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The goal of this clinical trial is to evaluate the safety, tolerability and preliminary efficacy that iDAP has on Parkinson's disease (PD) patients.
Parkinson's disease (PD) is a common neurodegenerative disease in the middle-aged and elderly. It is the "third killer" of the middle-aged and elderly after tumors and cardiovascular and cerebrovascular diseases. Its main clinical manifestations are resting tremor, reduced voluntary movement, muscle rigidity, postural reflex impairment, and autonomic dysfunction, which seriously affect patients' work ability and quality of life. It is estimated that nearly 100,000 people in China become new Parkinson's patients every year. Experts from the World Health Organization predict that the number of Parkinson's patients in China will reach 5 million in 2030, which will be more than half of the world's total. As the disease progresses, the symptoms of Parkinson's patients will become increasingly severe. The high prevalence and high disability rate of Parkinson's disease bring heavy burdens to individuals, families, and society.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Low dose | Experimental | MRI-guided bilateral stereotactic cell implantation |
|
| High dose | Experimental | MRI-guided bilateral stereotactic cell implantation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Allogeneic dopaminergic neural precursor cell(iDAP) | Drug | Bilateral implantation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence and severity of adverse events. | Safety and tolerability | Within 24 months post-transplantation |
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of changes in Movement Disorder Society-Sponsored Revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS), part III, in comparison with baseline values. | Minimum score: 0; Maximum score: 132; Higher scores mean a worse outcome. | Within 24 months post-transplantation |
| Assessment of changes in Movement Disorder Society-Sponsored Revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS), part I,II,IV, in comparison with baseline values. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jiong Shi, M.D | Contact | 6228 3114 | Jshi2022@ustc.edu.cn |
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| ID | Term |
|---|---|
| D010300 | Parkinson Disease |
| ID | Term |
|---|---|
| D020734 | Parkinsonian Disorders |
| D001480 | Basal Ganglia Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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Higher scores mean a worse outcome. |
| Within 24 months post-transplantation |
| Assessment of changes in Hoehn & Yahr scale in comparison with baseline values. | Comprehensive clinical assessment for examining the improvements in Parkinson disease. | Within 24 months post-transplantation |
| Assessment of changes in Mini-mental State Examination (MMSE), Hamilton Depression Scale (HAMD)-17 and Hamilton Anxiety Scale (HAMA)-14 in comparison with baseline values. | Comprehensive clinical assessment for examining the improvements in mental state. | Within 24 months post-transplantation |
| Assessment of changes in Activity of Daily Living Scale (ADL) in comparison with baseline values. | Comprehensive clinical assessment for examining the improvements in activity of daily living. | Within 24 months post-transplantation |
| Brain network connectivity patterns as demonstrated on positron emission tomography(PET) compared with baseline in the 'off' state. | Evidence of cell survival | Within 24 months post-transplantation |
| Brain DAT intake index as demonstrated on PET dopamine transporter(DAT) compared with baseline in the 'off' state. | Evidence of cell survival | Within 24 months post-transplantation |
| Patient L-dopa equivalent dose compared with baseline. | Measure of dopaminergic drug dose. | Within 24 months post-transplantation |
| D009422 | Nervous System Diseases |
| D009069 | Movement Disorders |
| D000080874 | Synucleinopathies |
| D019636 | Neurodegenerative Diseases |