Exploratory Study of Intranasal Administration of Human Umbilical Cord Mesenchymal Stem Cell-Derived Extracellular Vesicles for the Treatment of Ischemic Stroke

NCT ID: NCT07232563

Last Updated: 2025-11-18

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

NOT_YET_RECRUITING

Clinical Phase

PHASE1

Total Enrollment

9 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-01

Study Completion Date

2027-11-07

Brief Summary

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Evaluation of the Safety and Preliminary Efficacy of Intranasal Administration of Human Umbilical Cord Mesenchymal Stem Cell-Derived Small Extracellular Vesicles (hUC-MSC-sEV-001) in Patients for Ischemic Stroke

Detailed Description

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Based on adhering to the GCP principles of national clinical trial research and the standardized processes of CROs, this study aims to evaluate the safety and preliminary efficacy of hUC-MSC-sEV-001 in treating ischemic stroke by recruiting a small sample population. Additionally, the study will seek to determine an appropriate dosage, laying the foundation for subsequent research.

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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Intranasal Administration of hUC-MSC-sEV-001 Therapy

Intranasal Administration of Human Umbilical Cord Mesenchymal Stem Cell-Derived Small Extracellular Vesicles (hUC-MSC-sEV-001) Therapy

Group Type EXPERIMENTAL

Intranasal Administration of Human Umbilical Cord Mesenchymal Stem Cell-Derived Small Extracellular Vesicles (hUC-MSC-sEV-001) Therapy

Intervention Type BIOLOGICAL

Experimental drug: hUC-MSC-SEV-001 nasal drops derived from small extracellular vesicles of human umbilical cord mesenchymal stem cells Treatment plan: On the basis of conventional treatment, hUC-MSC-SEV-001 nasal drops will be administered: hUC-MSC-SEV-001 will be administered via nasal drip for a total of 4 times, with a dosage of 1 × 10 \* 11articles per dose. The patient will receive one dose on the day of enrollment, and another dose of hUC-MSC-SEV-001 will be administered on the 2nd, 3rd, and 4th days after enrollment.

Interventions

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Intranasal Administration of Human Umbilical Cord Mesenchymal Stem Cell-Derived Small Extracellular Vesicles (hUC-MSC-sEV-001) Therapy

Experimental drug: hUC-MSC-SEV-001 nasal drops derived from small extracellular vesicles of human umbilical cord mesenchymal stem cells Treatment plan: On the basis of conventional treatment, hUC-MSC-SEV-001 nasal drops will be administered: hUC-MSC-SEV-001 will be administered via nasal drip for a total of 4 times, with a dosage of 1 × 10 \* 11articles per dose. The patient will receive one dose on the day of enrollment, and another dose of hUC-MSC-SEV-001 will be administered on the 2nd, 3rd, and 4th days after enrollment.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Ischemic Stroke
* Age 18-70 years, no gender restriction
* Confirmed anterior circulation occlusion by CTA or MR angiography (MRA)
* Pre-stroke mRS score of 0-1
* Post-stroke ASPECTS score \>= 6
* Pre-enrollment NIHSS score\>= 6
* Within 24 hours to 14 days of stroke onset
* Patients who have not received thrombolysis or endovascular treatment
* No significant liver or kidney dysfunction: ALT and AST\<= 2.5 times the upper limit of normal, serum creatinine and blood urea nitrogen \<= 1.25 times the upper limit of normal
* No significant cardiac dysfunction
* The subject or legal representative can sign the informed consent form and comply with the requirements of the study for administration and follow-up.

Exclusion Criteria

* Intracranial hemorrhagic conditions observed on cranial CT: hemorrhagic stroke, epidural hematoma, subdural hematoma, intraventricular hemorrhage, subarachnoid hemorrhage, or hemorrhagic transformation, etc.
* Known severe allergy to contrast agents (excluding mild rash-type allergies)
* Known bleeding tendencies (including but not limited to): platelet count \< 100×10\^9/L; received heparin treatment within 48 hours with aPTT \>= 35s; currently taking warfarin with INR \> 1.7
* Patients with brain tumors, or a history of epilepsy and severe head trauma
* Patients with other systemic malignancies
* Patients with other serious systemic diseases such as immunodeficiency, coagulation disorders, etc.
* Patients with Alzheimer's disease, Parkinson's disease, or other neurodegenerative diseases that prevent them from completing follow-up
* Patients with severe local infection, systemic infection, immunodeficiency, or those currently taking immunosuppressants
* Patients who are positive for hepatitis B surface antigen or currently suffering from other infectious diseases
* Patients who have allergic reactions to the drug used in this study or similar drugs
* Patients with known allergic constitution
* Patients with nasal structural abnormalities or lesions
* Patients with cerebrospinal fluid rhinorrhea
* Patients who have participated in other clinical trials within the past 3 months
* Unwilling or unable to comply with the procedures specified in the protocol
* Pregnant or breastfeeding women, or women of childbearing potential who are unwilling or unable to use appropriate contraceptive measures
* Patients clearly lacking the compliance to complete the clinical trial, such as those suffering from uncontrolled mental illness
* Other situations deemed unsuitable for enrollment by the researchers
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Zhujiang Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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253 Gongye Blvd Middle, Guangzhou, Guangdong, China 510280

Guangzhou, Guangdong, China

Site Status

Countries

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China

Central Contacts

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Run Zhang, Philosophy Doctor

Role: CONTACT

+86 15820205853

Facility Contacts

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Run Zhang, Philosophy Doctor

Role: primary

+86 15820205853

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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2023-KY-343-04

Identifier Type: -

Identifier Source: org_study_id

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