An Open-labeled Phase II Study to Evaluate the Efficacy and Safety of GXNPC-1 in Patients with Chronic Stroke

NCT04088149 | Completed Phase 2

• 1 other identifier: GXNPC1
• Study Type: interventional
• Target: 12
• Locations: 1 country
• Sites: 1

Brief Summary

The primary objective of this study is to evaluate the efficacy for subjects with chronic stroke after GXNPC-1 injection.

Conditions

Chronic Stroke

Outcome Measures

Primary Outcomes (1)

• The Net Change on National Institutes of Health Stroke Scale (NIHSS)

  The NIHSS is a systematic assessment tool that provides a quantitative measure of stroke-related neurologic deficit. The NIHSS is used to evaluate the effect of stroke on the levels of consciousness, language, neglect, visual-field loss, extraocular movement, motor strength, ataxia, dysarthria, and sensory loss. The NIHSS is consisted of 11 evaluable items, and the total scores range from 0 to 42. The lower score indicates the better the performance.

  Baseline (0 week)、2 weeks、4 weeks、12 weeks、24 weeks

Secondary Outcomes (8)

• The Net Change on Fugl-Meyer assessment (FMA)

  Baseline (0 week)、2 weeks、4 weeks、12 weeks、24 weeks

• The Net Change on Barthel Index (BI)

  Baseline (0 week)、2 weeks、4 weeks、12 weeks、24 weeks

• The Net Change on Purdue Pegboard Test (PPT)

  Baseline (0 week)、2 weeks、4 weeks、12 weeks、24 weeks

• The Net Change on Grip Strength Measurement

  Baseline (0 week)、2 weeks、4 weeks、12 weeks、24 weeks

• The Net Change on Brief Symptom Rating Scale (BSRS-5)

  Baseline (0 week)、2 weeks、4 weeks、12 weeks、24 weeks

Study Arms (1)

GXNPC1

EXPERIMENTAL

There are 2 dose levels Cohort 1: Low dose (1 ± 0.1 × 10\^8 GXNPC1) of IPs will be administered in parallel. Cohort 2: High dose (2 ± 0.2 × 10\^8 GXNPC1) of IPs will be administered sequentially.

Drug: GXNPC1

Interventions

GXNPC1 DRUG

Autologous ADSCs

Also known as: hADSCs

GXNPC1

Eligibility Criteria

• Age: 45 Years - 85 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Male or female who are aged between 45 and 85 years old on date of consent
• Post-stroke between 6 months and 15 years at the screening
• Subjects who have had stroke(s) in carotid artery distribution area, and the location of stroke should be diagnosed by magnetic resonance image (MRI)
• Subjects who have had the brain injured area with diameter between 0.5 and 10 cm according to MRI evaluation
• Subjects who have National Institutes of Health Stroke Scale (NIHSS) score between 8 and 30 at the screening
• Subjects who had stroke with hemiparesis (remaining residual limb movement, defined as score less than 4 on questions 5 or 6 on the NIHSS for the affected limbs) at screening.
• Subjects who have stable NIHSS (±3) for at least 2 weeks from Visit 1 (screening) to Visit2 (prior to operation)
• Subjects with systolic blood pressure less than 200 mmHg (an average based on ≥2 readings) at screening, prior to the operation for fat tissue acquisition (Visit 2), and before the surgery for ADSC administration (Visit 3)
• Subjects with International normalized ration (INR) \< 2.5, and platelet between 1 × 105/μL and 5 × 105/μL at the screening
• Female subjects with childbearing potential should be confirmed of not being pregnant or lactating at the screening and during the study.
• All male subjects and female subjects with child-bearing potential (between puberty and 2 years after menopause) should use reliable contraception method(s), such as tubal ligation, vasectomy, intrauterine device (IUD), intrauterine system (IUS), hormonal contraception or condom, during this study when they have sexual behavior.
• Neurology physician judges the recent symptoms in subjects are correlated to the stroke area.
• Subjects or the legally acceptable representative are willing to sign informed consent form (ICF).

You may not qualify if:

• Subjects who are suffered by clinically significantly autoimmune conditions, such as rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), multiple sclerosis (MS) or psoriasis
• Subjects who are unable to undergo MRI and Computed tomography (CT) scans for any reason
• Subjects who have significant multiple stenosis (\>50% stenosis) in intracranial blood vessels
• Subjects whose cause of stroke belongs to uncommon causes (refer to Vasc Health Risk Manag. 2015:11 157-164), including but not limited to:
• Non-atherosclerotic angiopathies: cervicocephalic atrial dissection, cerebral amyloid angiopathy, fibromuscular dysplasia, and migraine-induced stroke, etc.;
• Hematologic conditions: hypercoagulable state due to deficiencies of protein C, protein S, or antithrombin, factor V Leiden mutation, prothrombin gene G20210Amutation, acquired hypercoagulable state, antiphospholipid syndrome, hyperhomocysteinemia, sickle cell disease, etc.;
• Genetic: Fabry disease, CADASIL (cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy), MELAS (mitochondrial encephalopathy, lactic acidosis, and stroke-like episodes), Marfan syndrome, Neurofibromatosis, and Sturge-Weber Syndrome, etc.;
• Inflammatory and infectious: vasculitis (primary angilitis of the CNS, Sjögren syndrome, Wegener's granulomatosis), temporal arteritis, Takayasu disease, Behçet's syndrome, Neurosarcoidosis, Neurocysticercosis, varicella zoster virus, neurosyphilis, and tuberculous meningitis, etc.
• Subjects receiving antiplatelets (e.g., aspirin and persantin) and/or anticoagulants (e.g., warfarin) cannot temporarily cease the treatment within 3 days before ADSCs administration (Visit 3).
• Subjects who receive systemic immunosuppressive treatments, immunotherapy, or cytotoxic drug within 1 month before screening
• Subjects with inadequate hepatic function at the screening visit: Alanine aminotransaminase (ALT), Aspartate aminotransaminase (AST), and alkaline phosphatase (ALP) ≥ 2X upper limit of normal (ULN).
• Subjects with inadequate renal function at the screening visit: Blood urea nitrogen (BUN) ≥ 30 mg/dl; serum creatinine ≥ 3 mg/dl
• Subjects who have medical historical or clinically active spinal injury, Alzheimer's disease, Parkinson's disease, spinocerebellar ataxia (SCA), spinal muscular atrophy (SMA) or other clinically significant neurological diseases that will confound the evaluation of this study
• Subjects who have clinically severe and/or life-threatening disease(s) such as uncontrolled diabetes or malignant tumor
• Subjects who have risk for the following infectious diseases: human immunodeficiency virus (HIV), syphilis, or human transmissible spongiform encephalopathy (TSE), such as Creutzfeldt-Jakob disease (CJD)

Sponsors & Collaborators

• Gwo Xi Stem Cell Applied Technology Co., Ltd.: lead

Study Sites (1)

HualienTzu Chi Hospital

Hualien City, 700, Taiwan

Location

Study Officials

• Chiu Ts Lang, Director

  Hualien Tzu Chi General Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 11, 2019
• First Posted: September 12, 2019
• Study Start: February 6, 2020
• Primary Completion: August 15, 2023
• Study Completion: September 3, 2024
• Last Updated: September 19, 2024

Record last verified: 2024-09

Locations

TW (1)