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NCT03004976: CoBIS 2

Study of Allogeneic Umbilical Cord Blood Infusion for Adults With Ischemic Stroke

Completed Phase 2 Results posted Last updated 6 December 2022
What this trial tests

Phase 2 trial testing Umbilical Cord Blood in Stroke in 79 participants. Completed in 27 March 2021.

Timeline
14 March 2017
Primary endpoint
17 July 2020
27 March 2021

Quick facts

Lead sponsorJoanne Kurtzberg, MD
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposetreatment
Enrollment79
Start date14 March 2017
Primary completion17 July 2020
Estimated completion27 March 2021
Sites6 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Joanne Kurtzberg, MD — full company profile →

Who can join

Adults 18 to 90, any sex, with Stroke or Stroke, Acute. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Shift in Modified Rankin Scale (mRS) Primary · baseline to 3 months post infusion

The Modified Rankin Score (mRS) is a disability scale with possible scores ranging from 0 to 6, where 6 = death. Since a shift downward in the mRS scale is considered a clinical improvement, shift scores are calculated from baseline to ensure that, for hypothesis testing purposes, larger shift values represent more clinically desirable outcomes.

GroupValue95% CI
Umbilical Cord Blood10 – 2
Placebo10 – 2
Number of Infusion Reactions Secondary · up to 1 year post infusion
GroupValue95% CI
Umbilical Cord Blood13
Placebo4
Number of Product-related Infections Secondary · up to 1 year post infusion
GroupValue95% CI
Umbilical Cord Blood0
Placebo0
Number of Alloimmunization Events Secondary · up to 1 year post infusion
GroupValue95% CI
Umbilical Cord Blood0
Placebo0
Number of Graft vs. Host Disease Events Secondary · up to 1 year post infusion
GroupValue95% CI
Umbilical Cord Blood0
Placebo0
Number of Study Related and Unexpected Adverse Events (AEs) Secondary · up to 1 year post infusion
GroupValue95% CI
Umbilical Cord Blood0
Placebo0
Mortality Secondary · up to 1 year post infusion
GroupValue95% CI
Umbilical Cord Blood4
Placebo1
Number of Participants With Functional Independence Secondary · 90 days post infusion

Functional independence at 90 days defined as a 90-day mRS (modified Rankin Scale) score of 0, 1, or 2. The mRS has a range of 0 to 5, where lower scores indicate a better outcome.

GroupValue95% CI
Umbilical Cord Blood15
Placebo6
Shift in Modified Rankin Scale (mRS) From Baseline to 30 Days Post Infusion Secondary · baseline to 30 days post infusion

The Modified Rankin Score (mRS) is a disability scale with possible scores ranging from 0 to 6, where 6 = death. Since a shift downward in the mRS scale is considered a clinical improvement, shift scores are calculated from baseline to ensure that, for hypothesis testing purposes, larger shift values represent more clinically desirable outcomes.

GroupValue95% CI
Umbilical Cord Blood10 – 1
Placebo10 – 1
Shift in Modified Rankin Scale (mRS) From Baseline to 180 Days Post Infusion Secondary · baseline to 180 days post infusion

The Modified Rankin Score (mRS) is a disability scale with possible scores ranging from 0 to 6, where 6 = death. Since a shift downward in the mRS scale is considered a clinical improvement, shift scores are calculated from baseline to ensure that, for hypothesis testing purposes, larger shift values represent more clinically desirable outcomes.

GroupValue95% CI
Umbilical Cord Blood11 – 2
Placebo11 – 2
The National Institutes of Health Stroke Scale (NIHSS) Score at 90 Days Secondary · 90 days post infusion

The NIHSS has a range of 0 to 42, where higher scores indicate greater impairment.

GroupValue95% CI
Umbilical Cord Blood63 – 9
Placebo63 – 10
Barthel Index (BI) Score at 90 Days Secondary · 90 days post infusion

The Barthel Index assesses functional independence, generally in stroke patients. The BI has a range of 0 to 100 with 0 indicating total dependency and 100 indicating complete independence.

GroupValue95% CI
Umbilical Cord Blood8050 – 100
Placebo8545 – 97.5

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 1 year. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Umbilical Cord Blood
Serious: 14/52 (27%)
Deaths: 4/52
Placebo
Serious: 11/27 (41%)
Deaths: 1/27

Serious adverse events (30 terms)

ReactionSystemUmbilical Cord BloodPlacebo
DEATH NOSGeneral disorders
FALLInjury, poisoning and procedural complications
HYPERTENSIONVascular disorders
ISCHEMIA CEREBROVASCULARNervous system disorders
SEIZURENervous system disorders
STROKENervous system disorders
THROMBOEMBOLIC EVENTVascular disorders
HEART FAILURECardiac disorders
ACUTE KIDNEY INJURYRenal and urinary disorders
BRONCHIAL INFECTIONInfections and infestations
BRONCHIAL OBSTRUCTIONRespiratory, thoracic and mediastinal disorders
BULLOUS DERMATITISSkin and subcutaneous tissue disorders
CARDIAC ARRESTCardiac disorders
COGNITIVE DISTURBANCENervous system disorders
COLITISGastrointestinal disorders
CONFUSIONPsychiatric disorders
DEHYDRATIONMetabolism and nutrition disorders
DYSPNEARespiratory, thoracic and mediastinal disorders
ENDOCARDITIS INFECTIVEInfections and infestations
FRACTUREInjury, poisoning and procedural complications
GENERALIZED MUSCLE WEAKNESSMusculoskeletal and connective tissue disorders
HEADACHENervous system disorders
HYPOTENSIONVascular disorders
HYPOXIARespiratory, thoracic and mediastinal disorders
INTRACRANIAL HEMORRHAGENervous system disorders
Other adverse events (96 terms — click to expand)

ReactionSystemUmbilical Cord BloodPlacebo
PAIN IN EXTREMITYMusculoskeletal and connective tissue disorders
LEUKOCYTOSISBlood and lymphatic system disorders
EDEMA LIMBSGeneral disorders
FALLInjury, poisoning and procedural complications
HYPERTENSIONVascular disorders
COGNITIVE DISTURBANCENervous system disorders
DEPRESSIONPsychiatric disorders
HEADACHENervous system disorders
HYPOKALEMIAMetabolism and nutrition disorders
HYPOTENSIONVascular disorders
SPASTICITYNervous system disorders
URINARY TRACT INFECTIONInfections and infestations
ANEMIABlood and lymphatic system disorders
CONSTIPATIONGastrointestinal disorders
DIARRHEAGastrointestinal disorders
INSOMNIAPsychiatric disorders
LUNG INFECTIONInfections and infestations
METABOLISM AND NUTRITION DISORDERS - OTHER, SPECIFMetabolism and nutrition disorders
NAUSEAGastrointestinal disorders
THROMBOEMBOLIC EVENTVascular disorders
ANOREXIAMetabolism and nutrition disorders
DEHYDRATIONMetabolism and nutrition disorders
HEMATURIARenal and urinary disorders
HYPERGLYCEMIAMetabolism and nutrition disorders
PERIPHERAL SENSORY NEUROPATHYNervous system disorders
SEIZURENervous system disorders
VOMITINGGastrointestinal disorders
ACUTE KIDNEY INJURYRenal and urinary disorders
CARDIAC TROPONIN T INCREASEDInvestigations
DYSPNEARespiratory, thoracic and mediastinal disorders
DYSURIARenal and urinary disorders
FATIGUEGeneral disorders
FEVERGeneral disorders
HYPERNATREMIAMetabolism and nutrition disorders
HYPONATREMIAMetabolism and nutrition disorders
ISCHEMIA CEREBROVASCULARNervous system disorders
PULMONARY EDEMARespiratory, thoracic and mediastinal disorders
RASH MACULO-PAPULARSkin and subcutaneous tissue disorders
SKIN ULCERATIONSkin and subcutaneous tissue disorders
URINARY RETENTIONRenal and urinary disorders

Most-reported serious reactions: DEATH NOS, FALL, HYPERTENSION, ISCHEMIA CEREBROVASCULAR, SEIZURE, STROKE, THROMBOEMBOLIC EVENT, HEART FAILURE.

Data from ClinicalTrials.gov NCT03004976 adverse events section.

Sponsor's own description

The primary objective of this study is to determine the efficacy of a single intravenous infusion of unrelated donor umbilical cord blood (UCB) for improving functional outcomes in patients with ischemic stroke. Eligible subjects will receive an intravenous infusion of UCB or placebo 3-10 days following stroke. Subjects will not receive immunosuppressive or myeloablative medications prior to the infusion. Subjects will be followed for one year post infusion for safety and efficacy. Assessments will examine safety and tolerability of the infusion, change in neurological symptoms, change in quality of life, and emotional and cognitive status. Assessments will occur at 24 hours post infusion, and at 30, 90, 180 and 365 days post infusion.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Neuroprotective Strategies for Ischemic Stroke-Future Perspectives.
    Haupt M, Gerner ST, Bähr M, Doeppner TR. · · 2023 · cited 112× · PMID 36901765 · DOI 10.3390/ijms24054334
  2. Allogeneic Umbilical Cord Blood Infusion for Adults with Ischemic Stroke: Clinical Outcomes from a Phase I Safety Study.
    Laskowitz DT, Bennett ER, Durham RJ, Volpi JJ, et al · · 2018 · cited 82× · PMID 29752869 · DOI 10.1002/sctm.18-0008
  3. Umbilical Cord Blood Transplants: Current Status and Evolving Therapies.
    Gupta AO, Wagner JE. · · 2020 · cited 56× · PMID 33123504 · DOI 10.3389/fped.2020.570282
  4. Cell-Based and Exosome Therapy in Diabetic Stroke.
    Venkat P, Chopp M, Chen J. · · 2018 · cited 47× · PMID 29498242 · DOI 10.1002/sctm.18-0014
  5. Stem cell transplantation for ischemic stroke.
    Boncoraglio GB, Ranieri M, Bersano A, Parati EA, et al · · 2019 · cited 45× · PMID 31055832 · DOI 10.1002/14651858.cd007231.pub3
  6. Cell-Based Therapies for Stroke: Are We There Yet?
    Krause M, Phan TG, Ma H, Sobey CG, et al · · 2019 · cited 37× · PMID 31293500 · DOI 10.3389/fneur.2019.00656
  7. Umbilical Cord Blood Transplantation: Challenges and Future Directions.
    Ballen K. · · 2017 · cited 33× · PMID 28456009 · DOI 10.1002/sctm.17-0069
  8. Neural Repair in Stroke.
    Toman NG, Grande AW, Low WC. · · 2019 · cited 31× · PMID 31353939 · DOI 10.1177/0963689719863784

Verify or expand the search:

Other trials of Umbilical Cord Blood

Trials testing the same drug.

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Currently open trials in the same condition.

Other Joanne Kurtzberg, MD trials

Trials by the same sponsor.

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing