ChiCTR2600125767 版本V1.0 版本创建时间2026/05/31 21:07:46 中国临床试验注册中心

审核状态:

Project audit state:

通过审核

Successful

注册号:

Registration number:

ChiCTR2600125767 

最近更新日期:

Date of Last Refreshed on:

2026-05-31 21:07:08 

注册时间:

Date of Registration:

2026-05-31 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

CD73+NK细胞亚群(ZJ-S-0106)对轻、中度阿尔茨海默病康复治疗作用的安全性和有效性研究(多中心)

Public title:

Study on the Safety and efficacy of CD73+NK Cell subsets (ZJ-S-0106) in the Rehabilitation Treatment of Mild and Moderate Alzheimer's Disease(Multicenter)

注册题目简写:

English Acronym:

研究课题的正式科学名称:

CD73+NK细胞亚群(ZJ-S-0106)对轻、中度阿尔茨海默病康复治疗作用的安全性和有效性研究(多中心)

Scientific title:

Study on the Safety and efficacy of CD73+NK Cell subsets (ZJ-S-0106) in the Rehabilitation Treatment of Mild and Moderate Alzheimer's Disease(Multicenter)

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

萧亮 

研究负责人:

萧亮 

Applicant:

Liang Xiao 

Study leader:

LiangXiao 

申请注册联系人电话:

Applicant telephone:

+86 755 8336 6388

研究负责人电话:

Study leader's telephone:

+86 135 5476 4527

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

9179320@qq.com

研究负责人电子邮件:

Study leader's E-mail:

9179320@qq.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

广东省深圳市福田区笋岗西路3002号

研究负责人通讯地址:

深圳市福田区华富街道笋岗西路3002号

Applicant address:

No. 3002, Shanggang West Road, Futian District, Shenzhen, Guangdong, China

Study leader's address:

Shenzhen Second People's Hospital, 3002 Sungang Road, Futian District, Shenzhen, Guangdong Province

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

深圳市第二人民医院

Applicant's institution:

The Second People's Hospital of Shenshen

研究负责人所在单位:

深圳市第二人民医院

Affiliation of the Leader:

Shenzhen Second People's Hospital

是否获伦理委员会批准:

是/Yes

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

2024-213-03PJ

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

深圳市第二人民医院干细胞/体细胞临床研究医学伦理委员会

Name of the ethic committee:

Stem Cell and Somatic Cell Clinical Research Ethics Committee

伦理委员会批准日期:

Date of approved by ethic committee:

2024-08-21 00:00:00

伦理委员会联系人:

黄丽

Contact Name of the ethic committee:

Li Huang

伦理委员会联系地址:

深圳市福田区华富街道笋岗西路3002号

Contact Address of the ethic committee:

Shenzhen Second People's Hospital, 3002 Sungang Road, Futian District, Shenzhen, Guangdong Province

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 755 8346 4301

伦理委员会联系人邮箱:

Contact email of the ethic committee:

huanglth@163.com

研究实施负责(组长)单位:

深圳市第二人民医院

Primary sponsor:

Shenzhen Second People's Hospital

研究实施负责(组长)单位地址:

深圳市福田区华富街道笋岗西路3002号

Primary sponsor's address:

Shenzhen Second People's Hospital, 3002 Sungang Road, Futian District, Shenzhen, Guangdong Province

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

广东省

市(区县):

Country:

China

Province:

Guangdong

City:

单位(医院):

深圳市第二人民医院

具体地址:

深圳市福田区华富街道笋岗西路3002号

Institution
hospital:

Shenzhen Second People's Hospital

Address:

Shenzhen Second People's Hospital, 3002 Sungang Road, Futian District, Shenzhen, Guangdong Province

经费或物资来源:

自选课题(自筹)

Source(s) of funding:

Self-raised

Target disease:

Mild and moderate Alzheimer's disease

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

单臂 

Study design:

Single arm 

研究目的:

研究目的 1. 主要研究目的:评价 ZJ-S-0106细胞治疗轻、中度阿尔茨海默病的安全性。 2. 次要研究目的: (1) 评估 ZJ-S-0106细胞输注后的药物代谢动力学(PK)特征; (2) 评估 ZJ-S-0106细胞治疗轻、中度阿尔茨海默病患者的初步有效性。  

Objectives of Study:

Main research objective: 1. To evaluate the safety of ZJ-S-0106 cell therapy for mild to moderate Alzheimer's disease. Secondary research objectives: 1. To evaluate the pharmacokinetic (PK) characteristics of the drug after infusion of ZJ-S-0106 cells. 2. To evaluate the initial effectiveness of ZJ-S-0106 cell therapy in treating patients with mild to moderate Alzheimer's disease.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

1.年龄为50~80岁(含50和80岁),性别不限;
2.AD诊断指标Aβ PET阳性,tau PET沉积(美国NIA-AA 2024);
3.脑部血管 MRA排除血管瘤(经过治疗的除外);且3个月内无再发脑梗、脑出血;
4.认知功能评定提示:简易精神状态量表(MMSE)评分10分-26分;或蒙特利尔认知评估量表(MoCA)评分19分-25分(患者为轻度认知障碍时适用);
5.预期生存时间≥6 个月;
6.患者自愿参加系统康复治疗;包括但不仅限于传统作业活动治疗、电脑辅助认知功能 康复、虚拟现实训练、经颅直流电刺激治疗、经颅磁刺激治疗等;
7.在筛选期进行的评估中,有充分的器官和骨髓功能,定义如下: 血常规:中性粒细胞 计数(Absolute Neutrophil Count ,ANC)≥1.5×10^9 /L , 血小板计数(Blood Platelet ,PLT) ≥90×10^9/L ,血红蛋白(Hemoglobin , HGB)≥80 g/L(14 日内无输血或促红细胞生成素治 疗);肝功能:丙氨酸氨基转移酶(Alanine Aminotransferase,ALT)和天冬氨 酸氨基转移酶 (Aspartate Aminotransferase ,AST)水平≤5×正常值上限 (ULN),血清总胆红素(Total Bilirubin , TBil ) ≤1.5×ULN ; 凝血功能: 活化部分凝血活酶时间( Activated partial thromboplastin time ,APTT)≤1.5×UL N,同时国际标准化比值(International Normalized Ratio,INR)、凝血酶原时间(Prothrombin Time,PT)≤1.5×UL N;肾功能:血清肌酐(Serum Creatinine, Cr)≤1.5×ULN 或肌酐清除率 (Creatinine Clearance ,Ccr)≥60 mL/min(Cockcroft-Gault 公 式);心功能检查:超声心动图检查左室射血分数(Left ventricular Ejection Fraction ,LVEF) ≥50%;无需要治疗的心律失常, Fridericia 法校正的 QT 间期(Fridericia QT correction formulas ,QTcF)≤470 ms [QTcF 采 用 Fridericia 公式计算,即 QTcF = QT/(RR^0.33), RR 为标准化心率 值,RR=60/心率;若首次检查异常,可间隔至少 5 分钟,复测 2 次,取综合结果/平均值判断合格性];空腹血糖及糖化血红蛋白水平,在药物或非药物控制在正常水平上限 120%以下;血脂在药物或非药物控制在正常水平上限 120%以下;血压在药物或非药物控制在正常水平上限 120%以下;
8.病情程度为轻、中度患者,即临床痴呆评定量表(CDR)总分评分≤2分;
9.Hachinski缺血指数量表(HIS)评分≤4分;
10.老年抑郁量表(GDS)评分为0~10分(包括边界值);
11.记忆减退至少12个月,并有进行性加重趋势;
12.同意在试验期间采取有效的避孕措施(受试者必须为非药物措施避孕);育龄女性或者绝经时间短于24周的患者必须在筛选期做妊娠实验,结果须为阴性;
13.若患者在筛选期之前正在接受AD治疗药物,要求在筛选前至少30天内保持稳定剂量;
14.自愿签署知情同意书;

Inclusion criteria

1. Age range: 50-80 years old (inclusive of 50 and 80). Gender is not restricted. 2. AD diagnostic indicators: Positive Abeta PET result, tau PET deposition (United States, NIA-AA 2024); 3. MRA of the brain vessels excluded the presence of hemangioma (except for those that have been treated); and there was no recurrence of cerebral infarction or cerebral hemorrhage within 3 months. 4. Cognitive function assessment indicates: The Minimum Mental State Examination (MMSE) score ranges from 10 to 26 points. Or the Montreal Cognitive Assessment (MoCA) score ranges from 19 to 25 points (applicable when the patient has mild cognitive impairment). 5. Expected survival time >= 6 months; 6. Patients voluntarily participate in systematic rehabilitation therapy; including, but not limited to, traditional occupational activity therapy, computer-assisted cognitive rehabilitation, virtual reality training, transcranial direct current stimulation, and transcranial magnetic stimulation. 7. Adequate organ and bone marrow function, defined as follows, was assessed during the screening period: (1) Blood count: Absolute Neutrophil Count (ANC) >=1.5 × 10^9/L, Platelet (PLT) >=90 × 10^9/L, Hemoglobin (HGB) >= 80 g/L (no blood transfusion or erythropoietin treatment within 14 days); (2) Liver function: Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST) levels <= 5 × the upper limit of normal (ULN). Total Bilirubin (TBil) <=1.5 × ULN; (3) Coagulation: Activated partial thromboplastin time (APTT) <=1.5 × ULN, and International Normalized Ratio (INR), Prothrombin Time (PT) <= 1.5 × ULN; (4) Kidney function: Serum creatinine (Cr) <= 1.5 × ULN or Creatinine Clearance (Ccr) >= 60 mL/min (Cockcroft); (5) Cardiac function tests: Left ventricular Ejection Fraction (LVEF) >= 50%; Arrhythmia that does not require treatment, Fridericia's calibrated QT interval (QTcF) <= 470 ms [QTcF is calculated using the Fridericia formula, i.e., QTcF = QT / (RR^0.33), RR is the standardized heart rate value, RR = 60 / heart rate; if the first test is abnormal, repeat the test 2 times at an interval of at least 5 minutes, and then take the combined result/average to judge the eligibility]; (6) Fasting blood glucose and glycosylated hemoglobin levels are controlled at less than 120% of the upper limit of the normal level by drugs or non-drugs; blood lipids are controlled at less than 120% of the upper limit of the normal level by drugs or non-drugs; blood pressure is controlled at less than 120% of the upper limit of the normal level by drugs or non-drugs. 8. Patients with mild or moderate degrees of the disease, i.e., those with a total score of the Clinical Dementia Rating Scale (CDR) <= 2 points. 9. The Hachinski Ischemia Index Scale (HIS) score is <= 4 points. 10. The score of the Geriatric Depression Scale (GDS) ranges from 0 to 10 (including the boundary values). 11. Memory decline lasts for at least 12 months and shows a progressive worsening trend. 12. The subjects agreed to take effective contraceptive measures during the trial (the measures must be non-medical contraceptive methods). Women of childbearing age or patients with a post-menopausal period shorter than 24 weeks must undergo a pregnancy test during the screening period, and the result must be negative. 13. If the patient is currently receiving an AD treatment medication before the screening period, it is required that the dosage remains stable for at least 30 days prior to the screening. 14. Voluntary signing of the informed consent form.

排除标准:

1.其他原因引起的痴呆:额颞叶痴呆、路易体痴呆、血管性痴呆、帕金森病所致痴呆、癫痫所致痴呆、颅脑损伤所致痴呆、中枢神经系统感染与免疫相关的痴呆等;有活动性脑出血;
2.HIV 阳性,HBsAg 阳性同时检测到 HBV DNA 拷贝数阳性 (定量检测≥1000cps/ml),HCV 抗体阳性且 HCV RNA 阳性;
3.有精神或心理疾病不能配合治疗及疗效评估者;
4.严重自身免疫性疾病受试者,并长期使用免疫抑制剂的受试者;
5.在入组前 14 天内,存在需要全身治疗的活动性感染或不可控感染;
6.任何不稳定的系统性疾病(包括但不限于):活动性感染(局部感染除外);不稳定型心绞痛;有症状脑血管缺血或脑血管意外(筛选前 6 个月内);心肌梗死(筛选前 6 个月内);充血性心力衰竭(纽约心脏病协会[NYHA]分类≥III级);需要药物治疗的严重心律失常;有心脏病需要治疗或治疗后高血压失控(血压> 160mmHg/100 mmHg);?筛选时或曾经患有神经系统疾病,如中风、视神经脊髓炎、癫痫等;?糖化血红蛋白(HbAlc)≥6.5%;
7.合并肺、脑、肝、肾等重要脏器的功能障碍;
8.受试者在接受细胞治疗前 4 周内经历过重大手术或严重创伤, 或在研究期间预计会经历重大手术;
9.受试者目前患有或曾患有其他3年内无法治愈的恶性肿瘤,但原位宫颈癌或皮肤基底细胞癌、其他无病生存期超过 5 年的恶性肿瘤除外;
10.半年内接受过嵌合抗原受体修饰的 T 细胞(包括 CAR-T、 TCR-T)治疗;
11.器官移植合并移植物抗宿主病(GVHD);
12.筛选前正在接受系统性类固醇治疗且经研究者判定治疗期间需要长期使用系统性类固 醇治疗的受试者(吸入性或局部使用除外);及细胞输注前72 h内使用系统性类固醇治疗的受试者(吸入性或局部使用除外);
13.严重的过敏或过敏史;
14.需要抗凝治疗的受试者;
15.怀孕或哺乳期妇女,或半年内有妊娠计划(男女通用);
16.存在经颅磁、磁共振或脑电图禁忌(如:心脏起搏器、电子耳蜗、脉冲发生器、颅内有金属、头皮感染或创伤等);
17.研究者认为还存在有其他原因不能纳入治疗者。

Exclusion criteria:

1. Dementia caused by other reasons: Frontotemporal dementia, Lewy body dementia, vascular dementia, dementia caused by Parkinson's disease, dementia caused by epilepsy, dementia caused by brain trauma, dementia related to central nervous system infections and immunity, etc. and there is active cerebral hemorrhage. 2. HIV-positive, HBsAg-positive with a positive HBV DNA copy number (>=1000 cps/mL by quantitative testing), HCV antibody-positive and HCV RNA-positive; 3. Those with mental or psychological illnesses who are unable to cooperate with treatment and efficacy assessment; 4. Subjects with severe autoimmune disease and long-term use of immunosuppressive agents; 5. Active or uncontrolled infection requiring systemic therapy within 14 days prior to enrollment; 6. Any unstable systemic disease (including, but not limited to): active infection (other than localized infection); unstable angina; symptomatic cerebrovascular ischemia or cerebrovascular accident (within 6 months prior to screening); myocardial infarction (within 6 months prior to screening); congestive heart failure (New York Heart Association [NYHA] classification >= Class III); severe arrhythmia requiring medication; uncontrolled hypertension (blood pressure > 160 mmHg/100 mmHg) with heart disease requiring treatment or after treatment; during the screening process, or previously had neurological disorders such as stroke, optic neuritis, epilepsy, etc. Glycated hemoglobin (HbA1c) >= 6.5%. 7. Combined dysfunction of vital organs such as lungs, brain, liver and kidney; 8. Subject has undergone major surgery or severe trauma within 4 weeks prior to receiving cell therapy, or is expected to undergo major surgery during the study period. 9. Subject is currently suffering from or has suffered from another malignancy that is incurable within 3 years, with the exception of cervical cancer in situ or basal cell carcinoma of the skin, and other malignancies with a disease-free survival of more than 5 years; 10. Received treatment with chimeric antigen receptor-modified T cells (including CAR-T, TCR-T) within six months; 11. Organ transplantation combined with graft-versus-host disease (GVHD); 12. Subjects who were receiving systemic steroid treatment before screening and for whom the investigator determined that long-term systemic steroid treatment was necessary during the study period (excluding inhalation or local use). And for the subjects who received systemic steroid treatment within 72 hours prior to cell infusion (excluding inhalation or local application); 13. History of severe allergies or sensitivities; 14. Subjects requiring anticoagulation therapy; 15. Women who are pregnant or breastfeeding, or who plan to become pregnant within six months (for both men and women); 16. There are contraindications for transcranial magnetic stimulation, magnetic resonance imaging or electroencephalogram (such as: pacemaker, cochlear implant, pulse generator, metal in the brain, scalp infection or trauma, etc.); 17. The researchers believe that there are other factors that prevent patients from being included in the treatment.

研究实施时间:

Study execute time:

From 2025-05-01 00:00:00 To 2028-04-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2026-06-01 00:00:00 To 2027-05-31 00:00:00  

干预措施:

Interventions:

组别:

研究组

样本量:

9

Group:

Research group

Sample size:

干预措施:

CD73+NK细胞(ZJ-S-0106)

干预措施代码:

Intervention:

CD73+NK cells(ZJ-S-0106)

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

广东省 

市(区县):

 

Country:

China 

Province:

Guangdong 

City:

 

单位(医院):

深圳市第二人民医院 

单位级别:

三级甲等 

Institution
hospital:

Shenzhen Second People's Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

湖北省 

市(区县):

 

Country:

China 

Province:

Hubei 

City:

 

单位(医院):

华中科技大学同济医学院附属同济医院 

单位级别:

三级甲等 

Institution
hospital:

Tongji Hospital, Affiliated to Tongji Medical College of Huazhong University of Science and Technology

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

湖北省 

市(区县):

 

Country:

China 

Province:

Hubei 

City:

 

单位(医院):

华中科技大学同济医学院附属协和医院 

单位级别:

三级甲等 

Institution
hospital:

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

ZJ-S-0106 细胞在体内扩增的PK参数

指标类型:

次要指标

Outcome:

ZJ-S-0106 Cell expansion and persistence in vivo

Type:

Secondary indicator

测量时间点:

整个研究过程,至少需要在回输前采血一次,第一次细胞回输后采血四次(d1、d3、d5、 d7),每次约2-3ml。

测量方法:

采集外周血检测细胞扩增及持续情况

Measure time point of outcome:

Throughout the entire research process, blood collection is required at least once before cell reinf

Measure method:

Collect peripheral blood to detect cell amplification and persistence

指标中文名:

影像学评估

指标类型:

次要指标

Outcome:

Imaging assessment

Type:

Secondary indicator

测量时间点:

随访期第6、12、24个月 (±10 天)

测量方法:

建议进行PET-CT(Aβ PET、tau PET) 检查。

Measure time point of outcome:

The 6th, 12th and 24th months of the follow-up period (± 10 days)

Measure method:

It is recommended to undergo PET-CT (Aβ PET, tau PET) examination.

指标中文名:

神经系统康复评价量表评分

指标类型:

次要指标

Outcome:

Score of the Neurological Rehabilitation Evaluation Scale

Type:

Secondary indicator

测量时间点:

随访期第6、12、24个月 (±10 天)

测量方法:

使用简易精神状态量表(MMSE)或蒙特利尔认知评估量表(MoCA)评分量表

Measure time point of outcome:

The 6th, 12th and 24th months of the follow-up period (± 10 days)

Measure method:

Use Minimum Mental State Examination (MMSE) or Montreal Cognitive Assessment (MoCA)

指标中文名:

不良事件

指标类型:

主要指标

Outcome:

NCI CTCAE version 5.0

Type:

Primary indicator

测量时间点:

安全性评价是持续性的,安全性数据的收集将从签署知情同意书开始,持续至末次访视或提前退出研究。

测量方法:

安全性评价将是描述性的,安全性指标包括不良事件、实验室检查指标、生命体征等。对研究期间发生的所有不良事件(NCICTCAE5.0版)的种类、严重程度、发生频率及与研究药物的关系将列表描述。对实验室检查以治疗前后交叉表的形式列出所有完成的检查项目。出现异常值的并有临床意义的检查项目需列出。

Measure time point of outcome:

The safety assessment is ongoing. The collection of safety data will commence upon signing the infor

Measure method:

The safety evaluation will be descriptive and safety indicators will include adverse events, laboratory test indicators, and vital signs. A tabular description of all adverse events (NCICTCAE version 5.0) occurring during the study period will be described in terms of type, severity, frequency of occurrence, and relationship to study drug. For laboratory tests a list of all completed tests in the form of a pre- and post-treatment cross-tabulation will be presented. Tests that show abnormal value

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

血样

组织:

Sample Name:

Blood

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 50 years
最大 Max age 80 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

Randomization Procedure (please state who generates the random number sequence and by what method):

None

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

不公开/Private

盲法:

Blinding:

None

是否共享原始数据:

IPD sharing

No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

不适用

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

Not applicable

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

电子采集管理系统

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

an electronic data capture

数据与安全监察委员会:

Data and Safety Monitoring Committee:

无/No

注册人:

Name of Registration:

 2026-05-31 21:07:08