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Not yet recruitingNCT06632470Updated Oct 9, 2024

Clinical Utility and Safety of Human Umbilical Cord Mesenchymal Stem Cell Secretome in Moderate Neurocognitive Impairment (Dementia)

A Phase 1 interventional study of Secretome injection and Vitamin B12 Injection in Dementia and Moderate Dementia, sponsored by Baermed. Not yet recruiting at 1 site in Indonesia. Open to participants aged 60 Years and older. Per ClinicalTrials.gov, last updated 2024-10-09.

Sponsored by Baermed · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by May 2025, 1 year 4 months ago, but the record still lists the study as not yet recruiting.
Phase
Phase 1
Study type
Interventional
Enrollment
54
Allocation
Non-randomized
Ages
60 Years and older
Sex
All
01

Study summary

The goal of this clinical trial if to learn if Human Umbilical Cord Mesenchymal Stem Cell (HUCMSC) derived secretome injection is safe and effective in patient with moderate dementia. The main questions it aims to answer are:

  1. Is HUCMSC derived secretome safe to be use as a therapy in patients with moderate dementia?
  2. How does HUCMSC derived secretome affect pro inflammatory and anti inflammatory cytokine (IL-6 and TNF alfa) in patient with moderate dementia?
  3. What is the relationship between HUCMSC derived secretome therapy with mini mental state examination? Researchers will compare the intervention group (patients who are injected with HUCMSC derived secretome) and control group (patients who are only monitored)

Participants will

  • Be injected with HUCMSC derived secretome or Vitamin B12 every two weeks for 4 months
  • Follow up visit to review treatment progress on 3rd months (2 weeks post treatment), 7th months (3 months post treatment) and participants will do several blood test and mental examination
02

Conditions studied

  • Dementia
  • Moderate Dementia

Keywords

  • dementia
  • moderate dementia
  • neurocognitive impairment
  • secretome
  • HUCSMC
  • stem cells
03

In context

Dementia

2,172 studies on the registry are indexed under Dementia; 540 are open to participants now.

This study's planned enrollment of 54 is below the median of 83 across 1,629 interventional studies indexed under Dementia.

Browse Dementia studies →

Lead sponsor

Baermed is the lead sponsor of 5 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
60 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Age > 60 years old
  2. Patient diagnosed with dementia confirmed by psychiatrist or neurologist based on DSM-4 or ICD 10
  3. Patient with Mini-Mental State Examination (MMSE) between 10 to 20 indicating moderate cognitive impairment
  4. Patient is in stable condition without life threatening disease or uncontrolled medical condition
  5. Patient undergoing stable dose treatment for other medical condition at least 4 months before the trial
  6. Patient with care giver or supporting family who can assist patient with research protocol

Exclusion criteria

Exclusion Criteria:

  1. Patient has dementia due to other medical condition such as severe head trauma, brain infection or history of drug abuse
  2. Patient with uncontrolled medical condition such as severe cardiovascular disease, chronic lung disease, cancer, or systemic infection
  3. Patient with severe psychiatry disorder such as schizophrenia and bipolar disorder
  4. Patient is receiving experimental drugs or participates in experimental studies for the last 30 days before the trial
  5. Patient who has allergy or hypersensitivity reaction towards secretome
  6. Patient with medical complications or surgery complications that require immediate interventions or other life threatening complications
  7. Patient is unable to provide written informed consent and not capable to understand and comply to research protocol
  8. Patient is unwilling and not capable to follow research protocol including follow up evaluations and blood sampling according to schedule
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Study design

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

Study arms

  • Experimental
    Secretome injection

    patient will receive secretome injection every two weeks for four months

    Drug: Secretome injection

  • Placebo comparator
    Vitamin B12

    patient will receive 1 ampule of vitamin b12 every two weeks for 4 months

    Drug: Vitamin B12 Injection

Interventions

  • DrugSecretome injection

    Patient will receive 3 ml of secretome intramuscular injection every two weeks for four months

    Also known as: secretome, hucmsc

  • DrugVitamin B12 Injection

    Patient will receive 1 ampule of vitamin b 12 intramuscular injection as a placebo drug every two weeks for four months

06

What researchers measure

Primary outcomes

  1. Number of moderate dementia patients with normal range of blood parameters assessed by hemoglobin level, hematocrit level, leukocyte level, thrombocyte level, HbA1c level, kidney function and liver function

    The blood parameters such as hemoglobin, hematocrit, leukocyte, thrombocyte, HbA1c, kidney function and liver function normal range is measured according to international standard

    Time frame: From enrollment to 3 months after treatment

  2. Number of participants with improved Mini mental status examination, mini cog and AD8

    Participants achieved a response if they have improvement of MMSE score, mini cog score and AD8 score

    Time frame: from enrollment to 3 months after treatment

  3. Number of participants with improved Glial Fibrillary Acid Protein (GFAP) levels

    Participants achieved a response if there is a decrease in GFAP levels

    Time frame: from enrollment to 3 months after treatment

07

Study locations

1 site
  • Panti Werda Hana
    Tangeran Selatan, Banten 15431, Indonesia
08

References and documents

Publications

  • Chiu EC, Chien TH, Lee YC. Measurement Equivalence between the Original and Estimated Mini-Mental State Examination in People with Dementia. Int J Environ Res Public Health. 2021 Jul 17;18(14):7616. doi: 10.3390/ijerph18147616. PubMed 34300067 ↗
  • Myrberg K, Hyden LC, Samuelsson C. The mini-mental state examination (MMSE) from a language perspective: an analysis of test interaction. Clin Linguist Phon. 2020 Jul 2;34(7):652-670. doi: 10.1080/02699206.2019.1687757. Epub 2019 Nov 18. PubMed 31739693 ↗
  • Arevalo-Rodriguez I, Smailagic N, Roque I Figuls M, Ciapponi A, Sanchez-Perez E, Giannakou A, Pedraza OL, Bonfill Cosp X, Cullum S. Mini-Mental State Examination (MMSE) for the detection of Alzheimer's disease and other dementias in people with mild cognitive impairment (MCI). Cochrane Database Syst Rev. 2015 Mar 5;2015(3):CD010783. doi: 10.1002/14651858.CD010783.pub2. PubMed 25740785 ↗
  • Thanaskody K, Jusop AS, Tye GJ, Wan Kamarul Zaman WS, Dass SA, Nordin F. MSCs vs. iPSCs: Potential in therapeutic applications. Front Cell Dev Biol. 2022 Nov 2;10:1005926. doi: 10.3389/fcell.2022.1005926. eCollection 2022. PubMed 36407112 ↗
  • Lee C, Kim M, Han J, Yoon M, Jung Y. Mesenchymal Stem Cells Influence Activation of Hepatic Stellate Cells, and Constitute a Promising Therapy for Liver Fibrosis. Biomedicines. 2021 Nov 2;9(11):1598. doi: 10.3390/biomedicines9111598. PubMed 34829827 ↗
  • Teixeira FG, Panchalingam KM, Assuncao-Silva R, Serra SC, Mendes-Pinheiro B, Patricio P, Jung S, Anjo SI, Manadas B, Pinto L, Sousa N, Behie LA, Salgado AJ. Modulation of the Mesenchymal Stem Cell Secretome Using Computer-Controlled Bioreactors: Impact on Neuronal Cell Proliferation, Survival and Differentiation. Sci Rep. 2016 Jun 15;6:27791. doi: 10.1038/srep27791. PubMed 27301770 ↗
  • Willis CM, Nicaise AM, Hamel R, Pappa V, Peruzzotti-Jametti L, Pluchino S. Harnessing the Neural Stem Cell Secretome for Regenerative Neuroimmunology. Front Cell Neurosci. 2020 Nov 5;14:590960. doi: 10.3389/fncel.2020.590960. eCollection 2020. PubMed 33250716 ↗
  • Park JH, Jung SJ, Lee LJ, Rhu J, Bae SH. Impact of nonpharmacological interventions on cognitive impairment in women with breast cancer: A systematic review and meta-analysis. Asia Pac J Oncol Nurs. 2023 Mar 1;10(4):100212. doi: 10.1016/j.apjon.2023.100212. eCollection 2023 Apr. PubMed 37095894 ↗
  • Treanor CJ, McMenamin UC, O'Neill RF, Cardwell CR, Clarke MJ, Cantwell M, Donnelly M. Non-pharmacological interventions for cognitive impairment due to systemic cancer treatment. Cochrane Database Syst Rev. 2016 Aug 16;2016(8):CD011325. doi: 10.1002/14651858.CD011325.pub2. PubMed 27529826 ↗
  • Hafiz R, Alajlani L, Ali A, Algarni GA, Aljurfi H, Alammar OAM, Ashqan MY, Alkhashan A. The Latest Advances in the Diagnosis and Treatment of Dementia. Cureus. 2023 Dec 14;15(12):e50522. doi: 10.7759/cureus.50522. eCollection 2023 Dec. PubMed 38222245 ↗
  • Salomone S, Caraci F, Leggio GM, Fedotova J, Drago F. New pharmacological strategies for treatment of Alzheimer's disease: focus on disease modifying drugs. Br J Clin Pharmacol. 2012 Apr;73(4):504-17. doi: 10.1111/j.1365-2125.2011.04134.x. PubMed 22035455 ↗
  • Pierre G. Neurodegenerative disorders and metabolic disease. Arch Dis Child. 2013 Aug;98(8):618-24. doi: 10.1136/archdischild-2012-302840. Epub 2013 May 22. PubMed 23698595 ↗
  • Zriek F, Di Battista JA, Alaaeddine N. Mesenchymal Stromal Cell Secretome: Immunomodulation, Tissue Repair and Effects on Neurodegenerative Conditions. Curr Stem Cell Res Ther. 2021;16(6):656-669. doi: 10.2174/1574888X16666210202145639. PubMed 33530914 ↗
  • Guo J, Huang X, Dou L, Yan M, Shen T, Tang W, Li J. Aging and aging-related diseases: from molecular mechanisms to interventions and treatments. Signal Transduct Target Ther. 2022 Dec 16;7(1):391. doi: 10.1038/s41392-022-01251-0. PubMed 36522308 ↗
  • Morrone A, Donini LM, Scardella P, Piombo L, Pinto A, Giusti AM, Neri B, Hagedorn T, Proietti AR, Cataldi S, Cucinotta D, Di Bella G, Barbagallo M, Cannella C; Gruppo di Lavoro MEG. [Malnutrition in the elderly: clinical features, psychological and social determinants. Preliminary results]. Ann Ig. 2011 Mar-Apr;23(2):161-72. Italian. PubMed 21770232 ↗
  • Bhatia MS, Srivastava S, Moond V. Prevalence of cognitive dysfunction, psychological morbidity and abuse in the community-based elderly population in India. Gen Psychiatr. 2020 Aug 16;33(5):e100207. doi: 10.1136/gpsych-2020-100207. eCollection 2020. PubMed 32875272 ↗
  • Ezkurdia A, Ramirez MJ, Solas M. Metabolic Syndrome as a Risk Factor for Alzheimer's Disease: A Focus on Insulin Resistance. Int J Mol Sci. 2023 Feb 22;24(5):4354. doi: 10.3390/ijms24054354. PubMed 36901787 ↗
  • Emmady PD, Schoo C, Tadi P. Major Neurocognitive Disorder (Dementia). 2022 Nov 19. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK557444/ PubMed 32491376 ↗
  • Rasmussen KL, Frikke-Schmidt R. The current state of apolipoprotein E in dyslipidemia. Curr Opin Lipidol. 2024 Apr 1;35(2):78-84. doi: 10.1097/MOL.0000000000000915. Epub 2023 Dec 6. PubMed 38054895 ↗
  • Shen C, Liu C, Qiu A. Metabolism-related brain morphology accelerates aging and predicts neurodegenerative diseases and stroke: a UK Biobank study. Transl Psychiatry. 2023 Jun 29;13(1):233. doi: 10.1038/s41398-023-02515-1. PubMed 37385998 ↗

Individual participant data

Plan to share: Yes — Case Report Form (all collected IPD)

Supporting information: Study protocol, Icf, Csr

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 9, 2024, 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
NCT06632470
Lead sponsor
Baermed
Collaborators
Tarumanagara University, panti werda hana, LPPT TARUMANAGARA
Responsible party
Sponsor
First posted
Oct 9, 2024
Start date
Oct 15, 2024 (estimated)
Primary completion
May 15, 2025 (estimated)
Completion
Oct 1, 2025 (estimated)
Last update
Oct 9, 2024

Study contacts

Noer Saelan Dr. dr. Noer Saelan Tadjudin Sp.KJ
Contact
saelan_untar@yahoo.co.id
+628119211219
Dr. dr. Siufui Hendrawan, M. Biomed
Contact
siufui@gmail.com
+628156963254
Noer Saelan Dr. dr. Noer Saelan Tadjudin Sp.KJ
principal investigator · Tarumanagara University

Oversight

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

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This study is not yet recruiting, as verified in Sep 2024. You cannot join it, but the record below documents what was studied.

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