ClinicalTrials.gg
Status unknownNCT03352310Updated Jun 7, 2018

Feasibility and Safety of Umbilical Cord Blood Transfusion in the Treatment of Neonatal Cerebral Ischemia and Anemia

A Phase 1 interventional study of autologous umbilical cord blood (UCB) and standard care in Hypoxic-Ischemic Encephalopathy, Hypoxia Neonatal and Cerebral Ischemia of Newborn, sponsored by Mononuclear Therapeutics Ltd.. Status unknown at 1 site in Hong Kong. Open to participants aged Up to 48 Hours. Per ClinicalTrials.gov, last updated 2018-06-07.

Sponsored by Mononuclear Therapeutics Ltd. · Phase 1, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jun 2018), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 1
Study type
Interventional
Enrollment
40
Allocation
Non-randomized
Ages
Up to 48 Hours
Sex
All
01

Study summary

The study is to investigate the feasibility and safety of autologous umbilical cord blood transfusion to treat the newborn infants with presence of clinical indications of neonatal hypoxic-ischemia encephalopathy (HIE) and anemia. Umbilical cord blood (UCB) is collected following labor and is transfused intravenously within 48 hours after the birth. Newborn infant without UCB available recieves the standard care will be enrolled as control group.

Following the autologous UCB transfusion in the study group or standard care in the control group, HIE subjects will be followed for 2 years for survival and neurodevelopmental outcomes and anemia subjects will be followed for 6 months to assess the survival and change of hematocrit and hemoglobin levels.

02

Conditions studied

  • Hypoxic-Ischemic Encephalopathy
  • Hypoxia Neonatal
  • Cerebral Ischemia of Newborn
  • Anemia, Neonatal

Keywords

  • umbilical cord blood
03

In context

Hypoxia-Ischemia, Brain

261 studies on the registry are indexed under Hypoxia-Ischemia, Brain; 94 are open to participants now.

This study's planned enrollment of 40 is below the median of 50 across 156 interventional studies indexed under Hypoxia-Ischemia, Brain.

Browse Hypoxia-Ischemia, Brain studies →

Lead sponsor

This is the only study on the registry with Mononuclear Therapeutics Ltd. as lead sponsor.

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

04

Who can participate

Ages eligible
Up to 48 Hours
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

  • evidence of asphyxiation, defined by 5-minute Apgar score ≤ 5;
  • evidence of HIE, defined by UCB pH \<7.15 or base excess ≤ 10mM;
  • subjects with HIE confirmed by clinical features and initial investigations;
  • subjects with evidence of anemia, defined by hematocrit \< 40% or ≤ 13g/dL within the first 96 hours of life;
  • obtain the from parents

Exclusion criteria

Exclusion Criteria:

  • congestive cardiac failure;
  • microcephaly, anencephaly, encephalocele, or other abnormality
  • conjoint twins;
  • chromosomal disorders
  • fetal alcohol syndrome
  • spinal bifida or other neural tube defects
  • subjects have other neurological deficit conditions
  • polycythemia
  • congenital hematological
  • investigator decision
Terms in these criteria, in plain language(3)

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.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    Study Group

    autologous UCB transfusion

    Biological: autologous umbilical cord blood (UCB)

  • Other
    Control Group

    standard care

    Procedure: standard care

Interventions

  • autologous UCB transfusion to the newborn infants presence of HIE and/or anemia within 48 hours after the birth

  • Procedurestandard care

    standard care procedure to the newborn infants presence of HIE and/or anemia

06

What researchers measure

Primary outcomes

  1. HIE: Mortality

    Mortality Rate of the HIE Subjects

    Time frame: 6 months

  2. Anemia: Change from Baseline Hematocrit

    Change from Baseline Hematocrit of the Anemia Subjects

    Time frame: 48 hours, 1 week, 3 months, 6 months

Secondary outcomes

  1. HIE: HINE

    Hammersmith Infant Neurological Examination (HINE) of the HIE Subjects

    Time frame: 6 months, 1 year and 2 years

  2. HIE: HNNE

    Hammersmith Neonatal Neurological Examination (HNNE) of the HIE Subjects

    Time frame: -1 day, 3 months (before discharge)

  3. HIE: GMDS

    Griffiths Mental Development Scale (GMDS) of the HIE Subjects

    Time frame: 6 months, 1 year and 2 years

  4. HIE: CBCL

    Child Behavior Checklist for Attention Deficit of the HIE Subjects

    Time frame: 2 years

  5. HIE: Q-CHAT

    Quantitative Checklist for Autism in Toddlers of the HIE Subjects

    Time frame: 2 years

  6. Anemia: hemoglobin

    Change from Baseline hemoglobin of the Anemia Subjects

    Time frame: 48 hours, 1 week, 3 months and 6 months

  7. Anemia: Oxygenation level

    Change from Baseline SpO2 of the Anemia Subjects

    Time frame: 48 hours, 1 week

  8. Anemia: Oxidative Stress Level

    Change of Baseline Isoprostane of the Anemia Subjects

    Time frame: 48 hours, 1 week, 3 months, and 6 months

  9. Anemia: Requirements of Packed Cell Transfusion

    Frequency of Requirements of Packed Cell Transfusion by the Anemia Subjects

    Time frame: 6 months

Other outcomes

  1. Incidence of Adverse Event

    Safety outcomes are Incidence of Adverse Events

    Time frame: 2 years

07

Study locations

1 of 1 sites recruiting
  • The Chinese University of Hong Kong
    Sha Tin, Hong Kong
    Recruiting
    • Simon Lam, M.D. · Contact+852 35052851
    • Simon Lam, MD · Principal investigator
    • Ronald Wang, MD · Sub investigator
    • Chi Kong Li, MD · Sub investigator
    • Eva Fung, MD · Sub investigator
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Apr 2018 (actual). Primary completion is estimated for Jun 2020, 26 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 15, 2017
First posted
Nov 24, 2017
StartActual
Apr 16, 2018
Primary completionEst.
Jun 30, 2020
CompletionEst.
Dec 30, 2020
Last update
Jun 7, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 7, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03352310
Lead sponsor
Mononuclear Therapeutics Ltd.
Collaborators
Chinese University of Hong Kong, China Spinal Cord Injury Network
Responsible party
Sponsor
First posted
Nov 24, 2017
Start date
Apr 16, 2018
Primary completion
Jun 30, 2020 (estimated)
Completion
Dec 30, 2020 (estimated)
Last update
Jun 7, 2018

Study contacts

Simon Lam, MD
Contact
hshslam@cuhk.edu.hk
+852 35052851
Ronald Wang, MD
Contact
+852 35052810
Simon Lam, MD
principal investigator · Chinese University of Hong Kong

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Jun 2018. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Autologous cord blood

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