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Phase 1 Clinical Trial of CordSTEM-ST

Phase 1
Recruiting
Conditions
Premature Ovarian Insufficiency
Interventions
Biological: umbilical cord-derived mesenchymal stem cell
Registration Number
NCT06578039
Lead Sponsor
CHABiotech CO., Ltd
Brief Summary

This clinical study will evaluate the safety and tolerability of CordSTEM-ST after administering a single dose in patients with premature ovarian insufficiency (POI), as well as identify the maximum tolerated dose (MTD) and evaluate the potential therapeutic effects.

Detailed Description

3 or 6 subjects will be enrolled sequentially by applying the "traditional 3+3 design" to evaluate the dose limiting toxicities (DLTs) for 28 days from the first administration date of the investigational product according to the protocol. A DLT is defined as the occurrence of a grade 3 or higher adverse drug reaction (ADR) according to the National Cancer Institute (NCI)-Common Terminology Criteria for Adverse Events (CTCAE) version 5.0.

First three subjects will be enrolled in Study Group 1 (low dose group) to be evaluated for DLTs up to 28 days after IP administration. If none of three subjects develope DLT, three subjects for Study Group 2 (high dose group) will be recruited. If one out of three subjects in Study Group 1 develop DLT, additional three subjects in Study Group 1 will be enrolled to be evaluated for DLT. If two or more subjects develop DLT in initial three subjects, the study will be terminated.

This study will be followed up by a long-term follow-up study under the separate protocol.

Recruitment & Eligibility

Status
RECRUITING
Sex
Female
Target Recruitment
6
Inclusion Criteria
  • Females aged ≥ 25 years and < 40 years
  • Individuals diagnosed with premature ovarian insufficiency: Individuals who have a follicle stimulating hormone (FSH) level of 40 IU/L or higher in the results of two tests conducted at least 4 weeks apart and are amenorrheic for at least 4 months
  • Individuals who voluntarily decide to participate and provide written consent
Exclusion Criteria
  • Individuals diagnosed with primary amenorrhea*

    * No secondary sex characteristics by age 13, Absence of menarche for 5 years after initial breast development, or Absence of menstruation by age 15

  • Individuals diagnosed with polycystic ovary syndrome

  • Individuals with any other conditions that may affect the result of this study.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Study Group 2 (High dose CordSTEM-ST)umbilical cord-derived mesenchymal stem cellHigh dose CordSTM-ST, 1 (single) administration
Study Group 1 (Low dose CordSTEM-ST)umbilical cord-derived mesenchymal stem cellLow dose CordSTEM-ST, 1 (single) administration
Primary Outcome Measures
NameTimeMethod
Abnormality cases in lab test resultsup to 6 months after the IP administration

Number of clinically significant abnormalities found in lab test results.

Abnormality cases in vital signsup to 6 months after the IP administration

Number of clinically significant abnormalities found in vital signs

Number of adverse eventsup to 6 months after the IP administration

Number of adverse event cases reported

Abnormality cases physical exam resultsup to 6 months after the IP administration

Number of clinically significant abnormalities found in physical exam results

Secondary Outcome Measures
NameTimeMethod
Percent change from baseline in blood Follicle Stimulating Hormone (FSH) levelup to 6 months after the IP administration

blood Follicle Stimulating Hormone (FSH) level measured in mIU/ml

Percent change from baseline in blood Anti-Mullerian Hormone (AMH) levelup to 6 months after the IP administration

blood Anti-Mullerian Hormone (AMH) level measured in ng/ml

Percent change from baseline blood Estradiaol (E2) levelup to 6 months after the IP administration

blood Estradiaol (E2) level measured in pg/ml

Percent change from baseline in number of mature folliclesup to 6 months after the IP administration

number of mature follicles measured in number of follicles

Percent change from baseline in endometrial thicknessup to 6 months after the IP administration

endometrial thickness measured in cm

Percent change from baseline in number of antral folliclesup to 6 months after the IP administration

number of antral follicles measured in number of follicles

Status of menstruation resumptionup to 6 months after the IP administration

Collected by patient interview

Trial Locations

Locations (1)

CHA Bundang Medical Center

🇰🇷

Seongnam-si, Gyeonggi-do, Korea, Republic of

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