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Autologous Cord Blood Cells for Brain Injury in Term Newborns

Autologous Cord Blood Cells for Hypoxic Ischemic Encephalopathy: Phase I Study of Feasibility and Safety

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01649648
Enrollment
2
Registered
2012-07-25
Start date
2011-09-30
Completion date
2015-11-30
Last updated
2017-01-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hypoxic Ischemic Encephalopathy

Keywords

Hypoxic ischemic encephalopathy, Autologous cord blood

Brief summary

This is a pilot study to test feasibility and safety of collection, preparation and infusion of a baby's own (autologous) umbilical cord blood during the first 3 days of age if the baby is born with signs of brain injury. The cord blood used is fresh (not frozen and then thawed).

Detailed description

The purpose of this pilot study is to evaluate the safety and feasibility of infusions of autologous (the patient's own) umbilical cord blood cells in term gestation newborn infants with hypoxic-ischemic encephalopathy. For this study, infants who have signs of moderate to severe encephalopathy at birth and have cord blood collected at birth can receive their own cord blood cells during the 3 days of age. Babies will be followed for neurodevelopmental outcome at 1, 4 - 6, 9 - 12 months and 18-24 months. MRI brain will be obtained at 1-2 weeks and 4-6 months old.

Interventions

Baby's own umbilical cord blood

Sponsors

National Medical Research Council (NMRC), Singapore
CollaboratorOTHER_GOV
National University Hospital, Singapore
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
1 Days to 3 Days
Healthy volunteers
No

Inclusion criteria

1. Autologous umbilical cord blood available 2. \>36 weeks gestation 3. Brain injury that satisfies criteria for therapeutic hypothermia 4. Parental informed consent

Exclusion criteria

1. Inability to enroll by 3 postnatal days of age. 2. Presence of known chromosomal anomaly. 3. Presence of major congenital anomalies. 4. Severe intrauterine growth restriction 5. Infants in extremis for whom no additional intensive therapy will be offered by attending neonatologist. 6. Parents refuse consent. 7. Attending neonatologist refuses consent. 8. Failure to collect the infant's cord blood and/or laboratory unable to process cord blood

Design outcomes

Primary

MeasureTime frameDescription
Safety1-3 days of ageAdverse event rates occurring in the recipients

Secondary

MeasureTime frameDescription
Neurodevelopment1 month-2 years oldPeabody tests, Bayley Scales of Infant Development
Brain imaging1 week-6 monthsMRI brain at 1-2 weeks old and 4-6 months old

Countries

Singapore

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026