Actively Recruiting

Phase 1
Age: 40Years - 75Years
All Genders
NCT06683365

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

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

7

Participants Needed

1

Research Sites

300 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

This phase I double-blind study focuses on the safety and feasibility of implanting autologous peripheral nerve tissue (PNT) into the substantia nigra area of the brain in persons who have been diagnosed with either Parkinson's disease (PD) or Multiple System Atrophy (MSA). 7 participants will be enrolled, with 4 participants receiving the graft and 3 receiving a sham surgery. Eligible participants will be early in their diagnosis with a lower burden of symptoms. Participants will be followed initially for one year after surgery.

CONDITIONS

Official 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 probable Parkinson's disease or Multiple System Atrophy as defined by MDS criteria
  • Disease duration longer than 2 years
  • Age between 40 and 75 years, inclusive
  • MDS-Unified Parkinson's Disease Rating Scale Part III score between 20 and 35 points off medication for Parkinson's disease, or UMSARS score less than or equal to 30 points off medication for Multiple System Atrophy
  • No MDS-UPDRS Part III score greater than 3 on specific motor items while off medication
  • Able and willing to undergo ioflupane/SPECT imaging
  • Able to tolerate the surgical procedure
  • Able to complete all planned assessments
  • Accessible 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
  • Treatment with neuroleptic medications
  • Typical nonparkinsonian syndrome on ioflupane/SPECT imaging
  • 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 birth control during the study
  • Decline in consent capacity before surgery as determined by neuropsychological exam

AI-Screening

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Trial Site Locations

Total: 1 location

1

University of Kentucky

Lexington, Kentucky, United States, 40536

Actively Recruiting

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Research Team

J

Jaimie Hixson

CONTACT

G

Group Monitored Email

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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