 2. Hemorrhagic cavity less than 2 mL
- 3. The hemorrhage is due to arteriovenous malformation, cerebral aneurysm, and Moyamoya disease
- 4. Subject showing obvious communication between the hemorrhagic cavity and lateral ventricle on MRI
- 5. Subject showing severe lower extremity contracture (Maximum knee extension less than -15 degrees, Maximum ankle flexion less than 0 degree)
- 6. Subject's body weight less than 45 kg for male and 40kg for female
- 7. Anaemia (Hg < 10·0 g/dL)
- 8. Thrombocytopaenia (platelet count < 100,000/mm3)
- 9. Severe heart disease (ischaemic heart disease, heart failure)
- 10. Uncontrolled hypertension, despite antihypertensive therapy
- 11. Carriers of infectious disease: syphilis, HBV, HCV, HIV-1/HIV-2, HTLV-1, parvovirus B19
- 12. Pregnant or lactating or expecting to become pregnant during the study
- 13. History of malignancy
- 14. Systemic organ failure ALT ≤ 3·0× upper limit of normal Total bilirubin ≤ 1·5× upper limit of normal Serum creatinine ≤ 1·5× upper limit of normal
- 15. Known serious allergy to any agents used in the study
- 16. Contraindication for magnetic resonance imaging
- 17. Any condition that in the judgement of the investigator would place the patient at undue risk
Study Plan
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: Cell product transplantation
Autologous MSC with scaffold containing approximately 5 x 10^7 MSC cells.
|
autologous MSC combined with scaffold
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of participants with treatment-related adverse events as assessed by CTCAE v5.0
Time Frame: one year
|
Listing unexpected CTCAE grade changes in physiological (physical examination/blood test) and Radiographical (MRI/CT) examination
|
one year
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in mRS examination
Time Frame: One year
|
Percentage of the patients number who showed improvement of mRS (0-6, higher score means worse outcome) of more than 1 point
|
One year
|
Change in NIHSS examination
Time Frame: One year
|
Mean improvement of NIHSS (0-42, higher score means worse outcome)
|
One year
|
Change in FIM examination
Time Frame: One year
|
Mean improvement of FIM (18-126, higher score means better outcome)
|
One year
|
Change in Fugl-Myer examination
Time Frame: One year
|
Mean improvement of Fugl-Myer (0-226, higher score means better outcome)
|
One year
|
Change in Barthal index examination
Time Frame: One year
|
Mean improvement of Barthal index (0-100, higher score means better outcome)
|
One year
|
Change in FDG-PET examination
Time Frame: One year
|
Mean improvement of FDG-PET set for ipsilateral motor cortex
|
One year
|
Change in IMZ-SPECT examination
Time Frame: One year
|
Mean improvement of IMZ-SPECT set for ipsilateral motor cortex
|
One year
|
Collaborators and Investigators
Sponsor
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
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
- R5-11
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
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 Intracerebral Hemorrhage
-
Wake Forest University Health SciencesActive, not recruitingStroke Hemorrhagic | Intracerebral Hemorrhage | Cerebral Edema | Intracerebral Hemorrhage, Hypertensive | Intracerebral Hemorrhage IntraparenchymalUnited States
-
Beijing Tiantan HospitalBeijing Friendship Hospital; RenJi Hospital; Qilu Hospital of Shandong University and other collaboratorsRecruitingSpontaneous Intracerebral HemorrhageChina
-
University Hospital, Basel, SwitzerlandSwiss Heart FoundationActive, not recruitingIntracerebral Hemorrhage (ICH)Switzerland
-
University of Erlangen-Nürnberg Medical SchoolCompleted
-
AegisCN LLCCompletedIntracerebral Hemorrhage (ICH)United States
-
Tongji HospitalUnknown
-
Huazhong University of Science and TechnologyUnknownHypertensive Intracerebral HemorrhageChina
-
Huazhong University of Science and TechnologyUnknownHypertensive Intracerebral HemorrhageChina
-
CellMed AG, a subsidiary of BTG plc.TerminatedIntracerebral Hemorrhage (ICH)Germany
-
Tang-Du HospitalRecruitingIntracerebral Hemorrhage;Circulating ExosomesChina
Clinical Trials on HUFF-01
-
Livzon Pharmaceutical Group Inc.Active, not recruiting
-
Zucara Therapeutics Inc.RecruitingType 1 Diabetes Mellitus With HypoglycemiaUnited States, Canada
-
Ixchelsis LimitedCompletedPremature EjaculationUnited States
-
Enterin Inc.TerminatedParkinson Disease | ConstipationUnited States
-
University of North Carolina, Chapel HillCystic Fibrosis FoundationCompletedCystic Fibrosis | Mucociliary Clearance DefectUnited States
-
Shanghai Hongyitang Biopharmaceutical Technology...Completed
-
Zhongmou TherapeuticsRecruitingX-linked RetinoschisisChina
-
BioPharmX, Inc.CompletedAcne VulgarisUnited States
-
Enterin Inc.CompletedParkinson Disease | ConstipationUnited States
-
Valerio TherapeuticsRecruitingBreast Cancer | Prostate Cancer | Advanced or Metastatic Solid Tumors | Recurrent Ovarian CancerUnited States