人类脐带间充质干细胞来源外泌体治疗儿童自闭症的前瞻性临床研究 (EXO-ASD)
关于人类脐带间充质干细胞来源外泌体治疗儿童自闭症的前瞻性临床研究
This clinical study aims to evaluate whether a nasal spray containing exosomes derived from human umbilical cord mesenchymal stem cells (hUC-MSC-EXOs) can safely and effectively improve core symptoms in children aged 3-7 years with autism spectrum disorder (ASD). It is a 24-week, non-randomized, controlled, open-label trial. Sixty pediatric patients with ASD will be non-randomly assigned at a 1:2 ratio to two groups: a no-intervention control group and an active exosome nasal spray treatment group. The treatment group will receive the nasal spray every other day, totaling 10 administrations throughout the study. The no-intervention control group will receive no experimental treatment but will undergo the same assessments and safety checks with the treatment group. This design aims to monitor the safety and efficacy of the hUC-MSC-EXOs nasal spray.
研究概览
研究类型
注册 (估计的)
阶段
- 阶段2
- 阶段1
联系人和位置
学习联系方式
- 姓名:Zhongmin Liu
- 电话号码:+86-0898-38932608
- 邮箱:dfsrmyykjk@126.com
学习地点
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Hainan
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Dongfang、Hainan、中国
- 招聘中
- Dongfang People's Hospital
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接触:
- Zhongmin Liu
- 电话号码:+86-0898-25522727
- 邮箱:wujunCh4773@163.com
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Diagnosis meets the ICD-11 ASD criteria or DSM-5 ASD clinical diagnostic standards.
- No significant improvement in core symptoms was observed after ≥3 months of standardized behavioral intervention.
- Score ≥30 on the CARS2, indicating mild-to-moderate or more severe autism.
- Aged 3 (inclusive) to 7 (inclusive) years, regardless of gender
- Voluntary participation in this clinical study, with written informed consent provided by the patient's legal guardian, and willingness to undergo examinations, treatment, and cooperate with follow-up visits.
- In the investigator's judgment, the patient is capable of understanding and complying with study requirements.
Exclusion Criteria:
- History of severe allergic reactions.
- Any severe mental disorder or other types of autism spectrum disorders.
- History of epileptic seizures within the past six months.
- Autism secondary to epilepsy, cerebrovascular disease, or traumatic brain injury.
- Disease severity rated as normal, borderline mental disorder, or mild mental disorder on the Clinical Global Impression scale.
- Moderate or severe extrapyramidal symptoms or tardive dyskinesia.
- Severe self-injurious behavior.
- Active systemic or severe localized infections, including human immunodeficiency virus, syphilis, and hepatitis.
- Autoimmune diseases.
- Major organ impairment.
- Severe pulmonary or hematological diseases, malignancies, or immunodeficiency.
- Concurrent treatments that may interfere with the safety and efficacy evaluation of stem cell therapy.
- Participation in other clinical trials within the past three months.
- Other clinical conditions deemed by investigators as unsuitable for study inclusion.
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:非随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的:hUC-MSC-EXOs鼻腔喷雾组
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The total therapeutic dosage is set at 400 billion hUC-MSC-EXOs particles. Each nasal administration delivers 40 billion particles, with a total of 10 administrations completing the full course. The treatment is administered on an alternate-day schedule. |
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无干预:无干预对照组
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Number of Participants with Treatment-Related Adverse Events
大体时间:Week 2, Week 6, Week 24
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The incidence of treatment-related adverse events will be assessed and graded according to the Common Terminology Criteria for Adverse Events version 5.0. The number of participants experiencing any treatment-related adverse event will be recorded and reported. |
Week 2, Week 6, Week 24
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Childhood Autism Rating Scale, Second Edition (CARS-2) Score
大体时间:Week 6, Week 24
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Scale Description: The CARS-2 is a 15-item behavior rating scale used to diagnose and assess the severity of ASD. Range of Scores: 15 to 60. Interpretation: A higher score indicates a worse outcome. |
Week 6, Week 24
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Autism Behavior Checklist (ABC)
大体时间:Week 6, Week 24
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Scale Description: The ABC is a 57-item checklist used to screen for and assess behaviors associated with ASD. Range of Scores: 0 to 158. Interpretation: A higher score indicates a worse outcome. |
Week 6, Week 24
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Serum Level of Tumor Necrosis Factor-Alpha (TNF-α)
大体时间:Week 6, Week 24
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Serum concentration of the inflammatory cytokine TNF-α. The unit of measure is pg/mL. |
Week 6, Week 24
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合作者和调查者
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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