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Idiopathic Parkinson's DiseasePhase 1NCT05094011

Evaluating Safety, Tolerability, and Efficacy of Autologous MitoCell Transplantation in Subjects With Idiopathic Parkinson's Disease

A Phase 1 study testing Aadipose-Derived Mesenchymal Stem Cells in people with Idiopathic Parkinson's Disease, run by Taiwan Mitochondrion Applied Technology Co., Ltd..

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

Primary Objective: To assess the safety profile of autologous MitoCell administered to subjects with idiopathic Parkinson's disease (PD) Secondary Objective: To explore the efficacy and safety of MitoCell given as the recommended dose by stereotactic intrastriatal implantation Read more about this study

Who is it for?
Ages 45 to 70 years
Conditions the study is for
Idiopathic Parkinson's Disease
What is being tested?
Aadipose-Derived Mesenchymal Stem Cells
Could I receive a placebo?
No, everyone receives an active treatment
How many people
9 participants
Where
No sites listed yet
Study dates
1 Mar 2026to 31 Jul 2028
Phase
Phase 1
Are there results?
Not yet: the study is under way

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 45 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Provision of signed and dated informed consent form
  • Aged 45 to 70 years old (inclusive) at Screening
  • Idiopathic Parkinson's disease patients who meet the diagnostic criteria of the "Movement Disorder Society Clinical Diagnostic Criteria for Parkinson's disease"
  • With at least 5 years since the diagnosis of Parkinson's disease
  • With responsiveness to levodopa or dopa agonist. This is defined as improvement between ''Off'' and ''On'' MDS-UPDRS by at least 33% of the Motor MDS-UPDRS
  • Idiopathic Parkinson's disease of Stage 3 ~ 4 of modified Hoehn \& Yahr staging during ''ON'' time
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  • Stable Parkinsonian medications for at least 2 months prior to the Screening Visit
  • MRI not showing gross atrophy or any brain pathology other than PD
  • Mini-Mental State Examination (MMSE) ≧ 24
  • With score of the Beck Depression Inventory (BDI-II) < 29 and Hamilton Rating Scale for Depression (HAM-D-17) < 25

Who cannot join

  • Atypical or secondary Parkinsonism
  • With neurodegenerative disorders other than PD
  • Unable to receive MRI or PET scanning
  • With any concomitant disorder that would contraindicate coagulation, general anesthesia, or stereotactic neurosurgery
  • Received any other investigational agent within 4 weeks prior to Screening
  • History of intracranial surgeries or implantation of a device for Parkinson's disease 2 years prior to Screening
Show all 40Show fewer
  • Major surgery within the previous 6 months at Screening
  • Significant cardiovascular disease, including:
  • New York Heart Association (NYHA) class III or IV congestive heart failure
  • Uncontrolled hypertension: Blood pressure >140/90 mmHg
  • History of serious ventricular arrhythmia
  • Malignancy within 2 years prior to Screening
  • Any diagnosis of autoimmune disease or immune compromised state and requiring systemic steroid or immunosuppressive treatment
  • Any other severe systemic disorder, including history of schizophrenia or other psychotic disorders, stroke, seizure, traumatic brain injury, or central nervous system infection, which judged by the investigator that entering the trial may be detrimental to the subject
  • Psychiatric, addictive or any other disorder that compromises ability to give a truly informed consent and perform all study assessments
  • Positive in any of the following regulatory authority-licensed screening tests:
  • HIV antigen/antibody combo test
  • Anti-HCV test
  • Hepatitis B surface antigen (HBsAg) test
  • Rapid plasma reagin (RPR) test
  • HIV-1 nucleic acid test (NAT)
  • HBV NAT
  • HCV NAT
  • Any of the following hematologic abnormalities:
  • Hemoglobin < 9.0 g/dL,
  • ANC < 1,500/μL
  • Platelets < 100,000/μL
  • Any of the following serum biochemistry abnormalities:
  • Total bilirubin > 1.5 × ULN
  • AST or ALT > 2.5 × ULN
  • r-GT > 2.5 × ULN
  • ALP > 2.5 × ULN
  • serum albumin < 3.0 g/dL
  • creatinine > 1.5 × ULN
  • Female subject who is lactating or has positive serum or urine pregnancy test at Screening Visit
  • Female subject with childbearing potential or male subject with female spouse/partner with childbearing potential who refuses to adopt at least two forms of birth control (at least one of which must be a barrier method) from Screening until Final/Early Termination Visit. Acceptable forms include:
  • Established use of oral, injected or implanted hormonal methods of contraception
  • Placement of an intrauterine device (IUD) or intrauterine system (IUS)
  • Barrier methods of contraception: condom, or occlusive cap (diaphragm or cervical/vault caps)
  • With any condition judged by the investigator that entering the trial may be detrimental to the subject

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

Kuo-Wei Hsueh, Ph. D. contact

886-03-5820208

fskenneth@taimito.com

Zong-Han Lu, Master contact

886-03-5820208

zhlu@taimito.com

About this study

Official title: A Phase I Open-Label Dose-Escalation Study to Evaluate the Safety, Tolerability, and Efficacy of Autologous MitoCell (Adipose-Derived Mesenchymal Stem Cells) Transplantation in Subjects With Idiopathic Parkinson's Disease

Primary Objective: To assess the safety profile of autologous MitoCell administered to subjects with idiopathic Parkinson's disease (PD)

Secondary Objective: To explore the efficacy and safety of MitoCell given as the recommended dose by stereotactic intrastriatal implantation

Read the detailed description

MitoCell is an autologous stem cell product that cultures with the company's unique patented medium. The mechanism of action of MitoCell is to improve the brain microenvironment in neurodegenerative disease. MitoCell which like mesenchymal stem cells modulate the immune response, and secrete more BDNF and SDF-1 neurotrophic factors than regular stem cell products.Therefore, MitoCell can protect and repair damaged dopamine neurons (DA) and stimulate DA regeneration.This project is a phase I open-label dose-escalation study to evaluate the safety, tolerability, and efficacy of autologous MitoCell intracranial transplantation in subjects with idiopathic Parkinson's disease which rating from stage 3 ~ 4 of modified Hoehn \& Yahr staging.

Being tested
Aadipose-Derived Mesenchymal Stem Cells
Medical subject headings
Parkinson Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Aadipose-Derived Mesenchymal Stem CellsBiological

    Also called MitoCell

    Stereotactic intrastriatal implantation of 3×10^7 per hemisphere (total 6×10^7 cells) or 1×10^8 per hemisphere (total 2×10^8 cells) autologous TM01-treated adipose-derived mesenchymal stem cells (MitoCell).

Study groups in NCT05094011
Study groupRoleWhat they receive
Single Arm StudyExperimentalAutologous MitoCell Transplantation in Subjects with Idiopathic Parkinson's Disease
Receives: Biological: Aadipose-Derived Mesenchymal Stem Cells

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Grading of Adverse Events

    Grading will be assessed using NCI CTCAE, version 5.0.

    Measured: within 48 weeks after MitoCell transplantation

  2. Routine physical examinations

    Safety of Mitocell will be assessed by routine physical examinations. Physical examination conducted in this study will include general appearance, skin, eyes, ears, nose,throat, head and neck, heart, chest and lungs, abdomen, extremities, lymph nodes, musculoskeletal,neurological, etc.

    Measured: within 48 weeks after MitoCell transplantation

  3. Changes in physical examinations: clinical standard neurological examination [Safety of Mitocell]

    Clinical standard neurological examination by study investigator. Changes in motor function, sensory function, cranial nerve function (visual fields), cortical functions and reflexes are followed in the examination, scored as normal - abnormal without clinical relevance - abnormal with clinical relevance

    Measured: within 48 weeks after MitoCell transplantation

  4. Changes in vital signs: blood pressure [Safety of Mitocell]

    Changes in blood pressure during the study , measured as systolic and diastolic blood pressure (in mmHg)

    Measured: within 48 weeks after MitoCell transplantation

  5. Changes in vital signs: pulse rate [Safety of Mitocell]

    Changes in pulse rate during the study (in beats per minute)

    Measured: within 48 weeks after MitoCell transplantation

  6. Changes in vital signs: body temperature [Safety of Mitocell]

    Changes in body temperature during the study (in degrees celsius)

    Measured: within 48 weeks after MitoCell transplantation

  7. Changes in clinical laboratory safety screen: haematology - hemoglobin [Safety of Mitocell]

    Changes in laboratory variables for haematology: hemoglobin (g/L). Result evaluated as "normal", "abnormal without clinical relevance" or "abnormal with clinical relevance"

    Measured: within 48 weeks after MitoCell transplantation

  8. Changes in clinical laboratory safety screen: Platelet count [Safety of Mitocell]

    Changes in laboratory variables for haematology: Platelet count (10E9/L). Result evaluated as "normal", "abnormal without clinical relevance" or "abnormal with clinical relevance"

    Measured: within 48 weeks after MitoCell transplantation

  9. Changes in clinical laboratory safety screen: white blood cell (WBC) counts [Safety of Mitocell]

    Changes in laboratory variables for haematology: Cell counts (10E9/L) for total WBC, neutrophils, lymphocytes, monocytes, eosinophils and basophils. Result evaluated as "normal", "abnormal without clinical relevance" or "abnormal with clinical relevance"

    Measured: within 48 weeks after MitoCell transplantation

  10. Changes in clinical laboratory safety screen: International Normalized Ratio (INR) [Safety of Mitocell]

    Changes in laboratory variables for haematology: INR (standardized prothrombin time) to determine the effects of oral anticoagulants on the clotting system. Result evaluated as "normal", "abnormal without clinical relevance" or "abnormal with clinical relevance"

    Measured: within 48 weeks after MitoCell transplantation

  11. Changes in clinical laboratory safety screen: activated partial thromboplastin time (aPTT) [Safety of Mitocell]

    Changes in laboratory variables for haematology: aPTT (sec) . Result evaluated as "normal", "abnormal without clinical relevance" or "abnormal with clinical relevance"

    Measured: within 48 weeks after MitoCell transplantation

  12. Electrocardiogram (ECG)

    Safety of Mitocell will be assessed by any clinically significant abnormalities on ECG results as compared to Baseline. A standard 12-lead ECG was measured by using ECG machine that automatically measured PR, QRS, QT, and QTcF intervals.

    Measured: within 48 weeks after MitoCell transplantation

  13. Magnetic Resonance Imaging (MRI)

    Safety of Mitocell will be assessed by any clinically significant abnormalities on MRI scans as compared to Baseline.

    Measured: within 48 weeks after MitoCell transplantation

Secondary outcomes (8)
  1. MDS-UPDRS (Movement Disorder Society unified Parkinson's disease rating scale)

    Change in MDS-UPDRS motor (Part III) "OFF" score compared to the baseline. All items have 5 response options with uniform anchors of: 0 = normal, 1 = slight (symptoms/signs with sufficiently low frequency or intensity to cause no impact on function), 2 = mild (symptoms/signs of frequency or intensity sufficient to cause a modest impact on function, 3 = moderate (symptoms/signs sufficiently frequent or intense to impact considerably, but not prevent function), 4 = severe (symptoms/signs that prevent function).

    Measured: at 12, 24, 48 weeks

  2. Modified Hoehn & Yahr staging

    Change in Modified Hoehn \& Yahr staging compared to the baseline.

    Measured: at 12, 24, 48 weeks

  3. 18F-DOPA PET

    Degree of radiotracer uptake increment/decrement shown on striatum of 18F-DOPA PET compared to the baseline.

    Measured: at 48 weeks

  4. levodopa equivalent daily dose (LEDD)

    Reduction of Parkinson's medications consumption by calculating levodopa equivalent daily dose (LEDD) compared to the baseline.

    Measured: at 12, 24, 48 weeks

  5. PDQ-39 (Parkinson's Disease Questionnaire)

    Change in PDQ-39 scale compared to the baseline. The PDQ-39 is a 39 questions Parkinson's Disease self-completed questionnaire that comprises 8 domains: mobility (10 items), activities of daily living (6 items), emotional well-being (6 items), stigma (4 items), social support (3 items), cognition (4 items), communication (3 items) and bodily discomfort (3 items). All items are assumed to impact QoL and must be answered to compute scores for each dimension. Questions are answered based on experiences from the preceding month using a 5-point ordinal scoring system: 0 = never, 1 = occasionally, 2 = sometimes, 3 = often, 4 = always. Each scores range from 0 = never have difficulty to 100 = always have difficulty.

    Measured: at 12, 24, 48 weeks

  6. Beck Depression Inventory (BDI-II) scores

    Net change from baseline in BDI-II scores. BDI-II Scale is a 21-item self-reported questionnaire which measures the existence and severity of symptoms of depression. Each of the 21 items on BDI-II tool represents a depressive symptom. The symptoms are each scored on a 4-point Likert scale of 0 to 3 (0=symptom is absent; 3=symptom is severe). Scores for each symptom are added up to obtain the total scores for all 21 items. Total score ranges from 0-63; of which 0-8 is considered no depression, 0-13 is minimal depression, 14-19 is mild depression, 20-28 is moderate depression and 29-63 is severe depression.

    Measured: at 48 weeks

  7. Hamilton Depression Rating Scale (HAM-D-17) scores

    Net change from baseline in HAM-D-17 scores. The HAMD-17 is a 17-item assessment used to assess the severity of depression and its improvement during the course of therapy. Each item was evaluated and scored using either a 5-point scale of 0 (not present/absent) to 4 (very severe) or a 3-point scale of 0 (not present/absent) to 2 (marked). Higher scores indicate greater symptom severity. The total score was the sum of the scores from HAMD-17 Items 1 through 17 and ranged from 0 (not at all depressed) to 52 (severely depressed).

    Measured: at 48 weeks

  8. Mini Mental State Examination (MMSE) Scores

    Net change from baseline in MMSE scores. The MMSE uses a 30 point questionnaire to measure cognitive impairment. The MMSE is scored from 0 to 30,with a score equal to or greater than 24 points indicating normal cognition, a score of 19-23 points indicating mild cognitive impairment, 10-18 points indicating moderate impairment and a score equal to or below 9 indicating severe impairment.

    Measured: at 48 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Oct 2021
  2. Study start1 Mar 2026 (estimated)
  3. Primary completion30 Sep 2027 (estimated)
  4. Study completion31 Jul 2028 (estimated)

Resources

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
Sequential
Model description
This study plans to enroll approximately 4 subjects to obtain 3 evaluable subjects successfully receiving 3×10\^7 cells/hemisphere (total 6×10\^7 cells, Cohort 1) and approximately 8 subjects to obtain 6 evaluable subjects for 1×10\^8 cells/hemisphere (total 2×10\^8 cells, Cohort 2)
Masking
None (open label)
Enrolment
9 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05094011
Sponsor's protocol ID
MITOCELL-01
Status last verified
Nov 2024
First submitted
20 Jul 2021
Last updated
21 Nov 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: There is not a plan to make IPD available.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Aadipose-Derived Mesenchymal Stem Cells in people with Idiopathic Parkinson's Disease, run by Taiwan Mitochondrion Applied Technology Co., Ltd..

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 10 inclusion and 40 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: opening soon, as of the sponsor's last update on 21 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.

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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Kuo-Wei Hsueh, Ph. D. (886-03-5820208, fskenneth@taimito.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Grading of Adverse Events (time frame: within 48 weeks after MitoCell transplantation). The study lists 13 primary outcomes in all. 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 21 Nov 2024.

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