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Evaluate Umbilical Cord-derived Allogeneic Mesenchymal Stem Cells for the Treatment of Bradykinesia

Primary Purpose

Bradykinesia

Status
Unknown status
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
MSCTC-0010
Sponsored by
IMAC Holdings, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Bradykinesia

Eligibility Criteria

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

Inclusion Criteria:

  • Age of 55 years or older
  • Clinically diagnosed with Parkinsonism
  • All subjects, or their authorized representatives, must be adequately informed and understand the nature and risks of the study and must be able to provide a signature and date in the Informed Consent Form (ICF).
  • Clinically diagnosed bradykinesia for at least 3 months prior to baseline visit.
  • On stable treatment regimen with L-dopa and other anti-parkinsonian treatment for 4 weeks prior to baseline.
  • Women of child-bearing potential must undergo a negative serum pregnancy test at the screening assessment.
  • Subjects, or their representatives, must be able to communicate effectively with the study staff.
  • Subjects, or their authorized representatives, must certify that they are able and willing to follow all protocol requirements and study restrictions.

Exclusion Criteria:

  • Subjects who are intolerant of, or unwilling to, participate in all procedures required of this protocol.
  • Subjects who cannot tolerate a venipuncture and/or have adequate venous access.
  • Inability to ambulate 100 feet independently with or without an assistive device.
  • Subjects who have a history of allergy, hypersensitivity, or intolerance to any medications, components, or excipients of the investigational product or procedures, and which cannot be resolved by the staff conducting the study.
  • Subjects with a known diagnosis of Atypical Parkinsonian Syndrome e.g.:

    1. Dementia with Lewy Bodies;
    2. Progressive Supranuclear Palsy;
    3. Corticobasal Degeneration;
    4. Multiple System Atrophy;
    5. Other Neurodengerative Conditions.
  • Head trauma related to the onset of bradykinesia symptoms.
  • History of repeated head injury, hydrocephalus, encephalitis, or cerebral tumors.
  • Choreoathetosis
  • Any documented abnormality in the brain by CT or MRI, which might contribute to the motor function, e.g., stroke, tumor, or other space-occupying lesions, hydrocephalus, or encephalomalacia.
  • Known history of serum or plasma progranulin level < 110.9 ng/mL.
  • Disease associated mutation in TDP-34, PGRN, CHMPB2, or VCP genes or any other FTLD Causative genes.
  • Intracranial operation, e.g., pallidotomy, thalamotomy, and/or deep brain stiumulation surgery.
  • Other known neurodegenerative diseases not underlying the bradykinesia, e.g., Spinocerellar Atropy (SCA), Wilson's Disease, or Amyotrphic Lateral Sclerosis (ALS).
  • History of other significant neurological or physciatric disorders including, but not limited to, Alzheimer's disease, Lewy Body Dementia, Prior Disease, stroke, or seizure disorder.
  • Psychiatric illness that is unrelated to the Bradykinesia, e.g., severe bipolar or unipolar depression.
  • History of neurotoxin exposure.
  • History of REM behavior disorder.
  • Patients with Hepatocellular Carcinoma (HCC).
  • Acute liver failure or episode of hepatic encephalopthy.
  • Systolic blood pressure greater than 180 or less than 90 mmHg.
  • Diastolic blood pressure greater than 105 or less than 50 mmHg.
  • Presence of QTcprolongation or ECG abnormal at screening and judged to be clinically significate by the site investigator.
  • Clinically significant cardiovascular disease, e.g., cardiac surgery or myocardial infarction within the last 6 months, unstable angina, congestive heart failure, significant cardaic arrthymia; or cogenitial heart disease.
  • Early, symptomatic autonomic dysfunction.
  • Any malignancy (other than non-metasticic basal cell carcinoma of the skin) with 5 years of screening.
  • Clinically significant lab abnormalities at screening, including creatinine ≥ 2.5 mg/dL, vitam B12 below laboratory normal reference range, or TSH above laboratory normal reference range.
  • Current clinically significant hematological, endocrine, cardiovascular, renal, heapatic, gastrointestinal, or neurological disease. For the non-cancerconditions, if the condition has been stable for at least the past year and is judged by the site investigator not to interfere with the patient's participation in the study, the patient may be included.
  • A history of alcohol or substance abuse within 1 year prior to screening and deemed to be clinically significant by the site investigator.
  • An employee or relative of an employee.
  • Subjects who have donated plasma or platelets or had a significant loss of whole blood (480 ml or more) within 30 days.
  • Subjects who have received blood or blood products within 30 days prior to screening.
  • Treatment with any investigational drugs or device or participation in an investigational drug study within 60 days of screening.
  • Women of childbearing potential who are not using at least two forms of medically recognized contraception.
  • Female subjects who are pregnant, expecting to become pregnant, or lactating/nursing.
  • Any subjects who have a clinically significant abnormal laboratory value.
  • Subjects who have been treated with another research product 30 days prior to the screening assessment, or plant to participate in another clinical trial, while in this study. If more than 30 days have passed since participation in another clinical trial, the study staff must ensure that the subject has recovered from any adverse events associated with the research product used.
  • Subjects who have a history of any other clinically significant disease or disorder that in the opinion of the Principal Investigator, may place the subject at risk due to participation in the study, or may influence the results of the study.

Sites / Locations

  • IMAC Regeneration CenterRecruiting
  • Ozzie Smith IMAC Regeneration CenterRecruiting
  • David Price IMAC Regeneration CenterRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Low Dose MSCTC-0010

Medium Dose MSCTC-0010

High Dose MSCTC-0010

Arm Description

Participants will receive low-dose cell administration

Participants will receive medium-dose cell administration

Participants will receive high-dose cell administration

Outcomes

Primary Outcome Measures

Incidence of Serious Adverse Events and Adverse Events
Number of serious adverse events and adverse events for the duration of the study.

Secondary Outcome Measures

Full Information

First Posted
May 5, 2020
Last Updated
January 5, 2021
Sponsor
IMAC Holdings, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT04385056
Brief Title
Evaluate Umbilical Cord-derived Allogeneic Mesenchymal Stem Cells for the Treatment of Bradykinesia
Official Title
An Open-label, Dose-escalation Study to Evaluate the Use of Umbilical Cord-derived Allogeneic Mesenchymal Stem Cells (UC-MSCs) for the Treatment of Bradykinesia
Study Type
Interventional

2. Study Status

Record Verification Date
January 2021
Overall Recruitment Status
Unknown status
Study Start Date
December 15, 2020 (Actual)
Primary Completion Date
July 1, 2022 (Anticipated)
Study Completion Date
July 1, 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
IMAC Holdings, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Investigate the safety and tolerability of umbilical cord-derived allogeneic mesenchymal stem cells to treat patients with Bradykinesia.
Detailed Description
While the pathophysiological changes that result in the symptoms of bradykinesia are poorly understood, an inflammatory component appears to be involved. Human umbilical cord-derived allogeneic mesenchymal stem cells have documented anti-inflammatory properties, which suggest these cells may be effective at treating Bradykinesia. It is understood that perinatal products are potent immune modulators. It is believed that the positive symptomatic effects are secondary to the modulation of the immune system, and specifically the reduction in pathological inflammation. The study is designed to evaluate the safety and tolerability of umbilical cord-derived allogeneic mesenchymal stem cells to treat patients with Bradykinesia.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Bradykinesia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
15 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Low Dose MSCTC-0010
Arm Type
Experimental
Arm Description
Participants will receive low-dose cell administration
Arm Title
Medium Dose MSCTC-0010
Arm Type
Experimental
Arm Description
Participants will receive medium-dose cell administration
Arm Title
High Dose MSCTC-0010
Arm Type
Experimental
Arm Description
Participants will receive high-dose cell administration
Intervention Type
Biological
Intervention Name(s)
MSCTC-0010
Intervention Description
MSCTC-0010 is a suspension product for infusion. The active ingredient is the umbilical cord-derived allogeneic mesenchymal stem cells (US-MSCs).
Primary Outcome Measure Information:
Title
Incidence of Serious Adverse Events and Adverse Events
Description
Number of serious adverse events and adverse events for the duration of the study.
Time Frame
12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age of 55 years or older Clinically diagnosed with Parkinsonism All subjects, or their authorized representatives, must be adequately informed and understand the nature and risks of the study and must be able to provide a signature and date in the Informed Consent Form (ICF). Clinically diagnosed bradykinesia for at least 3 months prior to baseline visit. On stable treatment regimen with L-dopa and other anti-parkinsonian treatment for 4 weeks prior to baseline. Women of child-bearing potential must undergo a negative serum pregnancy test at the screening assessment. Subjects, or their representatives, must be able to communicate effectively with the study staff. Subjects, or their authorized representatives, must certify that they are able and willing to follow all protocol requirements and study restrictions. Exclusion Criteria: Subjects who are intolerant of, or unwilling to, participate in all procedures required of this protocol. Subjects who cannot tolerate a venipuncture and/or have adequate venous access. Inability to ambulate 100 feet independently with or without an assistive device. Subjects who have a history of allergy, hypersensitivity, or intolerance to any medications, components, or excipients of the investigational product or procedures, and which cannot be resolved by the staff conducting the study. Subjects with a known diagnosis of Atypical Parkinsonian Syndrome e.g.: Dementia with Lewy Bodies; Progressive Supranuclear Palsy; Corticobasal Degeneration; Multiple System Atrophy; Other Neurodengerative Conditions. Head trauma related to the onset of bradykinesia symptoms. History of repeated head injury, hydrocephalus, encephalitis, or cerebral tumors. Choreoathetosis Any documented abnormality in the brain by CT or MRI, which might contribute to the motor function, e.g., stroke, tumor, or other space-occupying lesions, hydrocephalus, or encephalomalacia. Known history of serum or plasma progranulin level < 110.9 ng/mL. Disease associated mutation in TDP-34, PGRN, CHMPB2, or VCP genes or any other FTLD Causative genes. Intracranial operation, e.g., pallidotomy, thalamotomy, and/or deep brain stiumulation surgery. Other known neurodegenerative diseases not underlying the bradykinesia, e.g., Spinocerellar Atropy (SCA), Wilson's Disease, or Amyotrphic Lateral Sclerosis (ALS). History of other significant neurological or physciatric disorders including, but not limited to, Alzheimer's disease, Lewy Body Dementia, Prior Disease, stroke, or seizure disorder. Psychiatric illness that is unrelated to the Bradykinesia, e.g., severe bipolar or unipolar depression. History of neurotoxin exposure. History of REM behavior disorder. Patients with Hepatocellular Carcinoma (HCC). Acute liver failure or episode of hepatic encephalopthy. Systolic blood pressure greater than 180 or less than 90 mmHg. Diastolic blood pressure greater than 105 or less than 50 mmHg. Presence of QTcprolongation or ECG abnormal at screening and judged to be clinically significate by the site investigator. Clinically significant cardiovascular disease, e.g., cardiac surgery or myocardial infarction within the last 6 months, unstable angina, congestive heart failure, significant cardaic arrthymia; or cogenitial heart disease. Early, symptomatic autonomic dysfunction. Any malignancy (other than non-metasticic basal cell carcinoma of the skin) with 5 years of screening. Clinically significant lab abnormalities at screening, including creatinine ≥ 2.5 mg/dL, vitam B12 below laboratory normal reference range, or TSH above laboratory normal reference range. Current clinically significant hematological, endocrine, cardiovascular, renal, heapatic, gastrointestinal, or neurological disease. For the non-cancerconditions, if the condition has been stable for at least the past year and is judged by the site investigator not to interfere with the patient's participation in the study, the patient may be included. A history of alcohol or substance abuse within 1 year prior to screening and deemed to be clinically significant by the site investigator. An employee or relative of an employee. Subjects who have donated plasma or platelets or had a significant loss of whole blood (480 ml or more) within 30 days. Subjects who have received blood or blood products within 30 days prior to screening. Treatment with any investigational drugs or device or participation in an investigational drug study within 60 days of screening. Women of childbearing potential who are not using at least two forms of medically recognized contraception. Female subjects who are pregnant, expecting to become pregnant, or lactating/nursing. Any subjects who have a clinically significant abnormal laboratory value. Subjects who have been treated with another research product 30 days prior to the screening assessment, or plant to participate in another clinical trial, while in this study. If more than 30 days have passed since participation in another clinical trial, the study staff must ensure that the subject has recovered from any adverse events associated with the research product used. Subjects who have a history of any other clinically significant disease or disorder that in the opinion of the Principal Investigator, may place the subject at risk due to participation in the study, or may influence the results of the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Christine Long
Phone
1 (844) 266-4622
Email
contactus@imacregeneration.com
Facility Information:
Facility Name
IMAC Regeneration Center
City
Paducah
State/Province
Kentucky
ZIP/Postal Code
42001
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Christine Long
Phone
844-266-4622
Email
contactus@imacregeneration.com
Facility Name
Ozzie Smith IMAC Regeneration Center
City
Chesterfield
State/Province
Missouri
ZIP/Postal Code
63017
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Christine Long
Phone
844-266-4622
Email
contactus@imacregeneration.com
Facility Name
David Price IMAC Regeneration Center
City
Brentwood
State/Province
Tennessee
ZIP/Postal Code
37027
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Christine Long
Phone
844-266-4622
Email
contactus@imacregeneration.com

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Evaluate Umbilical Cord-derived Allogeneic Mesenchymal Stem Cells for the Treatment of Bradykinesia

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