ClinicalTrials.gg
Not yet recruitingNCT06228781Updated Oct 16, 2026

Autologous Hematopoietic Stem Cell Transplantation for Refractory Multiple Sclerosis

An interventional study of Autologous haemopoietic stem cell transplantation in Multiple Sclerosis, sponsored by Tianjin Medical University General Hospital. Not yet recruiting. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2026-10-16.

Sponsored by Tianjin Medical University General Hospital · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years to 60 Years
Sex
All
01

Study summary

Autologous hematopoietic stem cell transplantation (aHSCT) is the only treatment for refractory autoimmune diseases capable of inducing long-term, drug-free and asymptomatic remission. Over the past two decades, aHSCT has been used to treat inflammatory autoimmune disease of the CNS. Patients with relapsing-remitting multiple sclerosis benefit from aHSCT treatment. However, a certain percentage of patients still experience recurrence 3 or 5 years after transplantation. Therefore, exploration of conditioning regimens will drive therapeutic advances in aHSCT in autoimmune diseases of the CNS.

02

Conditions studied

  • Multiple Sclerosis

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03

In context

Multiple Sclerosis

3,264 studies on the registry are indexed under Multiple Sclerosis; 659 are open to participants now.

This study's planned enrollment of 20 is below the median of 50 across 2,201 interventional studies indexed under Multiple Sclerosis.

Browse Multiple Sclerosis studies →

Lead sponsor

Tianjin Medical University General Hospital is the lead sponsor of 75 studies on the registry; 31 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 60 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. Age 18-60 years;
  2. Diagnosed multiple sclerosis with relapses or progression and sustained accumulated impairment by a neurologist expert in the field;
  3. EDSS score of 3-6 (including 3 and 6);
  4. EDSS cerebellar functional score ≥ 3 or EDSS pyramidal functional score ≥3;
  5. Evidence of current disease activity;
  6. If a patient has previously received a cytotoxic agent (mitoxantrone, cyclophosphamide etc.) they must have normal bone marrow morphology and cytogenetics before being considered eligible for this study ;
  7. No evidence of hepatic inflammation or fibrosis;

Exclusion criteria

Exclusion Criteria:

  1. Patients with evidence of myelodysplasia or other non- cytopenia;
  2. Patients having received a cytotoxic agent within one month of enrolling in this study;
  3. Patient with any active or chronic infection (herpes simplex virus, varicella-zoster virus, cytomegalovirus, EB virus, , hepatitis virus, syphilis, etc.);
  4. Patients having received a cytotoxic agent within one month of enrolling in this study;
  5. Patients with a malignant tumor currently or within the last 5 years;
  6. Patients with cardiac, renal, pulmonary, hepatic or other organ impairment;
  7. Patients whose is severely limited by another conditions;
  8. Pregnancy or risk of pregnancy;
  9. Patients unable to give written in accordance with research ethics board guidelines.
Terms in these criteria, in plain language(4)

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.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

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.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

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.

05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    Hematopoietic Stem Cell Transplantation

    Patients will undergo stem cell transplantation for the treatment of refractory MS

    Procedure: Autologous haemopoietic stem cell transplantation

Interventions

  • ProcedureAutologous haemopoietic stem cell transplantation

    Immuno-ablation and autologous CD34 selected hematopoietic stem cell transplantation (HSCT). Stem cell mobilization with cyclophosphamide 2g/m2 and filgrastim 10 ug/kg/d x 5 day. Stem cell collection with cobe cpectra stem cell purification with Miltenyi CliniMACS Stem cell transplant conditioning with busulphan 3.2 mg/kg ; fludarabine 30mg/m2 or cladribine 10mg ;cytarabine 1-2g/m2 or idarubicin 8mg/m2;cyclophosphamide 40mg/kg followed by CD34 selected autologous hematopoietic stem cell transplant.

06

What researchers measure

Primary outcomes

  1. 3 year MS activity free survival

    The events for the primary outcome are: clinical relapse, appearance of a new or Gd-enhancing lesion on MRI, or sustained progression of EDSS score.

    Time frame: 3 year follow-up post transplant

Secondary outcomes

  1. Time to MS treatment failure

    Disease activity and disability will be assessed with clinical relapse, appearance of a new or Gd-enhancing lesion on MRI, or sustained progression of EDSS score and quality of life.

    Time frame: 3 years

  2. Transplant related morbidity

    Rate of transplant related events.

    Time frame: 3 years

  3. Transplant related mortality

    Rate of transplant related death.

    Time frame: 3 years

  4. Immune reconstitution following transplant

    Rate of immune reconstitution following transplant.

    Time frame: 3 years

  5. Hematopoietic reconstitution following transplant

    Rate of hematopoietic reconstitution following transplant.

    Time frame: 3 years

  6. Imaging changes associated with the disease activity

    Imaging changes include: new or enlarging T2-weighted lesion count and new T1-weighted lesion count at all scans after baseline; T2-weighted lesion volume; Gd-enhanced lesion count and volume; and total volume of non-enhancing T1-weighted lesions on all MRI scans.

    Time frame: 3 years

07

Study locations

No study locations are listed for this record.

08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Dec 2026; primary completion for Jan 2029, 25 months later.

Of 847 non-industry interventional studies with no phase under Multiple Sclerosis, half reached primary completion within 22 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 43. This study's planned 25 months is above that.

Counting every sponsor, half of 869 studies reached it within 21 months; a quarter within 9 and three quarters within 43.

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

Registered
Jan 19, 2024
First posted
Jan 29, 2024
StartEst.
Dec 1, 2026
Primary completionEst.
Jan 1, 2029
CompletionEst.
Jan 1, 2029
Last update
Oct 16, 2026
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.
Minor edits
Nothing that changes what the study is or who can join. Edited: verification date and index terms
1 update, last Oct 16, 2026
Show all 1 update
  1. Oct 16, 2026
    Minor edits only
    + 2 other changes: verification date and index terms

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT06228781
Lead sponsor
Tianjin Medical University General Hospital
Responsible party
Qiang Liu (Professor of Department of Neurology, Tianjin Medical University General Hospital) — Principal investigator
First posted
Jan 29, 2024
Start date
Dec 1, 2026 (estimated)
Primary completion
Jan 1, 2029 (estimated)
Completion
Jan 1, 2029 (estimated)
Last update
Oct 16, 2026

Study contacts

Qiang Liu, M.D.,Ph.D
Contact
qliu@tmu.edu.cn
+86 15022439149
Qiang Liu, M.D.,Ph.D
principal investigator · Tianjin Medical University General Hospital

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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