FIH Study of NRTX-1001 Neural Cell Therapy in Drug-Resistant Unilateral Mesial Temporal Lobe Epilepsy

Last updated: April 3, 2025
Sponsor: Neurona Therapeutics
Overall Status: Active - Recruiting

Phase

1/2

Condition

Epilepsy

Seizure Disorders

Treatment

NRTX-1001

Sham Comparator

Clinical Study ID

NCT05135091
NTE001
  • Ages 18-75
  • All Genders

Study Summary

This clinical trial is designed to test whether a single image-guided intracerebral administration of inhibitory nerve cells, called interneurons (NRTX-1001), into subjects with drug-resistant unilateral mesial temporal lobe epilepsy (MTLE), with or without mesial temporal sclerosis (MTS), is safe (frequency of adverse events) and effective (seizure frequency). NRTX-1001 comprises human interneurons that secrete a neurotransmitter, gamma-aminobutyric acid (GABA).

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  1. Male or Female, age ≥18 to 75

  2. Focal seizures, clinically defined as unilateral MTLE

  3. Has failed to achieve seizure control despite adequate trials of at least 2 ASDs atappropriate doses

  4. Currently on stable doses (at least 1 month) of approved ASDs

  5. Single seizure focus confirmed within one hippocampus

  6. Seizure frequency averages ≥4 per 28-day period, including at least 2 clinical focalseizures per 28-day period with objective manifestations or more severe types, overthe 6 months prior to the Screening Visit.

  7. Considered (by Investigator) to be a candidate for temporal lobectomy (TL) or LaserInterstitial Thermal Therapy (LITT) following evaluation at a qualified epilepsysurgery program (National Association of Epilepsy Centers [NAEC] Level 4).

Exclusion

Key Exclusion Criteria:

  1. Epilepsy due to other and/or progressive neurologic disease

  2. Evidence of seizure focus outside of the hippocampus or evidence of seizures of non-focal origin.

  3. Significant other medical conditions which would impair safe participation

  4. History of status epilepticus in the year prior to screening. A history of clusterseizures is permitted.

  5. Primary or secondary immunodeficiency

  6. Suicide attempts in the past year

  7. Severe psychiatric disorders

  8. Prior lobectomy or LITT procedure

  9. MRI indicating potential malignant lesion

  10. Pregnancy, or currently breastfeeding.

Study Design

Total Participants: 58
Treatment Group(s): 2
Primary Treatment: NRTX-1001
Phase: 1/2
Study Start date:
June 16, 2022
Estimated Completion Date:
February 28, 2042

Study Description

Subjects will undergo a single CT or MRI-guided intracerebral administration of human interneurons that secrete the inhibitory neurotransmitter, gamma-aminobutyric acid (GABA), into the temporal lobe region of the brain where the seizures are thought to arise. NRTX-1001 is intended to suppress the onset and spread of seizures. Safety, tolerability, and effects on reducing seizure frequency and epilepsy disease symptoms will be assessed at quarterly intervals for 2 years after the administration of NRTX-1001. After the two-year period, subjects will be followed with quarterly phone calls and annual visits in years 3 through 5, and then annual visits in years 6 through 15. Subjects will be placed on an immunosuppressant medication regimen for a duration of one year to partially suppress the subjects' immune system to promote the intended long-term persistence of NRTX-1001. This immunosuppressant medication is intended to be discontinued after the first year; however, the NRTX-1001 cells are intended to persist long-term.

Connect with a study center

  • Mayo Clinic

    Phoenix, Arizona 85054
    United States

    Active - Recruiting

  • Mayo Clinic Arizona Epilepsy Center

    Phoenix, Arizona 85054
    United States

    Active - Recruiting

  • Banner-University of Arizona Medical Center Tucson Comprehensive Epilepsy Program

    Tucson, Arizona 85724-5023
    United States

    Active - Recruiting

  • University of Arkansas for Medical Sciences

    Little Rock, Arkansas 72205
    United States

    Active - Recruiting

  • University of California Los Angeles

    Los Angeles, California 90095
    United States

    Active - Recruiting

  • University of Southern California Keck Hospital

    Los Angeles, California 90033
    United States

    Active - Recruiting

  • UC Irvine Medical Center

    Orange, California 92868
    United States

    Active - Recruiting

  • Stanford University

    Palo Alto, California 94304
    United States

    Active - Recruiting

  • University of California Davis

    Sacramento, California 95817
    United States

    Active - Recruiting

  • University of California San Diego

    San Diego, California 92037
    United States

    Active - Recruiting

  • University of California San Francisco

    San Francisco, California 94143
    United States

    Active - Recruiting

  • University of Colorado Anschutz Medical Campus

    Aurora, Colorado 80045
    United States

    Active - Recruiting

  • University of Miami

    Miami, Florida 33136
    United States

    Active - Recruiting

  • Rush University Medical Center

    Chicago, Illinois 60612
    United States

    Active - Recruiting

  • University of Chicago

    Chicago, Illinois 60637
    United States

    Active - Recruiting

  • University of Iowa Health Care

    Iowa City, Iowa 52242
    United States

    Active - Recruiting

  • Ochsner Clinic Foundation

    New Orleans, Louisiana 70121
    United States

    Active - Recruiting

  • Beth Israel Deaconess Medical Center

    Boston, Massachusetts 02215
    United States

    Active - Recruiting

  • Wayne State University/Detroit Medical Center Comprehensive Epilepsy Program

    Detroit, Michigan 48201
    United States

    Active - Recruiting

  • University of Nebraska

    Omaha, Nebraska 68198
    United States

    Active - Recruiting

  • NYU Langone Comprehensive Epilepsy Center

    New York, New York 10016
    United States

    Active - Recruiting

  • SUNY Upstate Medical University

    Syracuse, New York 13210
    United States

    Active - Recruiting

  • Atrium Health

    Charlotte, North Carolina 28204
    United States

    Active - Recruiting

  • Duke University Hospital

    Durham, North Carolina 27710
    United States

    Active - Recruiting

  • Atrium Wake Forest Baptist

    Winston-Salem, North Carolina 27157
    United States

    Active - Recruiting

  • Oregon Health and Science University

    Portland, Oregon 97239
    United States

    Active - Recruiting

  • Thomas Jefferson University Hospital

    Philadelphia, Pennsylvania 19107
    United States

    Active - Recruiting

  • UTHealth Houston

    Houston, Texas 77030
    United States

    Active - Recruiting

  • University of Utah Health

    Salt Lake City, Utah 84108
    United States

    Active - Recruiting

  • Medical College of Wisconsin

    Milwaukee, Wisconsin 53226
    United States

    Active - Recruiting

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