About this trial
This is a phase I/IIa study to investigate the safety and preliminary efficacy of intranasal admnistration of human umbilical mesenchymal stem cell-derived exosome (hUC-MSC-Exo) for patients with autoimmune encephalitis.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Aged 18-65 years, both male and female are eligible;
Diagnosis of autoimmune encephalitis within 3 months of onset (meeting the 2016 Graus and Dalmau diagnostic criteria), with positive serum/cerebrospinal fluid anti-NMDAR antibodies or anti-LGI1 antibodies;
Modified Rankin Scale (mRS) score ≥ 2 at enrollment;
The subject or legally authorized representative is able to sign the informed consent form;
Disqualifiers
Pre-morbid modified Rankin Scale (mRS) score ≥ 2;
Known allergy to any component of the investigational product or history of severe allergic reactions;
Presence of neurological or psychiatric disorders (e.g., cerebrovascular disease, Parkinson's disease, severe depression) deemed by the investigator to potentially impair trial participation or study assessments;
Severe cardiovascular diseases (e.g., congestive heart failure, severe arrhythmia, myocardial infarction)
Trial design
Parallel
Treatments tested in this trial
Human umbilical cord mesenchymal stem cell derived exosomes
Biological/VaccineNasal spray of hUC-MSC-Exo (low dose: 2.5×10\^10 particles, mid-dose: 5.0×10\^10 particles, high-dose: 1.0×10\^11 particles), once per day for 7 days, then once per week for 3 weeks
Placebo Control
Other interventionNasal spray of placebo control, once per day for 7 days, then once per week for 3 weeks
Treatment groups
Trial outcomes
Primary outcomes
DLT events
Drug-related dose limiting toxicity (DLT)
mRS
modified Ranking Scale (mRS), which ranges from 0 to 6, with higher scores indicating worse outcome, and a score of 6 representing death.
Secondary outcomes
AE and SAE
Adverse events and severe adverse events
mRS
modified Ranking Scale (mRS), which ranges from 0 to 6, with higher scores indicating worse outcome, and a score of 6 representing death.
Percentage of mRS 0-2
Percentage of mRS 0-2. modified Ranking Scale (mRS), which ranges from 0 to 6, with higher scores indicating worse outcome, and a score of 6 representing death.
Percentage of mRS improvement ≧ 1
Percentage of mRS improvement ≧ 1. modified Ranking Scale (mRS), which ranges from 0 to 6, with higher scores indicating worse outcome, and a score of 6 representing death.
Locations
Sponsors and contacts
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Xuanwu Hospital, Beijing
Lead sponsor
ECHO Biotech
Collaborator
This trial is not recruiting at the moment. You can still explore other options: