Amimestrocel infusion to prevent severe mouth sores after allogeneic stem cell transplant
Official title: A Single-Arm, Single-Center Exploratory Study of Amimestrocel Injection for the Prevention of Gastrointestinal Mucositis Induced by Conditioning Regimens Containing TBI and/or Melphalan
Run by The First Affiliated Hospital of Soochow University · NCT07400328 · Data updated 2026-11-12
This study will try a single IV infusion of Amimestrocel in adults receiving myeloablative allogeneic stem cell transplants with TBI or melphalan to see if it prevents severe mouth sores.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 22 (estimated) |
| Sponsor | The First Affiliated Hospital of Soochow University Academic / other |
| Drugs / interventions | chemotherapy, radiation, cyclophosphamide |
| Locations | 1 site (Suzhu, Jiangsu) |
| Status | Recruiting |
| Started | February 15, 2026 |
| Main results expected | May 31, 2027 |
| Study ends | January 31, 2028 |
| Registry record updated | April 14, 2026 |
| Trial ID | NCT07400328 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–65 planned for myeloablative allogeneic HSCT with a conditioning regimen that includes TBI and/or melphalan, ECOG 0–1, and adequate organ function are the intended candidates.
✕Probably not a fit
Patients who are pregnant or lactating, have active uncontrolled infections, recent other malignancies, prior relevant cell therapies, or who are not receiving TBI/melphalan conditioning are unlikely to be eligible or to benefit from this intervention.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a single-arm, open-label Phase 2 study enrolling about 22 adults at one center to test a single fixed dose of Amimestrocel (6.0×10^7 cells IV) given 24–48 hours after the last cyclophosphamide dose and before stem cell infusion. Patients will be followed closely for oral mucositis severity and pain over the first 28 days, with additional safety monitoring up to 100 days. The trial focuses on those receiving total body irradiation and/or high‑dose melphalan as part of myeloablative conditioning. Outcomes include the rate of severe (Grade 3–4) oral mucositis, analgesic use, and treatment-related adverse events.
Why it matters
Potential benefit: If successful, the infusion could lower rates of severe oral mucositis, reduce pain and feeding difficulties, and decrease infection risk and hospital complications after transplant.
How similar studies have gone: Mesenchymal stem cell therapies have shown promise in preclinical models and early-phase clinical reports for reducing mucosal injury, but prophylactic umbilical-cord MSC infusion in this specific HSCT setting remains exploratory.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Aged 18 to 65 years. 2. Planned to undergo myeloablative allogeneic hematopoietic stem cell transplantation. 3. The conditioning regimen must contain total body irradiation (TBI) and/or melphalan. 4. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. 5. Adequate organ function defined as:Left ventricular ejection fraction (LVEF) ≥ 50%.Serum total bilirubin ≤ 1.5 × upper limit of normal (ULN).Serum creatinine ≤ 1.5 × ULN or creatinine clearance ≥ 60 mL/min. 6. Voluntarily signs the informed consent form. Exclusion Criteria: 1. History of allergy to mesenchymal stem cells or any component of the Amimestrocel injection preparation. 2. Presence of active, uncontrolled bacterial, fungal, or viral infection. 3. History of other malignancies within the past 5 years, except for cured carcinoma in situ or basal cell skin cancer. 4. Pregnant or lactating women, or those planning pregnancy during the study period. 5. Previous receipt of any cell therapy product. 6. Severe psychiatric disorder or cognitive impairment that would limit the ability to provide informed consent or comply with study procedures. 7. Any condition that, in the investigator's judgment, makes the subject unsuitable for study participation.
Where it's running
-
First Affiliated Hospital of Soochow University
Suzhu, Jiangsu, China Recruiting
Study contacts
- Principal investigator: xiaojin Wu, Principal Investigator — The First Affiliated Hospital of Soochow University
- Study coordinator: depei Wu Study Coordinator
- Email: sdfyec@163.com
- Phone: +86-512-67972861
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Using low-power laser therapy to prevent mouth pain in stem cell transplant patients
This study is testing if different types of low-power laser therapy can help prevent mouth pain in patients getting stem cell transplants.
-
Population PK-guided ATG Dosing in Haploidentical Stem Cell Transplant
This trial tests a population PK-guided ATG dosing strategy in people undergoing haploidentical hematopoietic stem cell transplantation to see if it improves outcomes.
-
Copaiba Mouthwash with Low-Level Laser Therapy to Prevent Mouth Sores After Stem Cell Transplant
This phase 2 trial tests whether a copaíba-based mouthwash, used four times daily, can help prevent oral mucositis in patients undergoing autologous hematopoietic stem cell transplantation.
-
Population PK-guided ATG Dosing in Haplo-HSCT
This study tests a population PK-guided dosing strategy for anti-thymocyte globulin (ATG) in adults and adolescents undergoing haploidentical stem cell transplantation to see if it can reduce GVHD while keeping relapse risk acceptable.
-
Low-dose liposomal amphotericin B to prevent invasive fungal infections in neutropenic children
This study tests whether giving a fixed low dose of liposomal amphotericin B can prevent invasive fungal infections in children aged 3–17 who are severely neutropenic after hematopoietic stem cell transplantation or similar high-risk conditions.
-
Chlorophyllin to reduce mouth sores before allogeneic stem cell transplant
This phase II study tests whether taking chlorophyllin by mouth can lower the chances and severity of mouth ulcers in patients aged 12–65 undergoing radiation-based conditioning before a first allogeneic stem cell transplant.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.