ClinicalTrials.gg
RecruitingNCT06620809Updated Sep 21, 2026

The Safety and Efficacy of NouvSoma001 in Neuromyelitis Optica Spectrum Disorders

A Phase 1 interventional study of Extracellular vesicles derived from human-induced neural stem cells for intrathecal injection and A placebo of extracellular vesicles derived from human-induced neural stem cells for intrathecal injection in Neuromyelitis Optica Spectrum Disorders, sponsored by Tongji Hospital. Recruiting at 1 site in China. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-09-21.

Sponsored by Tongji Hospital · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2025; still recruiting 1 year 7 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
69
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 72 studies in Neuromyelitis Optica with a site in China — 37 open to participants now, 43 under way, 7 of them phase 3. Neuromyelitis Optica · China.

Planned enrollment
13th of 51
69 · median 23
Started
2025
with 9 others
Phase 1
17 of 72
10 open now
Primary completion
2027-11
later than 29 of 42 live
Registered
49th of 72
by date
Lead sponsor
7 of 72
Tongji Hospital

Among the 72 studies in Neuromyelitis Optica with a site in China, this one is the 13th largest by planned enrollment of the 51 interventional ones that give a count, is one of 10 that started in 2025, is one of 17 in phase 1, reaches primary completion later than 29 of the 42 other live ones, and was the 49th registered.

Neuromyelitis Optica

178 studies on the registry are indexed under Neuromyelitis Optica; 78 are open to participants now.

Browse Neuromyelitis Optica studies →

Open to participants now

37 of the 72 studies in Neuromyelitis Optica with a site in China are open now. Recruiting first, the newest first:

31 more — sign in →

All 37 open studies →

A study can be open while its sites in China have not opened yet or have stopped. Only those recruiting at a site in China →

Who these studies take

Of the 50 Neuromyelitis Optica studies recruiting now, 29 (58%) set no upper age limit and 16 (32%) stop at 75 or younger; 11 take children under 18; 9 take healthy volunteers.

This study: 18 Years to 65 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 72 studies in Neuromyelitis Optica with a site in China, or all of them as a file.
02

Study summary

This is a single-center, randomized, open-label, placebo-controlled, dose-escalation trial. The objective of this research is to evaluate the safety, tolerability, and efficacy of intrathecal administration of human-induced neural stem cell-derived extracellular vesicles (NouvSoma001) for the treatment of neuromyelitis optica spectrum disorders.

Read the detailed description

The sample size of this study is not based on statistical hypothesis testing. A total of 69 participants are planned to be enrolled, including 9 participants in the dose-escalation study and 60 participants in the dose-expansion study.

Part 1 will adopt a traditional 3 + 3 dose-escalation design, with a planned enrollment of 9 participants. Participants will be assigned into three cohorts:

Cohort 1: 5 × 10⁹ particles Cohort 2: 1.5 × 10¹⁰ particles Cohort 3: 4.5 × 10¹⁰ particles

If no dose-limiting toxicities (DLTs) are observed within 2 weeks after treatment in the first participant enrolled in Cohort 1, two additional participants may be enrolled. If no DLTs are observed within 2 weeks after treatment in these two additional participants, and at least one of the three participants in the same dose cohort demonstrates a therapeutic response, investigators may make the following decisions based on the preliminary efficacy signals and safety data obtained:

  1. Continue enrollment in the 5 × 10⁹ particles dose cohort until a total of 6 DLT-evaluable participants are enrolled; or
  2. Stop further enrollment in the 5 × 10⁹ particles dose cohort and proceed to the next dose level (1.5 × 10¹⁰ particles) for DLT evaluation.

If the first three participants enrolled in Cohort 1 do not experience any DLTs, but none of the participants demonstrate clinical efficacy, and investigators have no additional safety concerns regarding NouvSoma001 extracellular vesicle injection, dose escalation to Cohort 2 (1.5 × 10¹⁰ particles) will be performed for DLT evaluation.

If one participant among the first three participants in Cohort 1 experiences a DLT, enrollment in the 5 × 10⁹ particles dose cohort will continue until a total of 6 DLT-evaluable participants are included.

If two participants among the first three participants in Cohort 1 experience DLTs, investigators may decide, based on the preliminary efficacy and safety data obtained, whether to evaluate a lower dose level (2.5 × 10⁹ particles) for further safety and efficacy assessment.

Cohorts 2 and 3 will follow the same dose-escalation rules as Cohort 1 until completion of Part 1.

In Part 2, the remaining 60 participants will be randomly assigned in a 2:1 ratio to the treatment group and placebo group. The dose level used in Part 2 will be determined based on the results of Part 1.

03

Conditions studied

  • Neuromyelitis Optica Spectrum Disorders

Browse trials for

Keywords

  • Neuromyelitis Optica Spectrum Disorders
  • extracelluar vesicles
04

Who can participate

Ages eligible
18 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. Patients must meet the 2015 International Consensus Diagnostic Criteria for Neuromyelitis Optica Spectrum Disorder (NMOSD) and test positive for AQP4 antibodies.
  2. Symptom onset occurred within 7 days prior to enrollment, with associated severe pain, lower limb motor dysfunction, or urinary/bowel impairment.
  3. Males or Females aged between 18 and 65 years.
  4. The Expanded Disability Status Scale (EDSS) score prior to the current disease episode is ≤ 4.
  5. Female participants of must present a negative pregnancy test at screening and agree to use effective throughout the study period.
  6. must be obtained from the patient or their legal representative, with a signed consent form must be provided.

Exclusion criteria

Exclusion Criteria:

  1. Abnormal laboratory indicators of the subjects need to be excluded, including, but not limited to, the following indicators:

    White blood cell count \< 3 × 10⁹/L \< 1.5 × 10⁹/L \< 85 g/L count \< 80 × 10⁹/L Serum creatinine > 1.5 × Total > 1.5 × ULN (AST) > 3 × ULN Alanine aminotransferase (ALT) > 3 × ULN Alkaline phosphatase > 2 × ULN (AST = Aspartate Aminotransferase; GOT = Glutamic-Oxaloacetic Transaminase; ALT = Alanine Aminotransferase; GPT = Glutamic-Pyruvic Transaminase)

  2. Any to lumbar puncture.
  3. Pregnant or breastfeeding women, and patients with plans to conceive during the trial.
  4. Patients with a known history of allergies to human-derived biological products or those with an allergic predisposition.
  5. Patients who have undergone hematopoietic stem cell transplantation or lymphatic irradiation before enrollment.
  6. Patients who have participated in any other clinical trial within the last 3 months.
  7. Patients with severe comorbidities, including immunodeficiency or coagulation disorders.
  8. Patients with active suicidal ideation within 6 months before screening or have a history of suicide attempts within 3 years before screening.
  9. Patients with severe psychiatric symptoms that prevent clinical cooperation.
  10. Patients with positive for alcohol addiction or drug abuse.
  11. Patients with malignant tumors.
  12. Patients who have experienced any of the following events within 12 weeks before enrollment: myocardial infarction, unstable ischemic heart disease, stroke, or Class IV heart failure.
  13. Patients with persistent systemic infections and severe local infections.
  14. Patients unable to undergo magnetic resonance imaging during the trial.
  15. Patients deemed unsuitable for participation by the investigator.
Terms in these criteria, in plain language(11)

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

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.

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.

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).

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.

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.

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.

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.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
69 participants (estimated)

Study arms

  • Experimental
    Extracellular vesicles group

    Patients in this group will receive extracellular vesicles derived from human-induced neural stem cells for intrathecal injection once a day for 1 day.

    Drug: Extracellular vesicles derived from human-induced neural stem cells for intrathecal injection

  • Placebo comparator
    Extracellular vesicles placebo group

    Patients in this group will receive a placebo of extracellular vesicles derived from human-induced neural stem cells for intrathecal injection once a day for 1 day.

    Drug: A placebo of extracellular vesicles derived from human-induced neural stem cells for intrathecal injection

Interventions

  • DrugExtracellular vesicles derived from human-induced neural stem cells for intrathecal injection

    Extracellular vesicles derived from human-induced neural stem cells for intrathecal injection

    Also known as: NouvSoma001

  • DrugA placebo of extracellular vesicles derived from human-induced neural stem cells for intrathecal injection

    A placebo of extracellular vesicles derived from human-induced neural stem cells for intrathecal injection

06

What researchers measure

Primary outcomes

  1. The incidence and severity of all adverse events (AE) and serious adverse events (SAE)

    The assessment of adverse events and serious adverse events

    Time frame: Up to 6 month after treatment initiation

Secondary outcomes

  1. The incidence and severity of all adverse events (AE) and serious adverse events (SAE)

    The assessment of adverse events and serious adverse events

    Time frame: Up to 18 month after treatment initiation

  2. Magnetic Resonance Imaging (MRI) scans of the brain and spinal cord at month 1 and month 6

    Time frame: Up to 6 month after treatment initiation

  3. The score of Visual analogue scale(VAS)

    Time frame: Up to 6 month after treatment initiation

  4. Brief Pain Inventory - Short form (BPI-SF)

    Time frame: Up to 6 month after treatment initiation

  5. The score of Expanded Disability Status Scale (EDSS)

    Time frame: Up to 6 month after treatment initiation

  6. The score of Fecal Incontinence Severity Index (FISI)

    Time frame: Up to 6 month after treatment initiation

  7. The score of Hauser Ambulance Index (contains The timed 25-foot walk)

    Time frame: Up to 6 month after treatment initiation

  8. The score of Hamilton Anxiety Rating Scale

    Time frame: Up to 6 month after treatment initiation

  9. The score of Hamilton Depression Rating Scale

    Time frame: Up to 6 month after treatment initiation

  10. The Modified Rankin Scale (mRS)

    Time frame: Up to 6 month after treatment initiation

  11. The value of Quality of Life (EQ-5D-5L)

    Time frame: Up to 6 month after treatment initiation

  12. The incidence of Columbia-Suicide Severity Rating Scale (C-SSRS) events

    Time frame: Up to 6 month after treatment initiation

  13. The value of Nfl、GFAP in the serum at month 1、3、6 compared with baseline and control group

    Time frame: Up to 6 month after treatment initiation

  14. The value of white blood cell count in cerebrospinal fluid at month 1、6 compared with baseline and control group.

    Time frame: Up to 6 month after treatment initiation

  15. The value of QAlb in cerebrospinal fluid at month 1、6 compared with baseline and control group.

    Time frame: Up to 6 month after treatment initiation

  16. The value of Nfl in cerebrospinal fluid at month 1、6 compared with baseline and control group.

    Time frame: Up to 6 month after treatment initiation

  17. The value of GFAP in cerebrospinal fluid at month 1、6 compared with baseline and control group.

    Time frame: Up to 6 month after treatment initiation

  18. The value of IL-1β in cerebrospinal fluid at month 1、6 compared with baseline and control group.

    Time frame: Up to 6 month after treatment initiation

  19. The value of IL-6 in cerebrospinal fluid at month 1、6 compared with baseline and control group.

    Time frame: Up to 6 month after treatment initiation

  20. The value of TNF-α in cerebrospinal fluid at month 1、6 compared with baseline and control group.

    Time frame: Up to 6 month after treatment initiation

  21. The value of sTREM2 in cerebrospinal fluid at month 1、6 compared with baseline and control group.

    Time frame: Up to 6 month after treatment initiation

  22. Examination of visual function

    Time frame: Up to 6 month after treatment initiation

  23. Optical coherence tomography (OCT)

    Time frame: Up to 6 month after treatment initiation

  24. Translocator Protein (TSPO) PET imaging at month 1

    Time frame: Up to 1 month after treatment initiation

  25. Chest computed tomography (CT) scans at month 6 and month 18

    Time frame: Up to 18 month after treatment initiation

  26. Tumor marker assessment at month 6

    Time frame: Up to 6 month after treatment initiation

07

Study locations

1 of 1 sites recruiting
  • Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology
    Wuhan, Hubei 430000, China
    Recruiting
    • Chuan Qin, MD · Contact86-27-83663337
    • Chuan Qin, MD · Contact86-27-83663332
    • Wei Wang, MD · Principal investigator
    • Daishi Tian, MD · Principal investigator
    • Chuan Qin, MD · Principal investigator
08

References and documents

Publications

  • Dulamea AO, Sirbu-Boeti MP, Bleotu C, Dragu D, Moldovan L, Lupescu I, Comi G. Autologous mesenchymal stem cells applied on the pressure ulcers had produced a surprising outcome in a severe case of neuromyelitis optica. Neural Regen Res. 2015 Nov;10(11):1841-5. doi: 10.4103/1673-5374.165325. PubMed 26807122 ↗
  • Xu H, Jiang W, Li X, Jiang J, Afridi SK, Deng L, Li R, Luo E, Zhang Z, Huang YA, Cui Y, So KF, Chen H, Qiu W, Tang C. hUC-MSCs-derived MFGE8 ameliorates locomotor dysfunction via inhibition of ITGB3/ NF-kappaB signaling in an NMO mouse model. NPJ Regen Med. 2024 Jan 20;9(1):4. doi: 10.1038/s41536-024-00349-z. PubMed 38242900 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Mar 2025 (actual). Primary completion is estimated for Nov 2027, 32 months after the start.

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

Registered
Sep 22, 2024
First posted
Oct 1, 2024
StartActual
Mar 28, 2025
Primary completionEst.
Nov 30, 2027
CompletionEst.
Nov 30, 2027
Last update
Sep 21, 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 Sep 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06620809
Lead sponsor
Tongji Hospital
Collaborators
iRegene Therapeutics Co., Ltd.
Responsible party
Wei Wang (Prof., Tongji Hospital) — Principal investigator
First posted
Oct 1, 2024
Start date
Mar 28, 2025
Primary completion
Nov 30, 2027 (estimated)
Completion
Nov 30, 2027 (estimated)
Last update
Sep 21, 2026

Study contacts

Chuan Qin, MD
Contact
qinchuan712@126.com
86-27-83663337
Chuan Qin, MD
Contact
chuanqin@tjh.tjmu.edu.cn
86-27-83663332
Dai-shi Tian, MD
principal investigator · Tongji Hospoital
Wei Wang, MD
principal investigator · Tongji Hospoital
Chuan Qin, MD
principal investigator · Tongji Hospital

Oversight

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

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