A Phase I Study to Assess the Safety, Tolerability and Preliminary Efficacy of NouvNeu001 Injection in the Treatment of Early-onset Parkinson's Disease
Overview
- Phase
- Phase 1
- Intervention
- Human Dopaminergic Progenitor Cells
- Conditions
- Early-onset Parkinson's Disease
- Sponsor
- iRegene Therapeutics Co., Ltd.
- Enrollment
- 6
- Locations
- 1
- Primary Endpoint
- Safety and Tolerability
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
The goal of this clinical trial is to learn about the safety of NouvNeu001 injection in Early-onset Parkinson's Disease (EOPD) patients. It will also learn about the effects of NouvNeu001 treatment. The main questions it aims to answer are:
What medical problems do participants have when transplanting NouvNeu001 into bilateral putamen using stereotactic neurosurgery? Does injection of NouvNeu001 improve the motor function and non-motor function in participants?
Participants will:
Be injectioned the NouvNeu001 into bilateral putamen using stereotactic neurosurgery.
Take immunosuppressants to prevent potential immune rejection for 24 to 36 weeks.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age 18-70 years old, male or female
- •Able to understand the rationale of the clinical trial and sign informed consent form (ICF)
- •Diagnosis of Early-onset Parkinson's Disease in accordance with the MDS clinical diagnostic criteria for Parkinson's disease, and the age of onset was ≤50 years old
- •Medically suitable for neurosurgery under anesthesia and able to participate in Computed Tomography (CT)/Magnetic Resonance Imaging (MRI) scan.
- •Hoehn-Yahr staging for "off" episodes is 2 to 4
- •The MDS-UPDRS-III score in the "off" state \>30, and positive for the Acute Levodopa Challenge Test (ALCT)
- •Acceptable laboratory test results during screening and prior to transplantation
Exclusion Criteria
- •Atypical Parkinsonism
- •Patients who have had previous pallidotomy, striatal or extrapyramidal surgery or other brain surgery; as well as other surgical procedures that are judged by the investigator to affect patient's participation in this study; Patients with surgical contraindications or other neurosurgical contraindications
- •Patients who have a previous head CT/MRI examination showing cerebral trauma, vascular malformation, hydrocephalus, brain tumor, etc., and patients who have brain imaging abnormalities in the striatum or other brain areas leading to a significantly increased risk for surgery
- •Patients with a history of severe cardiovascular and cerebrovascular diseases
- •Patients with a history of malignant tumors
- •Patients who have received stem cell therapy for Parkinson's disease within 2 years before signing the ICF
- •Patients with active disseminated intravascular coagulation and significant hemorrhagic tendency within 3 months prior to screening, or who cannot temporarily suspend anti-platelet agents or other anti-coagulant medications for at least 5 days before surgery
- •Patients with long-term, heavy use of glucocorticoids or immunosuppressive drugs within 3 months prior to signing the ICF
- •Patients with a history of mental illness who are deemed unfit to participate in the study by the investigator; or a history of suicidal ideation or suicide attempts within the past year or currently
- •Patients who have used botulinum toxin within 6 months prior to signing the ICF
Arms & Interventions
NouvNeu001
Intervention: Human Dopaminergic Progenitor Cells
Outcomes
Primary Outcomes
Safety and Tolerability
Time Frame: Enrollment to 96 weeks post-transplant.
Incidence and severity of adverse events (AEs) and serious adverse events (SAEs).
Secondary Outcomes
- The Motor Function and Non-motor Function(Baseline to 48 weeks and 96 weeks post-transplant)