ClinicalTrials.gg
Active, not recruitingNCT07923838UC-MSC-Exos PDUpdated Nov 6, 2026

Clinical Safety and Efficacy of Umbilical Cord Mesenchymal Stromal Cells-derived Exosomes in Patients With Parkinson's Disease

A Phase 1/2 interventional study of Umbilical cord mesenchymal stromal cell-derived exosomes (UCMSC-Exo) in Parkinson Disease (PD), sponsored by Shanghai Jiao Tong University School of Medicine. Active, not recruiting at 1 site in China. Open to participants aged 50 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-11-06.

Sponsored by Shanghai Jiao Tong University School of Medicine · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Registered 2 years after the study started (first participant enrolled Oct 2024, registered Nov 2026).
Updated Nov 6, 2026Newly registeredGo to Updates ↓
Phase
Phase 1/2
Study type
Interventional
Enrollment
9
Allocation
Non-randomized
Ages
50 Years to 75 Years
Sex
All
01

Where this study stands

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

Among 278 studies in Parkinson Disease with a site in China — 129 open to participants now, 136 under way, 3 of them phase 3. Parkinson Disease · China.

Enrollment
191st of 210
9 · median 48
Started
2024
with 30 others
Phase 1/2
9 of 278
4 open now
Primary completion
2027-06
later than 95 of 135 live
Registered
278th of 278
by date

Among the 278 studies in Parkinson Disease with a site in China, this one is the 191st largest by enrollment of the 210 interventional ones that give a count, is one of 31 that started in 2024, is one of 9 in phase 1/2, reaches primary completion later than 95 of the 135 other live ones, and was the 278th registered.

Parkinson Disease

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

This study's enrollment of 9 is below the median of 40 across 3,353 interventional studies indexed under Parkinson Disease.

Browse Parkinson Disease studies →

Open to participants now

129 of the 278 studies in Parkinson Disease with a site in China are open now.

All 129 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 748 Parkinson Disease studies recruiting now, 311 (42%) set no upper age limit and 127 (17%) stop at 75 or younger; 63 take children under 18; 189 take healthy volunteers.

This study: 50 Years to 75 Years · all sexes · no healthy volunteers.

The full table on the hub →
Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 278 studies in Parkinson Disease with a site in China, or all of them as a file.
02

Study summary

The goal of this clinical trial is to learn if intranasal umbilical cord mesenchymal stromal cell-derived exosomes (UCMSC-Exo) are safe and can help treat early Parkinson's disease in adults aged 50-75. It will also learn about the safety and tolerability of UCMSC-Exo. This is a single-center, open-label, dose-escalation study using a 3+3 design; there is no placebo and no blinding.

The main questions it aims to answer are:

  1. What local and systemic adverse events and serious adverse events occur with intranasal UCMSC-Exo?
  2. Does intranasal UCMSC-Exo improve motor and non-motor symptoms, biomarkers, and imaging measures in Parkinson's disease?
  3. Researchers will compare low-, medium-, and high-dose UCMSC-Exo groups sequentially to assess safety and preliminary efficacy.

Participants will:

  1. Receive UCMSC-Exo by nasal spray twice weekly (Monday/Thursday) for 12 weeks (24 administrations) at their assigned dose.
  2. Continue their usual dopaminergic medication during the study.
  3. Visit the clinic for safety assessments at weeks 4, 12, 16, and 48, and for efficacy assessments at weeks 12, 16, 24, 36, and 48.
  4. Undergo blood sampling, symptom questionnaires, and PET-MR imaging at scheduled time points.
  5. Be followed for a total of 48 weeks, including the 12-week treatment period and 36 weeks after treatment.
03

Conditions studied

  • Parkinson Disease (PD)

Browse trials for

04

Who can participate

Ages eligible
50 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. Confirmed sporadic idiopathic Parkinson's disease according to the UK Brain Bank clinical diagnostic criteria.
  2. On dopaminergic therapy for ≥60 days.
  3. Hyposmia, defined as SS-16 score \<9.
  4. Hoehn and Yahr stage ≤2.5.
  5. Age 50-75 years.
  6. score ≥25.
  7. Good general health with no abnormalities on laboratory tests.
  8. No to MRI.
  9. No disease and no current use of any immunosuppressive drug.
  10. Able to independently and voluntarily provide dated .
  11. Willing to comply with study procedures and able to adhere to the full study and intervention period.

Exclusion criteria

Exclusion Criteria:

  1. Severe allergic constitution.
  2. Previous treatment with allogeneic mesenchymal stromal cells or their exosomes.
  3. Any of the following laboratory abnormalities: \<1.0×10\^9/L; count \<100×10\^9/L; serum albumin \<30 g/L; serum creatinine > ; /AST >2× upper limit of normal.
  4. Severe or poorly controlled comorbidities, including but not limited to cardiovascular, cerebrovascular, hepatic, renal, endocrine, hematologic, dermatologic, and other systemic diseases.
  5. Severe depression.
  6. Other neurological diseases, including but not limited to stroke, traumatic brain injury, parkinsonism, or cognitive impairment.

8、Severe psychiatric symptoms or hallucinations.

9、History of or markedly abnormal tumor markers.

10、Severe systemic infection within the past 3 months.

11、MRI , including but not limited to cardiac pacemaker, claustrophobia, or implanted metal devices.

12、Positive infectious disease screening for , , , or Treponema pallidum (syphilis).

13、Drug abuse or addiction within the past 10 years.

14、Participation in another clinical trial within the past 6 months.

15、Current pregnancy or breastfeeding, or pregnancy/breastfeeding within the past 6 months.

16、Any condition that the investigator considers unsuitable for enrollment.

Terms in these criteria, in plain language(14)

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.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

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.

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.

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.

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.

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.

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.

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.

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 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.

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.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
9 participants (actual)

Study arms

  • Experimental
    Low-dose intranasal UCMSC-Exo

    Open-label umbilical cord mesenchymal stromal cell-derived exosomes (UCMSC-Exo) given by intranasal spray at 5×10\^8 particles/mL. Each administration is 0.4 mL total (200 µL per nostril), twice weekly (Monday/Thursday) for 12 weeks (24 doses). Participants continue their usual dopaminergic therapy. In the 3+3 design, the cohort expands to 6 participants if 1 dose-limiting toxicity (DLT) occurs; escalation stops if \>1 DLT occurs.

    Biological: Umbilical cord mesenchymal stromal cell-derived exosomes (UCMSC-Exo)

  • Experimental
    Medium-dose intranasal UCMSC-Exo

    Open-label UCMSC-Exo given by intranasal spray at 1×10\^9 particles/mL. Each administration is 0.4 mL total (200 µL per nostril), twice weekly (Monday/Thursday) for 12 weeks (24 doses). Participants continue their usual dopaminergic therapy. This cohort starts only if no DLT occurs in the low-dose cohort. In the 3+3 design, the cohort expands to 6 participants if 1 DLT occurs; escalation stops if \>1 DLT occurs.

    Biological: Umbilical cord mesenchymal stromal cell-derived exosomes (UCMSC-Exo)

  • Experimental
    High-dose intranasal UCMSC-Exo

    Open-label UCMSC-Exo given by intranasal spray at 2×10\^9 particles/mL. Each administration is 0.4 mL total (200 µL per nostril), twice weekly (Monday/Thursday) for 12 weeks (24 doses). Participants continue their usual dopaminergic therapy. This cohort starts only if no DLT occurs in the medium-dose cohort. In the 3+3 design, the cohort expands to 6 participants if 1 DLT occurs; escalation stops if \>1 DLT occurs.

    Biological: Umbilical cord mesenchymal stromal cell-derived exosomes (UCMSC-Exo)

Interventions

  • BiologicalUmbilical cord mesenchymal stromal cell-derived exosomes (UCMSC-Exo)

    UCMSC-Exo is an open-label product of exosomes from umbilical cord mesenchymal stromal cells (UCMSCs) in saline. It is a transparent liquid given by intranasal spray, not intravenously, and contains no living cells. Each dose is 0.4 mL total (200 µL/nostril; 2 sprays/nostril at \~100 µL/spray), twice weekly (Mon/Thu) for 12 weeks (24 doses), with usual dopaminergic therapy continued. A 3+3 design tests low (5×10\^8 particles/mL), medium (1×10\^9 particles/mL), and high (2×10\^9 particles/mL) concentrations; volume is identical, concentration differs. Escalation proceeds only with no DLT; 1 DLT expands a cohort to 6; \>1 DLT stops escalation. Store at -80°C; use within 2 hours after thawing. Key distinctions: acellular UCMSC-derived exosomes, intranasal route, fixed twice-weekly 12-week regimen, sequential dose escalation, no placebo.

06

What researchers measure

Primary outcomes

  1. Incidence, severity, and relatedness of local and systemic adverse events and serious adverse events after intranasal UCMSC-Exo in early Parkinson's disease

    Primary safety outcome: incidence, severity, and relationship to study intervention of local and systemic adverse events (AEs) and serious adverse events (SAEs) after intranasal UCMSC-Exo. Local AEs include pain, itching, sneezing, bleeding, allergy, and hyposmia. Systemic AEs include fever, systemic allergic reactions (rash, redness), abnormal inflammatory markers (WBC, CRP), hepatic impairment (ALT/AST \>2× ULN), renal impairment (serum creatinine \> ULN), anemia (Hb \<120 g/L in men; \<110 g/L in women), and abnormal tumor markers. SAEs include severe allergic reactions (edema, asthma). Safety is assessed by physical examination, vital signs, laboratory tests (CBC/CRP, liver and renal function, electrolytes, fasting glucose, IgE, EKG), and AE/SAE questionnaires at Weeks 4, 12, 16, and 48; tumor markers, cardiac markers, DIC, and lipids are assessed at Week 48.

    Time frame: From first dose through Week 48; safety assessments at Weeks 4, 12, 16, and 48

07

Study locations

1 site
  • Ruijin Hospital Shanghai Jiao Tong Universtiy
    Shanghai, Shanghai Municipality 200025, China
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No — No IPD sharing is planned. The protocol does not include a data-sharing plan for individual participant data. Data will be stored securely with password protection and used only for this study; only aggregate/summary results will be published, and the trial will be registered publicly.

09

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

Started Oct 2024 (actual). Primary completion is estimated for Jun 2027, 32 months after the start.

Of 55 phase 1/2 interventional studies under Parkinson Disease, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 53. This study's planned 32 months is above that.

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

Registered
Nov 2, 2026
First posted
Nov 6, 2026
StartActual
Oct 28, 2024
Primary completionEst.
Jun 30, 2027
CompletionEst.
Jun 30, 2027
Last update
Nov 6, 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.
Registered
First appeared on the registry. No changes since
Nov 6, 2026
Show all 1 update
  1. Nov 6, 2026
    First appeared on the registry

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 ↗

10

Registry details

Key details

Study ID
NCT07923838
Responsible party
Xiaodong Yang (Ruijin Hospital, Shanghai Jiaotong University School Of Medicine, Ruijin Hospital) — Principal investigator
First posted
Nov 6, 2026
Start date
Oct 28, 2024
Primary completion
Jun 30, 2027 (estimated)
Completion
Jun 30, 2027 (estimated)
Last update
Nov 6, 2026

Oversight

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

Not currently enrolling

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

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion