NCT07587047

Brief Summary

The goal of this clinical study is to evaluate the safety and preliminary efficacy of an investigational umbilical cord blood-derived stem cell and exosome infusion in adults with chronic lower back pain associated with degenerative spine disease. The primary questions this study aims to answer are whether the investigational infusion is safe and well tolerated and whether treatment may reduce pain and improve physical function and quality of life. Researchers will compare the investigational infusion to a placebo (saline solution) to evaluate potential treatment effects in participants with chronic mechanical lower back pain. Participants will receive either the investigational infusion or placebo intravenously during a study visit, complete pain, disability, and quality-of-life assessments, undergo magnetic resonance imaging (MRI) and laboratory testing, and attend follow-up evaluations over a 6-month period. Participants initially assigned to placebo may later receive the investigational treatment during an open-label crossover phase of the study.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
100

participants targeted

Target at P75+ for phase_1

Timeline
20mo left

Started May 2026

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 Progress1%
May 2026Jan 2028

First Submitted

Initial submission to the registry

May 8, 2026

Completed
6 days until next milestone

First Posted

Study publicly available on registry

May 14, 2026

Completed
1 day until next milestone

Study Start

First participant enrolled

May 15, 2026

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2028

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2028

Last Updated

May 15, 2026

Status Verified

May 1, 2026

Enrollment Period

1.6 years

First QC Date

May 8, 2026

Last Update Submit

May 13, 2026

Conditions

Keywords

stem cellstem cell therapychronic lower back pain

Outcome Measures

Primary Outcomes (2)

  • Change in Average Low Back Pain Intensity From Baseline to Month 3

    Measured using the Visual Analog Scale (VAS-Average), a 0-10 scale assessing average low back pain intensity over the past week, with higher scores indicating greater pain severity.

    Baseline to Month 3

  • Change in Functional Disability From Baseline to Month 3

    Measured using the Oswestry Disability Index (ODI), a validated questionnaire assessing disability related to low back pain, scored from 0-100%, with higher scores indicating greater disability.

    Baseline to Month 3

Secondary Outcomes (1)

  • Incidence of Treatment-Emergent Adverse Events (TEAEs)

    Baseline through Month 6

Study Arms (2)

Stem Cell

EXPERIMENTAL
Biological: Umbilical Cord Blood-Derived Stem Cells and Exosomes

Placebo Control (with Crossover)

PLACEBO COMPARATOR
Other: Placebo IV

Interventions

Intravenous infusion of cryopreserved allogeneic umbilical cord blood-derived product containing viable mononuclear cells (including hematopoietic and mesenchymal stem/stromal cells) and exosomes.

Stem Cell

Matched placebo intravenous infusion (administered in the same volume and manner as stem cell and exosome product).

Placebo Control (with Crossover)

Eligibility Criteria

Age18 Years - 85 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age 18-85 years
  • Chronic lower back pain ≥3 months
  • MRI within 12 months demonstrating one or more qualifying diagnoses:
  • Degenerative disc disease Disc bulge or herniation Modic changes Facet joint osteoarthritis Mixed disc and facet pathology
  • Baseline VAS-Average ≥4/10
  • Able to comply with study visits and procedures
  • Able to provide written informed consent
  • Able to meet study cost requirements ($5,000 study fee plus MRI costs, if applicable) as described in the informed consent

You may not qualify if:

  • Pregnancy or breastfeeding
  • Prisoners or decisionally impaired adults
  • Active malignancy (except non-melanoma skin cancer)
  • Immunodeficiency or active systemic infection
  • Prior lumbar surgery within 12 months
  • Epidural steroid or facet joint injection within 3 months
  • Participation in another interventional trial within 30 days
  • Known allergy to product components
  • Any medical condition posing unacceptable risk per investigator judgment.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Adia Med Of Winter Park

Winter Park, Florida, 32789, United States

RECRUITING

MeSH Terms

Conditions

Low Back Pain

Condition Hierarchy (Ancestors)

Back PainPainNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Evan Thomas, MD, PhD

    Adia Med of Winter Park LLC

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Larry Powalisz

CONTACT

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
TREATMENT
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 8, 2026

First Posted

May 14, 2026

Study Start

May 15, 2026

Primary Completion (Estimated)

January 1, 2028

Study Completion (Estimated)

January 1, 2028

Last Updated

May 15, 2026

Record last verified: 2026-05

Data Sharing

IPD Sharing
Will not share

Locations