The goal of this clinical trial is to evaluate the safety of B2065, an allogeneic adipose-derived mesenchymal stromal cell (AD-MSC) injection. It will also assess whether B2065 works to treat acute ischemic stroke. The main questions it aims to answer are: At what dose range is the drug safe for participants? Which dose shows preliminary efficacy? Researchers will compare B2065 to a placebo (a look-alike substance that contains no drug) to see if B2065 works to treat acute ischemic stroke. Participants will: Receive a single dose of B2065 during hospitalization Visit the hospital as scheduled for safety and efficacy assessments
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
54
Administered by intravenous infusion.
Administered by intravenous infusion.
Beijing Tiantan Hospital, Capital Medical University
Beijing, China
RECRUITINGIncidence of Dose-Limiting Toxicities (DLTs) [Safety]
Percentage of participants experiencing DLTs during the Phase 1 dose-escalation stage.
Time frame: Within 28 days after dosing.
Incidence of Infusion-Related Reactions [Safety]
Percentage of participants experiencing infusion-related reactions, including hypersensitivity reactions and systemic complications.
Time frame: Within 7 days, 14 days, and 28 days.
All-Cause Mortality Rate [Safety]
Proportion of participants who die from any cause during the study period.
Time frame: Within 14 days,12 months, and 24 months.
Incidence of abnormal imaging findings indicative of tumorigenicity [Safety]
Percentage of participants with newly detected tumorous lesions as assessed by chest and abdominal CT scans.
Time frame: Month 6 and month 24.
Change from baseline in serum tumor marker levels [Safety]
Evaluation of serum levels of tumor markers
Time frame: Change from baseline at Month 6 and Month 24.
Incidence and severity of Treatment-Emergent Adverse Events (TEAEs) [Safety]
Percentage of participants experiencing one or more TEAEs, serious adverse events (SAEs), or adverse events leading to study discontinuation.
Time frame: Day1 to month 24 post-dose.
Proportion of participants achieving a modified Rankin Scale (mRS) score of 0-2 [Efficacy]
Percentage of participants achieving functional independence (mRS score 0-2). The mRS is a 7-level scale ranging from 0 (no symptoms) to 6 (death).
Time frame: Day 28, day 90, month 6, and month 12.
Proportion of participants achieving a modified Rankin Scale (mRS) score of 0-1 [Efficacy]
Percentage of participants achieving a favorable clinical outcome (mRS score 0-1).
Time frame: Day 28, day 90, month 6, and month 12.
Proportion of participants with neurological improvement based on NIH Stroke Scale (NIHSS) [Efficacy]
Percentage of participants with a decrease in NIHSS score of ≥4 points from baseline, or achieving an absolute NIHSS score ≤1.
Time frame: 24 hours, day 3, day 7, day 14, and month 12.
Change from baseline in NIH Stroke Scale (NIHSS) score [Efficacy]
Quantitative assessment of neurological deficit changes from baseline. Scores range from 0 (no deficit) to 42 (severe deficit).
Time frame: 24 hours, day 3, day 7, day 14, and month 12.
Proportion of participants achieving a Barthel Index (BI) score of 95-100 [Efficacy]
Percentage of participants with slight or no disability (BI score 95-100). Total score ranges from 0 (complete dependence) to 100 (independence).
Time frame: Day 28, day 90, month 6, and month 12.
Change from baseline in EQ-5D-5L Index Score [Quality of Life]
Standardized measure of health status across 5 dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression).
Time frame: Day 28, day 90, month 6, and month 12.
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