Trial Outcomes & Findings for Allogenic Cord Blood Transfusion in Patients With Autism (NCT NCT03786744)

NCT ID: NCT03786744

Last Updated: 2020-11-19

Results Overview

Safety assessment. The adverse events rate will be assessed in all patients.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

20 participants

Primary outcome timeframe

24hrs post transfusion

Results posted on

2020-11-19

Participant Flow

Participant milestones

Participant milestones
Measure
ASD CB-MNC Injection.
ASD CB-MNC injection from different donors and standard therapy. ASD CB-MNC injection.: CB-MNC injection from different donors. One dose consist 20-50 mil MNC/kg.The protocol include 3 injection at monthly intervals. Standard therapy.: The standard therapy can include drugs, special psychology training etc.
Standard Therapy.
Patients with standard therapy as control group. Standard therapy.: The standard therapy can include drugs, special psychology training etc.
Overall Study
STARTED
10
10
Overall Study
COMPLETED
10
10
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
ASD CB-MNC Injection.
n=10 Participants
ASD CB-MNC injection from different donors and standard therapy. ASD CB-MNC injection.: CB-MNC injection from different donors. One dose consist 20-50 mil MNC/kg.The protocol include 3 injection at monthly intervals. Standard therapy.: The standard therapy can include drugs, special psychology training etc.
Standard Therapy.
n=10 Participants
Patients with standard therapy as control group. Standard therapy.: The standard therapy can include drugs, special psychology training etc.
Total
n=20 Participants
Total of all reporting groups
Age, Categorical
<=18 years
10 Participants
n=10 Participants
10 Participants
n=10 Participants
20 Participants
n=20 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=10 Participants
0 Participants
n=10 Participants
0 Participants
n=20 Participants
Age, Categorical
>=65 years
0 Participants
n=10 Participants
0 Participants
n=10 Participants
0 Participants
n=20 Participants
Age, Continuous
7.95 years
n=10 Participants
7.80 years
n=10 Participants
7.87 years
n=20 Participants
Sex: Female, Male
Female
1 Participants
n=10 Participants
2 Participants
n=10 Participants
3 Participants
n=20 Participants
Sex: Female, Male
Male
9 Participants
n=10 Participants
8 Participants
n=10 Participants
17 Participants
n=20 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
Russia
10 participants
n=10 Participants
10 participants
n=10 Participants
20 participants
n=20 Participants

PRIMARY outcome

Timeframe: 24hrs post transfusion

Safety assessment. The adverse events rate will be assessed in all patients.

Outcome measures

Outcome measures
Measure
ASD CB-MNC Injection.
n=10 Participants
ASD CB-MNC injection from different donors and standard therapy. ASD CB-MNC injection.: CB-MNC injection from different donors. One dose consist 20-50 mil MNC/kg.The protocol include 3 injection at monthly intervals. Standard therapy.: The standard therapy can include drugs, special psychology training etc.
Control Group
n=10 Participants
The standard therapy can include drugs, special psychology training etc.
A Number of Participants With Non-serious and Serious Adverse Events 24 Hrs Post-transfusion
Anxiety
2 participants
0 participants
A Number of Participants With Non-serious and Serious Adverse Events 24 Hrs Post-transfusion
Increase in body temperature
0 participants
0 participants
A Number of Participants With Non-serious and Serious Adverse Events 24 Hrs Post-transfusion
Chill
0 participants
0 participants
A Number of Participants With Non-serious and Serious Adverse Events 24 Hrs Post-transfusion
Hypotension
0 participants
0 participants
A Number of Participants With Non-serious and Serious Adverse Events 24 Hrs Post-transfusion
Dyspnea
0 participants
0 participants
A Number of Participants With Non-serious and Serious Adverse Events 24 Hrs Post-transfusion
Skin itching
0 participants
0 participants
A Number of Participants With Non-serious and Serious Adverse Events 24 Hrs Post-transfusion
Hives
0 participants
0 participants
A Number of Participants With Non-serious and Serious Adverse Events 24 Hrs Post-transfusion
Post-transfusion purple
0 participants
0 participants
A Number of Participants With Non-serious and Serious Adverse Events 24 Hrs Post-transfusion
Oedema Quinque
0 participants
0 participants
A Number of Participants With Non-serious and Serious Adverse Events 24 Hrs Post-transfusion
Oliguria
0 participants
0 participants
A Number of Participants With Non-serious and Serious Adverse Events 24 Hrs Post-transfusion
Hematuria
0 participants
0 participants
A Number of Participants With Non-serious and Serious Adverse Events 24 Hrs Post-transfusion
Jaundice
0 participants
0 participants
A Number of Participants With Non-serious and Serious Adverse Events 24 Hrs Post-transfusion
Nausea
0 participants
0 participants
A Number of Participants With Non-serious and Serious Adverse Events 24 Hrs Post-transfusion
Vomiting
0 participants
0 participants
A Number of Participants With Non-serious and Serious Adverse Events 24 Hrs Post-transfusion
Dizziness
0 participants
0 participants
A Number of Participants With Non-serious and Serious Adverse Events 24 Hrs Post-transfusion
Pain at injection site
1 participants
0 participants

PRIMARY outcome

Timeframe: score at baseline, 1, 2, 6, 12 months

The ATEC is designed to measure changes in the severity of ASD in response to treatment. A total score and 4 subscale scores are reported. Questions in the first 3 subscales are scored using a 0-3 scale (not true/partially true/absolutely true). The 4 subscale, Health/Physical/Behavior, is scored using a 0-4 point scale (Not a problem/Minor problem/Moderate problem/Serious problem). The first subscale, Speech/Language/Communication, contains 14 items where the score ranges from 0-28 points. The Sociability subscale contains 20 items and participants can score from 0-40. The third subscale, Sensory/Cognitive awareness, has 18 items and scores range from 0-36. Finally, the Health/Physical/Behavior subscale contains 25 items and scores range from 0-75. The scores from each subscale are combined in order to calculate a Total Score, which ranges from 0 to179 points. A lower score indicates less severe symptoms of ASD and a higher score correlates with more severe symptoms of ASD.

Outcome measures

Outcome measures
Measure
ASD CB-MNC Injection.
n=10 Participants
ASD CB-MNC injection from different donors and standard therapy. ASD CB-MNC injection.: CB-MNC injection from different donors. One dose consist 20-50 mil MNC/kg.The protocol include 3 injection at monthly intervals. Standard therapy.: The standard therapy can include drugs, special psychology training etc.
Control Group
n=10 Participants
The standard therapy can include drugs, special psychology training etc.
Autism Treatment Evaluation Checklist (ATEC).
Speech/Language/Communication at baseline
14 score on a scale
Interval 10.0 to 20.0
14 score on a scale
Interval 13.0 to 21.0
Autism Treatment Evaluation Checklist (ATEC).
Sociability at 12 months
12 score on a scale
Interval 8.0 to 14.0
14 score on a scale
Interval 11.0 to 14.0
Autism Treatment Evaluation Checklist (ATEC).
Sensory/Cognitive Awareness at baseline
13 score on a scale
Interval 9.0 to 14.0
12 score on a scale
Interval 10.0 to 15.0
Autism Treatment Evaluation Checklist (ATEC).
Sensory/Cognitive Awareness at 1 months
10 score on a scale
Interval 6.0 to 15.0
11 score on a scale
Interval 10.0 to 17.0
Autism Treatment Evaluation Checklist (ATEC).
Sensory/Cognitive Awareness at 2 months
10 score on a scale
Interval 5.0 to 11.0
11 score on a scale
Interval 11.0 to 16.0
Autism Treatment Evaluation Checklist (ATEC).
Sensory/Cognitive Awareness at 6 months
12 score on a scale
Interval 8.0 to 14.0
14 score on a scale
Interval 11.0 to 16.0
Autism Treatment Evaluation Checklist (ATEC).
Sensory/Cognitive Awareness at 12 months
12 score on a scale
Interval 7.0 to 13.0
13 score on a scale
Interval 11.0 to 17.0
Autism Treatment Evaluation Checklist (ATEC).
Speech/Language/Communication at 1 months
11 score on a scale
Interval 5.0 to 18.0
14 score on a scale
Interval 11.0 to 21.0
Autism Treatment Evaluation Checklist (ATEC).
Speech/Language/Communication at 2 months
7 score on a scale
Interval 2.0 to 17.0
16 score on a scale
Interval 14.0 to 22.0
Autism Treatment Evaluation Checklist (ATEC).
Speech/Language/Communication at 6 months
11 score on a scale
Interval 5.0 to 22.0
14 score on a scale
Interval 12.0 to 20.0
Autism Treatment Evaluation Checklist (ATEC).
Speech/Language/Communication at 12 months
12 score on a scale
Interval 6.0 to 17.0
15 score on a scale
Interval 13.0 to 20.0
Autism Treatment Evaluation Checklist (ATEC).
Sociability at baseline
11 score on a scale
Interval 9.0 to 17.0
11 score on a scale
Interval 9.0 to 15.0
Autism Treatment Evaluation Checklist (ATEC).
Sociability at 1 months
11 score on a scale
Interval 9.0 to 13.0
12 score on a scale
Interval 9.0 to 15.0
Autism Treatment Evaluation Checklist (ATEC).
Sociability at 2 months
9 score on a scale
Interval 6.0 to 14.0
11 score on a scale
Interval 10.0 to 14.0
Autism Treatment Evaluation Checklist (ATEC).
Sociability at 6 months
11 score on a scale
Interval 8.0 to 14.0
13 score on a scale
Interval 10.0 to 15.0
Autism Treatment Evaluation Checklist (ATEC).
Health/ Physical Development/Behaviour at 2 months
14 score on a scale
Interval 7.0 to 18.0
23 score on a scale
Interval 19.0 to 30.0
Autism Treatment Evaluation Checklist (ATEC).
Health/ Physical Development/Behaviour at baseline
24 score on a scale
Interval 19.0 to 30.0
24 score on a scale
Interval 19.0 to 30.0
Autism Treatment Evaluation Checklist (ATEC).
Health/ Physical Development/Behaviour at 1 months
16 score on a scale
Interval 13.0 to 21.0
24 score on a scale
Interval 19.0 to 30.0
Autism Treatment Evaluation Checklist (ATEC).
Health/ Physical Development/Behaviour at 6 months
16 score on a scale
Interval 13.0 to 25.0
24 score on a scale
Interval 19.0 to 30.0
Autism Treatment Evaluation Checklist (ATEC).
Health/ Physical Development/Behaviour at 12months
13 score on a scale
Interval 10.0 to 17.0
22 score on a scale
Interval 19.0 to 30.0
Autism Treatment Evaluation Checklist (ATEC).
Total score at baseline
63 score on a scale
Interval 56.0 to 66.0
62 score on a scale
Interval 59.0 to 73.0
Autism Treatment Evaluation Checklist (ATEC).
Total score at 1 months
55 score on a scale
Interval 43.0 to 60.0
65 score on a scale
Interval 60.0 to 72.0
Autism Treatment Evaluation Checklist (ATEC).
Total score at 2 months
44 score on a scale
Interval 31.0 to 57.0
68 score on a scale
Interval 59.0 to 76.0
Autism Treatment Evaluation Checklist (ATEC).
Total score at 6 months
55 score on a scale
Interval 49.0 to 65.0
70 score on a scale
Interval 60.0 to 82.0
Autism Treatment Evaluation Checklist (ATEC).
Total score at 12 months
55 score on a scale
Interval 38.0 to 61.0
71 score on a scale
Interval 60.0 to 81.0

SECONDARY outcome

Timeframe: score at baseline, 1, 2, 6 months

IL1b, IL6, TNF-alpha, IL8, y-IFN measure in patient peripheral blood

Outcome measures

Outcome measures
Measure
ASD CB-MNC Injection.
n=10 Participants
ASD CB-MNC injection from different donors and standard therapy. ASD CB-MNC injection.: CB-MNC injection from different donors. One dose consist 20-50 mil MNC/kg.The protocol include 3 injection at monthly intervals. Standard therapy.: The standard therapy can include drugs, special psychology training etc.
Control Group
The standard therapy can include drugs, special psychology training etc.
Cytokine Analysis.
y-IFN pg/ml at baseline
0 pg/mL
Interval 0.0 to 0.0
Cytokine Analysis.
y-IFN pg/ml at 1 months
0 pg/mL
Interval 0.0 to 0.0
Cytokine Analysis.
y-IFN pg/ml at 2 months
0 pg/mL
Interval 0.0 to 0.0
Cytokine Analysis.
y-IFN pg/ml at 6 months
0 pg/mL
Interval 0.0 to 0.0
Cytokine Analysis.
IL1b pg/ml at baseline
1.228 pg/mL
Interval 0.0 to 2.62
Cytokine Analysis.
IL1b pg/ml at 1 months
1.279 pg/mL
Interval 0.0 to 3.117
Cytokine Analysis.
IL1b pg/ml at 2 months
1.9675 pg/mL
Interval 0.095 to 3.251
Cytokine Analysis.
IL1b pg/ml at 6 months
2.794 pg/mL
Interval 0.396 to 3.103
Cytokine Analysis.
IL6 pg/ml at baseline
1.0225 pg/mL
Interval 0.43 to 2.168
Cytokine Analysis.
IL6 pg/ml at 1 months
0.673 pg/mL
Interval 0.392 to 2.076
Cytokine Analysis.
IL6 pg/ml at 2 months
0.5625 pg/mL
Interval 0.195 to 0.753
Cytokine Analysis.
IL6pg/ml at 6 months
0.7455 pg/mL
Interval 0.494 to 0.863
Cytokine Analysis.
IL8 pg/ml at baseline
3.9175 pg/mL
Interval 1.913 to 9.822
Cytokine Analysis.
IL8 pg/ml at 1 months
2.7985 pg/mL
Interval 2.157 to 5.341
Cytokine Analysis.
IL8 pg/ml at 2 months
2.7485 pg/mL
Interval 1.197 to 3.348
Cytokine Analysis.
IL8 pg/ml at 6 months
4.7975 pg/mL
Interval 3.507 to 38.388
Cytokine Analysis.
TNF-alpha pg/ml at baseline
0 pg/mL
Interval 0.0 to 0.0
Cytokine Analysis.
TNF-alpha pg/ml at 1 months
0 pg/mL
Interval 0.0 to 0.0
Cytokine Analysis.
TNF-alpha pg/ml at 2 months
0 pg/mL
Interval 0.0 to 0.0
Cytokine Analysis.
TNF-alpha pg/ml at 6 months
0.0 pg/mL
Interval 0.0 to 0.0

SECONDARY outcome

Timeframe: score at baseline, 6 month

Peripheral blood flow cytometry cell count for CD3; CD4; CD8; CD19; CD16-56 (%)

Outcome measures

Outcome measures
Measure
ASD CB-MNC Injection.
n=10 Participants
ASD CB-MNC injection from different donors and standard therapy. ASD CB-MNC injection.: CB-MNC injection from different donors. One dose consist 20-50 mil MNC/kg.The protocol include 3 injection at monthly intervals. Standard therapy.: The standard therapy can include drugs, special psychology training etc.
Control Group
The standard therapy can include drugs, special psychology training etc.
Immune Status as Determined by Percentage of Peripheral Blood Cells
CD 3+(%) at baseline
61.24 percentage of cells
Interval 58.55 to 66.59
Immune Status as Determined by Percentage of Peripheral Blood Cells
CD 3+(%) at 6 months
63.71 percentage of cells
Interval 58.56 to 67.83
Immune Status as Determined by Percentage of Peripheral Blood Cells
СD3+СD8+ (%) at baseline
24.33 percentage of cells
Interval 22.36 to 25.58
Immune Status as Determined by Percentage of Peripheral Blood Cells
СD3+СD8+(%) at 6 months
25.345 percentage of cells
Interval 20.19 to 26.15
Immune Status as Determined by Percentage of Peripheral Blood Cells
СD3+СD4+ (%) at baseline
32.835 percentage of cells
Interval 29.14 to 36.3
Immune Status as Determined by Percentage of Peripheral Blood Cells
СD3+СD4+(%) at 6 months
32.55 percentage of cells
Interval 30.26 to 35.46
Immune Status as Determined by Percentage of Peripheral Blood Cells
СD3+СD4+СD8+ (%) at baseline
0.215 percentage of cells
Interval 0.19 to 0.25
Immune Status as Determined by Percentage of Peripheral Blood Cells
СD3+СD4+СD8+(%) at 6 months
0.31 percentage of cells
Interval 0.25 to 0.42
Immune Status as Determined by Percentage of Peripheral Blood Cells
СD16+СD56+(%) at baseline
15.19 percentage of cells
Interval 7.29 to 21.08
Immune Status as Determined by Percentage of Peripheral Blood Cells
СD16+СD56+(%) at 6 months
16.05 percentage of cells
Interval 11.47 to 21.0
Immune Status as Determined by Percentage of Peripheral Blood Cells
СD19+(%) at baseline
19.29 percentage of cells
Interval 17.46 to 21.67
Immune Status as Determined by Percentage of Peripheral Blood Cells
СD19+ (%) at 6 months
17.255 percentage of cells
Interval 16.25 to 18.68

SECONDARY outcome

Timeframe: score at baseline, 6 month

Peripheral blood flow cytometry cell count for CD3; CD4; CD8; CD19; CD16-56 (absolute v.)

Outcome measures

Outcome measures
Measure
ASD CB-MNC Injection.
n=10 Participants
ASD CB-MNC injection from different donors and standard therapy. ASD CB-MNC injection.: CB-MNC injection from different donors. One dose consist 20-50 mil MNC/kg.The protocol include 3 injection at monthly intervals. Standard therapy.: The standard therapy can include drugs, special psychology training etc.
Control Group
The standard therapy can include drugs, special psychology training etc.
Immune Status as Determined by Absolute Cell Count of Peripheral Blood Cells
CD 3+ at baseline
1450.355 cells/µl
Interval 1364.77 to 2163.81
Immune Status as Determined by Absolute Cell Count of Peripheral Blood Cells
CD 3+at 6 months
1829.11 cells/µl
Interval 1507.34 to 2312.87
Immune Status as Determined by Absolute Cell Count of Peripheral Blood Cells
CD 3+CD8+ at baseline
598.48 cells/µl
Interval 481.48 to 790.19
Immune Status as Determined by Absolute Cell Count of Peripheral Blood Cells
CD 3+CD8+ at 6 months
654.385 cells/µl
Interval 600.56 to 819.81
Immune Status as Determined by Absolute Cell Count of Peripheral Blood Cells
CD 3+CD4+ at baseline
750.08 cells/µl
Interval 649.35 to 1197.94
Immune Status as Determined by Absolute Cell Count of Peripheral Blood Cells
CD 3+CD4+ at 6 months
877.095 cells/µl
Interval 752.35 to 1197.99
Immune Status as Determined by Absolute Cell Count of Peripheral Blood Cells
CD 3+ CD4+CD8+ at baseline
5.555 cells/µl
Interval 3.59 to 7.09
Immune Status as Determined by Absolute Cell Count of Peripheral Blood Cells
CD 3+ CD4+CD8+ at 6 months
8.656 cells/µl
Interval 7.46 to 10.93
Immune Status as Determined by Absolute Cell Count of Peripheral Blood Cells
CD 16+CD56+ at baseline
321.89 cells/µl
Interval 188.46 to 550.36
Immune Status as Determined by Absolute Cell Count of Peripheral Blood Cells
CD 16+CD56+ at 6 months
476.055 cells/µl
Interval 306.37 to 607.71
Immune Status as Determined by Absolute Cell Count of Peripheral Blood Cells
СD19+ at baseline
457.505 cells/µl
Interval 431.81 to 839.35
Immune Status as Determined by Absolute Cell Count of Peripheral Blood Cells
СD19+ at 6 months
506.365 cells/µl
Interval 392.8 to 650.88

Adverse Events

ASD CB-MNC Injection.

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Standard Therapy.

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
ASD CB-MNC Injection.
n=10 participants at risk
ASD CB-MNC injection from different donors and standard therapy. ASD CB-MNC injection.: CB-MNC injection from different donors. One dose consist 20-50 mil MNC/kg.The protocol include 3 injection at monthly intervals. Standard therapy.: The standard therapy can include drugs, special psychology training etc.
Standard Therapy.
n=10 participants at risk
Patients with standard therapy as control group. Standard therapy.: The standard therapy can include drugs, special psychology training etc.
Cardiac disorders
Infectious nature
0.00%
0/10 • 12 months
0.00%
0/10 • 12 months
Cardiac disorders
Non Infectious nature
0.00%
0/10 • 12 months
0.00%
0/10 • 12 months
Respiratory, thoracic and mediastinal disorders
Infectious nature
50.0%
5/10 • Number of events 6 • 12 months
40.0%
4/10 • Number of events 7 • 12 months
Respiratory, thoracic and mediastinal disorders
NON Infectious nature
10.0%
1/10 • Number of events 1 • 12 months
10.0%
1/10 • Number of events 1 • 12 months
Musculoskeletal and connective tissue disorders
Infectious nature
0.00%
0/10 • 12 months
0.00%
0/10 • 12 months
Musculoskeletal and connective tissue disorders
NON Infectious nature
0.00%
0/10 • 12 months
10.0%
1/10 • Number of events 2 • 12 months
Renal and urinary disorders
Infectious nature
0.00%
0/10 • 12 months
0.00%
0/10 • 12 months
Renal and urinary disorders
NON Infectious nature
10.0%
1/10 • Number of events 1 • 12 months
0.00%
0/10 • 12 months
Gastrointestinal disorders
Infectious nature
20.0%
2/10 • Number of events 2 • 12 months
10.0%
1/10 • Number of events 1 • 12 months
Gastrointestinal disorders
NON Infectious nature
10.0%
1/10 • Number of events 1 • 12 months
20.0%
2/10 • Number of events 2 • 12 months
Skin and subcutaneous tissue disorders
Infectious nature
0.00%
0/10 • 12 months
0.00%
0/10 • 12 months
Skin and subcutaneous tissue disorders
NON Infectious nature
0.00%
0/10 • 12 months
0.00%
0/10 • 12 months
Nervous system disorders
Infectious nature
0.00%
0/10 • 12 months
0.00%
0/10 • 12 months
Nervous system disorders
NON Infectious nature
20.0%
2/10 • Number of events 3 • 12 months
10.0%
1/10 • Number of events 1 • 12 months
Psychiatric disorders
Psychiatric symptoms
10.0%
1/10 • Number of events 1 • 12 months
10.0%
1/10 • Number of events 1 • 12 months
Immune system disorders
Hypersensitivity
10.0%
1/10 • Number of events 1 • 12 months
20.0%
2/10 • Number of events 3 • 12 months

Additional Information

Volchkov Stanislav

Samara Medical Center Dinasty

Phone: +78469564455

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place