About this trial
Study Methods: The trial consists of two phases, both including a placebo control.
Phase Ia (single-dose, dose-escalation): Three dose groups (low, medium, high) are set. This is a multicenter, randomized, double-blind, placebo-controlled, single-dose, dose-escalation trial. Dose escalation to the next level is permitted only after safety assessment at 28 days post-dose in the previous group.
Phase Ib (multiple-dose): Based on Phase Ia results, two dose groups will be selected. The product is administered on Day 0, Day 7, and Day 14 (3 doses total). The trial remains randomized, double-blind, and placebo-controlled.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥18 years, both genders included.
Clinical diagnosis of anterior circulation ischemic stroke, and able to receive the investigational product within 48 hours after the onset of stroke symptoms.
National Institutes of Health Stroke Scale (NIHSS) score of 6-20 (inclusive), with a score of <2 on item Ia of the NIHSS.
Pre-stroke modified Rankin Scale (mRS) score ≤1.
Disqualifiers
Planned or already performed thrombectomy for the current stroke.
Treatment with neuroprotective agents after the current stroke.
History of cerebral hemorrhage, subarachnoid hemorrhage, or hemorrhagic transformation after the current ischemic stroke, and judged by the investigator to be unsuitable for participation in the clinical trial.
Uncontrolled systemic diseases, including but not limited to: hypertension (systolic blood pressure >160 mmHg and/or diastolic blood pressure ≥100 mmHg), diabetes mellitus (acute diabetic complications such as ketoacidosis, hyperglycemic hyperosmolar state, lactic acidosis, or hypoglycemic coma within the past 3 months, or glycated hemoglobin >8.5%, or poorly controlled blood glucose [blood glucose >16.8 mmol/L or <2.8 mmol/L]), renal disease (eGFR <30 mL/min), liver failure (Child-Pugh Class C), severe heart failure (New York Heart Association [NYHA] Class IV), severe chronic respiratory disease.
Trial design
Parallel
Treatments tested in this trial
Placebo of Human Umbilical Cord Mesenchymal Stromal Cells Injection
DrugPlacebo refers to a cell-free product, whose packaging, storage conditions, expiration date, and method of administration remain consistent with those of the investigational drug.
Human Umbilical Cord Mesenchymal Stem Cells Injection
Drugthe first phase (Phase Ia) is a single-dose administration
Human Umbilical Cord Mesenchymal Stem Cells Injection
Drugthe second phase (Phase Ib) is a multiple-dose administration.
Treatment groups
9
Treatment groupsSee each treatment group below.
Trial outcomes
Primary outcomes
Incidence of DLT (Dose-Limiting Toxicity) events;
All adverse events/serious adverse events during the trial;
All-cause mortality
Secondary outcomes
Proportion of participants with an Modified Rankin Scale (mRS) score of 0-2
The modified Rankin Scale (mRS) is a widely used clinical outcome measure that assesses the degree of disability or dependence in the daily activities of patients who have suffered a stroke or other neurological conditions. It is a simple, 7-level ordinal scale ranging from 0 to 6: 0 - No symptoms at all. 1. \- No significant disability: able to perform all usual activities despite some symptoms. 2. \- Slight disability: unable to carry out all previous activities but able to look after own affairs without assistance. 3. \- Moderate disability: requires some help but able to walk without assistance. 4. \- Moderately severe disability: unable to walk or attend to bodily needs without assistance. 5. \- Severe disability: bedridden, incontinent, requiring constant nursing care. 6. \- Dead. A higher score indicates more severe disability. The mRS is the most common primary endpoint in acute stroke clinical trials, with a score of 0-2 at 90 days often defined as a "good outcome.
Proportion of participants with a ≥4-point improvement in National Institutes of Health Stroke Scale (NIHSS) score from baseline
The National Institutes of Health Stroke Scale (NIHSS) is a standardized tool used to objectively quantify the severity of neurological deficits in patients with stroke. It consists of 15 items, including assessments of consciousness, eye movements, visual fields, facial palsy, motor and sensory function, language, speech, and neglect. Each item is scored, with a total score ranging from 0 to 42. Higher scores indicate more severe neurological impairment. The NIHSS is widely used in clinical practice and research to evaluate stroke severity, guide treatment decisions, and predict patient outcomes.
Change from baseline in National Institutes of Health Stroke Scale(NIHSS) score
Proportion of participants with a Barthel Index ≥95
The Barthel Index (BI) is a standardized ordinal scale used to measure a person's performance in activities of daily living (ADL). It assesses 10 basic functions, including feeding, bathing, grooming, dressing, bowel and bladder control, toilet use, transfers (e.g., bed to chair), mobility, and stair climbing. Each item is scored based on the amount of physical assistance required, with total scores typically ranging from 0 to 100 (or 0-20 in some versions). It is widely used in geriatrics, rehabilitation, and stroke research to evaluate functional independence and track changes over time.A higher Barthel Index score indicates greater functional independence (less need for assistance), while a lower score reflects greater disability and dependency. For example, a score of 100 means the patient is fully independent in basic ADL.
Other outcomes
mmunogenicity: Human Leukocyte Antigen (HLA) antibodies.
Sponsors and contacts
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