Alzheimer DiseasePhase 1NCT04040348
Alzheimer's Disease Stem Cells Multiple Infusions
A Phase 1 study testing Approximately 100 million cells allogeneic hMSC in people with Alzheimer Disease, run by Bernard (Barry) Baumel at 1 site in United States.
Trial summary
The purpose of this research study is to test the safety, possible side effects, and possible effectiveness of mesenchymal stem cell infusions when given to people with a diagnosis of mild to moderate Alzheimer's disease. Read more about this study
- Who is it for?
- Ages 50 to 85 years
- Conditions the study is for
- Alzheimer Disease
- What is being tested?
- Approximately 100 million cells allogeneic hMSC
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 6 participants
- Where
- 1 siteUnited States
- Study dates
- 8 Oct 2019to 25 Apr 2023
- Phase
- Phase 1
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 50 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- All subjects enrolled in this trial must:
- Provide written informed consent
- Male or female subjects aged 50-85 years at time of signing Informed Consent
- Mini-Mental State Examination (MMSE) between 20-26
- Amyloid PET scan or CSF Aß1-42 positive for the presence of amyloid
- Meet criteria for either Alzheimer's Disease or probable Alzheimer's Disease (AD) according to National Institute of Neurological and Communicative Disorders and Stroke/Alzheimer's Disease and Related Disorders Association (NINDCDS/ARDRA)
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- Subjects, if taking cholinesterase inhibitor medications (donepezil, rivastigmine (oral or transdermal) or galantamine), are required to have been taking them on a stable dose for at least 3 months prior to Baseline Visit These medicines are not required
- Subjects already taking memantine will not have an effect in the inclusion/exclusion criteria.
- Have a study partner
- No clinically significant abnormal screening laboratory values, as determined by the investigator
- Women must be postmenopausal, surgically sterile, or having infertility. A postmenopausal woman is defined as either having an intact uterus with at least 12 months of spontaneous amenorrhea or a diagnosis of menopause, defined as an Follicular Stimulating Hormone (FSH) level of > 25 IU/L
Who cannot join
- All subjects enrolled must not have:
- Dementia other than AD
- A negative Amyloid PET scan
- Other neurodegenerative disease
- Significant psychiatric illness (e.g., uncontrolled major depression, schizophrenia, bipolar affective disorder)
- History of seizures
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- Contraindication for Magnetic Resonance Imaging (MRI)
- History of malignancy, except:
- > 5 years in remission prior to screening
- Be excised or treated basal cell, squamous carcinoma or melanoma in situ
- Prostate cancer in situ
- Cervical carcinoma in situ
- Uncontrolled medical conditions
- Hypertension
- Diabetes
- Unstable angina or history of Myocardial Infarction (MI) within 1 year prior to screening
- History of alcohol or drug use disorder (except tobacco use disorder) within 2 years before the screening visit
- Brain MRI at screening that shows evidence of findings incompatible with a diagnosis of Alzheimer's disease. Volumetric MRI scans done within 6 months prior to ICF signature will be accepted if completed locally.
- History of bleeding disorder
- History of or positive results for Human Immunodeficiency Virus (HIV)
- History of or positive results for Hepatitis C Virus (HCV) or Hepatitis B Virus (HBV)
- Hypersensitivity to dimethyl sulfoxide (DMSO)
- Inability to perform any of the assessments required for endpoint analysis
- Currently receiving (or received within four weeks of screening) experimental agents for the treatment of AD or enrolled in clinical trials in the prior 3 months
- Be a transplant recipient, or on active listing (or expected future listing) for transplant of any organ.
- Any other condition that, in the opinion of the investigator, may compromise the safety or compliance of the patient or preclude successful completion of the study.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: A Phase I, Prospective, Open-label Trial to Evaluate the Safety, Tolerability and Exploratory Outcomes of Multiple Allogeneic Human Mesenchymal Stem Cells (HMSC) Infusions in Patients With Mild to Moderate Alzheimer's Disease
The purpose of this research study is to test the safety, possible side effects, and possible effectiveness of mesenchymal stem cell infusions when given to people with a diagnosis of mild to moderate Alzheimer's disease.
- Conditions
- Alzheimer Disease
- Being tested
- Approximately 100 million cells allogeneic hMSC
- Keywords
- Dementia, Stem cells, Alzheimer's Disease
- Medical subject headings
- Alzheimer Disease, Dementia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Approximately 100 million cells allogeneic hMSCBiological
Umbilical cord-derived, allogeneic hMSC administered intravenously at a dose of approximately 100 million cells per infusion.
| Study group | Role | What they receive |
|---|---|---|
| hMSC Treatment group | Experimental | Participants in the hMSC treatment group will receive a total of 4 doses of the hMSC intervention. Each dose will be administered once about every 13 weeks within a year period. Receives: Biological: Approximately 100 million cells allogeneic hMSC |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Incidence of any Treatment-Emergent Serious Adverse Events (TE-SAEs)
All adverse events will be evaluated by the investigator for relationship with the study intervention. Treatment-Emergent Serious Adverse Events is defined as any untoward medical occurrence with a reasonable possibility that it is caused by the study intervention that:
- Is life-threatening (e.g.; leads to stroke or non-fatal pulmonary embolism);
- Requires inpatient hospitalization or prolongation of existing hospitalization;
- Results in persistent or significant disability/incapacity
- Results in other clinically significant sign(s) or symptom(s), (e.g.; clinically asymptomatic brain microhemorrhages); or
- Results in death
Measured: One month post-infusion
Secondary outcomes (16)
Cognitive function over time as assessed by the Alzheimer's Disease Assessment Scale - Cognitive (ADAS-Cog 11)
The ADAS-Cog 11 is a 13-item version of ADAS-Cog comprising of the original 11-item ADAS-Cog as well as Delayed Recall and Digit Cancellation items. The total score ranges from 0-85 points, with a lower score indicating better performance.
Measured: Up to Week 65
Cognitive function over time as assessed by the Mini Mental State Examination (MMSE) of Folstein test
The MMSE assesses orientation to time and place, immediate and delayed recall of words, attention and calculation, language (naming, comprehension and repetition), and spatial ability (copying a figure). The total score ranges from 0-30, with a higher score indicating better cognitive performance.
Measured: Up to Week 65
Depressive symptoms over time as assessed by the Geriatric Depression Scale (GDS) Short Version
The GDS is a 15-item questionnaire with each item counting as one point. The total score ranges from 0 to 15 with a score greater than 5 indicating possible depression.
Measured: Up to Week 65
Participant quality of life over time assessed via Alzheimer's Disease Related Quality of Life (ADRQL-40) Questionnaire as completed by the caregiver
ADRQL-40 is a questionnaire completed by the caregiver assessing the quality of life of the participant with AD. The total score for the ADRQL is computed by summing the values assigned to the responses, dividing the sum by the maximum value for the scale and multiplying the results by 100 to obtain a percentage score of 0 to 100. A higher score reflects a higher quality of life.
Measured: Up to Week 65
Participant quality of life over time as assessed via the Alzheimer's Disease Cooperative Study Activities of Daily Living (ADCS-ADL) Questionnaire as completed by the caregiver
The ADCS-ADL is a 23 item questionnaire completed by the caregiver assessing the basic and instrumental activities of daily living by the AD participant. Total score range from 0-78 with the higher score indicating increased independence.
Measured: Up to Week 65
Neuropsychiatric Inventory-Q (NPI-Q) Scores over time
The NPI-Q is a questionnaire used to assess behavioral changes common in dementia patients. This questionnaire is completed by the caregiver. The questionnaire consists of 12 items with each item having a scoring range between 0-3. The higher score indicates a more severe neuropsychiatric symptomatology.
Measured: Up to Week 52
Caregiver's Quality of life over time as assessed by the Caregiver Self-Assessment Questionnaire scores
The Caregiver Self-Assessment questionnaire is completed by the caregiver. It is an 18-item questionnaire answered with a "yes" or "no". Evidence of distress is indicated for having over 10 "yes" answers.
Measured: Up to Week 52
Biomarker levels over time
Serum blood inflammatory and biomarker levels will be evaluated including Interleukin-6 (IL-6), Neurofilament light (NfL), Amyloid Beta 40 (Aβ40) and Amyloid Beta 42 (Aβ42) in pg/mL.
Measured: Up to Week 65
Serum ApoE level over time
Serum blood Apolipoprotein E (ApoE) will be evaluated in mg/dL.
Measured: Up to Week 65
Serum PRA level over time
Serum blood Plasma Renin Activity (PRA) will be evaluated in ng/mL per hour.
Measured: Up to Week 65
Serum Tau protein level over time
Serum blood Tau protein level will be evaluated in ng/L.
Measured: Up to Week 65
Cerebrospinal Fluid (CSF) Biomarker levels over time
CSF inflammatory and biomarker levels will be evaluated including Interleukin-6 (IL-6), Neurofilament light (NfL), Amyloid Beta 40 (Aβ40) and Amyloid Beta 42 (Aβ42) in pg/mL.
Measured: Up to Week 52
CSF ApoE level over time
CSF Apolipoprotein E (ApoE) levels will be evaluated in mg/dL.
Measured: Up to Week 52
CSF PRA level over time
CSF Plasma Renin Activity (PRA) levels will be evaluated in ng/mL per hour.
Measured: Up to Week 52
CSF Tau protein level over time
CSF Tau protein levels will be evaluated in ng/L.
Measured: Up to Week 52
Change in hippocampal volume
Change in hippocampal volume will be assessed via MRI Brain volumetric studies
Measured: Baseline to Week 6, Baseline to Week 52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 Jul 2019
- Study start8 Oct 2019
- Primary completion25 Apr 2023
- Study completion25 Apr 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Alzheimer DiseaseStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 6 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bernard (Barry) Baumel
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor-investigator, Bernard (Barry) Baumel, University of Miami
- Investigators
- Bernard (Barry) Baumel, MD, Principal investigator, University of Miami
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04040348
- Sponsor's protocol ID
- 20190438
- Status last verified
- May 2026
- First submitted
- 30 Jul 2019
- Last updated
- 28 May 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 28 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase I, Prospective, Open-label Trial to Evaluate the Safety, Tolerability and Exploratory Outcomes of Multiple Allogeneic Human Mesenchymal Stem Cells (HMSC) Infusions in Patients With Mild to Moderate Alzheimer's Disease
- ClinicalTrials.gov ID
- NCT04040348
- Acronym / sponsor ID
- 20190438
- Conditions
- Alzheimer Disease
- Keywords
- Dementia, Stem cells, Alzheimer's Disease
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 6 participants (actual)
- Lead sponsor
- Bernard (Barry) BaumelUniversity, hospital or other
- Study start
- 8 Oct 2019 (actual)
- Primary completion
- 25 Apr 2023 (actual)
- Study completion
- 25 Apr 2023 (actual)
- First posted
- 31 Jul 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this research study is to test the safety, possible side effects, and possible effectiveness of mesenchymal stem cell infusions when given to people with a diagnosis of mild to moderate Alzheimer's disease.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| hMSC Treatment group | Experimental | Biological: Approximately 100 million cells allogeneic hMSCParticipants in the hMSC treatment group will receive a total of 4 doses of the hMSC intervention. Each dose will be administered once about every 13 weeks within a year period. |
Who may qualify
- Ages
- 50 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- Provide written informed consent
- Male or female subjects aged 50-85 years at time of signing Informed Consent
- Mini-Mental State Examination (MMSE) between 20-26
- Amyloid PET scan or CSF Aß1-42 positive for the presence of amyloid
- Meet criteria for either Alzheimer's Disease or probable Alzheimer's Disease (AD) according to National Institute of Neurological and Communicative Disorders and Stroke/Alzheimer's Disease and Related Disorders Association (NINDCDS/ARDRA)
Key exclusion criteria (26 listed)
- Dementia other than AD
- A negative Amyloid PET scan
- Other neurodegenerative disease
- Significant psychiatric illness (e.g., uncontrolled major depression, schizophrenia, bipolar affective disorder)
- History of seizures
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Approximately 100 million cells allogeneic hMSCUmbilical cord-derived, allogeneic hMSC administered intravenously at a dose of approximately 100 million cells per infusion. | Biological | hMSC Treatment group |
Primary outcome
Number of Incidence of any Treatment-Emergent Serious Adverse Events (TE-SAEs)
Time frame: One month post-infusion
All adverse events will be evaluated by the investigator for relationship with the study intervention. Treatment-Emergent Serious Adverse Events is defined as any untoward medical occurrence with a reasonable possibility that it is caused by the study intervention that: * Is life-threatening (e.g.; leads to stroke or non-fatal pulmonary embolism); * Requires inpatient hospitalization or prolongation of existing hospitalization; * Results in persistent or significant disability/incapacity * Results in other clinically significant sign(s) or symptom(s), (e.g.; clinically asymptomatic brain microhemorrhages); or * Results in death
16 secondary outcomes
Cognitive function over time as assessed by the Alzheimer's Disease Assessment Scale - Cognitive (ADAS-Cog 11)
Time frame: Up to Week 65
Cognitive function over time as assessed by the Mini Mental State Examination (MMSE) of Folstein test
Time frame: Up to Week 65
Depressive symptoms over time as assessed by the Geriatric Depression Scale (GDS) Short Version
Time frame: Up to Week 65
Participant quality of life over time assessed via Alzheimer's Disease Related Quality of Life (ADRQL-40) Questionnaire as completed by the caregiver
Time frame: Up to Week 65
Participant quality of life over time as assessed via the Alzheimer's Disease Cooperative Study Activities of Daily Living (ADCS-ADL) Questionnaire as completed by the caregiver
Time frame: Up to Week 65
Neuropsychiatric Inventory-Q (NPI-Q) Scores over time
Time frame: Up to Week 52
Caregiver's Quality of life over time as assessed by the Caregiver Self-Assessment Questionnaire scores
Time frame: Up to Week 52
Biomarker levels over time
Time frame: Up to Week 65
Serum ApoE level over time
Time frame: Up to Week 65
Serum PRA level over time
Time frame: Up to Week 65
Serum Tau protein level over time
Time frame: Up to Week 65
Cerebrospinal Fluid (CSF) Biomarker levels over time
Time frame: Up to Week 52
CSF ApoE level over time
Time frame: Up to Week 52
CSF PRA level over time
Time frame: Up to Week 52
CSF Tau protein level over time
Time frame: Up to Week 52
Change in hippocampal volume
Time frame: Baseline to Week 6, Baseline to Week 52
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 May 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bernard (Barry) Baumel, MD principal investigator
University of Miami
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing Approximately 100 million cells allogeneic hMSC in people with Alzheimer Disease, run by Bernard (Barry) Baumel at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 11 inclusion and 26 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 28 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Incidence of any Treatment-Emergent Serious Adverse Events (TE-SAEs) (time frame: One month post-infusion). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 May 2026.