Neural cell therapy for drug-resistant epilepsy
Official title: A Study of Inhibitory Interneurons (NRTX-1001) in Drug-Resistant Unilateral Mesial Temporal Lobe Epilepsy (MTLE)
Run by Neurona Therapeutics · NCT05135091 · Data updated 2026-11-12
This study is testing a new treatment that involves injecting special nerve cells into the brains of people with hard-to-treat epilepsy to see if it can help reduce their seizures.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 88 (estimated) |
| Sponsor | Neurona Therapeutics Industry-sponsored |
| Locations | 36 sites (Birmingham, Alabama and 35 other locations) |
| Status | Recruiting |
| Started | June 16, 2022 |
| Main results expected | February 2029 |
| Study ends | September 2043 |
| Registry record updated | October 30, 2026 |
| Trial ID | NCT05135091 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 to 75 with unilateral MTLE who have not achieved seizure control despite trials of at least two anti-seizure medications.
✕Probably not a fit
Patients with epilepsy due to other neurological diseases or those with seizure foci outside the hippocampus may not benefit from this therapy.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial tests the safety and effectiveness of NRTX-1001, a therapy involving the administration of inhibitory nerve cells into the brain of patients with drug-resistant unilateral mesial temporal lobe epilepsy (MTLE). Participants will receive a single image-guided intracerebral injection of human interneurons that secrete GABA, aimed at reducing seizure frequency. The study will monitor participants for safety and seizure control over a two-year period, followed by long-term follow-up. An immunosuppressant regimen will be used to enhance the persistence of the injected cells.
Why it matters
Potential benefit: If successful, this therapy could significantly reduce seizure frequency and improve quality of life for patients with drug-resistant epilepsy.
How similar studies have gone: While this approach is novel, other studies involving neural cell therapies for epilepsy have shown promising results.
Who can join: the full rules
Show full inclusion / exclusion criteria
Key Inclusion Criteria: 1. Male or Female, age ≥18 to ≤75 2. Focal seizures, clinically defined as unilateral MTLE 3. Has failed to achieve seizure control despite adequate trials of at least 2 ASDs at appropriate doses 4. Currently on stable doses (at least 1 month prior to Screening) of approved ASDs 5. Single seizure focus confirmed within one hippocampus 6. 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) 7. 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: 1. Epilepsy due to other medical conditions and/or progressive neurologic disease 2. Evidence of seizure focus outside of the hippocampus or evidence of seizures of non- focal origin. 3. Significant other medical conditions which would impair safe participation 4. History of status epilepticus in the 3 years prior to screening. 5. Primary or secondary immunodeficiency 6. Suicide attempts in the past year 3 years 7. Severe psychiatric disorders 8. Prior lobectomy or LITT procedure 9. MRI indicating potential malignant lesion 10. Pregnancy, or currently breastfeeding.
Where it's running
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University of Alabama
Birmingham, Alabama, United States Recruiting -
Mayo Clinic Arizona Epilepsy Center
Phoenix, Arizona, United States Recruiting -
Banner-University of Arizona Medical Center Tucson Comprehensive Epilepsy Program
Tucson, Arizona, United States Recruiting -
University of Arkansas for Medical Sciences
Little Rock, Arkansas, United States Recruiting -
University of Southern California Keck Hospital
Los Angeles, California, United States Recruiting -
University of California Los Angeles
Los Angeles, California, United States Recruiting
Show 30 more locations
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UC Irvine Medical Center
Orange, California, United States Recruiting -
Stanford University
Palo Alto, California, United States Recruiting -
University of California Davis
Sacramento, California, United States Recruiting -
University of California San Diego
San Diego, California, United States Recruiting -
University of California San Francisco
San Francisco, California, United States Recruiting -
University of Colorado Anschutz Medical Campus
Aurora, Colorado, United States Recruiting -
George Washington University
Washington D.C., District of Columbia, United States Recruiting -
University of Miami
Miami, Florida, United States Recruiting -
Rush University Medical Center
Chicago, Illinois, United States Recruiting -
University of Chicago
Chicago, Illinois, United States Recruiting -
University of Iowa Health Care
Iowa City, Iowa, United States Recruiting -
Ochsner Clinic Foundation
New Orleans, Louisiana, United States Recruiting -
Beth Israel Deaconess Medical Center
Boston, Massachusetts, United States Recruiting -
Wayne State University/Detroit Medical Center Comprehensive Epilepsy Program
Detroit, Michigan, United States Recruiting -
Washington University at St. Louis
St Louis, Missouri, United States Recruiting -
Dartmouth Hitchcock Medical Center/ Department of Neurology
Lebanon, New Hampshire, United States Recruiting -
Kaleida Health
Buffalo, New York, United States Recruiting -
Hofstra Northwell Comprehensive Epilepsy Center
Great Neck, New York, United States Recruiting -
NYU Langone Comprehensive Epilepsy Center
New York, New York, United States Recruiting -
SUNY Upstate Medical University
Syracuse, New York, United States Recruiting -
Atrium Health
Charlotte, North Carolina, United States Recruiting -
Duke University Hospital
Durham, North Carolina, United States Recruiting -
Atrium Wake Forest Baptist
Winston-Salem, North Carolina, United States Recruiting -
Oregon Health and Science University
Portland, Oregon, United States Recruiting -
Thomas Jefferson University Hospital
Philadelphia, Pennsylvania, United States Recruiting -
UT Southwestern Medical Center
Dallas, Texas, United States Recruiting -
UTHealth Houston
Houston, Texas, United States Recruiting -
University of Utah Health
Salt Lake City, Utah, United States Recruiting -
University of Washington Regional Epilepsy Center
Seattle, Washington, United States Recruiting -
Medical College of Wisconsin
Milwaukee, Wisconsin, United States Recruiting
Study contacts
- Study coordinator: Neurona MedInfo
- Email: neuronamedinfo@neuronatx.com
- Phone: 650-580-3825
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Gene therapy for adults with refractory mesial temporal lobe epilepsy
This study is testing a new gene therapy called AMT-260 to see if it can help adults with a type of epilepsy called mesial temporal lobe epilepsy by reducing their seizures.
-
Using Deep Brain Stimulation to Preserve Memory in Epilepsy
This study is testing whether a new brain stimulation technique can help people with Mesial Temporal Lobe Epilepsy have fewer seizures and better memory.
-
Neuronal cell therapy for drug-resistant epilepsy
This study is testing a new treatment that involves giving special nerve cells to people with hard-to-treat epilepsy to see if it can help reduce their seizures.
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.