๐ฌIn plain words
What the trial is, and whether it could suit you
The goal of this clinical trial is to evaluate the safety of B2065, an allogeneic adipose-derived mesenchymal stromal cell (AD-MSC) injection. It will also assess whether B2065 works to treat acute ischemic stroke. The main questions it aims to answer are:
At what dose range is the drug safe for participants?
Which dose shows preliminary efficacy?
Researchers will compare B2065 to a placebo (a look-alike substance that contains no drug) to see if B2065 works to treat acute ischemic stroke.
Participants will:
Receive a single dose of B2065 during hospitalization
Visit the hospital as scheduled for safety and efficacy assessments
Sign in to get the eligibility rules as simple questions to take to your doctor.
๐ Eligibility rules (as published)
Inclusion Criteria
1. Aged 18 to 75 years (inclusive of the boundary values), with no restriction on sex.
2. Patients with ischemic stroke confirmed by imaging examinations (CT/MRI).
3. Time from onset of stroke symptoms to administration of the investigational product โค36 hours; for wake-up stroke, the time of onset is defined as the last-known-well time (the last time the patient was observed to be normal).
4. NIHSS score at screening is 8 to 20.
5. The patient or legally authorized representative is willing to participate in this trial and agrees to sign the informed consent form.
Exclusion Criteria
1. Patients who have received intravenous thrombolysis and/or mechanical thrombectomy prior to dosing.
2. Modified Rankin Scale (mRS) score โฅ2 before stroke onset.
3. Patients who currently have intracranial hemorrhagic diseases (e.g., intracerebral hemorrhage, epidural hematoma, subarachnoid hemorrhage, etc.), or who have brain tumors, cerebrovascular malformations, multiple sclerosis, a history of severe traumatic brain injury, encephalitis, or other conditions causing stroke-like symptoms.
4. Patients who are unable to undergo CT and/or MRI examinations.
5. Patients with decreased level of consciousness (NIHSS item 1a score โฅ2).
6. Patients who may have major neurologic or psychiatric disorders that seriously interfere with the participant's compliance with trial assessments.
7. Body temperature \>38ยฐC prior to dosing, and the investigator assesses that there is a risk of infection.
8. Patients with uncontrollable active infection; or patients who have received systemic anti-infective therapy within 7 days prior to dosing and, in the investigator's judgment, may be likely to convert to uncontrollable active infection in the short term.
9. Patients with current or prior severe diseases of other organ systems, including but not limited to:
1. Patients with severe heart failure (NYHA Class III or IV) and/or severe respiratory failure;
2. Patients with renal disease with estimated glomerular filtration rate (eGFR) \<30 mL/min/1.73 mยฒ;
3. Advanced liver disease, such as hepatitis or liver cirrhosis;
4. Patients positive for hepatitis B surface antigen (HBsAg) and/or hepatitis B e antigen (HBeAg); patients positive for hepatitis B e antibody (HBeAb) and/or hepatitis B core antibody (HBcAb) with quantitative HBV-DNA above the upper limit of normal; patients with any of the following test results positive: hepatitis C virus antibody (HCV-Ab), Treponema pallidum antibody (TP-Ab), or human immunodeficiency virus antibody (HIV-Ab);
5. Patients with hypertension not controlled after taking therapeutic medications, with systolic blood pressure โฅ185 mmHg and/or diastolic blood pressure โฅ110 mmHg;
6. Blood glucose \<2.8 mmol/L (50 mg/dL) or \>22.2 mmol/L (400 mg/dL).
10. Screening laboratory tests meeting any of the following criteria:
1. Serum alanine aminotransferase (ALT) โฅ3ร upper limit of normal (ULN);
2. Serum aspartate aminotransferase (AST) โฅ3ร ULN;
3. Serum creatinine (Cr) โฅ2ร ULN;
4. Absolute neutrophil count (ANC) \<1.5ร10\^9/L;
5. Platelet count (PLT) \<100ร10\^9/L;
6. Hemoglobin (Hgb) \<90 g/L;
7. International normalized ratio (INR) \>1.7 or activated partial thromboplastin time (APTT) \>1.25ร ULN.
11. Patients with malignant tumors or other diseases with an expected survival of less than 2 years.
12. Patients with other acquired or congenital immunodeficiency diseases, or those currently using immunosuppressants.
13. Patients who, upon screening inquiry, have alcohol dependence or a history of drug abuse.
14. Pregnant or breastfeeding women; or those who plan to conceive, donate sperm, or donate oocytes during the trial and/or are unwilling to take effective contraception measures.
15. Patients who participated in any other clinical trial within 1 month prior to screening.
16. Patients who are allergic to any component of the investigational product.
17. Patients deemed by the investigator to be unsuitable for participation in this trial.