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Autologous Adipose-Derived Mesenchymal Stem Cells for Chronic Traumatic Brain Injury
NCT05951777 · Hope Biosciences Research Foundation
In plain English
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About this study
This study is a prospective, randomized, double-blind, placebo-controlled Phase 2a study of three infusions of autologous HB-adMSCs (Hope Biosciences adipose-derived mesenchymal stem cells) (2 x 10\^8 total cells per dose) administered over a 6 week period with 14 day intervals between infusions. Subjects will be monitored and assessed for infusion related toxicity for at least 1 hour after the infusion and by telephone 24hr. after each infusion. Safety assessments will be conducted at the study follow-up clinic visits 6 and 12 months, and 2 years (telephone call) after the last HB-adMSC (Hope Biosciences adipose-derived mesenchymal stem cells) infusion, or more frequently if infusion related adverse events are suspected.
Eligibility criteria
Inclusion Criteria:
1. Adults between 18 and 55 years of age.
2. Documented functional neurological damage to the central nervous system from closed head trauma that is unlikely to improve with present standard of care approaches.
3. A Glasgow Outcome Scale-Extended (GOS-E) score \>2 and ≤6.
4. Onset or diagnosis of the injury or disease process greater than 6 months and \<= 20 years.
5. Ability to obtain consent from the subject or their legally authorized representative (LAR).
6. Ability to verbally communicate in English or Spanish (required for validated neurocognitive outcome testing).
Exclusion Criteria:
1. Known history of:
1. intellectual deficiency or uncontrolled psychiatric conditions likely to invalidate our ability to assess changes in cognition or behavior, or at the discretion of the PI,
2. recently treated infection,
3. renal disease or altered renal function (screening eGFR \< 60 mL/min/1.73m2),
4. hepatic disease or altered liver function (screening SGPT \> 150 U/L or T. Bilirubin \>1.3 mg/dL),
5. cancer,
6. immunosuppression (screening WBC \< 3, 000 cells/ml),
7. Positive infectious disease tests including HIV, Hep. B, Hep. C., and Syphilis,
8. chemical or ETOH dependency that in the opinion of the investigator would preclude enrollment,
9. acute or chronic lung disease requiring significant medication/oxygen supplementation,
10. bleeding disorders including immune-mediated heparin-induced thrombocytopenia,
11. known sensitivity to heparin, Lovenox, and pork products,
12. individuals with mechanical prosthetic heart valves,
13. individuals who have received a stem cell treatment, gene or cellular therapy.
2. Normal brain CT/MRI exam.
3. History of spinal cord injury.
4. Diagnosed with a genetic or metabolic disorder related to the neurologic condition.
5. Other acute or chronic medical conditions that, in the opinion of the investigator, may increase the risks associated with study participation.
6. For women of childbearing potential, a positive pregnancy test at the screening visit or, for both women and men, unwillingness to comply with acceptable methods of birth control.
7. Concurrent participation in interventional drug or device study.
8. Inability to undergo the diagnostic tests (PET/DT-MRI) or unwilling/unable to cooperate with the diagnostic tests and outcome assessments.
9. Metal implants including baclofen pumps that would preclude DT-MRI.
10. Unwilling or unable to return for the follow-up study visits.
Study design
Enrollment target: 51 participants
Allocation: randomized
Masking: quadruple
Age groups: adult
Timeline
Starts: 2024-04-16
Estimated completion: 2026-12
Last updated: 2025-09-29
Interventions
Biological: Autologous HB-adMSCsDrug: Normal Saline
Primary outcomes
- • Glucose (Week 0 (Infusion 1), change from week 0 (Infusion 1) at week 2 (Infusion 2), change from week 0 (Infusion 1) at week 4 (Infusion 3), change from week 0 (Infusion 1) at 6 months post-infusion, change from week 0 (Infusion 1) at 1 year post-infusion)
- • Calcium (Week 0 (Infusion 1), change from week 0 (Infusion 1) at week 2 (Infusion 2), change from week 0 (Infusion 1) at week 4 (Infusion 3), change from week 0 (Infusion 1) at 6 months post-infusion, change from week 0 (Infusion 1) at 1 year post-infusion)
- • Albumin (Week 0 (Infusion 1), change from week 0 (Infusion 1) at week 2 (Infusion 2), change from week 0 (Infusion 1) at week 4 (Infusion 3), change from week 0 (Infusion 1) at 6 months post-infusion, change from week 0 (Infusion 1) at 1 year post-infusion)
Sponsor
Hope Biosciences LLC · industry
With: The University of Texas Health Science Center, Houston
Contacts & investigators
ContactCarmen Duron, RN, MHA, BSN · contact · Maria.Carmen.Duron@uth.tmc.edu · 713-500-7395
ContactCarla Mendoza, BSN, RN · contact · Carla.D.Wilkerson@uth.tmc.edu · 713-500-8206
InvestigatorCharles S Cox, MD · principal_investigator, The University of Texas Health Science Center, Houston
All locations (2)
Memorial Hermann Hospital / UTHealth McGovern Medical School at HoustonRecruiting
Houston, Texas, United States
The University of Texas Health Science at San AntonioRecruiting
San Antonio, Texas, United States