The purpose of this Phase I, open-label study is to evaluate the safety and tolerability of intravenous MiraMSC-FS-001 in older adults with mild to moderate frailty syndrome. MiraMSC-FS-001 is an investigational product consisting of allogeneic umbilical cord-derived mesenchymal stem cells (UCMSCs). Eligible participants will receive intravenous administration of MiraMSC-FS-001.
Frailty syndrome (FS) is an age-related clinical condition characterized by reduced physiological reserve and increased vulnerability to adverse health outcomes, including falls, hospitalization, disability, and mortality. Despite its growing prevalence in the aging population, effective treatment options for frailty syndrome remain limited. MiraMSC-FS-001 is an investigational product consisting of allogeneic umbilical cord-derived mesenchymal stem cells (UCMSCs). Preclinical studies have demonstrated the immunomodulatory, anti-inflammatory, and regenerative properties of UCMSCs, supporting their clinical evaluation as a potential treatment for frailty syndrome. In addition, GLP toxicology studies demonstrated a favorable nonclinical safety profile for MiraMSC-FS-001, supporting its further clinical evaluation in humans. This Phase I, open-label, dose-escalation study will evaluate the safety and tolerability of intravenous MiraMSC-FS-001 in older adults with mild to moderate frailty syndrome. Eligible participants will receive intravenous MiraMSC-FS-001 according to the study protocol and will undergo scheduled safety evaluations throughout the study. The results of this study are expected to provide clinical safety information to support the further development of MiraMSC-FS-001.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
12
MiraMSC-FS-001 is an investigational biological product consisting of allogeneic umbilical cord-derived mesenchymal stem cells (UCMSCs). Two treatment cohorts are included: Cohort 1: 9 × 10⁷ cells per dose, administered by intravenous infusion every 2 weeks for a total of 3 doses (total dose: 2.7 × 10⁸ cells). Cohort 2: 9 × 10⁷ cells per dose, administered by intravenous infusion every 2 weeks for a total of 6 doses (total dose: 5.4 × 10⁸ cells).
Maximum Feasible Dose (MFD) of MiraMSC-FS-001
Maximum Feasible Dose (MFD) determined based on the occurrence of dose-limiting toxicities (DLTs) after intravenous administration of MiraMSC-FS-001.
Time frame: Within 14 days after the last study treatment administration (3-dose cohort: last dose on Day 28; 6-dose cohort: last dose on Day 70).
Incidence of dose-limiting toxicities (DLTs) and treatment-emergent adverse events (TEAEs)
Safety and overall tolerability of MiraMSC-FS-001 will be evaluated based on the incidence and nature of dose-limiting toxicities (DLTs), the incidence of treatment-emergent adverse events (TEAEs), the incidence of withdrawals due to adverse events (AEs), changes/shifts in laboratory values, changes in vital signs, and changes in physical examination findings.
Time frame: Baseline through Week 52
Exercise performance measured by 6-minute walk test (6MWT) total distance
The Six-Minute Walk Test (6MWT) measures the total distance walked in six minutes on a hard, flat surface. Greater walking distance indicates better exercise performance.
Time frame: Baseline, End of Treatment, Follow-up 1 (Week 24), Follow-up 2 (Week 36), and Follow-up 3 (Week 52)
Hand grip strength measured by maximum force using a hand dynamometer
Hand grip strength is measured as the maximum force using a hand dynamometer. Higher values indicate greater muscle strength.
Time frame: Baseline, End of Treatment, Follow-up 1 (Week 24), Follow-up 2 (Week 36), and Follow-up 3 (Week 52)
Physical performance measured by Short Physical Performance Battery (SPPB) total score
The Short Physical Performance Battery (SPPB) assesses lower extremity physical function. Total scores range from 0 to 12, with higher scores indicating better physical performance.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: Baseline, End of Treatment, Follow-up 1 (Week 24), Follow-up 2 (Week 36), and Follow-up 3 (Week 52)
Clinical Frailty Scale (CFS) score
The Clinical Frailty Scale (CFS) assesses the overall level of frailty. Scores range from 1 to 9, with higher scores indicating greater frailty.
Time frame: Baseline, End of Treatment, Follow-up 1 (Week 24), Follow-up 2 (Week 36), and Follow-up 3 (Week 52)
Quality of life measured by Falls Efficacy Scale-International (FES-I) questionnaire score
The Falls Efficacy Scale-International (FES-I) assesses concern about falling during daily activities. Scores range from 16 to 64, with higher scores indicating greater concern about falling.
Time frame: Baseline, End of Treatment, Follow-up 1 (Week 24), Follow-up 2 (Week 36), and Follow-up 3 (Week 52)
Physical function measured by PROMIS Physical Function Short Form 20a score
The Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function Short Form 20a assesses self-reported physical function. Total raw scores are converted to standardized T-scores (mean = 50, standard deviation = 10), with higher T-scores indicating better physical function.
Time frame: Baseline, End of Treatment, Follow-up 1 (Week 24), Follow-up 2 (Week 36), and Follow-up 3 (Week 52)
Quality of life measured by 36-Item Short Form (SF-36) survey score
The 36-Item Short Form Survey (SF-36) assesses health-related quality of life. Scores range from 0 to 100, with higher scores indicating better health-related quality of life.
Time frame: Baseline, End of Treatment, Follow-up 1 (Week 24), Follow-up 2 (Week 36), and Follow-up 3 (Week 52)