Evaluate the Safety and Efficacy of Allogeneic Umbilical Cord Mesenchymal Stem Cells in Patients With Multiple Sclerosis (UMSC01)
Primary Purpose
Multiple Sclerosis
Status
Recruiting
Phase
Phase 1
Locations
Taiwan
Study Type
Interventional
Intervention
Allogeneic umbilical cord mesenchymal stem cells
Control group
Sponsored by

About this trial
This is an interventional treatment trial for Multiple Sclerosis
Eligibility Criteria
Inclusion Criteria:
- Patients are willing to sign informed consent.
- Male or female are age between 20 to 65 years old on date of consent.
- Diagnosis of Relapsing-Remitting MS (RRMS) (≥1 clinically documented relapse in the past 12 months, ≥2 clinically documented relapses in the last 24 months or ≥ 1 gadolinium enhanced lesion or T2 new lesion in the last 12 months) or Secondary Progressive MS (SPMS) (EDSS increase ≥1.0 point (baseline EDSS ≤ 5.0) or ≥ 0.5 point (baseline EDSS ≥5.5), and ≥1 clinical relapse or ≥1 gadolinium enhanced lesion in the last 12 months)
- MS diagnosis established between 2 to 15 years and EDSS score between 2.0 to 6.5 before enrollment
- Patient has appropriated blood clotting function as assessed by the following laboratory requirements: PT, APTT ≤ 1.5X upper limit of normal (ULN).
- Treatment failure (either ≥ 1 relapse, ≥ 1 new T2 lesion, ≥ one gadolinium enhanced lesion or EDSS deterioration) with at least one of MS disease modifying therapy as Interferon-β, Glatiramer acetate (Copaxone), Dimethyl fumarate (Tecfidera), Teriflunomide (Aubagio), Fingolimod (Gilenya), Ozanimod (Zeposia), Cladribine (Mavenclad), Siponimod (Mayzent), Ofatumumab (Kesimpta), or Natalizumab (Tysabri) for more than 6 months
- All male patients and female patients with child-bearing potential (between puberty and 2 years after menopause) should use appropriate contraception method(s) for at least 4 weeks after UMSC01 treatment
Exclusion Criteria:
- Pregnancy, lactation, and those who are not pregnant but did not, or unwilling to, take effective contraceptives measures 4 weeks before and after the treatment.
- Patients with uncontrolled diabetes (fasting blood glucose > 250 mg/dL)
- Patients with inadequate hepatic and renal function: AST and ALT > 5X ULN; eGFR < 30 mL/min.
- Patients who are unable to undergo Brain MRI examination for any reason.
- Patients who have medical history or current clinically active malignant tumor, peripheral neuropathy, myopathy or other clinically significant neurological diseases that will confound the evaluation of this study.
- Patients who have immuno-compromised condition or is with known clinically significantly autoimmune conditions other than MS or is receiving immunosuppressive treatments other than MS treatment within 6 months.
- With active infection that required systemic treatment
- Patients who are participating in other clinical trials with an investigational product within 1 month.
- Patients who were treated with cytotoxic medications during the last 1 month prior to the infusion.
- Relapse of MS within1 month before UMSC01 infusion.
- With anti-CD20 therapy, such as rituximab
- Patients not suitable to participate the trial as judged by the Investigator(s)
Sites / Locations
- China Medical University HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Sham Comparator
Arm Label
UMSC01
Placebo
Arm Description
UMSC01 cells mixed with normal saline will be administered to patients after the onset of diagnosis of multiple sclerosis.
For IV administration, normal saline will be administered to patients after the onset of diagnosis of multiple sclerosis. For IT administration, sham puncture procedure will partially penetrate without reaching subarachnoid space, and no spinal fluid will be drawn.
Outcomes
Primary Outcome Measures
Primary Endpoint for Phase I portion
SAE, SUSAR, and AE incidences over the study period
Primary Endpoint for Phase IIa portion
CFB of EDSS to Visit 10
Secondary Outcome Measures
Efficacy endpoint for phase I portion
CFB for EDSS of follow up visits (Visit 6-10)
Efficacy endpoint for phase I portion
CFB for brain MRI parameters of follow-up visits (Visit 6 -10)
Efficacy endpoint for phase I portion
Quality of life: CFB for MSQoL-54 questionnaire score of follow-up visits (Visit 6 -10)
Efficacy endpoint for phase I portion
CFB of T25FW scores of follow-up visits (Visit 6-10)
Efficacy endpoint for phase I portion
CFB of 9-HPT scores of follow-up visits (Visit 6-10)
Efficacy endpoint for phase I portion
CFB of PASAT scores of follow-up visits (Visit 6-10)
Efficacy endpoint for phase I portion
CFB of SDMT scores of follow-up visits (Visit 6-10)
Efficacy endpoint for phase I portion
CFB of RNFL thickness, measured by OCT of follow-up visits (Visit 6-10)
Efficacy endpoint for phase I portion
CFB of MSFC of follow-up visits (Visit 6-10)
Efficacy endpoints for phase IIa portion
Time to onset of CDW confirmed by EDSS at least 6 months
Efficacy endpoints for phase IIa portion
ARR (Annualized relapse rate), where relapse is defined as new or worsening neurological symptoms lasting for >24 hours
Efficacy endpoints for phase IIa portion
CFB of follow-up visits (Visit 6 -10) for EDSS
Efficacy endpoints for phase IIa portion
CFB of follow up visits (Visit 6-10) for brain MRI parameters
Efficacy endpoints for phase IIa portion
Quality of life: CFB of follow up visits (Visit 6-10) for MSQoL-54 questionnaire score
Efficacy endpoints for phase IIa portion
CFB of follow up visits (Visit 6-10) for T25FW scores
Efficacy endpoints for phase IIa portion
CFB of follow up visits (Visit 6-10) for 9-HPT scores
Efficacy endpoints for phase IIa portion
CFB of follow up visits (Visit 6-10) for PASAT scores
Efficacy endpoints for phase IIa portion
CFB of follow up visits (Visit 6-10) for SDMT scores
Efficacy endpoints for phase IIa portion
CFB of follow up visits (Visit 6-10) for RNFL thickness, measured by OCT
Efficacy endpoints for phase IIa portion
CFB of follow up visits (Visit 6-10) for MSFC
The safety endpoints are listed below for both phase I and IIa portions
SAE, SUSAR, and AE incidences over the study period
The safety endpoints are listed below for both phase I and IIa portions
CFB of laboratory data to subsequent visits
The safety endpoints are listed below for both phase I and IIa portions
CFB of physical examination to subsequent visits
The safety endpoints are listed below for both phase I and IIa portions
CFB of vital signs to subsequent visits
The safety endpoints are listed below for both phase I and IIa portions
CFB of AFP, CEA, CA199, SCC, IgA, anti-EBV, β-HCG, CA125, CA153, and PSA to Visit 6 (Phase I) or Visit 10 (Phase IIa)
Full Information
NCT ID
NCT05532943
First Posted
September 5, 2022
Last Updated
May 8, 2023
Sponsor
Ever Supreme Bio Technology Co., Ltd.
1. Study Identification
Unique Protocol Identification Number
NCT05532943
Brief Title
Evaluate the Safety and Efficacy of Allogeneic Umbilical Cord Mesenchymal Stem Cells in Patients With Multiple Sclerosis
Acronym
UMSC01
Official Title
A Seamless Phase I/IIa Clinical Study to Evaluate the Safety and Efficacy of Allogeneic Umbilical Cord Mesenchymal Stem Cells in Patients With Multiple Sclerosis
Study Type
Interventional
2. Study Status
Record Verification Date
August 2022
Overall Recruitment Status
Recruiting
Study Start Date
June 30, 2023 (Anticipated)
Primary Completion Date
December 31, 2026 (Anticipated)
Study Completion Date
December 31, 2026 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ever Supreme Bio Technology Co., Ltd.
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
This study is to identify the safety and efficacy of repeat IV(Intravenous) and IT(Intrathecal) administrations of UMSC01 in patients with MS. While anti-inflammatory drugs are routinely used for the treatment of MS by inhibiting immune responses, their effects on axon remyelination or neuroregeneration are limited. The combined systemic delivery of UCMSCs via intravenous injection and local administration of the cells by IT was to have safety and therapeutic efficacy for patients with MS.
Detailed Description
There is single arm in Phase I part: 6 patients will be enrolled sequentially for safety considerations. The patient will receive UMSC01 via IV followed by IT at day 28 as described in above. After all patients in Phase I complete the safety assessment by SMC without any major safety issue 4 weeks after the last UMSC01 administration, the Phase IIa part will be initiated. There are 2 arms in Phase IIa part: Sham-controlled with conventional treatment control and administration of UMSC01 with conventional treatment.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Sclerosis
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
41 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
UMSC01
Arm Type
Experimental
Arm Description
UMSC01 cells mixed with normal saline will be administered to patients after the onset of diagnosis of multiple sclerosis.
Arm Title
Placebo
Arm Type
Sham Comparator
Arm Description
For IV administration, normal saline will be administered to patients after the onset of diagnosis of multiple sclerosis. For IT administration, sham puncture procedure will partially penetrate without reaching subarachnoid space, and no spinal fluid will be drawn.
Intervention Type
Biological
Intervention Name(s)
Allogeneic umbilical cord mesenchymal stem cells
Intervention Description
UMSC01 cells will be IV infusion followed by IT infusion with 12 months of follow up after treatment.
Intervention Type
Biological
Intervention Name(s)
Control group
Intervention Description
Normal saline will be IV infusion followed by sham-IT infusion with 12 months of follow up after treatment.
Primary Outcome Measure Information:
Title
Primary Endpoint for Phase I portion
Description
SAE, SUSAR, and AE incidences over the study period
Time Frame
from visit 2 to 12-month follow-up period
Title
Primary Endpoint for Phase IIa portion
Description
CFB of EDSS to Visit 10
Time Frame
from visit 2 to 12-month follow-up period
Secondary Outcome Measure Information:
Title
Efficacy endpoint for phase I portion
Description
CFB for EDSS of follow up visits (Visit 6-10)
Time Frame
from visit 2 to 12-month follow-up period
Title
Efficacy endpoint for phase I portion
Description
CFB for brain MRI parameters of follow-up visits (Visit 6 -10)
Time Frame
from visit 2 to 12-month follow-up period
Title
Efficacy endpoint for phase I portion
Description
Quality of life: CFB for MSQoL-54 questionnaire score of follow-up visits (Visit 6 -10)
Time Frame
from visit 2 to 12-month follow-up period
Title
Efficacy endpoint for phase I portion
Description
CFB of T25FW scores of follow-up visits (Visit 6-10)
Time Frame
from visit 2 to 12-month follow-up period
Title
Efficacy endpoint for phase I portion
Description
CFB of 9-HPT scores of follow-up visits (Visit 6-10)
Time Frame
from visit 2 to 12-month follow-up period
Title
Efficacy endpoint for phase I portion
Description
CFB of PASAT scores of follow-up visits (Visit 6-10)
Time Frame
from visit 2 to 12-month follow-up period
Title
Efficacy endpoint for phase I portion
Description
CFB of SDMT scores of follow-up visits (Visit 6-10)
Time Frame
from visit 2 to 12-month follow-up period
Title
Efficacy endpoint for phase I portion
Description
CFB of RNFL thickness, measured by OCT of follow-up visits (Visit 6-10)
Time Frame
from visit 2 to 12-month follow-up period
Title
Efficacy endpoint for phase I portion
Description
CFB of MSFC of follow-up visits (Visit 6-10)
Time Frame
from visit 2 to 12-month follow-up period
Title
Efficacy endpoints for phase IIa portion
Description
Time to onset of CDW confirmed by EDSS at least 6 months
Time Frame
from visit 2 to 6-month follow-up period
Title
Efficacy endpoints for phase IIa portion
Description
ARR (Annualized relapse rate), where relapse is defined as new or worsening neurological symptoms lasting for >24 hours
Time Frame
from visit 2 to 12-month follow-up period
Title
Efficacy endpoints for phase IIa portion
Description
CFB of follow-up visits (Visit 6 -10) for EDSS
Time Frame
from visit 2 to 12-month follow-up period
Title
Efficacy endpoints for phase IIa portion
Description
CFB of follow up visits (Visit 6-10) for brain MRI parameters
Time Frame
from visit 2 to 12-month follow-up period
Title
Efficacy endpoints for phase IIa portion
Description
Quality of life: CFB of follow up visits (Visit 6-10) for MSQoL-54 questionnaire score
Time Frame
from visit 2 to 12-month follow-up period
Title
Efficacy endpoints for phase IIa portion
Description
CFB of follow up visits (Visit 6-10) for T25FW scores
Time Frame
from visit 2 to 12-month follow-up period
Title
Efficacy endpoints for phase IIa portion
Description
CFB of follow up visits (Visit 6-10) for 9-HPT scores
Time Frame
from visit 2 to 12-month follow-up period
Title
Efficacy endpoints for phase IIa portion
Description
CFB of follow up visits (Visit 6-10) for PASAT scores
Time Frame
from visit 2 to 12-month follow-up period
Title
Efficacy endpoints for phase IIa portion
Description
CFB of follow up visits (Visit 6-10) for SDMT scores
Time Frame
from visit 2 to 12-month follow-up period
Title
Efficacy endpoints for phase IIa portion
Description
CFB of follow up visits (Visit 6-10) for RNFL thickness, measured by OCT
Time Frame
from visit 2 to 12-month follow-up period
Title
Efficacy endpoints for phase IIa portion
Description
CFB of follow up visits (Visit 6-10) for MSFC
Time Frame
from visit 2 to 12-month follow-up period
Title
The safety endpoints are listed below for both phase I and IIa portions
Description
SAE, SUSAR, and AE incidences over the study period
Time Frame
from visit 2 to 12-month follow-up period
Title
The safety endpoints are listed below for both phase I and IIa portions
Description
CFB of laboratory data to subsequent visits
Time Frame
from visit 2 to 12-month follow-up period
Title
The safety endpoints are listed below for both phase I and IIa portions
Description
CFB of physical examination to subsequent visits
Time Frame
from visit 2 to 12-month follow-up period
Title
The safety endpoints are listed below for both phase I and IIa portions
Description
CFB of vital signs to subsequent visits
Time Frame
from visit 2 to 12-month follow-up period
Title
The safety endpoints are listed below for both phase I and IIa portions
Description
CFB of AFP, CEA, CA199, SCC, IgA, anti-EBV, β-HCG, CA125, CA153, and PSA to Visit 6 (Phase I) or Visit 10 (Phase IIa)
Time Frame
from visit 2 to 12-month follow-up period
Other Pre-specified Outcome Measures:
Title
The exploratory endpoints are listed below for both phase I and IIa portions
Description
Immunological markers, including CD3, CD4, CD8 surface markers, IgG, IgM, anti-HLA antibodies and Panel Reactive Antibody Assay in whole blood
Time Frame
from visit 2 to 12-month follow-up period
10. Eligibility
Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patients are willing to sign informed consent.
Male or female are age between 20 to 65 years old on date of consent.
Diagnosis of Relapsing-Remitting MS (RRMS) (≥1 clinically documented relapse in the past 12 months, ≥2 clinically documented relapses in the last 24 months or ≥ 1 gadolinium enhanced lesion or T2 new lesion in the last 12 months) or Secondary Progressive MS (SPMS) (EDSS increase ≥1.0 point (baseline EDSS ≤ 5.0) or ≥ 0.5 point (baseline EDSS ≥5.5), and ≥1 clinical relapse or ≥1 gadolinium enhanced lesion in the last 12 months)
MS diagnosis established between 2 to 15 years and EDSS score between 2.0 to 6.5 before enrollment
Patient has appropriated blood clotting function as assessed by the following laboratory requirements: PT, APTT ≤ 1.5X upper limit of normal (ULN).
Treatment failure (either ≥ 1 relapse, ≥ 1 new T2 lesion, ≥ one gadolinium enhanced lesion or EDSS deterioration) with at least one of MS disease modifying therapy as Interferon-β, Glatiramer acetate (Copaxone), Dimethyl fumarate (Tecfidera), Teriflunomide (Aubagio), Fingolimod (Gilenya), Ozanimod (Zeposia), Cladribine (Mavenclad), Siponimod (Mayzent), Ofatumumab (Kesimpta), or Natalizumab (Tysabri) for more than 6 months
All male patients and female patients with child-bearing potential (between puberty and 2 years after menopause) should use appropriate contraception method(s) for at least 4 weeks after UMSC01 treatment
Exclusion Criteria:
Pregnancy, lactation, and those who are not pregnant but did not, or unwilling to, take effective contraceptives measures 4 weeks before and after the treatment.
Patients with uncontrolled diabetes (fasting blood glucose > 250 mg/dL)
Patients with inadequate hepatic and renal function: AST and ALT > 5X ULN; eGFR < 30 mL/min.
Patients who are unable to undergo Brain MRI examination for any reason.
Patients who have medical history or current clinically active malignant tumor, peripheral neuropathy, myopathy or other clinically significant neurological diseases that will confound the evaluation of this study.
Patients who have immuno-compromised condition or is with known clinically significantly autoimmune conditions other than MS or is receiving immunosuppressive treatments other than MS treatment within 6 months.
With active infection that required systemic treatment
Patients who are participating in other clinical trials with an investigational product within 1 month.
Patients who were treated with cytotoxic medications during the last 1 month prior to the infusion.
Relapse of MS within1 month before UMSC01 infusion.
With anti-CD20 therapy, such as rituximab
Patients not suitable to participate the trial as judged by the Investigator(s)
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Sammi Hsu
Phone
886-4-2325-288
Ext
507
Email
cthsu@ever-supreme.com.tw
First Name & Middle Initial & Last Name or Official Title & Degree
Woei C Shyu
Email
shyu9423@gmail.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Woei C Shyu
Organizational Affiliation
Ever Supreme Bio Technology Co., Ltd.
Official's Role
Study Chair
Facility Information:
Facility Name
China Medical University Hospital
City
Taichung
State/Province
Non-US
ZIP/Postal Code
404
Country
Taiwan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sammi Hsu
Email
cthsu@ever-supreme.com.tw
First Name & Middle Initial & Last Name & Degree
Yuh C Guo, MD
12. IPD Sharing Statement
Learn more about this trial
Evaluate the Safety and Efficacy of Allogeneic Umbilical Cord Mesenchymal Stem Cells in Patients With Multiple Sclerosis
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