NCT06465160

Brief Summary

Myelodysplastic syndromes (MDS) are a group of bone marrow failures that occur when the blood-forming cells in the bone marrow become abnormal leading to an abnormal differentiation and production of one or more blood cell types. According to the American Cancer Society, in the United States, MDS occurs at a rate of 4.8 cases for every 100,000 people; MDS affects an estimated 60,000 persons in the United States, with 10,000-15,000 new cases recorded each year. MDS is defined by ineffective haematopoiesis resulting in blood cytopenias (a reduction in the number of mature blood cells), and clonal instability with a risk of evolution to acute myeloid leukaemia (AML). Patients with MDS collectively have a high symptom burden and are also at risk of death from complications of cytopenias and AML. MDS is generally a disease that develops with ageing; the median age at diagnosis of MDS is \~70 years, and patients frequently have comorbid conditions. The goals of therapy for patients with MDS are to reduce disease-associated symptoms and the risk of disease progression and death, thereby improving both quality and quantity of life. Minovia Therapeutics Ltd. ("Minovia") is a biotech company developing novel therapeutics based on its mitochondrial augmentation technology (MAT). MNV-201 is a cell therapy produced by MAT that consists of the participant's autologous CD34+ hematopoietic stem and progenitor cells (HSPCs) enriched with allogeneic placental-derived mitochondria, manufactured in Minovia's GMP facility.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
15

participants targeted

Target at below P25 for phase_1

Timeline
41mo left

Started May 2024

Longer than P75 for phase_1

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress39%
May 2024Dec 2029

Study Start

First participant enrolled

May 27, 2024

Completed
6 days until next milestone

First Submitted

Initial submission to the registry

June 2, 2024

Completed
16 days until next milestone

First Posted

Study publicly available on registry

June 18, 2024

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2026

Expected
3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2029

Last Updated

October 1, 2025

Status Verified

September 1, 2025

Enrollment Period

2.6 years

First QC Date

June 2, 2024

Last Update Submit

September 25, 2025

Conditions

Keywords

Low Risk MDSAnemiaMitochondrialCell Therapy

Outcome Measures

Primary Outcomes (1)

  • Occurrence of treatment-related adverse events

    Occurrence of treatment-related adverse events as assessed by CTCAE v5.0 following MNV-201 infusion, during a follow up period of 12 months following first dosing (Part 1) and 6 months following second dosing (Part 2), where relevant.

    1 year

Secondary Outcomes (3)

  • Anemia assessment

    1 year

  • Blood transfusion assessment

    1 year

  • Assessment of Quality of Life by the Functional Assessment of Cancer Therapy - Anemia

    1 year

Study Arms (1)

Autologous CD34+ cells enriched with allogenic placenta-derived mitochondria

EXPERIMENTAL

Participants will receive a single or repeated dose of MNV-201 product by Infusion after 5 days of mobilization by G-CSF and an apheresis procedure.

Biological: MNV-201 (Autologous CD34+ Cells Enriched with allogenic Placenta Derived Mitochondria)

Interventions

The participant will undergo 5 days of mobilization by G-CSF administration (Neupogen) once a day during 5 days. On the 5th day, and after receiving the last dose of Neupogen, the participant will undergo Apheresis to collect CD34+ cells. MNV-201 consists of autologous CD34+ cells enriched with allogeneic placenta derived mitochondria. Autologous CD34+ cells are isolated from the participant's peripheral blood after mobilization by apheresis. Allogeneic mitochondria are isolated under aseptic conditions from healthy donor placenta, cryopreserved and qualified before use. Each product package will consist of a ready-for-injection sterile infusion bag containing clinical grade MNV-201 product for IV infusion for a single specified (autologous) participant.

Autologous CD34+ cells enriched with allogenic placenta-derived mitochondria

Eligibility Criteria

Age18 Years - 100 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male or female participants aged from 18 years old and above.
  • Low Risk MDS diagnosis with R-IPSS score of ≤3 with mutational burden and/or low burden of high-risk mutations as defined by IPSS-M.
  • Participant has anemia and is blood transfusion dependent (received 2 or more units of packed blood per /4 weeks for at least 8 weeks before enrollment).
  • A baseline natural history of the participant is available, including anemia and transfusions frequency at least 6 months before enrollment.
  • Participant has utilized all existing treatments for low risk MDS that are approved and available to him or is not medically eligible for those treatment options.
  • Participant is not eligible for Allogeneic Bone Marrow Transplantation.
  • Participant is medically able to undergo the study interventions, as determined by the investigator.
  • Participant and/or legal guardian(s) able to understand and provide voluntary written informed consent.

You may not qualify if:

  • History of infection with HIV-1, HIV-2, or HTLV I/II.
  • Current active infection with HBV , HCV, HTLV I/II, Treponema Pallidum or HIV I-II.
  • Participant is unable to undergo apheresis.
  • Participant has known hypersensitivity to murine proteins or iron-dextran.
  • Participant has chronic severe infection.
  • Participant has disease or condition that may risk the participant or interfere with the ability to interpret the study results.
  • History of treatment for malignant disease (other than excision of non-melanoma skin cancer) in the last 2 years
  • Pregnancy or breastfeeding
  • History of treatment with gene therapy, bone marrow or allogeneic cord blood transplantation.
  • Currently participating in another clinical trial, or participation in another clinical trial within 1 year prior to study enrollment.
  • In the opinion of the Investigator, the participant is unsuitable for participating in the study for any reason.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Shaare Zedek Medical Center

Jerusalem, Israel, 9103102, Israel

RECRUITING

MeSH Terms

Conditions

Myelodysplastic SyndromesAnemia

Condition Hierarchy (Ancestors)

Bone Marrow DiseasesHematologic DiseasesHemic and Lymphatic Diseases

Central Study Contacts

Lea Bensoussan, MSc

CONTACT

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Model Details: The study will have two parts: a single dose arm (Part 1) and a repeat dose arm (Part 2). Part 2 of the study will be subject to FDA's approval of individual patient re-dosing, after submission of patient-specific data to the FDA for review.
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 2, 2024

First Posted

June 18, 2024

Study Start

May 27, 2024

Primary Completion (Estimated)

December 31, 2026

Study Completion (Estimated)

December 31, 2029

Last Updated

October 1, 2025

Record last verified: 2025-09

Data Sharing

IPD Sharing
Will not share

Locations