Dose Escalation Pilot Study to Evaluate the Safety of Alocyte for the Treatment of Facetogenic Back Pain

Recruiting now · Phase 1

Conditions studied: Facet Joints; Degeneration, Back Pain, Facet Joint Pain

In brief

The purpose of this study is to see if the use of Alocyte (cord blood plasma plus mononucleic cells) will be safe, well tolerated, and whether it causes any side effects. The study will also examine if the use of the Investigational Product (IP) is able to reduce local inflammation or alleviate Facetogenic back pain

Key facts

Study ID

NCT05909709

Run by

Alimorad Farshchian

People needed

15

Starts

2024-04-29

Expected to finish

2026-10-01

Last updated by the study team

2026-01-13

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• In order to be eligible to participate in this study, all individuals must meet all of the following criteria:
• Subjects age > 18 years at the time of signing the Informed Consent Form.
• Male or Female.
• Ability of participant to understand and the willingness to sign a written informed consent document.
• Facetogenic back pain diagnosed using the following diagnostic criteria Subjects who have chronic low back pain based on clinical evaluation. Pain onset at dorsal extension and release at flexion is often considered suggestive for facet pain, even if non-specific, such as maximal tenderness upon deep palpation of posterior elements.
• Patient with up to 5 diseased facet joints
• Chronic Facetogenic pain (≥ 6 months) in patients that have failed conservative management
• Subjects must be reasonably able to return for multiple follow-up visits.
• For Women of Child-Bearing Potential (WOCBP) only, willingness to use FDA-recommended birth control until 6 months post treatment.
• Any male subject must agree to use contraceptives and not donate sperm during the study.

You may not qualify if…

• Previous surgical intervention for back pain
• Previous stem cell injection(s) within the last year
• Use of anticoagulation or NSAIDs within 5 days of the injection
• MRI finding of severe high-grade lumbar stenosis
• Leg pain exceeding back pain
• Pain worse with flexion maneuvers
• Fracture of lumbar vertebrae
• Inability to perform any of the assessments required for endpoint analysis.
• Clinically significant abnormal screening laboratory or clinical assessment values
• Use of medications during the early phase of treatment such as chronic narcotic use, systemic corticosteroid administration, local corticosteroid injection at facets anticoagulant therapy and viscosupplementation into facets, any investigational drug used within 3 months prior to screening or during study and surgery in the facets
• Subjects with serious co-morbidities are excluded.
• Evidence of inflammatory arthritis (example, rheumatoid arthritis and ankylosing spondylitis) or traumatic fractures, osteoarthritis, meniscoid entrapment, synovial impingement, joint subluxation, synovial inflammation, loss of cartilage, and mechanical injury.
• Have a clinical history of malignancy within 5 years (i.e., subjects with prior malignancy must be disease free for 5 years), except curatively treated basal cell carcinoma, squamous cell carcinoma, melanoma in situ or cervical carcinoma, if recurrence occurs.
• Be currently participating (or participated within the previous 6 months) in an investigational therapeutic or device trial.
• Exhibiting signs of moderate or severe chronic respiratory disease (such as COPD, asthma, or pulmonary fibrosis).
• Patient with rheumatologic disorders.
• History of chronic liver disease or patient showing signs of clinical jaundice at the time of screening.
• History of severe chronic kidney disease or requiring dialysis.
• Patient with NYHA Class III or IV congestive heart failure or life-threatening arrhythmias.
• Subjects with a history of bleeding disorders, anticoagulation therapy that cannot be stopped as prior to the treatment.
• Any unstable condition of clinical significance, e.g., uncontrolled hypertension, unstable angina pectoris, worsening asthma.
• Hydroxychloroquine, oral or parenteral corticosteroids, immunosuppressants, or immunomodulating agents within 21 days prior to the Day 0/treatment visit.
• Be a female who is pregnant, nursing, or of childbearing potential while not practicing effective contraceptive methods. Female subjects must undergo a blood pregnancy test at screening which will be within 72 hours of the IP infusion.
• Subject has a body mass index (BMI) greater than 42 kg/m2
• Subject has or had an active infection requiring systemic antibiotics within 12 weeks of enrollment in the study

Where it is running

• The Center for Regenerative Medicine — North Miami, Florida, United States (enrolling)

Full record on ClinicalTrials.gov

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