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OpenTrials
Active, Not Recruiting

NCT Number: NCT05315661

The Safety and The Efficacy Evaluation of ET-STEM in Patients With Frontotemporal Dementia

The primary purpose of this study is to evaluate the safety and the tolerability of 3 repeated doses of ET-STEM (Mesenchymal stem cells preconditioned with ethionamide) in patients with FTD.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

Key information

About this study

Subjects with FTD, who signed the informed consent form and meet the eligibility criteria will undergo Ommaya reservoir insertion. 2 weeks after Ommaya reservoir insertion, the subjects will be injected with 3x10^7 cells/2mL of ET-STEM to intraventricular space via an Ommaya reservoir. The injection will be repeated 3 times at 4 week intervals. The subjects will be hospitalized for 24 hours and observed for acute adverse events. 4 weeks after the 3rd injection, safety and potential efficacy will be assessed.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Korean male or female at 40-85 years of age
  • Diagnosis of one of the 3 subtyes of FTD according to the diagnostic criteria for 3 subtypes of FTD

① Probable bvFTD (behavior variant FTD)

② svPPA (semantic variant primary progressive aphasia)

③ nfvPPA (nonfluent/agrammatic variant primary progressive aphasia)

  • K-MMSE ≥ 10
  • Subjects with trusted caregivers who regularly contact the subjects and can accompany the subjects when visiting the hospital.
  • Negative result of amyloid PET imaging
  • A subject who is informed of the clinical trial and signs a consent form (If unable to sign, a consent from a legally acceptable representative is required)

Exclusion criteria

  • Subjects with dementia cause by other than FTD (i.e. infection of central nervous system, Creutzfeld-Jacob disease, severer head trauma, Huntington's disease, Parkinson's disease, Alzheimer's disease and vascular dementia)
  • Subjects with psychological disorder. (i.e. depression, schizophrenia , bipolar disorder, etc) (except for subjects who were misdiagnosed with psychological disease due to the initial neuropsychiatric symptoms of FTD)
  • Subjects with uncontrolled hypotension, hypertension, diabetes and thyroid disease.
  • Subjects with a cancer (including brain tumor)
  • Subjects with bleeding disorder
  • Woman of childbearing age who refused to practice medically acceptable contraceptive method (post menopausal patient with no menstruation for at least 12 months is considered as infertile)
  • Pregnant or lactating females
  • History of stroke within 3 months prior to study enrollment
  • Substance/alcohol abuse 1
  • Contraindicated for any of the tests performed during the clinical trial period(for example, MRI, CT,PET)
  • A subject in whom Ommaya reservoir insertion and general anesthesia are considered difficult
  • Abnormal Laboratory findings at Screening
  • Suspected active lung disease based on chest X-ray at Screening
  • Positive hepatitis B nuclear antibody and hpatitis C antibody
  • Subjects who the principal investigator considers inappropriate for participation in the study due to the possible harmful effect on the subjects,difficulty in study completion, or previous or current medical conditions that may disturb evaluation of study results
  • Subjects who the principal investigator considers impossible to comply with clinical research procedures.

Treatment and study plan

ET-STEM

Drug

mesenchymal stem cells preconditioned with ethionamide

Primary outcomes

  1. To determine DLT (Dose limiting toxicity)

    Time frame: First 3-week cycle of treatment

    incidence rate of DLT (Dose limiting toxicity)

  2. adverse events as assessed by CTCAE v5.0

    Time frame: up to 5years

    all potentially treated subjects to assess the safety

Secondary outcomes

  1. ADAS-Cog 13 response rate

    Time frame: Screening, after the first administration12weeks, 48weeks, 96weeks, 144weeks, 192weeks, 240weeks

    response rate, no change or improvement on ADAS cog 13 score

  2. The Clinical Dementia Rating Sum of Boxes

    Time frame: Screening, after the first administration12weeks, 48weeks, 96weeks, 144weeks, 192weeks, 240weeks

    Change from the baseline in CDR-SB, min 0, max 24, higher scores mean a worse outcome

  3. Alzheimer's Disease Cooperative Study- instrumental items of the Activities of Daily Living Inventory

    Time frame: the first administration12weeks, 48weeks, 96weeks, 144weeks, 192weeks, 240weeks

    Change from the baseline in ADCS-iADL, min 0, max78, higher scores mean a better outcome

  4. Caregiver-administered Neuropsychiatric Inventory

    Time frame: the first administration12weeks, 48weeks, 96weeks, 144weeks, 192weeks, 240weeks

    Change from the baseline in CGA-NPI, min 0, max 144, higher scores mean a worse outcome

  5. preliminary efficacy

    Time frame: up to 12weeks

    Change from the baseline in CSF biomarkers

  6. K-MMSE

    Time frame: the first administration12weeks, 48weeks, 96weeks, 144weeks, 192weeks, 240weeks

    Korean Mini-Mental State Examination(MMSE), min 0, max 30, higher scores mean a better outcome

Sponsors and collaborators

Lead sponsor

Samsung Medical Center

Other

Registry information

Official study title

Clinical Assessment on the Safety and Potential Efficacy of Mesenchymal Stem Cells Preconditioned With Ethionamide (ET-STEM) in Patients With Frontotemporal Dementia (FTD)

Acronym: FTD_ET-STEM

Important dates

Study start
2022
Primary completion
2026
Study completion
2026
First posted
Apr 7, 2022
Registry last updated
Feb 21, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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