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Frailty in Older AdultsPhase 1NCT07144072

Safety and Tolerability Study of Mesenchymal Stem Cells, HeXell-2020, in Elderly Subjects With Mild to Moderate Frailty Syndrome

A Phase 1 study testing HeXell-2020 in people with Frailty in Older Adults, run by Hexun Biosciences 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

This is a phase I study to investigate the safety, and Tolerability of HeXell-2020 in Elderly Subjects with Mild to Moderate Frailty Syndrome. HeXell-2020 is an investigational drug product consisting of allogenic umbilical cord mesenchymal stem cells (UCMSCs) as the drug substance. Read more about this study

Who is it for?
Ages 60 to 85 years
Conditions the study is for
Frailty in Older Adults
What is being tested?
HeXell-2020
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
12 participants
Where
No sites listed yet
Study dates
31 Dec 2026to 31 Jul 2029
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 60 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects will be eligible for enrollment in the study only if they meet ALL the following criteria at time of Screening:
  • Subjects aged ≥ 60 through ≤ 85 years old.
  • Subjects with clinical diagnosis of mild to moderate Frailty Syndrome as assessed by the Investigator with a Clinical Frailty Scale score between 4 to 6.
  • Subject will not start any new treatment for this condition during the study.
  • Subjects with body weight between 40 to 90 kg.
  • Subject is willing to provide written informed consent to participate in the study after reading the informed consent form and the information provided.

Who cannot join

  • Subjects meeting ANY of the following criteria at time of Screening will be excluded from enrollment:
  • Subjects unwilling or unable to perform any of the assessments required by endpoint analysis.
  • Subjects who have a diagnosis of any disabling neurologic disorder including, but not limited to: Parkinson's disease, Amyotrophic Lateral Sclerosis, multiple sclerosis, stroke or dementia.
  • Subjects who have a score on the Mini-Mental State Examination (MMSE) of 24 or below.
  • Subjects who have a significant comorbid medical condition(s) including, but not limited to:
  • Severe kidney disease requiring hemodialysis or peritoneal dialysis;
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  • Advanced liver disease such as severe liver cirrhosis;
  • Severe congestive heart failure (NYHA class 3 and 4);
  • Severe pulmonary dysfunction, including severe chronic obstructive pulmonary disease stage III or IV (Gold classification)
  • Subjects who have a clinical history of malignancy within 5 years (i.e., patients with prior malignancy must be disease free for 5 years), except curatively-treated basal cell carcinoma or in situ carcinomas.
  • Subjects using chronic immunosuppressant therapy, including corticosteroids (> 5 mg/day of prednisone, or equivalent), or TNF-alpha antagonists.
  • Subjects on chronic immunosuppressive transplant therapy.
  • Subjects who have participated in another clinical study of new investigational therapies within 6 months prior to screening.
  • Subjects who have received any other stem cell therapy within 12 months prior to screening.
  • Subjects with known allergy or hypersensitivity to any component of the formulation and cellular therapies (i.e., penicillin or streptomycin).
  • Subjects who have a history of drug or alcohol abuse within the past 3 years.
  • Subjects who are known to be infected with HIV.
  • Subjects currently in hospital stay.
  • Subjects who have a significant illness as judged by principal investigator (PI) including, but not limited to:
  • Psychiatric illness
  • Uncontrolled hypertension or hypotension
  • Unstable cardiac arrhythmia
  • Active Hepatitis B, Hepatitis C infections
  • Subjects who have any condition that in the opinion of the Principal Investigator limits lifespan to < 1 year.
  • Subjects who have 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

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

About this study

Official title: A Phase I, Open-Label, Dose-Escalation Study to Evaluate the Safety and Tolerability of HeXell-2020 Administered Intravenously in Elderly Subjects With Mild to Moderate Frailty Syndrome

This is a phase I study to investigate the safety, and Tolerability of HeXell-2020 in Elderly Subjects with Mild to Moderate Frailty Syndrome.

HeXell-2020 is an investigational drug product consisting of allogenic umbilical cord mesenchymal stem cells (UCMSCs) as the drug substance. All enrolled and eligible subjects will receive HeXell-2020 treatment.

Read the detailed description

Frailty Syndrome (FS) is a complex clinical phenotype characterized by increased vulnerability and reduced physiological reserve resulting from progressive decline across multiple physiological systems. Clinically, FS is manifested by reduced grip strength, exhaustion, slower walking speed, low physical activity, and unintentional weight loss. This condition is associated with elevated oxidative stress, chronic inflammation, decreased muscle mass, and organ dysfunction, which collectively contribute to an increased risk of disability, hospitalization, and mortality.

The pharmacological efficacy of MSCs has been extensively investigated including the secretion of immunomodulatory molecules, antioxidative enzymes, pro-angiogenic growth factors, and anti-apoptotic agents that collectively target multiple pathological mechanisms underlying frailty syndrome. UC-MSCs also exert potent anti-apoptotic effects by upregulating the expression of anti-apoptotic protein and simultaneously downregulating cellular senescence and apoptosis.

The investigational Drug Product (DP), HeXell-2020, consists of allogeneic umbilical cord-derived mesenchymal stem cells (UC-MSCs) isolated from human Wharton's jelly, which is intended to treat patients with FS. A GLP-compliant eleven repeated-dose (once every 7 days) toxicity study (Study Number 21005IV01), in which three does levels (1.5 × 10e6, 1.5 × 10⁷, 7.5 × 10⁷ cells/kg/dose) of HeXell-2020 or vehicle control was administered to NOD/SCID mice, was conducted to evaluate toxicity, local tolerance, and biodistribution. During the observation period, most of the survived animals appeared normal in all control and treated groups after dosing. The MTD (maximum tolerated dose) of HeXell-2020 is determined to be 1.5 × 10⁷ cells/kg/dose for 11 doses.

In current in vivo studies, rodents were administered UC-MSCs, which effectively restored skeletal muscle function by modulating extracellular matrix composition, activating muscle satellite cells, promoting autophagy, and mitigating cellular senescence through down-regulation of intracellular senescence signaling pathways. These mechanisms led to improved muscle mass, strength, and physical performance, directly addressing core symptoms of frailty. MSCs were observed to promote angiogenesis and improve tissue perfusion by secreting angiogenic factors, thereby facilitating capillary network formation and accelerating tissue regeneration.

This is a Phase I, open-label, dose-escalation study designed to evaluate the safety and tolerability of HeXell-2020 in elderly subjects with mild to moderate FS. Subjects aged 60 to 85 years will be enrolled. Up to 12 subjects will be sequentially allocated, and the study will follow a standard "3+3" dose-escalation design to determine the Maximum Feasible Dose (MFD). This study is designed to evaluate the safety of human umbilical cord-derived mesenchymal stem cells (UC-MSCs) product HeXell-2020 intravenous infusion in frail adults prior to further clinical development.

Being tested
HeXell-2020
Keywords
HeXell-2020, Mesenchymal Stem Cells (MSC), Frailty Syndrome (FS)
Medical subject headings
Frailty

What participants receive

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

  • HeXell-2020Drug

    Cohort 1: 5 × 10⁷ cells per dose, administered via IV infusion every 2 weeks for a total of 3 doses Cohort 2 : 5 × 10⁷ cells per dose, administered via IV infusion every 2 weeks for a total of 6 doses

Study groups in NCT07144072
Study groupRoleWhat they receive
Cell Drug:HeXell-2020ExperimentalTwo cohort. Cohort 1: HeXell-2020 will be administered by intravenous once every two weeks, and a total of 3 doses. Cohort 2: HeXell-2020 will be administered by intravenous once every two weeks, and a total of 6 doses.
Receives: Drug: HeXell-2020

What is being measured

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

  1. Maximum Feasible Dose (MFD) determination

    MFD is determined on the occurrence of Dose Limiting Toxicities (DLTs) after IV administration in elderly subjects with mild to moderate FS. DLT is defined as any clinically significant adverse event (AE)/serious adverse event (SAE) or clinically significant laboratory abnormality which is classified as ≥ Grade 3 (according to the National Cancer Institute Common Terminology Criteria for Adverse Events [CTCAE] version 5.0), where applicable, is assessed as unrelated to disease progression, concurrent illness, or concomitant medications and occurring within 14 days after completion of the last study treatment .

    Measured: Within 14 days after completion of the last study treatment (day 28 for 3 doses treatment and day 70 for 6 doses treatment ) .

  2. Incidence of Treatment-Emergent Adverse Events (TEAEs).

    TEAE are defined as adverse events with onset date on or after the first treatment. TEAEs will be summarized by treatment group, System Organ Class, and preferred term. The following TEAE summaries will be provided:

    1. Overall (i.e., regardless of severity or relationship to treatment)
    2. Adverse events by severity
    3. Related adverse events by severity
    4. Adverse events leading to treatment discontinuation by severity
    5. Adverse events leading to death by severity

    Measured: Within the first year after cell transplantation.

  3. Incidence of withdrawals due to AEs

    An adverse event (AE) is will be classified by system organ class (SOC) and preferred term (PT) according to the most recent version of MedDAR dictionary.

    Measured: Within the first year after cell transplantation.

Secondary outcomes (7)
  1. Mean change from baseline in exercise performance as measured by change in the six-minute walk test (6MWT) total distance.

    The six-minute walk test (6MWT) measures the total distance an individual is able to walk over a total of six minutes on a hard, flat surface. The goal is for the individual to walk as far as possible in six minutes. The individual is allowed to self-pace and rest as needed as they traverse back and forth along a marked walkway.

    Measured: Day 0 (baseline), Week 6, 12, 24, 36, 52

  2. Mean change from baseline in hand grip strength as measured by change in maximum force using hand dynamometer.

    Hand grip strength is a measure of the maximum static force that a hand can squeeze using a Baseline Hydraulic Hand Dynamometer.

    Measured: Day 0 (baseline), Week 6, 12, 24, 36, 52

  3. Mean change from baseline in physical activity as measured by change in the Short Physical Performance Battery (SPPB) assessment total score.

    The Short Physical Performance Battery (SPPB) Total Score is a measure of physical function. It is calculated by summing three measures of lower-extremity function: standing balance (side-by-side, semi-tandem, and tandem stance), 4-meter walking speed, and ability to rise from a chair. Each task is rated on a 0-4 scale, with increasing scores indicating better physical performance. The SPPB Total scores range from 0-12.

    Measured: Day 0 (baseline), Week 6, 12, 24, 36, 52

  4. Mean change from baseline in Clinical Frailty Scale (CFS) score.

    The Clinical Frailty Scale (CFS) is a common way to summarize the overall level of fitness or frailty of an elderly after they had been evaluated by an experienced clinician.

    CFS evaluates specific domains, including comorbidity, function, and cognition, to generate a frailty score ranging from 1 (very fit) to 9 (terminally ill). A higher score indicates a higher illness.

    Measured: Day 0 (baseline), Week 6, 12, 24, 36, 52

  5. Mean change from baseline in quality of life as measured by change in the Falls Efficacy Scale- International (FES-I) questionnaire score.

    The Falls Efficacy Scale- International (FES-I) is a 16-item questionnaire that assesses concern about falling during daily activities.

    Scores range from 16 (no concern) to 64 (severe concern). A lower score indicates a lower fear of falling.

    Measured: Day 0 (baseline), Week 6, 12, 24, 36, 52

  6. Mean change from baseline in quality of life as measured by change in the Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function Short Form 20a score.

    The Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function Short Form 20a assesses one's ability to carry out activities that require physical actions, ranging from self-care (activities of daily living) to more complex activities that require a combination of skills, often within a social context.

    Subjects will rank 20 questions from a scale of 1 to 5, with 5 being the highest physical function and 1 being the lowest. The score will be added up, and the Raw score will be converted to T-Score using the PROMIS Adult v2.0 Physical Function 20a Short Form Conversion Table.

    Measured: Day 0 (baseline), Week 6, 12, 24, 36, 52

  7. Mean change from baseline in quality of life as measured by change in the 36-Item Short Form survey (SF-36) score.

    The 36-Item Short Form Survey (SF-36) is a patient-reported generic measure of health status. It consists of 36 items covering both mental and physical domains. Items include limitations in physical activities because of health problems, limitations in social activities because of physical or emotional problems, limitations in usual role activities because of physical health problems, bodily pain, general mental health (psychological distress and well-being), limitations in usual role activities because of emotional problems, vitality (energy and fatigue), and general health perceptions.

    Measured: Day 0 (baseline), Week 6, 12, 24, 36, 52

Timeline

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

  1. First posted27 Aug 2025
  2. Study start31 Dec 2026 (estimated)
  3. Primary completion31 Dec 2028 (estimated)
  4. Study completion31 Jul 2029 (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
Single arm, 2 dose cohorts with dose-defining escalation
Masking
None (open label)
Enrolment
12 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07144072
Sponsor's protocol ID
HeXell-2020-FS-001
Status last verified
Sep 2026
First submitted
20 Aug 2025
Last updated
25 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing HeXell-2020 in people with Frailty in Older Adults, run by Hexun Biosciences 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 6 inclusion and 25 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 25 Sep 2026. 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 Simon Huang, Dr. (+88633175088 ext. 6888, simon.huang@hexunbio.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Maximum Feasible Dose (MFD) determination (time frame: Within 14 days after completion of the last study treatment (day 28 for 3 doses treatment and day 70 for 6 doses treatment ) .). The study lists 3 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 25 Sep 2026.

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