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Evaluation of the Safety and Potential Therapeutic Effects After Intravenous Transplantation of CB-AC-02 in Patients With Alzheimer's Disease

Primary Purpose

Alzheimer's Disease

Status
Unknown status
Phase
Phase 1
Locations
Korea, Republic of
Study Type
Interventional
Intervention
CB-AC-02
Placebo
Sponsored by
CHABiotech CO., Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Alzheimer's Disease focused on measuring Alzheimer's disease, Mesenchymal Stem cells

Eligibility Criteria

50 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Korean male or female at 50+ years of age at the time of screening visit
  2. Diagnosis of Probable Alzheimer disease (probable AD) according to NINCDS-ADRDA criteria at Screening visit
  3. Positive for Amyloid on amyloid-ligand PET
  4. A subject with the imaging findings of Alzheimer's disease as confirmed by MRI or PET

    • Presence of brain atrophy on brain MRI by visual assessment
    • Presence of reduced brain glucose metabolism in bilateral temporal-parietal lobe on FDG-PET
  5. Korea Mini-Mental State Examination (KMMSE) score of 10-26 at time of screening visit
  6. Presence of caregiver who can provide information on the subject's condition
  7. Subject who has been taking stable dose of Alzheimer medication for last 2 months or more
  8. Subject who is informed of the clinical trial and signs a consent form (if unable to sign, a consent from a legally acceptable representative is required)

Exclusion Criteria:

  1. Concurrent Dementia as a result of other disorders [i.e. infectious disease of the central nervous system such as HIV, syphilis, head injury, Creutzfeld-Jacob disease, Picks disease, Huntington's disease, Parkinson's disease, other subdural hematoma, hydrocephalus and structural brain lesions, drug addiction, alcoholism, substance abuse, thyroid disease, parathyroid disease, vitamins and other nutritional deficiencies and vascular etc.]
  2. Subject with vascular dementia as determined by the clinical criteria of DSM-IV and the imaging criteria of Erkinkuntii
  3. Subject with severe white matter hyperintensities (i.e. ≥ 25mm of the deep white matter and ≥ 10mm of the periventricular capping/banding in lengths)
  4. Abnormal laboratory findings at screening visit:

    A. ALT or AST ≥ 2.5 times the upper limit of normal value

    B. Serum creatinine ≥ 1.5 times the upper limit of normal value

    C. Total bilirubin ≥ 2 times the upper limit of normal value

    D. Total WBC counts < 3,000/㎣

    E. Hemoglobin <9.5g/dL in men or <9.0g/dL in women

    F. Platelet count < 150,000/㎣ at screening visit

    G. PT (INR) ≥ 1.5 or aPTT ≥ 1.5 times the upper limit of normal value

  5. Subjects who are positive for HIV, syphilis or active HBV, HCV infection
  6. Subjects in poor medical condition or subjects with severe cardiovascular, gastrointestinal, pulmonary or endocrinologic disease A. Suspected active active lung disease on chest X-ray at screening visit B. Diagnosis of cancer (except for the subjects who remains in complete remission for 5 years or more )
  7. Subject with concurrent unstable psychiatric disorder (i.e. severe depression, or schizophrenia, or bipolar disorder, etc)
  8. Pregnant or lactating women
  9. 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
  10. Subjects with a history of alcohol abuse (>30g/day) or drug abuse
  11. Subjects who cannot undergo any of the tests performed in this clinical trial (for example, MRI, CT, PET, CSF study)
  12. Subjects with known allergies to protein products (Bovine serum), antibiotics (gentamycin) or DMSO
  13. Subjects whom the principal investigator considers inappropriate for participation in theis study

Sites / Locations

  • Bundang Medical CenterRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

CB-AC-02

Placebo

Arm Description

Subjects with Alzheimer's disease Intervention: CB-AC-02

Subjects with Alzheimer's disease Intervention: Placebo

Outcomes

Primary Outcome Measures

Number of Adverse Events
Number of subjects with treatment-related adverse events. The safety and tolerability of treatment with CB-AC-02 will be assessed by analysis of adverse events, abnormal findings on physical examinations, standard laboratory tests.

Secondary Outcome Measures

Changes from the baseline in ADAS-Cog (Azheimer's disease Assessment Scale - Congintive Subscale) Score
Changes from the baseline in K-MMSE (Korean-Mini Mental Status Examination) Score
Changes from the baseline in GDS (Global Deterioration Scale)
Changes from the baseline in CDR (Clinical Dementia Rating) Score
Changes from the baseline in K-IADL (Korean Instrumental Activities of Daily Living) Score
Changes from the baseline in CGA-NPI (Caregiver Administered-Neuropsychiatric Inventory) Score
Change in CIBIC (Clinician Interview Based Impression of Change)-plus
Changes from the baseline in SF-36
Changes in Amyloid Beta and Tau amount (pg/mL) in CSF (Cerebrospinal fluid)
Change in Brain MRI (Magnetic Responance imaging)
Change from the baseline of CMRglc (cerebral metabolic rate for glucose ) analyzed with SPM (statistical parametric mapping) with Brain FDG PET imaging
Changes from the baseline of Amyloid amount analyzed with SPM (statistical parametric mapping) with amyloid PET imaging
Changes of band power in qEEG (Quantitative electroencephalography)

Full Information

First Posted
September 2, 2016
Last Updated
September 5, 2019
Sponsor
CHABiotech CO., Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT02899091
Brief Title
Evaluation of the Safety and Potential Therapeutic Effects After Intravenous Transplantation of CB-AC-02 in Patients With Alzheimer's Disease
Official Title
A Randomized, Double-blind, Placebo-controlled, Phase I / IIa Clinical Trial for Evaluation of Safety and Potential Therapeutic Effect After Transplantation of CB-AC-02 in Patients With Alzheimer's Disease
Study Type
Interventional

2. Study Status

Record Verification Date
September 2019
Overall Recruitment Status
Unknown status
Study Start Date
September 2016 (Actual)
Primary Completion Date
December 2021 (Anticipated)
Study Completion Date
December 2021 (Anticipated)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The objective of the study is to evaluate the safety and the potential therapeutic effects of CB-AC-02 Intravenous Transplantation in patients with Alzheimer' disease comprised of 2 treatment cohorts:

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Alzheimer's Disease
Keywords
Alzheimer's disease, Mesenchymal Stem cells

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
CB-AC-02
Arm Type
Experimental
Arm Description
Subjects with Alzheimer's disease Intervention: CB-AC-02
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Subjects with Alzheimer's disease Intervention: Placebo
Intervention Type
Biological
Intervention Name(s)
CB-AC-02
Intervention Description
Stage1: ① Group1: CB-AC-02, 2.0 x 10^8 cells on day 0 ② Group2: CB-AC-02, 2.0 x 10^8 cells, on day 0 and on week 4 (repeated injection) Stage2 ① Arm1: K-MMSE 20~26 CB-AC-02, 2.0 x 10^8 cells on day 0 and on week 4 (repeated injection) ② Arm2: K-MMSE 10~19 CB-AC-02, 2.0 x 10^8 cells on day 0 and on week 4 (repeated injection)
Intervention Type
Biological
Intervention Name(s)
Placebo
Intervention Description
Stage2: Placebo on day 0 and on week 4 (repeated injection)
Primary Outcome Measure Information:
Title
Number of Adverse Events
Description
Number of subjects with treatment-related adverse events. The safety and tolerability of treatment with CB-AC-02 will be assessed by analysis of adverse events, abnormal findings on physical examinations, standard laboratory tests.
Time Frame
48 weeks
Secondary Outcome Measure Information:
Title
Changes from the baseline in ADAS-Cog (Azheimer's disease Assessment Scale - Congintive Subscale) Score
Time Frame
48 weeks
Title
Changes from the baseline in K-MMSE (Korean-Mini Mental Status Examination) Score
Time Frame
48 weeks
Title
Changes from the baseline in GDS (Global Deterioration Scale)
Time Frame
48 weeks
Title
Changes from the baseline in CDR (Clinical Dementia Rating) Score
Time Frame
48 weeks
Title
Changes from the baseline in K-IADL (Korean Instrumental Activities of Daily Living) Score
Time Frame
48 weeks
Title
Changes from the baseline in CGA-NPI (Caregiver Administered-Neuropsychiatric Inventory) Score
Time Frame
48 weeks
Title
Change in CIBIC (Clinician Interview Based Impression of Change)-plus
Time Frame
48 weeks
Title
Changes from the baseline in SF-36
Time Frame
48 weeks
Title
Changes in Amyloid Beta and Tau amount (pg/mL) in CSF (Cerebrospinal fluid)
Time Frame
48 weeks
Title
Change in Brain MRI (Magnetic Responance imaging)
Time Frame
48 weeks
Title
Change from the baseline of CMRglc (cerebral metabolic rate for glucose ) analyzed with SPM (statistical parametric mapping) with Brain FDG PET imaging
Time Frame
48 weeks
Title
Changes from the baseline of Amyloid amount analyzed with SPM (statistical parametric mapping) with amyloid PET imaging
Time Frame
48 weeks
Title
Changes of band power in qEEG (Quantitative electroencephalography)
Time Frame
48 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Korean male or female at 50+ years of age at the time of screening visit Diagnosis of Probable Alzheimer disease (probable AD) according to NINCDS-ADRDA criteria at Screening visit Positive for Amyloid on amyloid-ligand PET A subject with the imaging findings of Alzheimer's disease as confirmed by MRI or PET Presence of brain atrophy on brain MRI by visual assessment Presence of reduced brain glucose metabolism in bilateral temporal-parietal lobe on FDG-PET Korea Mini-Mental State Examination (KMMSE) score of 10-26 at time of screening visit Presence of caregiver who can provide information on the subject's condition Subject who has been taking stable dose of Alzheimer medication for last 2 months or more Subject who is informed of the clinical trial and signs a consent form (if unable to sign, a consent from a legally acceptable representative is required) Exclusion Criteria: Concurrent Dementia as a result of other disorders [i.e. infectious disease of the central nervous system such as HIV, syphilis, head injury, Creutzfeld-Jacob disease, Picks disease, Huntington's disease, Parkinson's disease, other subdural hematoma, hydrocephalus and structural brain lesions, drug addiction, alcoholism, substance abuse, thyroid disease, parathyroid disease, vitamins and other nutritional deficiencies and vascular etc.] Subject with vascular dementia as determined by the clinical criteria of DSM-IV and the imaging criteria of Erkinkuntii Subject with severe white matter hyperintensities (i.e. ≥ 25mm of the deep white matter and ≥ 10mm of the periventricular capping/banding in lengths) Abnormal laboratory findings at screening visit: A. ALT or AST ≥ 2.5 times the upper limit of normal value B. Serum creatinine ≥ 1.5 times the upper limit of normal value C. Total bilirubin ≥ 2 times the upper limit of normal value D. Total WBC counts < 3,000/㎣ E. Hemoglobin <9.5g/dL in men or <9.0g/dL in women F. Platelet count < 150,000/㎣ at screening visit G. PT (INR) ≥ 1.5 or aPTT ≥ 1.5 times the upper limit of normal value Subjects who are positive for HIV, syphilis or active HBV, HCV infection Subjects in poor medical condition or subjects with severe cardiovascular, gastrointestinal, pulmonary or endocrinologic disease A. Suspected active active lung disease on chest X-ray at screening visit B. Diagnosis of cancer (except for the subjects who remains in complete remission for 5 years or more ) Subject with concurrent unstable psychiatric disorder (i.e. severe depression, or schizophrenia, or bipolar disorder, etc) 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 any of the tests performed in this clinical trial (for example, MRI, CT, PET, CSF study) Subjects with known allergies to protein products (Bovine serum), antibiotics (gentamycin) or DMSO Subjects whom the principal investigator considers inappropriate for participation in theis study
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Hye Sun Kim
Phone
+82-31-881-7431
Email
goldfish79@chamc.co.kr
Facility Information:
Facility Name
Bundang Medical Center
City
Seongnam-si
State/Province
Gyeonggi-do
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
HyunSook Kim, MD, PhD

12. IPD Sharing Statement

Learn more about this trial

Evaluation of the Safety and Potential Therapeutic Effects After Intravenous Transplantation of CB-AC-02 in Patients With Alzheimer's Disease

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