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A Trial to Evaluate the Safety, Tolerability and Preliminary Efficacy of NCR201 in the Treatment of Subjects With Parkinson's Disease

Phase 1
Not yet recruiting
Conditions
Parkinson Disease
Interventions
Drug: Allogeneic dopaminergic neural precursor cell(NCR201)
Registration Number
NCT06978920
Lead Sponsor
Nuwacell Biotechnologies Co., Ltd.
Brief Summary

The goal of this clinical trial is to evaluate the safety, tolerability and preliminary efficacy that NCR201 has on Parkinson's disease (PD) patients.

Detailed Description

Parkinson's disease (PD) is a common neurodegenerative disease in the middle-aged and elderly. It is the "third killer" of the middle-aged and elderly after tumors and cardiovascular and cerebrovascular diseases. Its main clinical manifestations are resting tremor, reduced voluntary movement, muscle rigidity, postural reflex impairment, and autonomic dysfunction, which seriously affect patients' work ability and quality of life. It is estimated that nearly 100,000 people in China become new Parkinson's patients every year. Experts from the World Health Organization predict that the number of Parkinson's patients in China will reach 5 million in 2030, which will be more than half of the world's total. As the disease progresses, the symptoms of Parkinson's patients will become increasingly severe. The high prevalence and high disability rate of Parkinson's disease bring heavy burdens to individuals, families, and society.

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
48
Inclusion Criteria
  • Ages between 40 and 75 years;
  • Diagnosed to be Parkinson's disease according to Parkinson's disease diagnostic criteria;
  • Disease history over 5 years;
  • Stable dose of dopamine treatment;
  • Able to undergo PET/CT/MRI detection;
Exclusion Criteria
  • Patients who have previously undergone brain surgery;
  • Past use of stem cell therapy or participation in stem cell clinical research;
  • Cognitive impairment;
  • History of mental disorders;
  • Patients with other serious systemic diseases;
  • Past or current metastatic malignant tumors.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Low DoseAllogeneic dopaminergic neural precursor cell(NCR201)MRI-guided bilateral stereotactic cell implantation
High DoseAllogeneic dopaminergic neural precursor cell(NCR201)MRI-guided bilateral stereotactic cell implantation
Primary Outcome Measures
NameTimeMethod
Incidence and severity of adverse events.Within 24 weeks post-transplantation

Safety and tolerability

Secondary Outcome Measures
NameTimeMethod
Assessment of changes in Hamilton Depression Scale (HAMD)-17 in comparison with baseline values.Within 24 months post-transplantation

Comprehensive clinical assessment for examining the improvements in mental state.

Bilateral putamen standardized uptake value as demonstrated on positron emission tomography(PET) compared with baseline in the 'off' state.Within 24 months post-transplantation

Evidence of cell survival

Patient L-dopa equivalent dose compared with baseline.Within 24 months post-transplantation

Measure of dopaminergic drug dose

Incidence and severity of adverse events.Within 24 months post-transplantation

Safety and tolerability

Assessment of changes in Movement Disorder Society-Sponsored Revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS), part III, in comparison with baseline values.Within 24 months post-transplantation

Minimum score: 0; Maximum score: 132; Higher scores mean a worse outcome.

Assessment of changes in Hamilton Anxiety Scale (HAMA)-14 in comparison with baseline values.Within 24 months post-transplantation

Comprehensive clinical assessment for examining the improvements in mental state.

Assessment of changes in Parkinson's Disease Questionnaire-39 (PDQ-39) in comparison with baseline values.Within 24 months post-transplantation

Comprehensive clinical assessment for examining the improvements in activity of daily living.

Assessment of changes in Hoehn & Yahr scale in comparison with baseline values.Within 24 months post-transplantation

Comprehensive clinical assessment for examining the improvements in Parkinson disease.

Assessment of changes in Movement Disorder Society-Sponsored Revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS), part I,II,IV, in comparison with baseline values.Within 24 months post-transplantation

Higher scores mean a worse outcome.

Trial Locations

Locations (1)

The First Affiliated Hospital of USTC

🇨🇳

Hefei, Anhui, China

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