NCT07205601

Brief Summary

The goal of this Phase 2 clinical trial is to learn if repeated dosing of RB-ADSC (an investigational autologous cell product obtained from participant's own adipose tissue) enhances the positive preliminary results seen in Phase 1 for the of treatment for mild to moderate Alzheimer's Disease in adults. The clinical trial will also continue to evaluate the safety of repeated dosing of RB-ADSC. This study will primarily evaluate the effects of repeated dosing of RB-ADSC on cognitive performance compared to placebo control. Participants will receive RB-ADSC every 2 months for a total of 6 doses. Participants randomized into the placebo control group will have the option to cross over to receive treatment after completion of the primary phase of the study.

Trial Health

65
Monitor

Trial Health Score

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

Enrollment
115

participants targeted

Target at P50-P75 for phase_2 alzheimer-disease

Timeline
34mo left

Started Nov 2025

Typical duration for phase_2 alzheimer-disease

Status
not yet recruiting

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress17%
Nov 2025Mar 2029

First Submitted

Initial submission to the registry

September 17, 2025

Completed
16 days until next milestone

First Posted

Study publicly available on registry

October 3, 2025

Completed
29 days until next milestone

Study Start

First participant enrolled

November 1, 2025

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2028

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2029

Last Updated

October 3, 2025

Status Verified

September 1, 2025

Enrollment Period

2.3 years

First QC Date

September 17, 2025

Last Update Submit

September 25, 2025

Conditions

Keywords

ADAutologousStem cellsCell therapyAlzheimer Disease

Outcome Measures

Primary Outcomes (1)

  • Change from Baseline on the Integrated Alzheimer's Disease Rating Scale (iADRS) Composite Score

    iADRS will be used to assess whether RB-ADSC slows down the clinical decline associated with AD compared with placebo. iADRS evaluates cognition and daily function performance by combining items from the ADAS-Cog13 and the Alzheimer's disease cooperative study-instrumental activities of daily living scale (ADCS-iADL). The scale ranges from 0 to 144, where lower scores indicate worse performance and higher score indicates better performance.

    Baseline, Month 6 and Month 12

Secondary Outcomes (10)

  • Change from Baseline in CSF Biomarkers

    Baseline, Month 6 and Month 12

  • Change from Baseline in MMSE

    Baseline, Month 6 and Month 12

  • Change from Baseline in ADAS-cog13

    Baseline, Month 6 and Month 12

  • Change from Baseline in FAST

    Baseline, Month 6 and Month 12

  • Change from Baseline in ADCS-iADL

    Baseline, Month 6 and Month 12

  • +5 more secondary outcomes

Study Arms (3)

RB-ADSC low dose

EXPERIMENTAL

Participants will receive repeated doses of 2.5x10\^6 RB-ADSC infused in the previously implanted Ommaya reservoir

Biological: RB-ADSC

RB-ADSC high dose

EXPERIMENTAL

Participants will receive repeated doses of 5x10\^6 RB-ADSC infused in the previously implanted Ommaya reservoir

Biological: RB-ADSC

Placebo control

PLACEBO COMPARATOR

Participants will receive placebo comparator in the previously implanted Ommaya reservoir

Other: Placebo

Interventions

RB-ADSCBIOLOGICAL

RB-ADSC is an investigational an ex-vivo expanded autologous adipose-derived stem cell product

RB-ADSC high doseRB-ADSC low dose
PlaceboOTHER

0.9% NaCl USP

Placebo control

Eligibility Criteria

Age45 Years - 85 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • ≥45 and ≤85 years of age
  • Mild to moderate AD diagnosis
  • FAST stage 4 or 5
  • MMSE 10-23
  • Amyloid PET scan centiloid score \>30
  • ADmark® CSF analysis of ATI (\<1.0) and P-Tau (\>60)
  • No tumors or other disease responsible for dementia
  • Participant otherwise in good general health
  • Written informed consent from participant or legal representative

You may not qualify if:

  • Participant must be able to donate adequate amount of lipoaspirate to establish the final product
  • Taking prohibited medications
  • Prior cell therapy implantation
  • Existing ventriculoperitoneal shunts
  • Neurological disorders except AD
  • Psychiatric disorders such as schizophrenia, bipolar/unipolar depression, delirium
  • Drug or alcohol abuse in past 2 years
  • History of cancer within the past 5 years
  • Involvement in other investigational product clinical trial within the past 3 months for monoclonal antibodies, or 6 months for other investigational products

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Alzheimer Disease

Condition Hierarchy (Ancestors)

DementiaBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesTauopathiesNeurodegenerative DiseasesNeurocognitive DisordersMental Disorders

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 17, 2025

First Posted

October 3, 2025

Study Start

November 1, 2025

Primary Completion (Estimated)

March 1, 2028

Study Completion (Estimated)

March 1, 2029

Last Updated

October 3, 2025

Record last verified: 2025-09