Allogenic Adipose-derived Mesenchymal Stem Cells(AMSCs) for Epilepsy During Deep Brain Stimulation(DBS) Surgery

Last updated: April 21, 2025
Sponsor: Sanjeet S. Grewal
Overall Status: Active - Recruiting

Phase

1

Condition

Epilepsy

Treatment

AMSCs

Clinical Study ID

NCT06280092
23-009133
  • Ages 18-75
  • All Genders

Study Summary

This study is a non-randomized, open label, phase 1 clinical trial to evaluate the fesibility and safety of intrathalamic delivery of MSCs during standard of care DBS surgery for epilepsy.

Subjects will be screened at our outpatient clinic and interested qualified subjects will be consented and offered participation in this trial. Once consent has been obtained, patients will undergo a standard preoperative evaluation which includes baseline laboratory values and a high-definition MRI. Patients will then undergo a stereotactic procedure for bilateral thalamic implantation of DBS leads through the ClearPoint® system. After the thalamic target for DBS is identified, cells will be infused directly into the anterior nucleus of the thalamus previous to lead implantation.

Patients will be followed in the outpatient setting for up to a year after therapy application.

Surgical, clinical, and radiographic data will be obtained during these visits

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Participants ≥ 18 years of age.

  • Participants with Drug Resistance Epilepsy as defined by the ILAE5.

  • Participants undergoing bilateral implantation of DBS leads into the anteriornucleus of the thalamus.

  • Adequate organ function as assessed by the following laboratory values within 3weeks prior to admission to the study:

  • Serum creatinine and urea < 2 times the upper limit of normal;

  • ALT, AST and alkaline phosphatase < 3 times the upper limit of normal, and bilirubin < 2.5 mg/dL;

  • Prothrombin time ≤ 1.5 times upper limit of normal;

  • INR and PTT ≤ 1.5 times the upper limit of normal;

  • Hemoglobin ≥ 9 g/dL;

  • Platelets ≥ 100 x 10^9/L;

  • Absolute Neutrophil Count (ANC) ≥ 1.5 x 10^9/L.

  • Patient or legal guardian is able to fully understand and provide written and verbalconsent for the protocol.

  • Patient is a candidate for ANT DBS based on the following criteria established bythe American Society for Stereotactic and Functional Neurosurgeons:

  • Confirmed diagnosis of epilepsy by an epileptologist with focal-onset seizures, withor without generalization;

  • Failure to adequately control seizures after two (or more) appropriate andadequately-dosed anti-seizure medications;

  • Either partial-onset seizures with a localized onset in a region not amenable toresection or following failed resective surgery or focal-onset seizures withdistributed or unclear onset zone.

Exclusion

Exclusion Criteria:

  • Patients who have undergone a prior intracranial procedure for epilepsy.

  • Patients with an intracranial tumor.

  • Confirmed pregnancy.

  • History of cancer not in remission for at least 5 years.

  • History of diabetes, chronic renal failure, or other significant underlying medicalor ----immunosuppressive conditions.

  • History of drug or alcohol abuse.

  • Subjects allergic to any component of the investigational product.

  • Subjects > 75 years of age.

  • Cognitively impaired adults.

Study Design

Total Participants: 5
Treatment Group(s): 1
Primary Treatment: AMSCs
Phase: 1
Study Start date:
December 23, 2024
Estimated Completion Date:
March 31, 2026

Study Description

To investigate the feasibility and safety of local delivery of AMSCs for epilepsy by measuring the incidence of AEs related to the study agent.

To investigate the effects of local delivery of AMSCs for epilepsy as measured by radiographic data on MRI.

Connect with a study center

  • Mayo Clinic

    Jacksonville, Florida 32224
    United States

    Active - Recruiting

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