ClinicalTrials.gg
CompletedNCT03252535ADORE-DHUpdated Sep 19, 2025Results posted

Dose-response Evaluation of the Cellavita HD Product in Patients With Huntington's Disease

A Phase 2 interventional study of Cellavita HD lower dose and Cellavita HD higher dose in Huntington Disease, sponsored by Azidus Brasil. Completed at 1 site in Brazil. Open to participants aged 21 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-09-19.

Sponsored by Azidus Brasil · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
49
Allocation
Randomized
Ages
21 Years to 65 Years
Sex
All
01

Study summary

Cellavita HD is a stem-cell therapy for Huntington's Disease. This is a prospective, phase II, single-center, randomized (2:2:1), triple-blind, placebo controlled study, with two test doses of Cellavita HD product.

Read the detailed description

This is a phase II dose-response study in which participants with HD will receive three intravenous injections of the investigational product or placebo (one every month for three months) a total of three cycles. The subjects will be randomized in 2: 2: 1 ratio for the groups G1: lower dose (1x10\^6 cells/weight range), G2: higher dose (2x10\^6 cells/weight range) or G3: placebo. To identify the dose of the product that will provide the best clinical response, motor assessment will be performed with UHDRS scale and improvement will be evaluated by correlating before and after treatment scores. Additionally, also will be performed the combined score through the cUHDRS. Secondary evidences of efficacy will be evaluated through the data of functional state, total functional capacity, functional independence, psychiatric symptoms and cognition from UHDRS scale. Additionally, related data to clinical worsening, change of Body Mass Index (BMI), risk of suicide attempt and neurological image improvement will be evaluated. Safety evaluation will included the incidence and classification of the adverse events experienced by the subjects during the study.

02

Conditions studied

  • Huntington Disease

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Keywords

  • Huntington disease
  • Stem cell therapy
  • Dental pulp stem cell
03

In context

Huntington Disease

293 studies on the registry are indexed under Huntington Disease; 54 are open to participants now.

This study's enrollment of 49 is above the median of 40 across 207 interventional studies indexed under Huntington Disease.

Browse Huntington Disease studies →

Lead sponsor

Azidus Brasil is the lead sponsor of 80 studies on the registry; 5 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
21 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Provide a written, signed and dated Form;
  2. Male and female subjects aged ≥ 21 and ≤ 65 years;
  3. Have a confirmatory diagnosis report (PCR) of Huntington's disease with a number of CAG repeats in chromosome 4 higher than or equal to 40, and lower than or equal to 50 (if the subject did not perform the exam and/or if he/she does not have an available result for this exam, a new exam must be performed);
  4. A score of 5 points or higher for the motor evaluation of the UHDRS scale (Unified Huntington's Disease Rating Scale) at enrollment;
  5. Score of 8 to 11 points for the functional capacity of the UHDRS scale at enrollment.

Exclusion criteria

Exclusion Criteria:

  1. Subject who participated in clinical trials protocols within the last twelve (12) months (Resolution CNS 251, August 7, 1997, item III, subitem J), unless, at the investigator's opinion, the subject would have a direct benefit from it;
  2. Diagnosis of juvenile Huntington's disease;
  3. Diagnosis of epilepsy;
  4. Diagnosis of major cognitive disorder;
  5. Active decompensated psychiatric illness;
  6. Current or prior history of neoplasm;
  7. Current history of gastrointestinal, hepatic, renal, endocrine, pulmonary, hematological, immunological, metabolic pathology or severe uncontrolled cardiovascular diseases;
  8. Diagnosis of any active infection, whether viral, bacterial, fungal or caused by another pathogen;
  9. Subject with to the exams performed in this study, for example, with pacemaker or surgical clip; Alcohol and drugs abuse (previously diagnosed according to the - DSM V criteria);
  10. Use of illegal drugs;
  11. Tabagism;
  12. Smoker or quit smoking for less than 6 months;
  13. Positive result in one of the serum tests: 1 and 2 (Anti-HIV-1,2), HTLV I and II, (HBsAg, Anti-HBc), (anti-HCV-Ab) and FTA-ABS (Treponema pallidum);
  14. History of drug allergy, including to contrast agents used in imaging tests or bovine-derived products;
  15. Using or expects to use drugs or forbidden drugs (item 5.3) during the first three months after the first administration of the product;
  16. Any clinical change that the investigator considers a risk to subject's enrollment in the study.
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
49 participants (actual)

Study arms

  • Experimental
    Cellavita HD Lower Dose

    The participants randomized to this group will receive a total of 9 intravenous administrations of 1x10\^6 cells/weight range divided into three administrations per cycle. Each administration will occur every 30 days and cycles every 120 days (total of 3 cycles).

    Biological: Cellavita HD lower dose

  • Experimental
    Cellavita HD Higher Dose

    The participants randomized to this group will receive a total of 9 intravenous administrations of 2x10\^6 cells/weight range divided into three administrations per cycle. Each administration will occur every 30 days and cycles every 120 days (total of 3 cycles).

    Biological: Cellavita HD higher dose

  • Placebo comparator
    Placebo Group

    The participants randomized to this group will receive a total of 9 intravenous administrations divided into three administrations per cycle. Each administration will occur every 30 days and cycles every 120 days (total of 3 cycles).

    Other: Placebo

Interventions

  • BiologicalCellavita HD lower dose

    The participants will receive a total of 9 intravenous administrations of 1x10\^6 cells/weight range divided into three administrations per cycle. Each administration will occur every 30 days and cycles every 120 days (total of 3 cycles).

    Also known as: cellular therapy, mesenchymal stem cells

  • BiologicalCellavita HD higher dose

    The participants will receive a total of 9 intravenous administrations of 2x10\^6 cells/weight range divided into three administrations per cycle. Each administration will occur every 30 days and cycles every 120 days (total of 3 cycles).

    Also known as: cellular therapy, mesenchymal stem cells

  • OtherPlacebo

    The participants will receive a total of 9 intravenous administrations of placebo divided into three administrations per cycle. Each administration will occur every 30 days and cycles every 120 days (total of 3 cycles).

    Also known as: physiological solution without cells

06

What researchers measure

Primary outcomes

  1. Efficacy by UHDRS-TMS

    The primary endpoint was the rate of change (slope) in Unified Huntington's Disease Rating Scale - Total Motor Score from V0 to V11 (minimum 0, the best; and maximum 124, the worst). For each participant, a regression line was fitted (Y = a + bx), where b represents the individual slope, reflecting the annualised rate of motor progression. A negative slope suggests improvement or slower decline; a positive slope indicates worsening. To compare treatment efficacy, the slopes were analysed using a Mixed Model for Repeated Measures (MMRM), which accounts for intra-subject variability and missing data. This approach allowed estimation and comparison of average slopes between each treated group and placebo, providing a robust measure of motor function trajectory over time.

    Time frame: monthly for eleven months

Secondary outcomes

  1. Efficacy by UHDRS-TFC

    Assessed by the rate of change (slope) from V0 to V11 in the UHDRS-TFC. The response of each participant or means of all participants was evaluated by the slopes of each regression line of UHDRS-TFC determined as follows: The equation describes the regression line: Y = a + bx, where: * "Y" is the dependent variable. * "a" is the constant that represents the intersection of the line with the vertical axis. * "b" is the angular coefficient, that is, the slope. * "x" is the independent variable. Therefore, the 'b' value represents the slope of the straight line that best fits the values collected from the baseline (V0) to the value of V11, using the least squares method. This slope corresponds to the estimated annualized individual variation of UHDRS-TFC during the given period.

    Time frame: monthly for eleven months

Other outcomes

  1. Exposure to NestaCell (Former Cellavita HD) Product

    Number of administrations of NestaCell (Former Cellavita HD) and Placebo

    Time frame: eleven months

07

Results

Posted Sep 19, 2025

Participant flow

Participant flow — Overall Study
MilestoneNestacell (Former Cellavita HD) Lower DoseNestacell (Former Cellavita HD) Higher DosePlacebo Group
Started14147
Completed13127
Not completed120
Withdrew: Withdrawal by subject100
Withdrew: Physician decision010
Withdrew: Met discontinuation criteria010

Outcome measures

PrimaryEfficacy by UHDRS-TMS

The primary endpoint was the rate of change (slope) in Unified Huntington's Disease Rating Scale - Total Motor Score from V0 to V11 (minimum 0, the best; and maximum 124, the worst). For each participant, a regression line was fitted (Y = a + bx), where b represents the individual slope, reflecting the annualised rate of motor progression. A negative slope suggests improvement or slower decline; a positive slope indicates worsening. To compare treatment efficacy, the slopes were analysed using a Mixed Model for Repeated Measures (MMRM), which accounts for intra-subject variability and missing data. This approach allowed estimation and comparison of average slopes between each treated group and placebo, providing a robust measure of motor function trajectory over time.

Time frame:
monthly for eleven months
Reported as:
Mean · score on a scale/year
Efficacy by UHDRS-TMS
score on a scale/yearNestacell (Former Cellavita HD) Lower DoseNestacell (Former Cellavita HD) Higher DosePlacebo Group
Efficacy by UHDRS-TMS-1.23 ± 0.840.84 ± 0.908.91 ± 1.11
SecondaryEfficacy by UHDRS-TFC

Assessed by the rate of change (slope) from V0 to V11 in the UHDRS-TFC. The response of each participant or means of all participants was evaluated by the slopes of each regression line of UHDRS-TFC determined as follows: The equation describes the regression line: Y = a + bx, where: * "Y" is the dependent variable. * "a" is the constant that represents the intersection of the line with the vertical axis. * "b" is the angular coefficient, that is, the slope. * "x" is the independent variable. Therefore, the 'b' value represents the slope of the straight line that best fits the values collected from the baseline (V0) to the value of V11, using the least squares method. This slope corresponds to the estimated annualized individual variation of UHDRS-TFC during the given period.

Time frame:
monthly for eleven months
Reported as:
Mean · score on a scale/year
Efficacy by UHDRS-TFC
score on a scale/yearNestacell (Former Cellavita HD) Lower DoseNestacell (Former Cellavita HD) Higher DosePlacebo Group
Efficacy by UHDRS-TFC-0.29 ± 0.180.73 ± 0.18-0.89 ± 0.26
Other pre-specifiedExposure to NestaCell (Former Cellavita HD) Product

Number of administrations of NestaCell (Former Cellavita HD) and Placebo

Time frame:
eleven months
Reported as:
Mean · number os adminstrations
Exposure to NestaCell (Former Cellavita HD) Product
number os adminstrationsNestacell (Former Cellavita HD) Lower DoseNestacell (Former Cellavita HD) Higher DosePlacebo Group
Exposure to NestaCell (Former Cellavita HD) Product9.0 ± 0.08.4 ± 1.59.0 ± 0.0

Adverse events

Collected over 11 months. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Nestacell (Former Cellavita HD) Lower Dose0/14 (0%)1/14 (7.1%)12/14 (85.7%)
Nestacell (Former Cellavita HD) Higher Dose0/14 (0%)0/14 (0%)12/14 (85.7%)
Placebo Group0/7 (0%)0/7 (0%)7/7 (100%)
Most frequent serious events
Most frequent serious events
EventNestacell (Former Cellavita HD) Lower DoseNestacell (Former Cellavita HD) Higher DosePlacebo Group
hospitalized for sinusitisInfections and infestations1/140/140/7
Most frequent other events
Showing 10 of 68
Most frequent other events
EventNestacell (Former Cellavita HD) Lower DoseNestacell (Former Cellavita HD) Higher DosePlacebo Group
AlopeciaSkin and subcutaneous tissue disorders5/142/140/7
FallInjury, poisoning and procedural complications5/140/141/7
DiarrheaGastrointestinal disorders1/141/142/7
VomitGastrointestinal disorders0/140/142/7
InsomniaPsychiatric disorders0/141/142/7
DyslipidemiaMetabolism and nutrition disorders3/141/141/7
InfluenzaRespiratory, thoracic and mediastinal disorders1/143/140/7
Abnormal hair growthSkin and subcutaneous tissue disorders2/140/140/7
WoundSkin and subcutaneous tissue disorders2/140/140/7
Atopic dermatitisImmune system disorders0/140/141/7

Baseline characteristics

Age, Continuous
Age, Continuous(years)Nestacell (Former Cellavita HD) Lower DoseNestacell (Former Cellavita HD) Higher DosePlacebo GroupTotal
Mean51.6 ± 9.443.7 ± 8.550.9 ± 9.748.7 ± 9.2
Sex: Female, Male
Sex: Female, Male(Participants)Nestacell (Former Cellavita HD) Lower DoseNestacell (Former Cellavita HD) Higher DosePlacebo GroupTotal
Female79218
Male75517
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Nestacell (Former Cellavita HD) Lower DoseNestacell (Former Cellavita HD) Higher DosePlacebo GroupTotal
Black2103
Multiracial3339
White99422
Other0101
Region of Enrollment
Region of Enrollment(participants)Nestacell (Former Cellavita HD) Lower DoseNestacell (Former Cellavita HD) Higher DosePlacebo GroupTotal
Brazil1414735
Height
Height(meters)Nestacell (Former Cellavita HD) Lower DoseNestacell (Former Cellavita HD) Higher DosePlacebo GroupTotal
Mean1.63 ± 0.081.61 ± 0.11.66 ± 0.061.63 ± 0.08
Weight
Weight(Kg)Nestacell (Former Cellavita HD) Lower DoseNestacell (Former Cellavita HD) Higher DosePlacebo GroupTotal
Mean65.5 ± 14.068.7 ± 14.569.3 ± 14.067.8 ± 14.2
BMI
BMI(Kg/m^2)Nestacell (Former Cellavita HD) Lower DoseNestacell (Former Cellavita HD) Higher DosePlacebo GroupTotal
Mean24.4 ± 4.526.4 ± 5.525.0 ± 4.425.3 ± 4.8
CAG repeat
CAG repeat(Participants)Nestacell (Former Cellavita HD) Lower DoseNestacell (Former Cellavita HD) Higher DosePlacebo GroupTotal
<4497420
>=4457315

4 further baseline measures are reported on the registry.

08

Study locations

1 site
  • Azidus Brasil Pesquisa Científica e Desenvolvimento Ltda.
    Valinhos, São Paulo 13271-130, Brazil
09

References and documents

Publications

  • Aleynik A, Gernavage KM, Mourad YSh, Sherman LS, Liu K, Gubenko YA, Rameshwar P. Stem cell delivery of therapies for brain disorders. Clin Transl Med. 2014 Jul 19;3:24. doi: 10.1186/2001-1326-3-24. eCollection 2014. PubMed 25097727 ↗
  • de Almeida FM, Marques SA, Ramalho Bdos S, Rodrigues RF, Cadilhe DV, Furtado D, Kerkis I, Pereira LV, Rehen SK, Martinez AM. Human dental pulp cells: a new source of cell therapy in a mouse model of compressive spinal cord injury. J Neurotrauma. 2011 Sep;28(9):1939-49. doi: 10.1089/neu.2010.1317. Epub 2011 Aug 8. PubMed 21609310 ↗
  • Barker RA, Mason SL, Harrower TP, Swain RA, Ho AK, Sahakian BJ, Mathur R, Elneil S, Thornton S, Hurrelbrink C, Armstrong RJ, Tyers P, Smith E, Carpenter A, Piccini P, Tai YF, Brooks DJ, Pavese N, Watts C, Pickard JD, Rosser AE, Dunnett SB; NEST-UK collaboration. The long-term safety and efficacy of bilateral transplantation of human fetal striatal tissue in patients with mild to moderate Huntington's disease. J Neurol Neurosurg Psychiatry. 2013 Jun;84(6):657-65. doi: 10.1136/jnnp-2012-302441. Epub 2013 Jan 23. PubMed 23345280 ↗
  • Bonelli RM, Wenning GK. Pharmacological management of Huntington's disease: an evidence-based review. Curr Pharm Des. 2006;12(21):2701-20. doi: 10.2174/138161206777698693. PubMed 16842168 ↗
  • de Souza PV, Alves FB, Costa Ayub CL, de Miranda Soares MA, Gomes JR. Human immature dental pulp stem cells (hIDPSCs), their application to cell therapy and bioengineering: an analysis by systematic revision of the last decade of literature. Anat Rec (Hoboken). 2013 Dec;296(12):1923-8. doi: 10.1002/ar.22808. Epub 2013 Oct 15. PubMed 24130093 ↗
  • Fink KD, Deng P, Torrest A, Stewart H, Pollock K, Gruenloh W, Annett G, Tempkin T, Wheelock V, Nolta JA. Developing stem cell therapies for juvenile and adult-onset Huntington's disease. Regen Med. 2015;10(5):623-46. doi: 10.2217/rme.15.25. PubMed 26237705 ↗
  • Kerkis I, Caplan AI. Stem cells in dental pulp of deciduous teeth. Tissue Eng Part B Rev. 2012 Apr;18(2):129-38. doi: 10.1089/ten.TEB.2011.0327. Epub 2011 Dec 28. PubMed 22032258 ↗
  • Ross CA, Aylward EH, Wild EJ, Langbehn DR, Long JD, Warner JH, Scahill RI, Leavitt BR, Stout JC, Paulsen JS, Reilmann R, Unschuld PG, Wexler A, Margolis RL, Tabrizi SJ. Huntington disease: natural history, biomarkers and prospects for therapeutics. Nat Rev Neurol. 2014 Apr;10(4):204-16. doi: 10.1038/nrneurol.2014.24. Epub 2014 Mar 11. PubMed 24614516 ↗
  • Kaplan A, Stockwell BR. Therapeutic approaches to preventing cell death in Huntington disease. Prog Neurobiol. 2012 Dec;99(3):262-80. doi: 10.1016/j.pneurobio.2012.08.004. Epub 2012 Aug 28. PubMed 22967354 ↗
  • Weiss A, Trager U, Wild EJ, Grueninger S, Farmer R, Landles C, Scahill RI, Lahiri N, Haider S, Macdonald D, Frost C, Bates GP, Bilbe G, Kuhn R, Andre R, Tabrizi SJ. Mutant huntingtin fragmentation in immune cells tracks Huntington's disease progression. J Clin Invest. 2012 Oct;122(10):3731-6. doi: 10.1172/JCI64565. Epub 2012 Sep 17. PubMed 22996692 ↗
  • Langbehn DR, Brinkman RR, Falush D, Paulsen JS, Hayden MR; International Huntington's Disease Collaborative Group. A new model for prediction of the age of onset and penetrance for Huntington's disease based on CAG length. Clin Genet. 2004 Apr;65(4):267-77. doi: 10.1111/j.1399-0004.2004.00241.x. PubMed 15025718 ↗
  • Fernandes JMS, Pagani E, Wenceslau CV, Ynoue LH, Ferrara L, Kerkis I. Phase II trial of intravenous human dental pulp stem cell therapy for Huntington's disease: a randomized, double-blind, placebo-controlled study. Stem Cell Res Ther. 2025 Aug 6;16(1):432. doi: 10.1186/s13287-025-04557-2. PubMed 40770775 ↗
  • Wenceslau CV, de Souza DM, Mambelli-Lisboa NC, Ynoue LH, Araldi RP, da Silva JM, Pagani E, Haddad MS, Kerkis I. Restoration of BDNF, DARPP32, and D2R Expression Following Intravenous Infusion of Human Immature Dental Pulp Stem Cells in Huntington's Disease 3-NP Rat Model. Cells. 2022 May 17;11(10):1664. doi: 10.3390/cells11101664. PubMed 35626701 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided — It is believed that after the data analysis and presentation to the National Commission on Research Ethics, all data will become public.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 19, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03252535
Lead sponsor
Azidus Brasil
Collaborators
Cellavita Pesquisa Científica Ltda
Responsible party
Sponsor
First posted
Aug 17, 2017
Start date
Jan 15, 2018
Primary completion
Mar 23, 2021
Completion
Apr 30, 2021
Results posted
Sep 19, 2025
Last update
Sep 19, 2025

Study contacts

Joyce Macedo da Silva, MD
principal investigator · Azidus Brasil Scientific Research and Development Ltda

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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