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. 2020 Aug 19;2020(8):CD013202. doi: 10.1002/14651858.CD013202.pub2

NCT02854579.

Study name Neural progenitor cell and paracrine factors to treat hypoxic ischaemic encephalopathy
Methods Open‐label randomised interventional study
Participants Inclusion criteria
  • Gestational age ≥ 34 weeks, body weight ≥ 2 kg

  • 1 minute Apgar score ≤ 3, and 5 minutes Apgar score ≤ 5; or umbilical arterial blood gas potential of hydrogen < 7.0; or 30 minutes base excess ≤ −12 mmol/L; or need for ventilation 5 minutes after birth.

  • All infants must have signs of encephalopathy (such as convulsion, coma, dystonia, abnormal primitive reflex and irregular respiration) within 6 hours of age or continued abnormal EEG for more than 24 h.

Interventions
  • Intervention: neural progenitor cell: 3 doses of neural progenitor cell (4*10⁶) intrathecally at 48 to 72 h, 5 d and 10 d after birth + routine therapy

  • Intervention:  paracrine factors: 3 doses of concentrated paracrine factors of human mesenchymal stem cell (0.5 ml) intrathecally at 12 h, 24 h, 48 h after birth + routine therapy

  • Intervention: neural progenitor cell and paracrine factors:  3 doses of concentrated paracrine factors 0.5 ml intrathecally at 12h, 24h, 48h after birth. And 3 doses of neural progenitor cell (4*10⁶) intrathecally at 48 to 72 h, 5 d and 10 d after birth + routine therapy

  • No intervention:  routine therapy

Outcomes Sample size 120 neonates, up to 14 days of life
Primary outcomes
  • Neonatal Behavioral Neurological Assessment at 14 days and at 28 days of life

  • Number of adverse events 7 days following cells/factor injection (fever, infection, seizures, haemorrhage coursed by interventions)


Secondary outcomes
  • Bayley score at 12 months and 18 month after birth

  • Peabody development measure scale at 12 months and 18 months after birth

  • Number of death within  1 years after birth 

  • Number of participants with treatment‐related central nervous tumour as assessed by Magnetic Resonance Imaging or CT within 5 years after birth

Starting date January 2013
Contact information Study Chair: Zuo Luan, MD, Navy General Hospital
Notes Study sponsor: Navy General Hospital, Beijing