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RecruitingNCT07396155Updated Feb 9, 2026

Safety and Efficacy of Allogeneic Umbilical Cord Mesenchymal Stem Cell Therapy in Diabetic Nephropathy Patients: A Clinical Trial

A Phase 1/2 interventional study of Umbilical Cord Mesenchymal Stem Cells in Diabetic Nephropathy Type 2, sponsored by PT. Prodia Stem Cell Indonesia. Recruiting at 1 site in Indonesia. Open to participants aged 30 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-02-09.

Sponsored by PT. Prodia Stem Cell Indonesia · Phase 1/2, Interventional, and Treatment

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Phase
Phase 1/2
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
30 Years to 65 Years
Sex
All
01

Study summary

The goal of this clinical trial is to evaluate the safety and efficacy of a single intra-renal injection of allogeneic umbilical cord-derived mesenchymal stem cells (UC-MSCs) in adults with diabetic nephropathy aged 40 to 65 years. The primary questions the study aims to answer are:

  1. Is UC-MSC therapy safe and well-tolerated when administered intra-renally in patients with diabetic nephropathy?
  2. Does UC-MSC therapy improve kidney function and modulate inflammatory markers over a 12-month follow-up-period?

This is a single-arm, open-label, prospective clinical trial. Participants will receive a one-time intra-renal injection of UC-MSC at a dose of 1 x 10⁶ cells/kg body weight.

Participants will attend scheduled follow-up visits at 1, 3, 6, 9, and 12 months post-injections for evaluation of:

  1. Renal function (eGFR, serum creatinine, and urine albumin-creatinine ratio)
  2. Inflammatory markers (TNF-α, IL-10)
  3. Safety outcomes including early and late adverse events

The results will be compared to baseline measurements to assess changes after the intervention.

If there is a comparison group: Researchers will compare [arm information] to see if [insert effects].

Participants will [describe the main tasks participants will be asked to do, interventions they'll be given and use bullets if it is more than 2 items].

Read the detailed description

Diabetic nephropathy (DN) is one of the most common microvascular complications of diabetes mellitus and a leading cause of end-stage renal disease worldwide. Despite current standard therapies, many patients continue to experience progressive decline in renal function. As inflammation and immune dysregulation are increasingly recognized as contributors to DN pathogenesis, novel therapeutic strategies targeting these mechanisms are being explored.

Mesenchymal stem cells (MSCs), particularly those derived from umbilical cord tissue, have shown promising anti-inflammatory and regenerative effects in preclinical studies of kidney disease. Their immunomodulatory properties, low immunogenicity, and ease of collection make them a compelling option for cell-based therapies.

This clinical trial aims to evaluate the safety and potential therapeutic benefit of allogeneic umbilical cord-derived MSCs administered via intra-renal injection in individuals with diabetic nephropathy. The study is designed to provide early human data on the feasibility of using UC-MSCs as an adjunctive therapy in DN management. By assessing changes in renal function and inflammatory biomarkers over time, the trial seeks to explore the biological impact of UC-MSC therapy in this population.

This research represents an important step toward developing cell-based interventions for chronic kidney disease, particularly in settings where conventional treatments are insufficient. The findings are expected to contribute valuable data to the growing field of regenerative nephrology.

02

Conditions studied

  • Diabetic Nephropathy Type 2

Keywords

  • Umbilical Cord Mesenchymal Stem Cell
  • Diabetic Nephropathy
  • Kidney Disease
  • Intra-renal Injection
  • TNF-alpha
  • IL-10
  • Glomerular Filtration Rate
  • eGFR
  • Regenerative Medicine
  • Mesenchymal Stem Cells
  • UC-MSC
03

In context

Diabetic Nephropathies

543 studies on the registry are indexed under Diabetic Nephropathies; 110 are open to participants now.

This study's planned enrollment of 10 is below the median of 78 across 388 interventional studies indexed under Diabetic Nephropathies.

Browse Diabetic Nephropathies studies →

Lead sponsor

PT. Prodia Stem Cell Indonesia is the lead sponsor of 16 studies on the registry; 7 are open to participants now.

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

04

Who can participate

Ages eligible
30 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

  • Diagnosed with Type 2 Diabetes Mellitus (T2DM)
  • Aged between 40 and 65 years
  • Diagnosed with chronic kidney disease (CKD) stage III or IV, defined as estimated (eGFR) between 15-60 mL/min/1.73 m² (using CKD-EPI formula)
  • Renal showing diabetic nephropathy type IIa-IV
  • Presence of proteinuria, with urine albumin-to-creatinine ratio (UACR) between 30-3000 mg/g (spot morning urine sample)
  • Controlled diabetes, defined as \<10.0% during screening
  • Blood pressure within the range of: Systolic 100-160 mmHg, Diastolic 60-100 mmHg
  • On stable standard therapy for diabetic nephropathy (e.g. ACE inhibitors or ARBs) for at least 12 weeks prior to screening
  • Willing to provide written and comply with all study procedures until completion

Exclusion criteria

Exclusion Criteria:

  • Active or history of cancer
  • Active liver disease or abnormal liver function ( or AST ≥2× )
  • \<8 g/dL or count \<100,000/µL
  • Serious or unstable cerebrovascular or cardiovascular conditions within the last 6 months
  • Positive pregnancy test or currently breastfeeding (for women of reproductive age)
  • Currently receiving therapy equivalent to ≥20 mg/day prednisone
  • History of participation in other stem cell research or therapy studies
Terms in these criteria, in plain language(10)

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.

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.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

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.

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.

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.

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
10 participants (estimated)

Study arms

  • Experimental
    UC-MSC treatment group

    Participants will receive a single intra-renal injection of UC-MSCs (1 × 10⁶ cells/kg BW), followed by a 12-month monitoring period for safety and renal function outcomes.

    Biological: Umbilical Cord Mesenchymal Stem Cells

Interventions

  • This intervention consists of a single intra-renal injection of allogeneic umbilical cord-derived mesenchymal stem cells (UC-MSCs) administered under imaging guidance. The dose administered is 1 × 10⁶ cells per kilogram of body weight.

06

What researchers measure

Primary outcomes

  1. Incidence of Adverse Events and Serious Adverse Events

    Safety is assessed by recording the number and percentage of participants experiencing any adverse events (AEs), including both local and systemic reactions.

    Time frame: From baseline up to 12 months post-injection

Secondary outcomes

  1. Change in Estimated Glomerular Filtration Rate (eGFR)

    Calculated using the CKD-EPI 2021 formula

    Time frame: Baseline and at 1, 3, 6, 9, and 12 months after treatment

  2. Change in Serum Creatinine

    Measured in mg/dL. Collected via venous blood samples

    Time frame: Baseline and at 1, 3, 6, 9, and 12 months after treatment

  3. Change in Urine Albumin-to-Creatinine Ratio (UACR)

    Measured in mg/g from morning spot urine samples

    Time frame: Baseline and at 1, 3, 6, 9, and 12 months after treatment

Other outcomes

  1. Change in Serum TNF-α Levels

    Tumor necrosis factor-alpha (TNF-α) is measured in patient serum using ELISA as a marker of systemic inflammation. The change in TNF-α concentration from baseline over 12 months will be analyzed to evaluate the immunomodulatory effect of UC-MSC therapy.

    Time frame: Baseline and at 1, 3, 6, 9, and 12 months after treatment

  2. Change in Serum IL-10 Levels

    Interleukin-10 (IL-10) is measured in patient serum using ELISA as an anti-inflammatory cytokine. This outcome assesses whether UC-MSC treatment modulates IL-10 levels over a 12-month follow-up period.

    Time frame: Baseline and at 1, 3, 6, 9, and 12 months after treatment

07

Study locations

1 of 1 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Jul 2026; primary completion for Jul 2027, 12 months later.

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

Registered
Jul 7, 2025
First posted
Feb 9, 2026
StartEst.
Jul 1, 2026
Primary completionEst.
Jul 2027
CompletionEst.
Oct 2027
Last update
Feb 9, 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 Feb 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07396155
Lead sponsor
PT. Prodia Stem Cell Indonesia
Collaborators
Dr. Sardjito General Hospital, Yogyakarta, Indonesia
Responsible party
Sponsor
First posted
Feb 9, 2026
Start date
Jul 1, 2026 (estimated)
Primary completion
Jul 2027 (estimated)
Completion
Oct 2027 (estimated)
Last update
Feb 9, 2026

Study contacts

Metalia Puspitasari, MD
Contact
puspitasarimetalia@gmail.com
+628116110283

Oversight

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

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