Actively Recruiting

Phase 1
Age: 40Years - 75Years
All Genders
ID06683365

A Phase I Study of the Feasibility and Safety of Sural Nerve Tissue Grafting to the Substantia Nigra in Patients With Synucleinopathies (LEAP)

Led by Craig van Horne, MD, PhD · Updated on 2026-04-01

7

Participants Needed

1

Research Sites

104 weeks

Total Duration

On this page

Sponsors

C

Craig van Horne, MD, PhD

Lead Sponsor

U

University of Kentucky CCTS

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating the safety and feasibility of implanting a person's own peripheral nerve tissue into the substantia nigra area of the brain in people diagnosed with Parkinson's disease or Multiple System Atrophy. This phase I study involves 7 participants who are early in their diagnosis with milder symptoms. The goal is to plan future larger trials and to see if this nerve tissue grafting approach is possible and safe. Participants will be randomly assigned to one of two groups: four will receive the nerve tissue graft implanted into the brain, while three will receive a sham surgery involving nerve biopsy and scalp incisions but no brain implantation. The nerve tissue is taken from the sural nerve near the ankle and implanted bilaterally using a specialized cannula through the skull. Those in the sham group may be eligible for the graft surgery after the study ends. During the study, participants will be followed for one year with regular assessments including neuropsychological exams, movement disorder scales, cognitive tests, quality of life questionnaires, and monitoring for adverse events. Researchers will track surgery details such as procedure duration and hospital stay. The primary goal is to meet recruitment targets and evaluate safety and feasibility through various clinical and functional measures over the 12-month period.

CONDITIONS

Brief Title

Autologous suraL nervE Grafting to the Substantia nigrA in Patients With Synuclienopathies

Who Can Participate

Age: 40Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosis of clinically established or clinically probable Parkinson's disease or Multiple System Atrophy as defined by Movement Disorder Society criteria
  • Disease duration greater than 2 years
  • Age between 40 and 75 years, inclusive
  • Movement Disorder Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS) Part III score between 20 and 35 points off medication for Parkinson's disease or MDS-Unified Multiple System Atrophy Rating Scale (UMSARS) score of 30 or less off medication
  • No MDS-UPDRS Part III score greater than 3 on specified items while off medication
  • Able and willing to undergo ioflupane/SPECT imaging
  • Able to tolerate the surgical procedure
  • Able to complete all planned assessments
  • Available sural nerve for biopsy
Not Eligible

You will not qualify if you...

  • Previous Parkinson's disease surgery or any intracranial surgery
  • Ongoing major medical or psychiatric disorders including depression and psychosis
  • Current treatment with neuroleptics
  • Typical nonparkinsonian syndrome ioflupane/SPECT signal
  • Unable to undergo MRI
  • Obstructed path to substantia nigra for surgery
  • Significant microvascular disease
  • Use of anticoagulants other than aspirin
  • Female who is pregnant, breastfeeding, or of child-bearing potential not using effective birth control
  • Decline in consent capacity before surgery resulting in removal from study

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

1
2
3
+1

Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Surgery and Immediate Post-operative Care

Duration - Day of surgery plus hospital admission until discharge

Participants undergo surgery where either their own sural nerve cells are implanted into the substantia nigra area of the brain or receive a sham surgery with sural nerve biopsy and scalp incisions only.

1 surgical procedure with hospital admission

Post-operative Follow-up

Duration - 12 months

Participants have follow-up visits to monitor safety and assess clinical outcomes after the surgery.

Multiple visits including assessments at 4 weeks, 6 months, and 12 months

Trial Site Locations

Total: 1 location

1

University of Kentucky

Lexington, Kentucky, United States, 40536

Actively Recruiting

Loading map...

Research Team

J

Jaimie Hixson

G

Group Monitored Email

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

Similar Trials

[18F]F-DOPA Imaging in Patients With Autonomic Failure

Autonomic Failure

Actively Recruiting

1 location

A Double-Blind, Placebo-Controlled, Multi-Center, Phase II D...

Multiple System Atrophy

Actively Recruiting

9 locations

A Phase 2a Study to Evaluate Microglial Activation, Safety, ...

Multiple System Atrophy

Actively Recruiting

1 location

Frequently Asked Questions

Have more questions? Get in touch with our team for quick support

Not the Right Trial for You?

Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.

Already have an account? Log in here

Published Research Related To This Trial

Direct delivery of an investigational cell therapy in patients with Parkinson's disease: an interim analysis of feasibility and safety of an open-label study using DBS-Plus clinical trial design.

Jorge E Quintero, John T Slevin, Julie A Gurwell...

https://pubmed.ncbi.nlm.nih.gov/35949912

Implantation of autologous peripheral nerve grafts into the substantia nigra of subjects with idiopathic Parkinson's disease treated with bilateral STN DBS: a report of safety and feasibility.

Craig G van Horne, Jorge E Quintero, Julie A Gurwell...

https://pubmed.ncbi.nlm.nih.gov/27153166

Peripheral nerve grafts implanted into the substantia nigra in patients with Parkinson's disease during deep brain stimulation surgery: 1-year follow-up study of safety, feasibility, and clinical outcome.

Craig G van Horne, Jorge E Quintero, John T Slevin...

https://pubmed.ncbi.nlm.nih.gov/29451447