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Evaluation of the Safety and Potential Therapeutic Effects After Intravenous Transplantation of Cordstem-ST in Patients With Cerebral Infarction

Primary Purpose

Cerebral Infarction

Status
Completed
Phase
Phase 1
Locations
Korea, Republic of
Study Type
Interventional
Intervention
Cordstem-ST
Placebo
Sponsored by
CHABiotech CO., Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cerebral Infarction focused on measuring Cerebral Infarction, Mesenchymal Stem Cells, Stroke

Eligibility Criteria

19 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria

  1. Male or female subjects between 19 to 80 years of age (inclusive) at the time of screening visit
  2. Subjects who are able to receive intravenous Cordstem-ST Transplantation within 7 days (168 hours) of stroke onset
  3. Subjects with diagnosis of Cerebral Infarction confirmed by the following criteria assessed at the screening visit

    • NIHSS score between 5 and 20 (inclusive)
    • Acute ischemic lesion involving anterior circulation territory identified in the diffusion weighted MRI
  4. Signed informed consent

Exclusion Criteria

  1. History of intracranial hemorrhage
  2. Subjects who are suspected to undergo endarterectomy during the study period. Subjects who received the former procedures not due to cerebral infarction more than 3 months ago, are eligible.
  3. Subjects with hemorrhagic transformation on brain images, except for petechial hemorrhage ('H1' according to the ECASS classification)
  4. Subjects at the high risk of developing brain herniation
  5. History of dementia
  6. History of epilepsy
  7. Subjects who have been treated or diagnosed with schizophrenia, depression, or bipolar disorder within the past 6 months
  8. Subjects with recent (≤3 months) myocardial infarction or stroke other than the index stroke.
  9. Subjects must not have the following conditions in laboratory tests

    • ALT or AST: More than 2.5 times the upper limit of normal
    • Serum creatinine: More than 1.5 times the upper limit of normal
    • Total bilirubin: More than 2.5 times the upper limit of normal
    • Platelet count: less than lower limit of narmal
  10. Subjects who are HBV, HCV, HIV, VDRL positive
  11. Subjects in poor general condition due to medical conditions or subjects with severe cardiovascular, gastrointestinal, pulmonary, endocrinologic diseases
  12. Subjects with active lung diseases, based on chest X-ray
  13. Subjects with abnormal coagulopathic conditions (thrombocytopenia, congenital coagulopathy, etc.). Medical use of oral anticoagulants is permitted.
  14. Subjects with known allergies to protein products (Bovine serum) used in the cell production process.
  15. Subjects with history of pulmonary embolism or deep vein thrombosis
  16. Subjects with history of malignancy
  17. Pregnant or lactating women
  18. Women of childbearing age who reject to practice contraception with one of the following methods

    • Use a condom
    • Use of contraceptive (oral, dermal, or injectable)
    • Use an intra-uterine contraceptive device
  19. Subjects with a history of alcohol abuse (>30g/day) or drug abuse
  20. Subjects who cannot undergo MRI scanning
  21. Subjects who cannot conduct the scheduled monitoring visits
  22. Subjects who is determined to be inappropriate by the investigators

Sites / Locations

  • CHA Bundang Medical Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Other

Other

Arm Label

Cohort 1

Cohort 2

Arm Description

Cordstem-ST 2.0 x 10^8 cells or Placebo on day 0

Cordstem-ST 2.0 x 10^8 cells or Placebo on day 0 and day 7

Outcomes

Primary Outcome Measures

Number of treatment related-adverse events during the study period

Secondary Outcome Measures

Improvement in clinical function as assessed by Modified Rankin Score(mRS) compared to baseline at 6 months
Improvement in clinical function as assessed by National Institute of Health Stroke Scale (NIHSS) compared to baseline at 6 months
Improvement in clinical function as assessed by Barthel Index (BI) compared to baseline at 6 months
Improvement in clinical function as assessed by Brain MRI tratogram compared to baseline at 6 months

Full Information

First Posted
February 16, 2015
Last Updated
November 14, 2019
Sponsor
CHABiotech CO., Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT02378974
Brief Title
Evaluation of the Safety and Potential Therapeutic Effects After Intravenous Transplantation of Cordstem-ST in Patients With Cerebral Infarction
Official Title
A Randomized, Double-blind, Placebo-controlled, Phase I / IIa Clinical Trial for Evaluation of the Safety and Potential Therapeutic Effects After Intravenous Transplantation of Human Umbilical Cord-derived Mesenchymal Stem Cells in Patients With Cerebral Infarction
Study Type
Interventional

2. Study Status

Record Verification Date
November 2019
Overall Recruitment Status
Completed
Study Start Date
February 24, 2015 (Actual)
Primary Completion Date
April 13, 2017 (Actual)
Study Completion Date
April 13, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
CHABiotech CO., Ltd

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The objective of the study is to evaluate the safety and the potential therapeutic effects per dose of Cordstem-ST Intravenous Transplantation in Cerebral Infarction subjects comprised of 2 treatment cohorts: Cohort 1 : Cordstem-ST 2.0 x 10^8 cells or Placebo on day 0 Cohort 2: Cordstem-ST 2.0 x 10^8 cells or Placebo on day 0 and day 7

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cerebral Infarction
Keywords
Cerebral Infarction, Mesenchymal Stem Cells, Stroke

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
19 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1
Arm Type
Other
Arm Description
Cordstem-ST 2.0 x 10^8 cells or Placebo on day 0
Arm Title
Cohort 2
Arm Type
Other
Arm Description
Cordstem-ST 2.0 x 10^8 cells or Placebo on day 0 and day 7
Intervention Type
Biological
Intervention Name(s)
Cordstem-ST
Intervention Type
Biological
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
Number of treatment related-adverse events during the study period
Time Frame
6 month
Secondary Outcome Measure Information:
Title
Improvement in clinical function as assessed by Modified Rankin Score(mRS) compared to baseline at 6 months
Time Frame
6 month
Title
Improvement in clinical function as assessed by National Institute of Health Stroke Scale (NIHSS) compared to baseline at 6 months
Time Frame
6 month
Title
Improvement in clinical function as assessed by Barthel Index (BI) compared to baseline at 6 months
Time Frame
6 month
Title
Improvement in clinical function as assessed by Brain MRI tratogram compared to baseline at 6 months
Time Frame
6 month

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria Male or female subjects between 19 to 80 years of age (inclusive) at the time of screening visit Subjects who are able to receive intravenous Cordstem-ST Transplantation within 7 days (168 hours) of stroke onset Subjects with diagnosis of Cerebral Infarction confirmed by the following criteria assessed at the screening visit NIHSS score between 5 and 20 (inclusive) Acute ischemic lesion involving anterior circulation territory identified in the diffusion weighted MRI Signed informed consent Exclusion Criteria History of intracranial hemorrhage Subjects who are suspected to undergo endarterectomy during the study period. Subjects who received the former procedures not due to cerebral infarction more than 3 months ago, are eligible. Subjects with hemorrhagic transformation on brain images, except for petechial hemorrhage ('H1' according to the ECASS classification) Subjects at the high risk of developing brain herniation History of dementia History of epilepsy Subjects who have been treated or diagnosed with schizophrenia, depression, or bipolar disorder within the past 6 months Subjects with recent (≤3 months) myocardial infarction or stroke other than the index stroke. Subjects must not have the following conditions in laboratory tests ALT or AST: More than 2.5 times the upper limit of normal Serum creatinine: More than 1.5 times the upper limit of normal Total bilirubin: More than 2.5 times the upper limit of normal Platelet count: less than lower limit of narmal Subjects who are HBV, HCV, HIV, VDRL positive Subjects in poor general condition due to medical conditions or subjects with severe cardiovascular, gastrointestinal, pulmonary, endocrinologic diseases Subjects with active lung diseases, based on chest X-ray Subjects with abnormal coagulopathic conditions (thrombocytopenia, congenital coagulopathy, etc.). Medical use of oral anticoagulants is permitted. Subjects with known allergies to protein products (Bovine serum) used in the cell production process. Subjects with history of pulmonary embolism or deep vein thrombosis Subjects with history of malignancy Pregnant or lactating women Women of childbearing age who reject to practice contraception with one of the following methods Use a condom Use of contraceptive (oral, dermal, or injectable) Use an intra-uterine contraceptive device Subjects with a history of alcohol abuse (>30g/day) or drug abuse Subjects who cannot undergo MRI scanning Subjects who cannot conduct the scheduled monitoring visits Subjects who is determined to be inappropriate by the investigators
Facility Information:
Facility Name
CHA Bundang Medical Center
City
Seongnam-si
State/Province
Gyeonggi-do
ZIP/Postal Code
463-712
Country
Korea, Republic of

12. IPD Sharing Statement

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Evaluation of the Safety and Potential Therapeutic Effects After Intravenous Transplantation of Cordstem-ST in Patients With Cerebral Infarction

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