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Study of NRTX-1001 Neural Cell Therapy in Drug-Resistant Unilateral Mesial Temporal Lobe Epilepsy (EPIC (EPIlepsy Cell Therapy))

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Brief 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).

Primary Purpose
Treatment
Study Type
Interventional
Phase
Phase 3

Eligibility

Gender
All
Healthy Volunteers
No
Minimum Age
18 Years
Maximum Age
75 Years

Key Inclusion Criteria:

  • Male or Female, age ≥18 to ≤75
  • Focal seizures, clinically defined as unilateral MTLE
  • Has failed to achieve seizure control despite adequate trials of at least 2 ASDs at appropriate doses
  • Currently on stable doses (at least 1 month prior to Screening) of approved ASDs
  • Single seizure focus confirmed within one hippocampus
  • Seizure frequency averages ≥4 per 28-day period, including at least 2 clinical focal seizures per 28-day period with objective manifestations or more severe types, over the 6 months prior to the Screening Visit. (Phase 1/2 only)
  • Disabling seizure frequency of ≥2 per 28-day period averaged over 3 months prior to the Screening visit and over a prospective 10-week baseline period prior to Randomization (Phase 3 Only)

Key Exclusion Criteria:

  • Epilepsy due to other medical conditions and/or progressive neurologic disease
  • Evidence of seizure focus outside of the hippocampus or evidence of seizures of non- focal origin.
  • Significant other medical conditions which would impair safe participation
  • History of status epilepticus in the 3 years prior to screening.
  • Primary or secondary immunodeficiency
  • Suicide attempts in the past year 3 years
  • Severe psychiatric disorders
  • Prior lobectomy or LITT procedure
  • MRI indicating potential malignant lesion
  • Pregnancy, or currently breastfeeding.
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Study Stats
Protocol No.
21-001132
Category
Brain/Neurological Diseases
Contact
Elizabeth Cruz
Location
  • UCLA Westwood
For Providers
NCT No.
NCT05135091
For detailed technical eligibility, visit ClinicalTrials.gov.