ClinicalTrials.gg
RecruitingNCT06482268CT1-DAP001Updated Aug 17, 2026

Transplantation of Human iPS Cell-derived Dopaminergic Progenitors (CT1-DAP001) for Parkinson's Disease (Phase I/II)

A Phase 1 interventional study of Human induced pluripotent stem cell-derived dopaminergic progenitors (CT1-DAP001) in PD - Parkinson's Disease, sponsored by University of California, San Diego. Recruiting at 1 site in United States. Open to participants aged 40 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-08-17.

Sponsored by University of California, San Diego · Phase 1, Interventional, and Other

From the registry’s dates

  • Started Jun 2024; still recruiting 2 years 5 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
7
Allocation
Not applicable
Ages
40 Years to 75 Years
Sex
All
01

Study summary

To evaluate the safety and efficacy of transplantation of human induced pluripotent stem cell-derived dopaminergic progenitors, CT1-DAP001, into the corpus striatum in patients with Parkinson's disease

Read the detailed description

Single-center, open-label, uncontrolled. The primary objective of this study is to evaluate the safety of CT1-DAP001 in subjects with Parkinson's disease by determining the incidence and severity of adverse events, especially graft expansion, after transplantation into the corpus striatum. Other objectives are to evaluate the efficacy of CT1-DAP001 through the assessment of Parkinson's disease symptoms and clinical severity or progression.

02

Conditions studied

  • PD - Parkinson's Disease

Keywords

  • Parkinson's Disease
  • Ataxia
  • Dopaminergic
  • Dyskinesia
  • PD
  • Neurodegenerative Disease
  • Brain Disease
  • CNS
  • Movement Disorder
  • Central Nervous System Disease
  • FDOPA
  • MRI
  • Corpus striatum
03

In context

Parkinson Disease

4,573 studies on the registry are indexed under Parkinson Disease; 1,086 are open to participants now.

This study's planned enrollment of 7 is below the median of 40 across 3,353 interventional studies indexed under Parkinson Disease.

Browse Parkinson Disease studies →

Lead sponsor

University of California, San Diego is the lead sponsor of 980 studies on the registry; 195 are open to participants now.

Of its 113 completed or terminated interventional studies of FDA-regulated products, 71 (63%) have results posted.

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

04

Who can participate

Ages eligible
40 Years to 75 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. The subject has a diagnosis of PD (clinically established or clinically probable) in accordance with the MDS Clinical Diagnostic Criteria for Parkinson's Disease (2015).
  2. The subject has an inadequate response to drug treatments.
  3. The subject is ≥ 40 years and ≤ 75 years of age at the time of .
  4. The subject has had PD for at least 5 years.
  5. The subject has both ON and OFF (as demonstrated by the MDS-UPDRS Part III and a symptom diary).
  6. The subject does not have a debilitating dyskinesia score greater than or equal to 3 on the MDS-UPDRS.
  7. The subject is in stage 2 or higher on the Hoehn and Yahr scale at OFF time.
  8. The subject is in stage 3 or lower on the Hoehn and Yahr scale at ON time.
  9. The subject has an L-dopa response of 30% or more without influence of antiparkinsonian drugs.
  10. The subject has the following organ functions as determined by laboratory tests at Screening visit:

    1. ≥ 2,000/μL
    2. count ≥ 5.0 × 104/μL
    3. , ALT ≤ 3.0 ×
    4. Total ≤ 1.5 × upper limit of normal
    5. ≥ 60 mL/min/1.73 m2 (As part of Creatinine testing, an estimated glomerular filtration rate (mL/min/1.73 m2)will be calculated based on the CKD-EPI 2021 equation)
  11. The subject is willing to avoid pregnancy using abstinence, highly effective means of , surgical sterility, or menopause.
  12. The subject is willing to comply with the protocol-required assessments.
  13. The subject provides written informed consent to participate in the study. If the subject cannot sign due to physical constraints, verbal consent may be provided with signature of a Legally Authorized Representative.

Exclusion criteria

Exclusion Criteria:

  1. The subject has an abnormal brain MRI suggestive of brain pathology other than Parkinson's disease.
  2. Atypical parkinsonism (Parkinsonism-Plus syndrome, secondary parkinsonism, hereditary parkinsonism).
  3. The subject has clinical indication or diagnosis of abnormal immune function.
  4. The subject has been diagnosed with a major neurocognitive disorder such as dementia, or is high risk for this.
  5. The subject has bleeding tendency or abnormal coagulation function as evidenced by \<50 or PT/ > 1.5x normal.
  6. The subject is HBs antigen-positive, or HBs antibody- or HBc antibody-positive with evidence of .
  7. The subject is anti- antibody positive.
  8. The subject is anti-HTLV-1 antibody-positive.
  9. The subject has active infection such as or syphilis (STS/TPHA).
  10. The subject has or to tacrolimus, concomitant drugs (e.g., levodopa, carbidopa, MRI contrast), and/or their components.
  11. Contraindications to general anesthesia as evaluated by subject matter experts.
  12. The subject has a serious allergy to a component (e.g., gentamicin, component of bovine origin, or component of porcine origin) used in the preparation of the study product.
  13. The subject has any of the following conditions/diseases concurrently:

    1. Active
    2. Epilepsy
    3. Psychiatric disease (e.g., uncontrolled anxiety or depression, bipolar disorder, schizophrenia)
    4. Diabetes mellitus with poorly controlled blood glucose (glycosylated > 9.0%, or fasting plasma glucose (FPG) ≥ 200 mg/dL (11.1 mmol/L).
    5. Other serious concurrent diseases (e.g., cerebrovascular disorder, heart disease, chronic respiratory disease, inadequately controlled hypertension) as determined by the investigator.
  14. The subject has a history of any of the following:

    1. Prior malignancy \< 5 years prior to Screening. Patients who had prior malignancies within 5 years and in complete remission with expected survival of more than 5 years are not excluded
    2. Epilepsy
    3. Cerebral hemorrhage or stroke
    4. Psychiatric disease (e.g., uncontrolled anxiety or depression, bipolar disorder, schizophrenia)
    5. Congenital long syndrome
    6. Pallidotomy, thalamotomy, or Deep Brain Stimulation
  15. The subject is pregnant or lactating or does not agree to avoid pregnancy throughout the study.
  16. The subject has undergone transplantation of human iPSC-derived dopaminergic progenitors.
  17. The subject, in the opinion of the investigator or sub investigator, is not appropriate to conduct the study safely.
Terms in these criteria, in plain language(17)

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.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

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.

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 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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

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.

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.

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).

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

05

Study design

Phase
Phase 1
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
7 participants (estimated)

Study arms

  • Other
    Single-center, open-label, uncontrolled

    To evaluate the safety and efficacy of transplantation of human induced pluripotent stem cell-derived dopaminergic progenitors, CT1-DAP001, into the corpus striatum in patients with Parkinson's disease

    Combination Product: Human induced pluripotent stem cell-derived dopaminergic progenitors (CT1-DAP001)

Interventions

  • Combination productHuman induced pluripotent stem cell-derived dopaminergic progenitors (CT1-DAP001)

    Investigational PET agents will be synthesized at UCSD and administered to subjects according to the local institutional guidelines. IND applications for these agents are linked with the IND application for the study product, CT1-DAP001. The IND applications for the PET radiopharmaceuticals contains the manufacturing method, specifications, quality testing, clinical usage, and safety and efficacy information for individual PET agents. Investigational Cell Injector Suniviion needle: The investigational instrument will be used to administer dopaminergic progenitors into the putamen. After aspirating cells, the instrument will be attached to a Leksell stereotactic frame to administer the cells into the brain.

    Also known as: Investigational imaging - FDOPA & FEPPA, Investigational device - Sunovion needle

06

What researchers measure

Primary outcomes

  1. Incidence And Severity Of Adverse Events

    For adverse events reported, the severity will be assessed, and the incidence in the treatment period will be determined.

    Time frame: 24 months

  2. ACCEPTABILITY

    Assessed by presence or absence of graft expansion (\> 3 cm3) in the brain at 24 months after transplantation

    Time frame: 24 months

Secondary outcomes

  1. Improvement or worsening of involuntary movements

    Assessed by dyskinesia score, measured as the change in dyskinesia score from Baseline to each post-transplantation time point.

    Time frame: 24 months

  2. ACCURACY

    Assessed by FDOPA (MRI) of tissue expansion The expansion on MRI will be assessed at each time point of measurement * day before transplantation, * immediately after transplantation, * day after transplantation, * 4 weeks, 12 weeks, 6 months, 18 months, (if clinically indicated) * 12 months, 24 months after transplantation

    Time frame: 24 months

  3. MDS-UPDRS Part III totalscore (at OFF time)

    This endpoint is defined as the change in UPDRS Part III score at OFF time from Baseline to each post-transplantation time point. The efficacy will be assessed based on MDS-UPDRS Part III total score at OFF time at 24 months after cell transplantation. 1. Excellent response defined as a decrease of ≥ 5 2. Good response defined as a decrease of 0 to 4

    Time frame: 24 months

  4. MDS-UPDRS Part III totalscore (at ON time)

    This endpoint is defined as the change in UPDRS Part III score at ON time from Baseline to each post-transplantation time point.

    Time frame: 24 months

  5. Average daily ON duration (with or without dyskinesia) and OFF duration

    This endpoint is defined as the change in daily ON duration (with or without dyskinesia) or OFF duration from Baseline to each post-transplantation time point.

    Time frame: 24 months

  6. L-dopa equivalent dose

    This endpoint is defined as the change in L-dopa equivalent dose from Baseline to 4 weeks, 12 weeks, 6 months, 12 months, 18 months, or 24 months after transplantation. Formula to convert to the L-dopa dose: L-dopa 100 mg = pramipexole salt 1 mg = ropinirole 5 mg = rotigotine 7.5 mg = bromocriptine 10 mg = pergolide 1 mg = cabergoline 1.5 mg = selegiline 10 mg = amantadine 100 mg = apomorphine 10 mg

    Time frame: 24 months

07

Study locations

1 of 1 sites recruiting
08

References and documents

09

Timeline

Tracking 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

Started Jun 2024 (actual). Primary completion is estimated for Dec 2027, 42 months after the start.

Of 77 non-industry phase 1 interventional studies under Parkinson Disease, half reached primary completion within 37 months of starting (the median), counting those still running; a quarter within 20 and three quarters within 68. This study's planned 42 months is above that.

Counting every sponsor, half of 204 studies reached it within 19 months; a quarter within 5 and three quarters within 40.

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

Registered
Jun 25, 2024
First posted
Jul 1, 2024
StartActual
Jun 1, 2024
Primary completionEst.
Dec 28, 2027
CompletionEst.
May 2028
Last update
Aug 17, 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.
No changes since tracking began. The registry record was last updated on Aug 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06482268
Responsible party
Joseph Ciacci (Program Director/Professor, University of California, San Diego) — Principal investigator
First posted
Jul 1, 2024
Start date
Jun 1, 2024
Primary completion
Dec 28, 2027 (estimated)
Completion
May 2028 (estimated)
Last update
Aug 17, 2026

Study contacts

Alpha Stem Cell Clinic
Contact
AlphaStemCellClinic@health.ucsd.edu
(858) 249-4020
Joseph Ciacci, MD
principal investigator · University of California, San Diego

Oversight

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

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