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