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Rheumatoid Arthritis (RA)NCT06947746

HiSCs in the Treatment of Rheumatoid Arthritis

A study testing hiSCs in people with Rheumatoid Arthritis (RA), run by Shanghai Changzheng Hospital at 1 site in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This trial is a single-center, single-arm exploratory clinical study aimed at assessing the safety, tolerability, and preliminary efficacy of a single intra-articular injection of hiSCs for the treatment of rheumatoid arthritis. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Rheumatoid Arthritis (RA)
What is being tested?
hiSCs
Could I receive a placebo?
No, everyone receives an active treatment
How many people
15 participants
Where
1 siteChina
Study dates
1 May 2025to 1 Apr 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects must meet all of the following inclusion criteria
  • Voluntarily sign the informed consent;
  • Male or female aged 18-65 years (inclusive) at the time of signing the informed consent;
  • Diagnosis of RA for ≥3 months according to the ACR/EULAR 2010 Rheumatoid Arthritis Classification Criteria at the screening visit;
  • At the screening visit, presence of recurrent swelling and pain in at least one knee, with a WOMAC pain score ≥4, synovial inflammation confirmed by joint ultrasound, and no significant improvement following 3 months of anti-RA treatment (including prior use of MTX standard therapy, biologics, or small molecule targeted drugs);
  • Subjects must have received csDMARD therapy for ≥3 months, with a stable dose for ≥4 weeks prior to screening;
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  • Background treatment with stable-dose MTX standard therapy, biologics, or small molecule targeted drugs, either alone or in combination, is permitted;
  • The following csDMARDs, either alone or in combination, are permitted as background treatment, provided the dose has been stable for ≥4 weeks prior to screening: oral or IV MTX (10-25 mg/week; for subjects intolerant to doses ≥10 mg/week, the dose should be ≥7.5 mg/week), SAS (≤3 g/day), hydroxychloroquine (≤400 mg/day), and LEF (≤20 mg/day);
  • Stable-dose NSAIDs are permitted, provided the dose has remained stable for ≥2 weeks prior to screening;
  • All females of childbearing potential must have a negative blood pregnancy test within 7 days prior to treatment initiation and must not be breastfeeding. Females not of childbearing potential may be exempt from the pregnancy test and contraception. All enrolled patients (regardless of gender) must use at least one highly effective method of contraception, including adequate barrier methods, throughout the study duration;
  • Subjects must be in good overall health, able to ambulate independently (excluding those requiring a wheelchair, walker, or crutches);
  • Willingness and ability to adhere to scheduled visits, treatment regimens, laboratory tests, and other study-related procedures.

Who cannot join

  • Subjects who meet any of the following exclusion criteria will be excluded from this study:
  • Presence of other immune-mediated disorders at the baseline visit that may interfere with the administration or efficacy evaluation of the study intervention;
  • History or current evidence of clinically significant cardiovascular, neuropsychiatric, renal, hepatic, immune, or endocrine disorders (including uncontrolled diabetes or thyroid disease), abnormal laboratory findings, or conditions requiring medications prohibited by the study protocol. "Clinically significant" refers to conditions that, in the investigator's judgment, may jeopardize subject safety or impact efficacy or safety analyses if the disease/condition exacerbates during the study;
  • Subjects with positive test results for human immunodeficiency virus (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV), or syphilis (refer to laboratory tests for details);
  • Evidence of active tuberculosis (TB) or a history of active TB without adequate documented treatment;
  • Any other acute or chronic disorder leading to coagulation dysfunction that, in the investigator's judgment, may compromise patient safety and/or interfere with the evaluation of target knee outcomes;
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  • Clinically significant infection within 1 month prior to the screening visit (requiring hospitalization and parenteral administration of antibiotics, antivirals, antifungals, etc., for ≥3 days) or active infection being treated during the screening period;
  • Infection in the target knee within 3 months before baseline;
  • Intra-articular corticosteroid or other drug injections in the target knee within 3 months before baseline;
  • History of knee injury or prior knee surgery in the target knee within 1 year prior to the baseline visit;
  • Serum transaminase (ALT or AST) levels ≥2 times the upper limit of normal (ULN) during screening;
  • Creatinine clearance (Ccr) <45 mL/min (based on the Cockcroft-Gault formula) during screening;
  • Evidence of hematopoietic dysfunction during screening:
  • Hemoglobin level <9.0 g/dL or hematocrit <30%;
  • White blood cell count <3.0×10⁹/L or absolute neutrophil count (ANC) <1.2×10⁹/L;
  • Platelet count <100×10⁹/L;
  • Abnormal 12-lead ECG findings at screening or baseline that, in the investigator's judgment, may increase the safety risk of the study intervention or affect the interpretation of study results;
  • Uncontrolled hypertension with systolic blood pressure ≥160 mmHg and/or diastolic blood pressure ≥90 mmHg at screening/baseline;
  • Body mass index (BMI) >30 kg/m² during screening;
  • Contraindications to MRI, including but not limited to the presence of cardiac pacemakers, stents, artificial heart valves, etc.;
  • Subjects with a current psychiatric disorder such as anxiety or depression, or a history of such disorders, and who are deemed by the investigator to be unsuitable for participation in the study;
  • Subjects with a history of malignancy (except for adequately treated or excised non-metastatic basal cell or squamous cell carcinoma of the skin);
  • Pregnant or breastfeeding women, women planning to become pregnant during the study, and men planning to donate sperm during the study;
  • Use of high-dose corticosteroids (i.e., intravenous or intramuscular corticosteroids or oral prednisone equivalent >10 mg/day) or unstable doses (regardless of treatment for rheumatoid arthritis or other conditions) within 28 days prior to the baseline visit;
  • Subjects with a history of hypersensitivity to any component of the study intervention or similar compounds;
  • Participation in another interventional clinical study within 4 weeks prior to the baseline visit or within 5 half-lives of the last dose of the investigational drug at baseline;
  • History of alcohol or drug abuse within 6 months prior to the start of study intervention treatment, deemed by the investigator to hinder study participation;
  • Receipt of any live virus vaccination within 8 weeks prior to the baseline visit;
  • Subjects classified as legally disabled according to the April 2008 version of the "Law of the People's Republic of China on the Protection of Persons with Disabilities";
  • Subjects with potential health, mental, or social conditions that, in the investigator's judgment, may prevent or hinder compliance with the study protocol;
  • Peripheral or central nervous system disorders that, in the investigator's judgment, may interfere with the assessment of knee pain and function, such as fibromyalgia, significant low back pain, hip pain, sciatica, lumbar disc herniation, etc.;
  • Any other condition that is deemed by the investigator to be unsuitable for participation in the study.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Huji Xu, Ph.D, MD contact

86021-81885514

huji_xu@tsinghua.edu.cn

China1 site, 1 recruiting
  • Shanghai ChangZheng hospital

    Shanghai, 200003

    Huji Xu, 86021-81885514, huji_xu@tsinghua.edu.cn

    Recruiting

Other trials in China

About this study

Official title: A Single-arm Clinical Study Assessing the Safety, Tolerability, and Preliminary Efficacy of a Single Intra-Articular Injection of hiSCs for Rheumatoid Arthritis Treatment

This trial is a single-center, single-arm exploratory clinical study aimed at assessing the safety, tolerability, and preliminary efficacy of a single intra-articular injection of hiSCs for the treatment of rheumatoid arthritis.

Read the detailed description

This trial is a single-center, single-arm exploratory clinical study aimed at assessing the safety, tolerability, and preliminary efficacy of a single intra-articular injection of hiSCs for the treatment of rheumatoid arthritis.

In this trial, participants who have given informed consent will be screened to determine their eligibility according to the inclusion and exclusion criteria. The study intervention consists of a single injection of hiSCs, and the primary endpoint will be assessed during the 24-week follow-up visit after the cell injection.

Being tested
hiSCs
Keywords
Sertoli cells, Rheumatoid Arthritis (RA), intra-articular injection, hiSCs
Medical subject headings
Arthritis, Rheumatoid

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • hiSCsBiological

    hiSCs are derived from human induced pluripotent stem cells and exhibit immunomodulatory properties.

Study groups in NCT06947746
Study groupRoleWhat they receive
hiSCs treatmentExperimentalhiSCs,human induced Sertoli-like cells
Receives: Biological: hiSCs

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. TEAEs and SAEs

    The incidence of TEAEs and SAEs related to the study intervention

    Measured: Within 12 weeks after the injection of hiSCs

  2. WOMAC

    The change from baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score (range: 0-240 cm; including pain, stiffness, and physical function subscales) for the target knee, as assessed by the subject, with higher scores indicating greater symptom severity and worse physical function

    Measured: At 12 weeks after the injection of hiSCs

  3. GSUS

    The change from baseline in Gray-scale ultrasound (GSUS) (range: 0-12; including suprapatellar, medial, lateral, and posterior planes) for the target knee, as assessed by musculoskeletal ultrasound, with higher scores indicating more severe synovitis

    Measured: At 12 weeks after the injection of hiSCs

  4. PDUS

    The change from baseline in Power Doppler Ultrasound Synovitis (PDUS) score (range: 0-15; including suprapatellar, infrapatellar, medial, lateral, and posterior compartments) for the target knee, as assessed by power Doppler ultrasound, with higher scores indicating more severe synovitis

    Measured: At 12 weeks after the injection of hiSCs

Secondary outcomes (26)
  1. ACR20, ACR50, ACR70

    The proportion of subjects who achieved ACR20, ACR50, and ACR70(American College of Rheumatology 20%/50%/70% improvement)

    Measured: At Weeks 2, 4, 8, 12, and 24

  2. TJC

    Change from baseline in 68-joint tender joint count (TJC; American College of Rheumatology [ACR] Core Set measure; range 0-68, higher scores indicate worse disease activity)

    Measured: At Weeks 2, 4, 8, 12, and 24

  3. SJC

    Change from baseline in 66-joint swollen joint count (SJC; ACR Core Set measure; range 0-66, higher scores indicate worse disease activity)

    Measured: At Weeks 2, 4, 8, 12, and 24

  4. HAQ-DI

    Change from baseline in Health Assessment Questionnaire-Disability Index (HAQ-DI; ACR Core Set measure; range 0-3, higher scores indicate worse functional status)

    Measured: At Weeks 2, 4, 8, 12, and 24

  5. Patient-reported pain intensity (VAS)

    Change from baseline in patient-reported pain intensity (Visual Analog Scale [VAS]; ACR Core Set measure; 0-100 mm, higher scores indicate severe pain)

    Measured: At Weeks 2, 4, 8, 12, and 24

  6. Patient-reported global disease activity (VAS)

    Change from baseline in patient-reported global disease activity (VAS; ACR Core Set measure; 0-100 mm, higher scores indicate worse status)

    Measured: At Weeks 2, 4, 8, 12, and 24

  7. Physician-evaluated global disease activity (VAS)

    Change from baseline in physician-evaluated global disease activity (VAS; ACR Core Set measure; 0-100 mm, higher scores indicate worse status)

    Measured: At Weeks 2, 4, 8, 12, and 24

  8. Acute-phase reactant

    Change from baseline in acute-phase reactant (C-reactive protein [CRP; high-sensitivity assay; 0-10 mg/L] or erythrocyte sedimentation rate [ESR; 0-15 mm/h]; ACR Core Set measure; higher values indicate worse inflammation)

    Measured: At Weeks 2, 4, 8, 12, and 24

  9. DAS28 (CRP or ESR) score of <2.6 and <3.2

    The proportion of subjects achieving a DAS28 (CRP or ESR) score of <2.6 and <3.2

    Measured: At Weeks 2, 4, 8, 12, and 24

  10. DAS28 (CRP or ESR)

    The change from baseline in Disease Activity Score 28 (DAS28) using C-reactive protein (CRP) or erythrocyte sedimentation rate (ESR), with higher scores indicating greater disease activity

    Measured: At Weeks 2, 4, 8, 12, and 24

  11. SDAI score of ≤3.3

    The proportion of subjects achieving Simplified Disease Activity Index (SDAI) remission (score ≤3.3; total score range: 0-86), with lower scores indicating better disease control

    Measured: At Weeks 2, 4, 8, 12, and 24

  12. SDAI

    The change from baseline in Simplified Disease Activity Index (SDAI)score(total score range: 0-86), with lower scores indicating better disease control

    Measured: At Weeks 2, 4, 8, 12, and 24

  13. CDAI score of ≤2.8

    The proportion of subjects achieving Clinical Disease Activity Index (CDAI) remission (score ≤ 2.8; total score range: 0-76), with lower scores indicating better disease control

    Measured: At Weeks 2, 4, 8, 12, and 24

  14. CDAI

    The change from baseline in Clinical Disease Activity Index (CDAI)score (total score range: 0-76), with lower scores indicating better disease control

    Measured: At Weeks 2, 4, 8, 12, and 24

  15. VAS

    The change from baseline in Visual Analog Scale (VAS) pain score (range: 0-100 mm) for the target knee, as assessed by the subject, with higher scores indicating greater symptom severity and worse physical function

    Measured: At Weeks 2, 4, 8, 12, and 24

  16. WOMAC

    The change from baseline in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score (range: 0-240 cm; including pain, stiffness, and physical function subscales) for the target knee, as assessed by the subject, with higher scores indicating greater symptom severity and worse physical function

    Measured: At Weeks 2, 4, 8, and 24

  17. KOOS

    The change from baseline in Knee Injury and Osteoarthritis Outcome Score (KOOS) (range: 0-100; including Pain, Symptoms, Activities of Daily Living, Sport/Recreation, and Quality of Life subscales), as assessed by the subject, with higher scores indicating better function and fewer symptoms

    Measured: At Weeks 2, 4, 8, 12, and 24

  18. WORMS

    The change from baseline in Whole-Organ Magnetic Resonance Imaging Score (WORMS) (assessing :cartilage morphology [0-6 per subregion], bone marrow lesions [0-3 per subregion], meniscal pathology [0-4 per meniscus], subchondral cysts [0-3 per subregion], osteophytes [0-7 per subregion], bone attrition [0-3 per subregion], synovitis/effusion [0-3], ligament abnormalities [0-1 per ligament], periarticular cysts [0-3], and loose bodies [0-3]), as assessed by MRI, with higher scores indicating more severe structural damage

    Measured: At 12 weeks after the injection of hiSCs

  19. MOAKS

    The change from baseline in the MRI Osteoarthritis Knee Score (MOAKS) (assessing: cartilage damage [0-3 per subregion], bone marrow lesions [0-3 per subregion], osteophytes [0-3 per subregion], meniscal pathology [0-3 per region, location;0-1 per region, morphology], synovitis/effusion [0-3], ligament/tendon abnormalities [0-1 per ligament/tendon], and periarticular features [0-1]), as assessed by MRI, with higher scores indicating more severe structural damage

    Measured: At 12 weeks after the injection of hiSCs

  20. BLOKS

    The change from baseline in the Boston-Leeds Osteoarthritis Knee Score (BLOKS) (assessing: cartilage morphology [0-3 per region], bone marrow lesions [0-3 per region], osteophytes [0-3 per region], meniscal pathology [0-3 per region, location;0-1 per region, morphology], synovitis/effusion [0-3], ligament abnormalities [0-1 per ligament], and periarticular features [0-1]), as assessed by MRI, with higher scores indicating more severe structural damage

    Measured: At 12 weeks after the injection of hiSCs

  21. Synovial thickness

    The change from baseline in synovial thickness (mm), as assessed by MRI, with increased values indicating greater synovial inflammation

    Measured: At 12 weeks after the injection of hiSCs

  22. Synovial blood flow

    The change from baseline in synovial blood flow (measured in mL/min/100g tissue), as assessed by MRI, with increased values indicating greater vascularity

    Measured: At 12 weeks after the injection of hiSCs

  23. Joint effusion volume

    The change from baseline in joint effusion volume(mL), as assessed by MRI, with increased values indicating greater effusion severity

    Measured: At 12 weeks after the injection of hiSCs

  24. GSUS

    The change from baseline in Gray-scale ultrasound (GSUS) (range: 0-12; including suprapatellar, medial, lateral, and posterior planes) for the target knee, as assessed by musculoskeletal ultrasound, with higher scores indicating more severe synovitis

    Measured: At Weeks 2, 4, 8, and 24

  25. PDUS

    The change from baseline in Power Doppler Ultrasound Synovitis (PDUS) score (range: 0-15; including suprapatellar, infrapatellar, medial, lateral, and posterior compartments) for the target knee, as assessed by power Doppler ultrasound, with higher scores indicating more severe synovitis

    Measured: At Weeks 2, 4, 8, and 24

  26. ROM

    The change from baseline in the range of motion (ROM) for the target knee, as assessed by a goniometer, with greater improvement indicating better physical function

    Measured: At Weeks 2, 4, 8, 12, and 24

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Apr 2025
  2. Study start1 May 2025
  3. Primary completion1 Jun 2026 (estimated)
  4. Study completion1 Apr 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
15 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06947746
Sponsor's protocol ID
HWHY-hiSC-01
Status last verified
Feb 2026
First submitted
26 Mar 2025
Last updated
27 Feb 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Due to concerns about the security of patients' personal information

Questions about this trial

What is this clinical trial studying?

A study testing hiSCs in people with Rheumatoid Arthritis (RA), run by Shanghai Changzheng Hospital at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 12 inclusion and 32 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 27 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Huji Xu, Ph.D, MD (86021-81885514, huji_xu@tsinghua.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

TEAEs and SAEs (time frame: Within 12 weeks after the injection of hiSCs). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Feb 2026.

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