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CompletedNCT05667649Updated Sep 24, 2026

Autologous Activated Adipose-derived Stem Cells (RB-ADSC) Injected Directly Into the Brain for Mild to Moderate Alzheimer's Disease

A Phase 1 interventional study of RB-ADSC in Alzheimer Disease, sponsored by Regeneration Biomedical, Inc.. Completed at 1 site in United States. Open to participants aged 45 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-09-24.

Sponsored by Regeneration Biomedical, Inc. · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
7
Allocation
Non-randomized
Ages
45 Years to 80 Years
Sex
All
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Study summary

This is a research study to evaluate the safety of an investigational autologous cell product obtained from participant's own adipose tissue as a possible treatment for Alzheimer disease.

Read the detailed description

This is a Phase 1, Open-Label Safety Study of Escalating Doses of Intracerebroventricular Injections of Ex Vivo Expanded, Autologous Adipose-Derived Stem Cells (ADSCs) in Participants with Mild to Moderate Alzheimer's Disease (AD) whose Treatment is not Addressed Adequately by Available Therapy (i.e., an unmet medical need). The investigational product, which is referred to as RB-ADSC, consists of stem cells obtained from the participant's own adipose tissue by lipoaspirate. After collection, the stem cells are cultured and expanded outside the body, and then reintroduced into the same patient. A soft plastic reservoir (Ommaya reservoir) is implanted under the scalp, communicating with the brain cavities (ventricles). This study will primarily evaluate the safety of RB-ADSC injected in the Ommaya reservoir in a 3 + 3 dose escalation study. The planned enrollment will be 9 participants, 3 participants per escalation Cohort.

The primary objectives will evaluate adverse events, serious adverse events, and dose limiting toxicities to determine a recommended phase 2 clinical trial dose. Secondary objectives will evaluate preliminary efficacy measured by clinical assessments, volumetric MRI (Neuro Quant®), CSF biomarkers (Phospho-Tau, Total Tau, AB-42), and diagnostic imaging comparison (Amyloid PET). Each participant will be followed for 12 months after treatment.

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Conditions studied

  • Alzheimer Disease

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Keywords

  • Alzheimer's Disease
  • AD
  • Autologous
  • Stem cells
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In context

Alzheimer Disease

3,678 studies on the registry are indexed under Alzheimer Disease; 869 are open to participants now.

This study's enrollment of 7 is below the median of 70 across 2,805 interventional studies indexed under Alzheimer Disease.

Browse Alzheimer Disease studies →

Lead sponsor

Regeneration Biomedical, Inc. is the lead sponsor of 3 studies on the registry; 2 are open to participants now.

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

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Who can participate

Ages eligible
45 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • ≥45 and ≤80 years of age
  • Mild to moderate AD diagnosis
  • Adequate cognitive function
  • Non-remarkable clinical laboratory
  • Ability to voluntarily provide written informed consent
  • No tumors or other disease responsible for dementia
  • Well-controlled comorbidities, on stable medications for 3 months
  • The participant is otherwise in good general health
  • The participant must have a relative/caregiver
  • Participant must be able to donate adequate amount of lipoaspirate to establish the final product
  • Caregiver separately meets the specified inclusion/exclusion criteria for caregivers

Exclusion criteria

Exclusion Criteria:

  • Taking other medications for AD, except that donepezil memantine, AChEIs including patches, Vitamin E, fish oil, and/or gingko biloba are allowed if doses have been stable for at least 3 months prior to the Screening visit
  • Stem cell implantation of any type within 3 months
  • Existing ventriculoperitoneal shunts
  • Neurological disorders except AD
  • Psychiatric disorders including schizophrenia, bipolar/unipolar depressive disorder, delirium
  • Drug or alcohol abuse or dependence within the past 5 years
  • Participants with a history of cancer in the past 5 years
  • No caregiver available to meet the inclusion criteria for caregivers
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Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
7 participants (actual)

Study arms

  • Experimental
    RB-ADSC low dose

    Participants will receive one dose of 2x10\^6 RB-ADSC infused in the previously implanted Ommaya reservoir

    Biological: RB-ADSC

  • Experimental
    RB-ADSC medium dose

    Participants will receive one dose of 5x10\^6 RB-ADSC infused in the previously implanted Ommaya reservoir

    Biological: RB-ADSC

  • Experimental
    RB-ADSC high dose

    Participants will receive one dose of 10x10\^6 RB-ADSC infused in the previously implanted Ommaya reservoir

    Biological: RB-ADSC

Interventions

  • BiologicalRB-ADSC

    Ex Vivo Expanded, Autologous Adipose-Derived Stem Cells (ADSCs)

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What researchers measure

Primary outcomes

  1. The safety of RB-ADSC treatment in study participants with AD

    Safety will be determined by incidence, type and severity of adverse events (AE) and serious adverse events (SAE) graded according to CTCAE v5.0 and CRS revised grading system and defined by clinical relevant findings at every visit and week 28 post-treatment in physical examination, vital signs and laboratory data

    Time frame: up to 28 weeks

Secondary outcomes

  1. Change from Baseline in Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-cog)

    Measured by the Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-cog) is a cognitive performance test. The ADAS-cog score ranges from 0 to 70, with higher scores indicating greater cognitive impairment (higher score is worse outcome).

    Time frame: up to 52 weeks

  2. Change from Baseline in Mini Mental State Examination (MMSE)

    Measured by the Mini Mental State Examination (MMSE). MMSE is a performance-based test of global cognitive status.. The MMSE score ranges from 0 to 30, with lower scores indicating greater cognitive impairment (lower score is worse outcome).

    Time frame: up to 52 weeks

07

Study locations

1 site
  • Hoag Memorial Hospital Presbyterian
    Newport Beach, California 92663, United States
08

References and documents

Publications

  • Duma C, Kopyov O, Kopyov A, Berman M, Lander E, Elam M, Arata M, Weiland D, Cannell R, Caraway C, Berman S, Scord K, Stemler L, Chung K, Khoudari S, McRory R, Duma C, Farmer S, Bravo A, Yassa C, Sanathara A, Singh E, Rapaport B. Human intracerebroventricular (ICV) injection of autologous, non-engineered, adipose-derived stromal vascular fraction (ADSVF) for neurodegenerative disorders: results of a 3-year phase 1 study of 113 injections in 31 patients. Mol Biol Rep. 2019 Oct;46(5):5257-5272. doi: 10.1007/s11033-019-04983-5. Epub 2019 Jul 20. PubMed 31327120 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05667649
Lead sponsor
Regeneration Biomedical, Inc.
Responsible party
Sponsor
First posted
Dec 28, 2022
Start date
Aug 14, 2023
Primary completion
Jun 25, 2026
Completion
Jun 25, 2026
Last update
Sep 24, 2026

Oversight

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

Not currently enrolling

This study is completed, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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