A Phase I Trial of Umbilical Cord Mesenchymal Stromal Cells for Acute Ischemic Stroke

Trial statusNot yet recruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18+
SponsorBOE Technology Group Co., Ltd.

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 volunteers

Qualifiers

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

Design model

Parallel

Treatments tested in this trial

  • Placebo of Human Umbilical Cord Mesenchymal Stromal Cells Injection

    Drug

    Placebo 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

    Drug

    the first phase (Phase Ia) is a single-dose administration

  • Human Umbilical Cord Mesenchymal Stem Cells Injection

    Drug

    the second phase (Phase Ib) is a multiple-dose administration.

Treatment groups

35 Participants
are divided into 9 treatment groups

9

Treatment groups

See each treatment group below.

Group A: Human Umbilical Cord Mesenchymal Stromal Cells Injection(low-dose group)Experimental treatment 1 intervention
Group B: Human Umbilical Cord Mesenchymal Stromal Cells Injection(medium-dose group)Experimental treatment 1 intervention
Group C: Human Umbilical Cord Mesenchymal Stromal Cells Injection(high-dose group)Experimental treatment 1 intervention
Group D: Placebo of Human Umbilical Cord Mesenchymal Stromal Cells Injection(medium-dose group)Placebo comparator 1 intervention
Group E: Placebo of Human Umbilical Cord Mesenchymal Stromal Cells Injection(high-dose group)Placebo comparator 1 intervention
Group F: Human Umbilical Cord Mesenchymal Stromal Cells Injection 1Experimental treatment 1 intervention
Group G: Human Umbilical Cord Mesenchymal Stromal Cells Injection 2Experimental treatment 1 intervention
Group H: Placebo of Human Umbilical Cord Mesenchymal Stromal Cells Injection 1Placebo comparator 1 intervention
Group I: Placebo of Human Umbilical Cord Mesenchymal Stromal Cells Injection 2Placebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Incidence of DLT (Dose-Limiting Toxicity) events;

Time frame
Day28
2

All adverse events/serious adverse events during the trial;

Time frame
2year
3

All-cause mortality

Time frame
Day90、Day180、Day360

Secondary outcomes

1

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.

Time frame
Day 30, Day90, Day180, Day360
2

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.

Time frame
Day 7, Day 14, Day 30, Day 90, Day 180, Day 360
3

Change from baseline in National Institutes of Health Stroke Scale(NIHSS) score

Time frame
Day 7, Day 14, Day 30, Day 90, Day 180, Day 360
4

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.

Time frame
Day 30, Day 90, Day180, Day360

Other outcomes

1

mmunogenicity: Human Leukocyte Antigen (HLA) antibodies.

Time frame
Within 60 minutes before the first dose, and at 14 days, 30 days, and 90 days after the start of the first dose administration.

Sponsors and contacts

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