RecruitingPhase 1NCT07118319

The Safety, Tolerability and Preliminary Efficacy of Derived Motor Neuron Progenitor Cells (XS228CN) in Subjects With Amyotrophic Lateral Sclerosis

A Phase I Study to Assess the Safety, Tolerability and Preliminary Efficacy of Human Allogeneic Induced Pluripotent Stem Cells (iPSCs) -Derived Motor Neuron Progenitor Cells (XS228CN) in Subjects With Amyotrophic Lateral Sclerosis


Sponsor

XellSmart Bio-Pharmaceutical (Suzhou) Co., Ltd.

Enrollment

12 participants

Start Date

Sep 15, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

A Phase I Study to Assess the Safety, Tolerability and Preliminary Efficacy of Derived Motor Neuron Progenitor Cells (XS228CN) in Subjects with Amyotrophic Lateral Sclerosis


Eligibility

Min Age: 18 YearsMax Age: 75 Years

Inclusion Criteria5

  • 18-75 years of age (inclusive of 18 and 75 years), regardless of gender;
  • Diagnosed of definite or probable ALS according to the revised EI Escorial criteria;
  • Respiratory function FVC at baseline was ≥70% of the predicted value (FVC%);
  • Patients with birth-potential (both male and female) must agree to use effective non-drug contraceptive measures from the time of signing the informed consent until 6 months after the conclusion of the trial;
  • Volunteer to participate in the clinical study, understand and sign the informed consent form.

Exclusion Criteria21

  • Subject has signs and symptoms of neuromuscular weakness, and other causes of muscle weakness cannot be ruled out;
  • Baseline body mass index (BMI) < 18.5 kg/m²;
  • Primary lateral sclerosis presenting only with upper motor neuron symptoms;
  • Significant psychiatric disorders that the investigator assesses may affect evaluation;
  • Diseases causing neurological or muscular dysfunction, such as metabolic muscle diseases or myasthenia gravis;
  • Diagnosed autoimmune diseases with uncontrolled severe arthritis or other conditions (e.g., lameness) that the investigator assesses may affect evaluation;
  • Acute active infections requiring antibiotics, antivirals, or antifungals that occurred within the 2 weeks prior to screening and are not controlled;
  • Subject diagnosed with active pulmonary tuberculosis or treated for suspected tuberculosis;
  • Diagnosed severe pulmonary diseases that the investigator assesses may affect evaluation;
  • Poorly controlled hypertension;
  • Previous or detected cardiac abnormalities;
  • A history of cirrhosis, chronic hepatitis, or liver function at screening;
  • A history of chronic kidney disease;
  • Previous history of bleeding, abnormal clotting, or being treated with anticoagulation;
  • Active hepatitis B, active hepatitis C, human immunodeficiency virus (HIV) antibody or treponema pallidum antibody positive at screening;
  • History of severe trauma or surgery and may affect the assessment judged by investigator;
  • Subjects with contraindications to lumbar puncture, including menifestations of injection site infection or high intracranial pressure.
  • Those who have had a malignant tumor within 5 years prior to screening or are undergoing antitumor therapy;
  • Have participated in other clinical trials within 3 months prior to screening;
  • Pregnant or breastfeeding women;
  • Subject who is judged by the investigator to be unsuitable for the clinical trial.

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Interventions

DRUGHuman Allogeneic Induced Pluripotent Stem Cells (iPSCs) -Derived Motor Neuron Progenitor Cells (XS228CN)

Injection, once, 6 months

DRUGHuman Allogeneic Induced Pluripotent Stem Cells (iPSCs) -Derived Motor Neuron Progenitor Cells (XS228CN)

Injection, every two weeks for four doses, 6 months


Locations(1)

Peking University Third Hospital

Beijing, Beijing Municipality, China

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NCT07118319


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