About this trial
The goal of this clinical trial is to evaluate if autologous mesenchymal stem cell (HUNS001-01) transplantation therapy can provide neurological recovery in patients with chronic stage of stroke resulting in moderate to severe neurological sequelae. The main questions it aims to answer are:
Can HUNS001-01 intracerebral transplantation demonstrate improvement in the mRS of disability for 1 year after intervention? Can HUNS001-01 intracerebral transplantation can be performed without any adverse events for 1 year after intervention?
Participants will receive the below interventions.
* Screening for the eligibility to enroll the clinical trial (interview, blood test, imaging) * Harvest of platelet concentrates (PC) * Harvest of bone marrows (BM) * Receive intracerebral transplantation surgery of HUNS001-01 * Post-operative rehabilitation * Follow-up studies (until 1 year or termination of the trial)
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age between 20 and 70 years
Clinical diagnosis of ischemic stroke between 6 months and 5 years ago
Ischemic area in the territory of unilateral interanal cerebral artery
Moderate to severe neurological symptoms; mRS 3 or 4, and Brunnstrom stage Ⅲ or IV
Disqualifiers
Subject showing severe lower extremity contracture (Maximum knee extension less than -15 degrees, Maximum ankle flexion less than 0 degree)"
Anaemia (Hg < 10·0 g/dL)
Thrombocytopaenia (platelet count < 100,000/mm3)
Severe heart disease (ischaemic heart disease, heart failure)
Trial design
Single group
Treatments tested in this trial
Stem cell Transplantation
DrugManufactured autologous mescenchymal stem cell (HUNS001-01) in our cell processing center will be injected into the brain, totally 4 x 10\^7 cells, in 2 brain sites.
Treatment groups
Trial outcomes
Primary outcomes
Efficacy of HUNS001-01 administration
The frequency of the improvement in mRS of disability by 1 or more from baseline
Secondary outcomes
Safety of HUNS001-01 administration
frequency of Adverse Event
Change in NIHSS examination
Mean improvement of NIHSS (0-42, higher score means worse outcome)
Change in FIM examination
Mean improvement of FIM (18-126, higher score means better outcome)
Change in Fugl-Myer examination
Mean improvement of Fugl-Myer (0-226, higher score means better outcome)
Sponsors and contacts
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Hokkaido University Hospital
Lead sponsor
RAINBOW Inc.
Collaborator