Parkinson DiseasePhase 2PDNCT04928287
Randomized, Double-Blind Clinical Trial for Parkinson's Disease (Early and Moderate)
A Phase 2 study testing HB-adMSCs in people with Parkinson Disease, run by Hope Biosciences Research Foundation at 1 site in United States.
Trial summary
This is a randomized, double-blind, single center, phase 2 study to assess efficacy and safety of multiple HB-adMSCs vs Placebo for the treatment of Parkinson's disease. The trial includes a screening period of up to 4 weeks, a 32-week treatment period, and a safety Follow-up period of 20 weeks after the last… Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Parkinson Disease
- What is being tested?
- HB-adMSCs
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 24 participants
- Where
- 1 siteUnited States
- Study dates
- 28 Jun 2021to 6 Feb 2023
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- A study participant will be eligible for inclusion in this study only if all of the following criteria apply:
- Male and female participants 18 - 75 years of age.
- Study participant must have been diagnosed with early and/or moderate Parkinson's disease at least 6 months before study participation.
- Study participants must have previously banked their mesenchymal stem cells with Hope Biosciences.
- Study participants should be able to read, understand and to provide written consent.
- Voluntarily signed informed consent obtained before any clinical-trial related procedures are performed.
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- Female study participants should not be pregnant or plan to become pregnant during study participation and for 6 months after last investigational product administration.
- Male participants if their sexual partners can become pregnant should use a method of contraception during study participation and for 6 months after the last administration of the investigated product.
- Study participant is able and willing to comply with the requirements of this clinical trial.
Who cannot join
- A study participant will not be eligible for inclusion in this clinical trial if any of the following criteria apply:
- Pregnancy, lactation. Women of childbearing age who are not pregnant but do not take effective contraceptive measures.
- Study participants with advanced Parkinson's disease described as, severe disability, wheelchair bound or bedridden.
- Study participant has any active malignancy, including evidence of cutaneous basal, squamous cell carcinoma or melanoma.
- Study participant has known alcoholic addiction or dependency or has current substance use or abuse.
- Study participant has 1 or more significant concurrent medical conditions (verified by medical records), including the following:
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- Poorly controlled diabetes mellitus (PCDM) defined as history of deficient standard of care treatment and/or pre-prandial glucose >130mg/dl during screening visit or post-prandial glucose >200mg/dl.
- Medical History of Chronic kidney disease (CKD) diagnosis and/or screening results of eGFR < 59mL/min/1.73m2.
- Presence of New York Heart Association (NYHA) Class III/IV heart failure during screening visit.
- Any medical history of myocardial infarction in any of the different types, such as ST-elevation myocardial infarction (STEMI) or non-ST-elevated myocardial infarction (NSTEMI), coronary spasm, or unstable angina.
- Medical history of uncontrolled high blood pressure defined as a deficient standard of care treatment and/or blood pressure > 180/120 mm/Hg during screening visit.
- Medical history of inherited thrombophilias, recent major general surgery, (within 12 months before the Screening), lower extremity paralysis due to spinal cord injury, fracture of the pelvis, hips or femur, cancer of the lung, brain, lymphatic, gynecologic system (ovary or uterus), or gastrointestinal tract (like pancreas or stomach).
- History of brain surgery for Parkinson's disease.
- Study participant has received any stem cell treatment within 6 months before first dose of investigational product other than stem cells produced by Hope Biosciences.
- Receiving any investigational therapy or any approved therapy for investigational use within 1 year prior first dose of the investigational product other than COVID-19 vaccines.
- Study participant has a laboratory abnormality during screening, including the following:
- White blood cell count < 3000/mm3
- Platelet count < 80,000mm3
- Absolute neutrophil count < 1500/mm3
- Alanine aminotransferase (ALT) or aspartate aminotransferase (AST) 10 upper limit of normal (ULN) x 1.5
- Study participant has any other laboratory abnormality or medical condition which, in the opinion of the investigator, poses a safety risk or will prevent the subject from completing the study.
- Study participant is unlikely to complete the study or adhere to the study procedures.
- Study participant with known concurrent acute or chronic viral hepatitis B or C or human immunodeficiency virus (HIV) infection.
- Study participant has a previously diagnosed psychiatric condition which in the opinion of the investigator may affect self-assessments.
- Study participant with any systemic infection requiring treatment with antibiotics, antivirals, or antifungals within 30 days prior to first dose of the investigational product.
- Male study participants who plan to donate sperm during the study or within 6 months after the last dose. Female patients who plan to donate eggs or undergo in vitro fertilization treatment during the study or within 6 months after the last dose.
- Study participants who are determined by the Investigator to be unsuitable for study enrollment for other reasons
Trial locations and contacts
1 site in 1 country.
United States1 site
Hope Biosciences Stem Cell Research Foundation
Sugar Land, Texas, 77478
About this study
Official title: "A Randomized, Double-Blind, Single Center, Phase 2, Efficacy and Safety Study of Autologous HB-adMSCs vs Placebo for the Treatment of Patients With Parkinson's Disease"
This is a randomized, double-blind, single center, phase 2 study to assess efficacy and safety of multiple HB-adMSCs vs Placebo for the treatment of Parkinson's disease.
The trial includes a screening period of up to 4 weeks, a 32-week treatment period, and a safety Follow-up period of 20 weeks after the last investigational product administration.
This clinical trial will be open to enroll 24 eligible participants diagnosed with Parkinson's disease. Patients' recruitment will be conducted by the study team, if eligible participants are identified based on eligibility criteria, a screening visit will be scheduled. Informed consent form will be given to the study participants and signed before any study procedures. Informed consent form will include information about the clinical trial and some aspects should be considered during this process.
- Conditions
- Parkinson Disease
- Being tested
- HB-adMSCs, Placebo
- Medical subject headings
- Parkinson Disease
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
HB-adMSCsBiological
Also called Autologous Hope Biosciences adipose derived mesenchymal stem cells.
HB-adMSCs will be administered intravenously to study participants who qualify.
PlaceboOther
Also called Sterile Saline Solution 0.9%
Placebo will be administered intravenously to study participants who qualify.
| Study group | Role | What they receive |
|---|---|---|
| HB-adMSCs | Active comparator | Autologous Hope Biosciences adipose derived mesenchymal stem cells. Receives: Biological: HB-adMSCs; Other: Placebo |
| Placebo | Placebo comparator | Sterile Saline Solution 0.9% Receives: Biological: HB-adMSCs; Other: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change From Baseline in MDS-UPDRS Part II.
The MDS-UPDRS scale refers to Movement Disorder Society - Unified Parkinson Disease Rating Scale, and it is a rating tool used to gauge the course of Parkinson's disease in patients. The MDS-UPDRS scale consists of 4 segments. Part II tests "Motor Aspects of Experiences of Daily Living". Each answer to the scale is evaluated by the principal investigator during the study visit. Some sections of the MDS-UPDRS scale require multiple grades assigned to each extremity.
There are 13 items included in Part II. Part II score ranges from 0 - 52; 12 and below is mild, 30 and above is severe. Each item has 0-4 ratings: 0 (normal), 1 (slight), 2 (mild), 3 (moderate), and 4 (severe). The total score ranges from 0 to 260, with 0 indicating no disability and 260 indicating total disability. Higher values represent a worse outcome.
Measured: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Laboratory Values. CBC (% of WBC)
Changes from baseline in CBC laboratory values with unit of % of white blood cell count.
Measured: Baseline (Week 0), Week 24, and End of Study (Week 52)
Laboratory Values. CBC (10^9 Cells/L)
Changes from baseline in CBC laboratory values with units of 10^9 cells/L (Leukocytes, Platelets)
Measured: Baseline (Week 0), Week 24, and End of Study (Week 52)
Laboratory Values. CBC (10^12 Cells/L)
Changes from baseline in CBC laboratory values with units of 10^12 cells/L.
Measured: Baseline (Week 0), Week 24, and End of Study (Week 52)
Laboratory Values. CBC (pg)
Changes from baseline in CBC laboratory values with unit of pg.
Measured: Baseline (Week 0), Week 24, and End of Study (Week 52)
Laboratory Values. CBC (fL)
Changes from baseline in CBC laboratory values with unit of fL.
Measured: Baseline (Week 0), Week 24, and End of Study (Week 52)
Laboratory Values. CBC (g/dL)
Changes from baseline in CBC laboratory values with unit of g/dL.
Measured: Baseline (Week 0), Week 24, and End of Study (Week 52)
Laboratory Values. CBC (% Difference in Volume and Size of RBC)
Changes from baseline in CBC laboratory values with unit of % difference in volume and size of RBC
Measured: Baseline (Week 0), Week 24, and End of Study (Week 52)
Laboratory Values. CBC (% of Total Blood Cell Count)
Changes from baseline in CBC laboratory values with unit of % of total blood cell count.
Measured: Baseline (Week 0), Week 24, and End of Study (Week 52)
Vital Signs. - Blood Pressure (mmHg)
Change from baseline in Blood Pressure.
Measured: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Weight in kg.
Change from baseline in Weight in kg.
Measured: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Laboratory Values. CMP (mg/dL)
Change from baseline in CMP values with units of mg/dL
Measured: Baseline (Week 0), Week 24, and End of Study (Week 52)
Laboratory Values. CMP (g/dL)
Changes from baseline in CMP laboratory values with units of g/dL
Measured: Baseline (Week 0), Week 24, and End of Study (Week 52)
Laboratory Values. CMP (IU/L)
Changes from baseline in CMP laboratory values with units of IU/L.
Measured: Baseline (Week 0), Week 24, and End of Study (Week 52)
Laboratory Values. CMP (mL/Min/1.73m^2)
Changes from baseline in CMP laboratory values with units of mL/min/1.73m^2.
Measured: Baseline (Week 0), Week 24, and End of Study (Week 52)
Laboratory Values. CMP (mmol/L)
Changes from baseline in CMP laboratory values with units of mmol/L.
Measured: Baseline (Week 0), Week 24, and End of Study (Week 52)
Laboratory Values. CMP (Ratio: Albumin (g/dL) to Calc. Globulin (g/dL))
Changes from baseline in CMP laboratory values with units of Ratio: Albumin(g/dL) to Calc. Globulin(g/dL)
Measured: Baseline (Week 0), Week 24, and End of Study (Week 52)
Laboratory Values. CMP (Ratio: Urea Nitrogen (mg/dL) to Creatinine (mg/dL))
Changes from baseline in CMP laboratory values with units of Ratio: Urea Nitrogen (mg/dL) to Creatinine (mg/dL)
Measured: Baseline (Week 0), Week 24, and End of Study (Week 52)
Laboratory Values. Coagulation Panel (Seconds)
Changes from baseline in Coagulation Panel values with units of seconds.
Measured: Baseline (Week 0), Week 24, and End of Study (Week 52)
Laboratory Values. Coagulation Panel (Ratio: Prothrombin Time (Seconds) / Mean Normal Prothrombin Time (Seconds))
Changes from baseline in Coagulation laboratory values with units of Ratio: Prothrombin time (seconds) / Mean normal prothrombin time (seconds).
Measured: Baseline (Week 0), Week 24, and End of Study (Week 52)
Vital Signs. - Respiratory Rate (Breaths Per Minute)
Changes from Baseline in Respiratory Rate.
Measured: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Vital Signs. - Heart Rate (Beats Per Minute)
Change from baseline in Heart Rate.
Measured: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Vital Signs. - Body Temperature (Celsius )
Change from baseline in Body Temperature.
Measured: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Secondary outcomes (21)
Change From Baseline in MDS-UPDRS Part I.
The MDS-UPDRS scale refers to Movement Disorder Society - Unified Parkinson Disease Rating Scale, and it is a rating tool used to gauge the course of Parkinson's disease in patients. Part I tests "Nonmotor experiences of daily living". Non-Motor Aspects of Experiences of Daily Living (nM-EDL), including complex behaviors such as, cognitive impairment, hallucinations and psychosis, depressed mood, anxious mood, apathy, features of dopamine dysregulation syndrome, sleep problems, daytime sleepiness, pain and other sensations, urinary problems, constipation problems, light headedness on standing and fatigue.
There are 13 items included in Part I. Part I score ranges from 0 - 52; 10 and below is mild, 22 and above is severe. Each item has 0-4 ratings:0 (normal), 1 (slight), 2 (mild), 3 (moderate), and 4 (severe). The total score ranges from 0 to 260, with 0 indicating no disability and 260 indicating total disability. Higher values represent a worse outcome.
Measured: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in MDS-UPDRS Part III.
The MDS-UPDRS scale refers to Movement Disorder Society - Unified Parkinson Disease Rating Scale, and it is a rating tool used to gauge the course of Parkinson's disease in patients. Part III tests "Motor examination". Motor Examination includes speech, facial expression, rigidity, finger and hand movement, pronation-supination movements of hands, toe tapping, leg agility, arising from chair, gait, freezing of gait, postural stability, posture, global spontaneity of movement, postural tremor of the hands, kinetic tremor of the hands, rest tremor amplitude, constancy of rest tremor, dyskinesias impact and Hoehn and Yahr stage.
There are 18 items included in Part III. Part III score ranges from 0 - 132; 32 and below is mild, 59 and above is severe. Each item has 0-4 ratings:0 (normal), 1 (slight), 2 (mild), 3 (moderate), and 4 (severe). The total score ranges from 0 to 260, with 0 indicating no disability and 260 indicating total disability. Higher values represent a worse outcome.
Measured: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in MDS-UPDRS Part IV.
The MDS-UPDRS scale refers to Movement Disorder Society - Unified Parkinson Disease Rating Scale, and it is a rating tool used to gauge the course of Parkinson's disease in patients. Part IV tests "Motor Complications", including time spent with dyskinesias and others.
There are 6 items included in Part IV. Part IV score ranges from 0 - 24; 4 and below is mild, 13 and above is severe. Each item has 0-4 ratings:0 (normal), 1 (slight), 2 (mild), 3 (moderate), and 4 (severe). The total score ranges from 0 to 260, with 0 indicating no disability and 260 indicating total disability. Higher values represent a worse outcome.
Measured: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Neuro-QOL. - Communication
Communication - Short Form
Neuro-QoL (Quality of Life in Neurological Disorders) is a measurement system that evaluates and monitors the physical, mental, and social effects experienced by adults and children living with neurological conditions. The communication short form has 5 questions regarding communicative abilities of the patient, and each question ranges from 0 points to 5 points (making the total 25 points). A higher score represents a better outcome.
Measured: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Neuro-QOL. - Social Roles and Activities
Ability to Participate in Social Roles and Activities - Short Form
Neuro-QoL (Quality of Life in Neurological Disorders) is a measurement system that evaluates and monitors the physical, mental, and social effects experienced by adults and children living with neurological conditions. The "Ability to Participate in Social Roles and Activities" short form has 8 questions regarding social abilities of the patient (familial and friend relationships), and each question ranges from 0 points to 5 points (making the total 40 points). A higher score represents a better outcome.
Measured: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Changes From Baseline in Neuro-QOL. - Anxiety
Anxiety - Short Form Neuro-QoL (Quality of Life in Neurological Disorders) is a measurement system that evaluates and monitors the physical, mental, and social effects experienced by adults and children living with neurological conditions. The "Anxiety" short form has 8 questions regarding the anxiety level of the patient (inquiring about level of uneasiness and worry), and each question ranges from 0 points to 5 points (making the total 40 points). A higher score represents a worse outcome.
Measured: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Neuro-QOL. - Depression
Depression - Short Form Neuro-QoL (Quality of Life in Neurological Disorders) is a measurement system that evaluates and monitors the physical, mental, and social effects experienced by adults and children living with neurological conditions. The "Depression" short form has 8 questions regarding the depression level of the patient, and each question ranges from 0 points to 5 points (making the total 40 points). A higher score represents a worse outcome.
Measured: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Neuro-QOL. - Dyscontrol
Emotional and Behavioral Dyscontrol - Short Form Neuro-QoL (Quality of Life in Neurological Disorders) is a measurement system that evaluates and monitors the physical, mental, and social effects experienced by adults and children living with neurological conditions. The "Dyscontrol" short form has 8 questions regarding the emotional and behavioral dyscontrol level of the patient, and each question ranges from 0 points to 5 points (making the total 40 points). A higher score represents a worse outcome.
Measured: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Changes From Baseline in Neuro-QOL. - Fatigue
Fatigue - Short Form Short Form Neuro-QoL (Quality of Life in Neurological Disorders) is a measurement system that evaluates and monitors the physical, mental, and social effects experienced by adults and children living with neurological conditions. The "Fatigue" short form has 8 questions regarding the Fatigue level of the patient, and each question ranges from 0 points to 5 points (making the total 40 points). A higher score represents a worse outcome.
Measured: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Neuro-QOL. - Mobility
Lower Extremity Function (Mobility) - Short Form Neuro-QoL (Quality of Life in Neurological Disorders) is a measurement system that evaluates and monitors the physical, mental, and social effects experienced by adults and children living with neurological conditions. The "Mobility" short form has 8 questions regarding the Lower Extremity Function (Mobility) level of the patient, and each question ranges from 0 points to 5 points (making the total 40 points). A higher score represents a worse outcome.
Measured: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Neuro-QOL. - Well-Being
Positive Affect and Well-Being - Short Form Neuro-QoL (Quality of Life in Neurological Disorders) is a measurement system that evaluates and monitors the physical, mental, and social effects experienced by adults and children living with neurological conditions. The "Positive Affect and Well-Being" short form has 8 questions regarding the well-being level of the patient, and each question ranges from 0 points to 5 points (making the total 45 points). A higher score represents a better outcome.
Measured: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Neuro-QOL. - Sleep
Sleep Disturbance - Short Form Neuro-QoL (Quality of Life in Neurological Disorders) is a measurement system that evaluates and monitors the physical, mental, and social effects experienced by adults and children living with neurological conditions. The "Sleep disturbance" short form has 8 questions regarding the sleep level of the patient, and each question ranges from 0 points to 5 points (making the total 40 points). A higher score represents a worse outcome.
Measured: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Neuro-QOL. - Fine Motor
Upper Extremity Function (Fine Motor, ADL) - Short Form Neuro-QoL (Quality of Life in Neurological Disorders) is a measurement system that evaluates and monitors the physical, mental, and social effects experienced by adults and children living with neurological conditions. The "Upper Extremity Function (Fine Motor, ADL)" short form has 8 questions regarding the fine motor levels of the patient, and each question ranges from 0 points to 5 points (making the total 40 points). A higher score represents a better outcome.
Measured: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Neuro-QOL. - Stigma
Stigma-Short Form Neuro-QoL (Quality of Life in Neurological Disorders) is a measurement system that evaluates and monitors the physical, mental, and social effects experienced by adults and children living with neurological conditions. The "Stigma" short form has 8 questions regarding the stigma levels of the patient, and each question ranges from 0 points to 5 points (making the total 40 points). A higher score represents a worse outcome.
Measured: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Neuro-QOL. - Social Roles
Satisfaction with Social Roles and Activities - Short Form Neuro-QoL (Quality of Life in Neurological Disorders) is a measurement system that evaluates and monitors the physical, mental, and social effects experienced by adults and children living with neurological conditions. The "Satisfaction with Social Roles and Activities" short form has 8 questions regarding the satisfaction levels of the patient, and each question ranges from 0 points to 5 points (making the total 40 points). A higher score represents a better outcome.
Measured: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Neuro-QOL. - Cognition
Cognition Function- Short Form Neuro-QoL (Quality of Life in Neurological Disorders) is a measurement system that evaluates and monitors the physical, mental, and social effects experienced by adults and children living with neurological conditions. The "Cognition Function" short form has 8 questions regarding the cognition function levels of the patient, and each question ranges from 0 points to 5 points (making the total 40 points). A higher score represents a better outcome.
Measured: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Parkinson's Disease Fatigue Scale (PFS-16).
The Parkinson's disease fatigue scale (PFS-16) is an 16 question assessment that measures the level of fatigue in patients diagnosed with Parkinson's disease. Each question has 5 answer choices established as "strongly disagree", "disagree", "do not agree or disagree", "agree", and "strongly agree", which are scored as 1 to 5, respectively, making the total score from 16 to 80 points. Higher score represents a worse outcome.
Measured: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Parkinson's Disease Questionnaire (PDQ-39).
The Parkinson's Disease Questionnaire (PDQ-39) assesses how often people with Parkinson's experience difficulties across 8 dimensions of daily living including relationships, social situations and communication. Items are grouped into eight scales that are scored by expressing summed item scores as a percentage score ranging between 0 and 100. The final reported score (summary index) is calculated by averaging the 8 scaled scores. Higher score represents a worse outcome.
Measured: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Total Visual Analog Scale
Visual Analog Scale for Pain and Muscle Spasm. The pain and muscle spasm VAS is a unidimensional measure of pain/ muscle spasm intensity, used to record patients' pain progression and muscle spasm progression, or compare pain and muscle spasm severity between patients with similar conditions. Using a ruler, the score is determined by measuring the distance (mm) on the 10-cm line between the "no pain" anchor and the patient's mark summed with the distance (mm) on the 10-cm line between the "no muscle spasm" anchor and the patient's mark, providing a range of scores from 0-200. A higher score indicates greater pain/spasm intensity.
Measured: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Dosage of Carbidopa/Levodopa
Dosage of medications.
Measured: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Vital Signs. - Oxygen Saturation.
Changes in Oxygen Saturation.
Measured: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Jun 2021
- Study start28 Jun 2021
- Primary completion6 Feb 2023
- Study completion6 Feb 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Parkinson 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- A parallel study is a type of clinical study where two groups of treatments, A (HB-adMSCs) and B (Placebo), are given so that one group receives only A while another group receives only B.
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 24 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hope Biosciences Research Foundation
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Djamchid Lotfi, MD, Principal investigator, Hope Biosciences Stem Cell Research Foundation
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04928287
- Sponsor's protocol ID
- HBPD03
- Acronym
- PD
- Status last verified
- Mar 2026
- First submitted
- 26 May 2021
- Last updated
- 15 Apr 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Vij R, Kim H, Park H, Lotfi D, Cheng T, Chang D. Evaluation of Multiple Intravenous Infusions of Autologous Adipose-Derived Mesenchymal Stem Cells in Parkinson's Disease: A Randomized, Double-Blind Clinical Trial. Parkinsons Dis. 2026 May 13;2026:9934417. doi: 10.1155/padi/9934417. eCollection 2026.
PubMed 42137372
Study at a glance
From the registry record, last updated by the sponsor on 15 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- "A Randomized, Double-Blind, Single Center, Phase 2, Efficacy and Safety Study of Autologous HB-adMSCs vs Placebo for the Treatment of Patients With Parkinson's Disease"
- ClinicalTrials.gov ID
- NCT04928287
- Acronym / sponsor ID
- PD / HBPD03
- Conditions
- Parkinson Disease
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 24 participants (actual)
- Lead sponsor
- Hope Biosciences Research FoundationIndustry (pharma, biotech, devices)
- Study start
- 28 Jun 2021 (actual)
- Primary completion
- 6 Feb 2023 (actual)
- Study completion
- 6 Feb 2023 (actual)
- First posted
- 16 Jun 2021 (actual)
- Results
- Posted 20 May 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a randomized, double-blind, single center, phase 2 study to assess efficacy and safety of multiple HB-adMSCs vs Placebo for the treatment of Parkinson's disease.
The trial includes a screening period of up to 4 weeks, a 32-week treatment period, and a safety Follow-up period of 20 weeks after the last investigational product administration.
This clinical trial will be open to enroll 24 eligible participants diagnosed with Parkinson's disease. Patients' recruitment will be conducted by the study team, if eligible participants are identified based on eligibility criteria, a screening visit will be scheduled. Informed consent form will be given to the study participants and signed before any study procedures. Informed consent form will include information about the clinical trial and some aspects should be considered during this process.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
- Model description
- A parallel study is a type of clinical study where two groups of treatments, A (HB-adMSCs) and B (Placebo), are given so that one group receives only A while another group receives only B.
| Arm | Type | Receives |
|---|---|---|
| HB-adMSCs | Active comparator | Biological: HB-adMSCs, Other: PlaceboAutologous Hope Biosciences adipose derived mesenchymal stem cells. |
| Placebo | Placebo comparator | Biological: HB-adMSCs, Other: PlaceboSterile Saline Solution 0.9% |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- A study participant will be eligible for inclusion in this study only if all of the following criteria apply:
Key exclusion criteria (27 listed)
- A study participant will not be eligible for inclusion in this clinical trial if any of the following criteria apply:
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 |
|---|---|---|
| HB-adMSCsAlso: Autologous Hope Biosciences adipose derived mesenchymal stem cells.HB-adMSCs will be administered intravenously to study participants who qualify. | Biological | HB-adMSCs, Placebo |
| PlaceboAlso: Sterile Saline Solution 0.9%Placebo will be administered intravenously to study participants who qualify. | Other | HB-adMSCs, Placebo |
Primary outcome
Change From Baseline in MDS-UPDRS Part II.
Time frame: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
The MDS-UPDRS scale refers to Movement Disorder Society - Unified Parkinson Disease Rating Scale, and it is a rating tool used to gauge the course of Parkinson's disease in patients. The MDS-UPDRS scale consists of 4 segments. Part II tests "Motor Aspects of Experiences of Daily Living". Each answer to the scale is evaluated by the principal investigator during the study visit. Some sections of the MDS-UPDRS scale require multiple grades assigned to each extremity. There are 13 items included in Part II. Part II score ranges from 0 - 52; 12 and below is mild, 30 and above is severe. Each item has 0-4 ratings: 0 (normal), 1 (slight), 2 (mild), 3 (moderate), and 4 (severe). The total score ranges from 0 to 260, with 0 indicating no disability and 260 indicating total disability. Higher values represent a worse outcome.
Laboratory Values. CBC (% of WBC)
Time frame: Baseline (Week 0), Week 24, and End of Study (Week 52)
Changes from baseline in CBC laboratory values with unit of % of white blood cell count.
Laboratory Values. CBC (10^9 Cells/L)
Time frame: Baseline (Week 0), Week 24, and End of Study (Week 52)
Changes from baseline in CBC laboratory values with units of 10^9 cells/L (Leukocytes, Platelets)
Laboratory Values. CBC (10^12 Cells/L)
Time frame: Baseline (Week 0), Week 24, and End of Study (Week 52)
Changes from baseline in CBC laboratory values with units of 10^12 cells/L.
Laboratory Values. CBC (pg)
Time frame: Baseline (Week 0), Week 24, and End of Study (Week 52)
Changes from baseline in CBC laboratory values with unit of pg.
Laboratory Values. CBC (fL)
Time frame: Baseline (Week 0), Week 24, and End of Study (Week 52)
Changes from baseline in CBC laboratory values with unit of fL.
Laboratory Values. CBC (g/dL)
Time frame: Baseline (Week 0), Week 24, and End of Study (Week 52)
Changes from baseline in CBC laboratory values with unit of g/dL.
Laboratory Values. CBC (% Difference in Volume and Size of RBC)
Time frame: Baseline (Week 0), Week 24, and End of Study (Week 52)
Changes from baseline in CBC laboratory values with unit of % difference in volume and size of RBC
Laboratory Values. CBC (% of Total Blood Cell Count)
Time frame: Baseline (Week 0), Week 24, and End of Study (Week 52)
Changes from baseline in CBC laboratory values with unit of % of total blood cell count.
Vital Signs. - Blood Pressure (mmHg)
Time frame: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change from baseline in Blood Pressure.
Weight in kg.
Time frame: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change from baseline in Weight in kg.
Laboratory Values. CMP (mg/dL)
Time frame: Baseline (Week 0), Week 24, and End of Study (Week 52)
Change from baseline in CMP values with units of mg/dL
Laboratory Values. CMP (g/dL)
Time frame: Baseline (Week 0), Week 24, and End of Study (Week 52)
Changes from baseline in CMP laboratory values with units of g/dL
Laboratory Values. CMP (IU/L)
Time frame: Baseline (Week 0), Week 24, and End of Study (Week 52)
Changes from baseline in CMP laboratory values with units of IU/L.
Laboratory Values. CMP (mL/Min/1.73m^2)
Time frame: Baseline (Week 0), Week 24, and End of Study (Week 52)
Changes from baseline in CMP laboratory values with units of mL/min/1.73m^2.
Laboratory Values. CMP (mmol/L)
Time frame: Baseline (Week 0), Week 24, and End of Study (Week 52)
Changes from baseline in CMP laboratory values with units of mmol/L.
Laboratory Values. CMP (Ratio: Albumin (g/dL) to Calc. Globulin (g/dL))
Time frame: Baseline (Week 0), Week 24, and End of Study (Week 52)
Changes from baseline in CMP laboratory values with units of Ratio: Albumin(g/dL) to Calc. Globulin(g/dL)
Laboratory Values. CMP (Ratio: Urea Nitrogen (mg/dL) to Creatinine (mg/dL))
Time frame: Baseline (Week 0), Week 24, and End of Study (Week 52)
Changes from baseline in CMP laboratory values with units of Ratio: Urea Nitrogen (mg/dL) to Creatinine (mg/dL)
Laboratory Values. Coagulation Panel (Seconds)
Time frame: Baseline (Week 0), Week 24, and End of Study (Week 52)
Changes from baseline in Coagulation Panel values with units of seconds.
Laboratory Values. Coagulation Panel (Ratio: Prothrombin Time (Seconds) / Mean Normal Prothrombin Time (Seconds))
Time frame: Baseline (Week 0), Week 24, and End of Study (Week 52)
Changes from baseline in Coagulation laboratory values with units of Ratio: Prothrombin time (seconds) / Mean normal prothrombin time (seconds).
Vital Signs. - Respiratory Rate (Breaths Per Minute)
Time frame: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Changes from Baseline in Respiratory Rate.
Vital Signs. - Heart Rate (Beats Per Minute)
Time frame: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change from baseline in Heart Rate.
Vital Signs. - Body Temperature (Celsius )
Time frame: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change from baseline in Body Temperature.
21 secondary outcomes
Change From Baseline in MDS-UPDRS Part I.
Time frame: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in MDS-UPDRS Part III.
Time frame: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in MDS-UPDRS Part IV.
Time frame: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Neuro-QOL. - Communication
Time frame: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Neuro-QOL. - Social Roles and Activities
Time frame: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Changes From Baseline in Neuro-QOL. - Anxiety
Time frame: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Neuro-QOL. - Depression
Time frame: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Neuro-QOL. - Dyscontrol
Time frame: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Changes From Baseline in Neuro-QOL. - Fatigue
Time frame: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Neuro-QOL. - Mobility
Time frame: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Neuro-QOL. - Well-Being
Time frame: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Neuro-QOL. - Sleep
Time frame: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Neuro-QOL. - Fine Motor
Time frame: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Neuro-QOL. - Stigma
Time frame: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Neuro-QOL. - Social Roles
Time frame: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Neuro-QOL. - Cognition
Time frame: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Parkinson's Disease Fatigue Scale (PFS-16).
Time frame: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Parkinson's Disease Questionnaire (PDQ-39).
Time frame: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Total Visual Analog Scale
Time frame: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Dosage of Carbidopa/Levodopa
Time frame: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Change From Baseline in Vital Signs. - Oxygen Saturation.
Time frame: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Apr 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 42137372Vij R, Kim H, Park H, Lotfi D, Cheng T, Chang D. Evaluation of Multiple Intravenous Infusions of Autologous Adipose-Derived Mesenchymal Stem Cells in Parkinson's Disease: A Randomized, Double-Blind Clinical Trial. Parkinsons Dis. 2026 May 13;2026:9934417. doi: 10.1155/padi/9934417. eCollection 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.
Djamchid Lotfi, MD principal investigator
Hope Biosciences Stem Cell Research Foundation
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing HB-adMSCs in people with Parkinson Disease, run by Hope Biosciences Research Foundation 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 9 inclusion and 27 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 15 Apr 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. Some participants in this study may receive a placebo. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 20 May 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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?
Change From Baseline in MDS-UPDRS Part II. (time frame: Baseline through Week 32, Follow-up at week 42 and End of Study at week 52). The study lists 23 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04928287, which also lists 1 linked publication.
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 15 Apr 2026.