FIH Study of NRTX-1001 Neural Cell Therapy in Drug-Resistant Unilateral Mesial Temporal Lobe Epilepsy

General Information

Summary This clinical trial is designed to test whether a single image-guided intracerebral administration of inhibitory nerve cells, called interneurons (NRTX-1001), into subjects with drug-resistant unilateral mesial temporal lobe epilepsy (MTLE), with or without mesial temporal sclerosis (MTS), is safe (frequency of adverse events) and effective (seizure frequency). NRTX-1001 comprises human interneurons that secrete a neurotransmitter, gamma-aminobutyric acid (GABA).
Description Subjects will undergo a single CT or MRI-guided intracerebral administration of human interneurons that secrete the inhibitory neurotransmitter, gamma-aminobutyric acid (GABA), into the temporal lobe region of the brain where the seizures are thought to arise. NRTX-1001 is intended to suppress the onset and spread of seizures. Safety, tolerability, and effects on reducing seizure frequency and epilepsy disease symptoms will be assessed at quarterly intervals for 2 years after the administration of NRTX-1001. After the two-year period, subjects will be followed with quarterly phone calls and annual visits in years 3 through 5, and then annual visits in years 6 through 15. Subjects will be placed on an immunosuppressant medication regimen for a duration of one year to partially suppress the subjects' immune system to promote the intended long-term persistence of NRTX-1001. This immunosuppressant medication is intended to be discontinued after the first year; however, the NRTX-1001 cells are intended to persist long-term.
Clinical trials phase Phases 1/2
Start date (estimated) 2022-06-16
End date (estimated) 2042-02-28
Clinical feature
Label epilepsy
Link http://purl.obolibrary.org/obo/DOID_1826
Description A brain disease that is characterized by the occurrance of at least two unprovoked seizures resulting from a persistent epileptogenic abnormality of the brain that is able to spontaneously generate paroxysmal activity and typically manifested by sudden brief episodes of altered or diminished consciousness, involuntary movements, or convulsions.

Administrative Information

NCT number NCT05135091
ICTRP weblink https://trialsearch.who.int/Trial2.aspx?TrialID=NCT05135091
Other study identifiers
Name NTE001
Source weblink https://www.clinicaltrials.gov/ct2/show/study/NCT05135091
Regulatory body approval
Name Food and Drug Administration (FDA)
Country
United States
Sponsors Neurona Therapeutics
Collaborators

Cells

Which differentiated cell type is used
Label interneuron
Link http://purl.obolibrary.org/obo/CL_0000099
Description Most generally any neuron which is not motor or sensory. Interneurons may also refer to neurons whose axons remain within a particular brain region as contrasted with projection neurons which have axons projecting to other brain regions.

Recruitment

Recruitment Status Recruiting
Estimated number of participants 58