Mesenchymal Stem Cells With Cooling Therapy for Infants With Hypoxic-Ischemic Encephalopathy
NCT07018739 · Status: NOT_YET_RECRUITING · Phase: PHASE1/PHASE2 · Type: INTERVENTIONAL · Enrollment: 40
Last updated 2025-11-19
Summary
Hypoxic-ischemic encephalopathy (HIE) is a serious condition in newborns caused by lack of oxygen and blood flow around the time of birth. Standard treatment with cooling therapy (therapeutic hypothermia) lowers the risk of death or disability, but many infants still suffer long-term problems.
This study will test whether adding stem cell therapy after cooling can further improve outcomes. The stem cells are taken from donated human placentas (Wharton's jelly-derived mesenchymal stem cells, MSCs). The cells are prepared under strict laboratory standards and checked for safety.
Infants with moderate to severe HIE who have completed cooling will be randomly assigned to receive either three intravenous infusions of MSCs or placebo within the first 10 days of life. Each infusion is given over about 30 minutes while the infant is closely monitored.
Researchers will follow participants for up to 2 years. The main outcome is whether MSC treatment can reduce the combined risk of death or serious developmental delay at 1 year of age. The study will also track brain MRI findings, safety events, and developmental progress at 2 years.
Conditions
- Hypoxic-Ischemic Encephalopathy, Neonatal
- Brain Injuries, Hypoxic-Ischemic
Interventions
- BIOLOGICAL
-
Wharton's jelly-derived mesenchymal stem cells
MSCs (2x10\^6 cells/kg) in 10 mL 0.9%normal saline administered intravenously within 10 days, postnatally after TH completion, every 24 hours for 3 consecutive days
- DRUG
-
0.9 % Normal Saline
0.9% normal saline 10 mL administered intravenously within 10 days, postnatally after TH completion, every 24 hours for 3 consecutive days
Sponsors & Collaborators
-
Siriraj Hospital
collaborator OTHER -
Mahidol University
lead OTHER
Principal Investigators
-
Ratchada Kitsommart, MD · Mahidol University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 4 Days
- Max Age
- 9 Days
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-06-30
- Primary Completion
- 2032-12-31
- Completion
- 2033-12-31
Countries
- Thailand
Study Locations
More Related Trials
-
Melatonin as a Neuroprotective Therapy in Neonates With HIE Undergoing Hypothermia
NCT02621944 ·Status: RECRUITING ·Phase: EARLY_PHASE1
-
Neonatal Erythropoietin And Therapeutic Hypothermia Outcomes in Newborn Brain Injury (NEATO)
NCT01913340 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Melatonin Treatment for Newborn Infants With Moderate to Severe Hypoxic Ischemic Encephalopathy
NCT01904786 ·Status: WITHDRAWN ·Phase: PHASE1
-
Study of hCT-MSC in Newborn Infants With Moderate or Severe HIE
NCT03635450 ·Status: COMPLETED ·Phase: PHASE1
-
Cool Prime Comparative Effectiveness Study for Mild HIE
NCT04621279 ·Status: RECRUITING
-
Is Feeding During Therapeutic Hypothermia Safe and Can Improve Outcomes in Infants With Hypoxic-ischaemic Encephalopathy
NCT06394453 ·Status: RECRUITING ·Phase: NA
-
Neuroprotective Effect of Autologous Cord Blood Combined With Therapeutic Hypothermia Following Neonatal Encephalopathy
NCT02551003 ·Status: WITHDRAWN ·Phase: PHASE1/PHASE2
-
High-dose Erythropoietin for Asphyxia and Encephalopathy
NCT02811263 ·Status: COMPLETED ·Phase: PHASE3
-
MRI Thermal Imaging of Infants Undergoing Cooling for Hypoxic Ischemic Encephalopathy(HIE)
NCT01128673 ·Status: WITHDRAWN
-
Correlation of Risk Factors and Severity of Hypoxic-ischaemic Encephalopathy
NCT02800018 ·Status: COMPLETED
-
A Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of RLS-0071 in Newborns With Moderate or Severe Hypoxic-Ischemic Encephalopathy Undergoing Therapeutic Hypothermia
NCT05778188 ·Status: RECRUITING ·Phase: PHASE2
-
Characterization of the Cord Blood Stem Cell in Situation of Neonatal Asphyxia
NCT01284673 ·Status: COMPLETED ·Phase: NA
-
Metformin Treatment in Infants After Perinatal Brain Injury
NCT05590676 ·Status: TERMINATED ·Phase: PHASE1
-
Neurological Outcome After Erythropoietin Treatment for Neonatal Encephalopathy
NCT00808704 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Moderate Hypothermia in Neonatal Hypoxic Ischemic Encephalopathy
NCT02826941 ·Status: COMPLETED ·Phase: PHASE2
-
Pilot Study of Head Cooling in Preterm Infants With Hypoxic Ischemic Encephalopathy
NCT00620711 ·Status: COMPLETED ·Phase: PHASE1
-
Clinical Utility of Serum Biomarkers for the Management of Neonatal Hypoxic Ischemic Encephalopathy (Control Levels)
NCT02349672 ·Status: COMPLETED
-
Amnioinfusion for Intrauterine Neuroprotection
NCT05513690 ·Status: UNKNOWN ·Phase: NA
-
Hyperbaric Oxygen Therapy Improves Outcome of Hypoxic-Ischemic Encephalopathy
NCT02894866 ·Status: UNKNOWN ·Phase: NA
-
Erythropoietin in Management of Neonatal Hypoxic Ischemic Encephalopathy
NCT03163589 ·Status: UNKNOWN ·Phase: PHASE3
-
Assess Safety and Efficacy of Sovateltide in Hypoxic-ischemic Encephalopathy
NCT05514340 ·Status: RECRUITING ·Phase: PHASE2
-
Hypothermia During ECMO to Decrease Brain Injury
NCT01675388 ·Status: WITHDRAWN ·Phase: NA
-
Neonates with Hypoxic Ischemic Encephalopathy (HIE)
NCT06694545 ·Status: NOT_YET_RECRUITING
-
Intranasal Human Milk for Intraventricular Hemorrhage
NCT04225286 ·Status: UNKNOWN ·Phase: NA
-
The Effects of Minimal Enteral Nutrition on Mesenteric Blood Flow and Oxygenation in Neonates With HIE
NCT06344286 ·Status: COMPLETED ·Phase: NA