A Safety and Tolerability Study of Neural Stem Cells (NR1) in Subjects With Chronic Ischemic Subcortical Stroke (ISS)

NCT ID: NCT04631406

Last Updated: 2025-03-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-01-04

Study Completion Date

2029-08-31

Brief Summary

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Evaluation of the safety and tolerability of escalating doses of NR1 administered intracerebrally at a single time-point post-injury to subjects with chronic ISS with or without cortical stroke.

Detailed Description

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Evaluation of the safety and tolerability of escalating doses of NR1 administered intracerebrally at a single time-point post-injury to subjects with chronic ISS with or without cortical stroke. The study will be a dose escalation using up to 4 cohorts each at a single dose level, of intracerebral administration of NR1 cells. Secondary objectives are to evaluate clinical and radiologic responses as well as utility of efficacy measurement tools.

Conditions

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Ischemic Stroke

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Neural Stem cells injected intracerebrally

Subject cohorts will be treated with increasing doses of Neural Stem Cells injected intracerebrally using a traditional 3+3 trial design

Group Type EXPERIMENTAL

Neural Stem Cells

Intervention Type BIOLOGICAL

NR1 is a human embryonic stem cell (hESC) derived product for the treatment of chronic ischemic subcortical stroke

Interventions

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Neural Stem Cells

NR1 is a human embryonic stem cell (hESC) derived product for the treatment of chronic ischemic subcortical stroke

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Age 18 - 75 years
* History of ischemic subcortical stroke in the middle cerebral artery and/or lenticulostriate artery 6 to 60 months from time of stroke
* Ability of subject to understand and provide written Informed Consent
* Willing to take tacrolimus (Prograf) 2 days before and for 2 months after transplant

Exclusion Criteria

* Stroke lesion less than 1 cubic centimeter or greater than 100 cubic centimeters measured by MRI
* Index stroke is lacunar infarct less than 1 year old
* History or presence of any major neurological disease
* History of active cancer other than basal or squamous cell skin cancers
* History of seizures
* Pregnant or breast-feeding
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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California Institute for Regenerative Medicine (CIRM)

OTHER

Sponsor Role collaborator

Gary Steinberg, MD, PhD

OTHER

Sponsor Role lead

Responsible Party

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Gary Steinberg, MD, PhD

Professor and Former Chair, Department of Neurosurgery, School of Medicine

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Gary K Steinberg, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Professor, Neurosurgery Department

Locations

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Stanford Health Center

Stanford, California, United States

Site Status

Countries

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United States

Other Identifiers

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NR1-02

Identifier Type: -

Identifier Source: org_study_id

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