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Frontotemporal DementiaPhase 1/2NCT07638813

MSC-Exosome Therapy for Frontotemporal Dementia

A Phase 1/2 study testing Umbilical Cord Mesenchymal Stem Cell-Derived Exosomes (Low-Dose) and Umbilical Cord Mesenchymal Stem Cell-Derived Exosomes (High-Dose) in people with Frontotemporal Dementia, run by Ruijin Hospital.

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 study is testing a new treatment for Frontotemporal Dementia (FTD) - a progressive brain disease that affects personality, behavior, and language. Currently, there is no cure for FTD and no approved medication that can slow down or stop the disease. Existing treatments only help manage some symptoms temporarily. Read more about this study

Who is it for?
Ages 30 to 80 years
Conditions the study is for
Frontotemporal Dementia
What is being tested?
Umbilical Cord Mesenchymal Stem Cell-Derived Exosomes (Low-Dose) and Umbilical Cord Mesenchymal Stem Cell-Derived Exosomes (High-Dose)
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
33 participants
Where
No sites listed yet
Study dates
1 Jul 2026to 31 Oct 2027
Phase
Phase 1/2
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 30 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosis of probable frontotemporal dementia (FTD), including behavioral variant (bvFTD), semantic variant primary progressive aphasia (svPPA), or non-fluent variant primary progressive aphasia (nfvPPA), according to established diagnostic criteria, with supportive neuroimaging evidence showing frontal and/or temporal lobe atrophy score of 2 or higher on brain CT or MRI.
  • Age between 30 and 80 years (inclusive) at screening.
  • Study partner who agrees to participate in the study, provides at least 3 hours of daily care or visits, and can manage all study medication.
  • Frontotemporal Lobar Degeneration Clinical Dementia Rating (FTLD-CDR) score of 0-2 and Mini-Mental State Examination (MMSE) score greater than 10 at screening.
  • Stable use of cognition- or behavior-related medications (e.g., cholinesterase inhibitors, memantine, antidepressants, antipsychotics, mood stabilizers, benzodiazepines) for at least 30 days before baseline.
  • Signed informed consent form.

Who cannot join

  • History of stroke or other neurological or psychiatric disorder (other than FTD) that is considered the primary cause of behavioral symptoms.
  • Pregnancy or breastfeeding, or plan to become pregnant during the study period.
  • Use of any investigational or experimental drug or device within 60 days or 5 half-lives (whichever is longer) prior to screening.
  • Presence of speech or language impairment that severely affects the implementation of neuropsychological assessments or safety evaluations per the study protocol.
  • History of cancer, unless: (a) considered cured; (b) not actively receiving anti-cancer therapy or radiation and the investigator judges that treatment is unlikely to be needed in the next 5 years; or (c) for prostate cancer or basal cell carcinoma, no significant progression in the past 2 years.
  • Any clinically significant hematologic, endocrine, cardiovascular, renal, hepatic, gastrointestinal, or neurological disease that would interfere with study participation. Participants may be included if the condition has been stable for at least one year and the investigator judges that it does not affect participation.
  • Known hypersensitivity to the study drug or any of its excipients.

Trial locations and contacts

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

Chao Gao, MD,Ph.D contact

+8618217590273

anshangaochao@163.com

Shengdi Chen, MD, Ph.D contact

+8613818018166

chensd@rjh.com.cn

About this study

Official title: A Randomized, Double-Blind, Placebo-Controlled Trial to Evaluate the Safety and Efficacy of Umbilical Cord Mesenchymal Stem Cell-Derived Exosomes Via Intranasal Administration in Patients With Frontotemporal Dementia

This study is testing a new treatment for Frontotemporal Dementia (FTD) - a progressive brain disease that affects personality, behavior, and language. Currently, there is no cure for FTD and no approved medication that can slow down or stop the disease. Existing treatments only help manage some symptoms temporarily.

The investigational treatment in this study is made from exosomes - tiny particles naturally released by umbilical cord stem cells. Exosomes act like "message carriers" between cells. Researchers believe they may help protect brain cells, reduce harmful protein buildup, and improve brain function.

The exosomes will be given as a nasal spray (sprayed into the nose). This method may allow the treatment to reach the brain directly without needing to pass through the blood-brain barrier (a natural protective layer that often blocks medications from entering the brain).

Being tested
Umbilical Cord Mesenchymal Stem Cell-Derived Exosomes (Low-Dose), Umbilical Cord Mesenchymal Stem Cell-Derived Exosomes (High-Dose), Placebo Comparator (0.9% NaCl)
Keywords
Frontotemporal Dementia, exosomes
Medical subject headings
Frontotemporal Dementia

What participants receive

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

  • Umbilical Cord Mesenchymal Stem Cell-Derived Exosomes (Low-Dose)Biological

    Participants randomized to the low-dose group will receive intranasal spray of human umbilical cord mesenchymal stem cell-derived exosomes (MSC-Exos), 1 mL per administration containing 24 × 10⁹ particles, twice weekly for 24 consecutive weeks.

  • Umbilical Cord Mesenchymal Stem Cell-Derived Exosomes (High-Dose)Biological

    Participants randomized to the high-dose group will receive intranasal spray of human umbilical cord mesenchymal stem cell-derived exosomes (MSC-Exos), 1 mL per administration containing 36 × 10⁹ particles, twice weekly for 24 consecutive weeks. Enrollment in this arm will only begin after the first 3 participants in the low-dose arm complete the 4-week safety lead-in period without dose-limiting toxicity or serious adverse events.

  • Placebo Comparator (0.9% NaCl)Other

    Participants randomized to the placebo group will receive intranasal spray of normal saline (0.9% sodium chloride), 1 mL per administration, twice weekly for 24 consecutive weeks. The placebo is identical in appearance, packaging, and administration procedure to the active investigational product to maintain blinding.

Study groups in NCT07638813
Study groupRoleWhat they receive
Placebo ComparatorPlacebo comparatorParticipants randomized to the placebo group will receive intranasal spray of normal saline (0.9% sodium chloride), 1 mL per administration, twice weekly for 24 consecutive weeks. The placebo is identical in appearance, packaging, and administration procedure to the active investigational product to maintain blinding.
Receives: Other: Placebo Comparator (0.9% NaCl)
Low-Dose Exosome GroupExperimentalParticipants randomized to the low-dose group will receive intranasal spray of human umbilical cord mesenchymal stem cell-derived exosomes (MSC-Exos), 1 mL per administration containing 24 × 10⁹ particles, twice weekly for 24 consecutive weeks.
Receives: Biological: Umbilical Cord Mesenchymal Stem Cell-Derived Exosomes (Low-Dose)
High-Dose MSC-ExosomeExperimentalParticipants randomized to the high-dose group will receive intranasal spray of human umbilical cord mesenchymal stem cell-derived exosomes (MSC-Exos), 1 mL per administration containing 36 × 10⁹ particles, twice weekly for 24 consecutive weeks. Enrollment in this arm will only begin after the first 3 participants in the low-dose arm complete the 4-week safety lead-in without dose-limiting toxicity or serious adverse events.
Receives: Biological: Umbilical Cord Mesenchymal Stem Cell-Derived Exosomes (High-Dose)

What is being measured

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

  1. Clinical Efficacy: Change in CDR plus NACC FTLD Score

    Change from baseline in the Clinical Dementia Rating (CDR®) Dementia Staging Instrument plus the National Alzheimer's Coordinating Center Frontotemporal Lobar Degeneration (NACC FTLD) module total score at Week 24.

    Scale Range: Minimum = 0, Maximum = 30

    Interpretation: A higher score indicates worse cognitive and behavioral function; a decrease (negative change) from baseline indicates improvement.

    Measured: Baseline and Week 24

  2. Safety and Tolerability: Incidence of Adverse Events

    Number of participants with treatment-emergent adverse events (AE), serious adverse events (SAE), adverse drug reactions (ADR), and serious adverse drug reactions (SADR), including assessment of causality and severity. Adverse events include local nasal reactions (e.g., epistaxis, nasal congestion, rhinorrhea, cough, pharyngeal discomfort, sneezing, nasal dryness) and systemic reactions (e.g., rash, pruritus, facial/eyelid swelling, dyspnea, chest tightness, fever, chills). Severity graded as mild, moderate, or severe.

    Measured: Baseline through Week 24 (end of treatment)

Secondary outcomes (8)
  1. Change in Global Cognition: MMSE Score

    Change from baseline in Mini-Mental State Examination (MMSE) total score. Range: 0-30, with higher scores indicating better cognitive function.

    Measured: Baseline, Week 12, Week 24

  2. Change in Global Cognition: MoCA Score

    Change from baseline in Montreal Cognitive Assessment (MoCA) Basic Version total score. Range: 0-30, with higher scores indicating better cognitive function.

    Measured: Baseline, Week 12, Week 24

  3. Change in Language Function: BNT Score

    Change from baseline in Boston Naming Test (BNT) total score, measuring confrontation naming ability.

    Unabbreviated Scale Title: Boston Naming Test (BNT)

    Scale Range: Minimum = 0, Maximum = 60

    Interpretation: Higher scores indicate better language function; an increase (positive change) from baseline indicates improvement.

    Measured: Baseline, Week 12, Week 24

  4. Change in Language Function: Semantic Fluency Test

    Change from baseline in the number of animals named per minute on the Semantic Fluency Test, measuring verbal fluency and lexical access.

    Unabbreviated Scale Title: Semantic Fluency Test (Animal Naming)

    Scale Range: Minimum = 0, Maximum = no fixed upper limit (typical range in healthy adults: 12-25; in FTD patients: 0-15)

    *Note: The test is scored as the number of unique, correct animal names produced within 60 seconds. While theoretically open-ended, practical scores rarely exceed 30-40.*

    Interpretation: Higher scores indicate better verbal fluency and language function; an increase (positive change) from baseline indicates improvement.

    Measured: Baseline, Week 12, Week 24

  5. Change in Neuropsychiatric Symptoms: NPI Score

    Change from baseline in Neuropsychiatric Inventory (NPI) total score, assessing behavioral and psychiatric symptoms in dementia.

    Unabbreviated Scale Title: Neuropsychiatric Inventory (NPI)

    Scale Range: Minimum = 0, Maximum = 144

    Note: The NPI assesses 12 domains (e.g., delusions, hallucinations, agitation, depression, anxiety, apathy, disinhibition, irritability, motor disturbances, sleep disturbances, appetite changes, and aberrant motor behavior). Each domain is scored as frequency (1-4) × severity (1-3), for a maximum of 12 per domain.

    Interpretation: Lower scores indicate fewer or less severe neuropsychiatric symptoms; a decrease (negative change) from baseline indicates improvement.

    Measured: Baseline, Week 12, Week 24

  6. Change in Neuropsychiatric Symptoms: FBI Score

    Change from baseline in Frontal Behavior Inventory (FBI) total score, measuring behavioral symptoms associated with frontotemporal dysfunction.

    Unabbreviated Scale Title: Frontal Behavior Inventory (FBI)

    Scale Range: Minimum = 0, Maximum = 72

    *Note: The FBI assesses 24 items (each scored 0-3), covering negative symptoms (e.g., apathy, indifference, loss of insight) and positive/disinhibited symptoms (e.g., impulsivity, perseveration, irritability, poor judgment).*

    Interpretation: Lower scores indicate fewer or less severe frontal behavioral symptoms; a decrease (negative change) from baseline indicates improvement.

    Measured: Baseline, Week 12, Week 24

  7. Change in Executive Function: FAB Score

    Change from baseline in Frontal Assessment Battery (FAB) total score, assessing executive functions including conceptualization, mental flexibility, motor programming, sensitivity to interference, inhibitory control, and environmental autonomy.

    Unabbreviated Scale Title: Frontal Assessment Battery (FAB)

    Scale Range: Minimum = 0, Maximum = 18

    Note: The FAB consists of 6 subtests, each scored from 0 to 3.

    Interpretation: Higher scores indicate better executive function; an increase (positive change) from baseline indicates improvement.

    Measured: Baseline, Week 12, Week 24

  8. Change in Daily Function and Behavior: ADL Score

    Change from baseline in Activities of Daily Living (ADL) scale total score, measuring the participant's ability to perform daily living activities.

    Unabbreviated Scale Title: Barthel Index of Activities of Daily Living (or specify the actual scale used, e.g., Katz Index of Independence in Activities of Daily Living, Lawton Instrumental Activities of Daily Living Scale)

    Scale Range (Barthel Index): Minimum = 0, Maximum = 100

    Note: The Barthel Index assesses 10 items (e.g., feeding, bathing, grooming, dressing, bowel and bladder control, toilet use, transfers, mobility, stair climbing). Alternative ADL scales may have different ranges (e.g., Katz Index: 0-6).

    Interpretation: Lower scores indicate worse functional status (greater dependence); higher scores indicate better functional status (greater independence). Please confirm - the provided description states "Lower scores indicate better functional status," which is atypical for most ADL scales. Usually, higher scores = better fun

    Measured: Baseline, Week 12, Week 24

Timeline

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

  1. First posted10 Jun 2026
  2. Study start1 Jul 2026 (estimated)
  3. Primary completion31 Oct 2027 (estimated)
  4. Study completion31 Oct 2027 (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 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Outcomes assessor
Enrolment
33 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07638813
Sponsor's protocol ID
2026-221
Status last verified
Jul 2026
First submitted
2 Jun 2026
Last updated
13 Jul 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Umbilical Cord Mesenchymal Stem Cell-Derived Exosomes (Low-Dose) and Umbilical Cord Mesenchymal Stem Cell-Derived Exosomes (High-Dose) in people with Frontotemporal Dementia, run by Ruijin Hospital.

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 7 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 13 Jul 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. 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 combined 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.

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?

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 Chao Gao, MD,Ph.D (+8618217590273, anshangaochao@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Clinical Efficacy: Change in CDR plus NACC FTLD Score (time frame: Baseline and Week 24). The study lists 2 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 13 Jul 2026.

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