RecruitingPhase 1Phase 2NCT07166757

Clinical Study to Evaluate XS411 in Treatment of Early-onset Parkinson's Disease

A Phase I/II Clinical Study to Evaluate the Safety, Tolerability, and Efficacy of Human Allogeneic Induced Pluripotent Stem Cell-derived Dopaminergic Neural Progenitor Cell Injection in the Treatment of Early-onset Parkinson's Disease


Sponsor

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

Enrollment

90 participants

Start Date

Sep 22, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This study is a Phase I/II clinical study to evaluate the safety, tolerability, and efficacy of XS411 in the treatment of EOPD. The study consists of two phases: Phase I and Phase II. Phase I study is planned to be conducted in patients with EOPD, using a single-arm, open-label, traditional " 3+3 " dose-escalation design, aiming to investigate the safety, tolerability and preliminary efficacy of XS411 in the treatment of EOPD and to determine the RP2D. Phase I study enrolls 6-12 patients with EOPD. Two dose cohorts (3-6 patients/dose cohort) are planned: 9×10⁶ cells /patient and 1.8 ×10⁷ cells /patient. Each participant will receive a single injection of XS411. Each participant in each dose cohort will be observed for at least 28 days after dosing . If no DLTs occur and the investigator has no other safety concerns for that participant, the next participant in that dose cohort will be enrolled. Phase II study is planned for patients with EOPD, using a randomized, double-blind, sham-controlled, parallel-group design . The study will investigate the efficacy and safety of XS411 in the treatment of EOPD . Phase II study currently plans to enroll 81 patients with EOPD. The patients will be randomly assigned in a 2:1 ratio to either the experimental or control group. Participants in the experimental group will receive a single injection of XS411 in combination with an immunosuppressant at the RP2D determined during the Phase I dose-escalation phase (which may be adjusted based on the Phase II study results). The control group will receive a sham procedure in combination with an immunosuppressant sham.


Eligibility

Min Age: 18 YearsMax Age: 70 Years

Plain Language Summary

Simplified for easier understanding

This trial is testing a new treatment called XS411 for people who developed Parkinson's disease at a young age (early-onset Parkinson's disease, or EOPD). It is aimed at patients whose motor symptoms (like tremor, stiffness, and slowness) are not well controlled even with current medications. **You may be eligible if...** - You were diagnosed with Parkinson's disease between ages 18 and 50 - You are currently between 18 and 70 years old - You have had Parkinson's for at least 5 years - Your symptoms fluctuate significantly during the day (on/off periods) - You respond to the medication levodopa but still have significant motor problems - Your Parkinson's symptoms score (MDS-UPDRS-III) in the off state is over 30 **You may NOT be eligible if...** - You were diagnosed after age 50 (not early-onset) - Your motor symptoms are well-controlled with current medications - You have dementia or severe cognitive decline - You are pregnant or planning to become pregnant Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGhuman allogeneic induced pluripotent stem cell (iPSC)-derived dopaminergic neural progenitor cell injection

5.0×10\^7 cells/mL, injection, once, 12 months


Locations(1)

Huashan Hospital, Fudan University

Shanghai, Shanghai Municipality, China

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NCT07166757


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