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Cell-Based Therapy for White Matter Repair in Periventricular Leukomalacia

Early Phase 1
Withdrawn
Conditions
Periventricular Leukomalacia
White Matter Disease
Hypoxic-Ischemic Encephalopathy
Demyelinating Diseases
Neonatal Encephalopathy
Registration Number
NCT06985303
Lead Sponsor
MGAM LLC
Brief Summary

The goal of this study is to explore a new treatment that may help repair brain damage in individuals with periventricular leukomalacia (PVL), a condition that affects white matter in the brain. Researchers are testing whether a combination of a novel cell therapy and specific molecular agents can support brain repair.

The main questions the study aims to answer are:

Can the treatment help regrow white matter and improve myelin repair? Does the treatment reduce scarring in the brain? Is the treatment safe and well-tolerated?

The study uses several components, including:

A specific type of neural progenitor cell to form the basis of the therapy. A small molecule compound to support cell function and survival. An agent designed to promote the repair of the myelin sheath. An enzyme intended to break down scar tissue in the brain. Researchers will study how these components work together to protect and repair the brain by influencing key pathways involved in damage and recovery.

Detailed Description

Not available

Recruitment & Eligibility

Status
WITHDRAWN
Sex
All
Target Recruitment
10
Inclusion Criteria
  • Diagnosis of periventricular leukomalacia (PVL) confirmed by MRI
  • Clinically stable at time of intervention
  • Parental or legal guardian consent if participant is a minor
Exclusion Criteria
  • Severe congenital brain malformations unrelated to PVL
  • Active CNS infection or systemic inflammatory disease
  • History of severe intraventricular hemorrhage (Grade III/IV)
  • Known allergy or history of a significant hypersensitivity reaction to the investigational product or any of its components.
  • Participation in another interventional study within the past 30 days

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
Change in White Matter IntegrityAt baseline and 12 weeks post-intervention

Measured using fractional anisotropy (FA) values derived from diffusion tensor imaging (DTI) MRI to assess structural white matter characteristics in brain regions affected by periventricular leukomalacia (PVL).

Secondary Outcome Measures
NameTimeMethod
Change in Functional Motor ScoreBaseline, 6 weeks, and 12 weeks post-intervention

Measured using the Gross Motor Function Measure-88 (GMFM-88). The scale ranges from 0 to 100; higher scores indicate better motor function.

Change in Glial Scar Density12 weeks post-intervention

Quantified using established biomarkers for astrogliosis, such as glial fibrillary acidic protein (GFAP), from cerebrospinal fluid or via advanced imaging. This outcome is intended to measure the biological activity of the therapy's scar-reducing component.

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