Evidence map›Paper›PMID 40348804›Full record

Trial reportScientific reports2025

Combined treatment with mesenchymal stem cells and therapeutic hypothermia for neonatal hypoxic ischemic encephalopathy: a phase 1/2 randomized trial.

Kazuko Wada, Akihito Takeuchi, Yoshinori Katayama, Natsuki Ohkawa, Masato Kantake, Kazumichi Fujioka, Toshiya Nishikubo, Yutaka Yamamoto, Yasumasa Yamada, Seiji Yoshimoto and 12 more

Abstract readRandomized Controlled TrialClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Kazuko WadaDepartment of Neonatal Medicine, Osaka Women's and Children's Hospital, 840 Murodo-cho, Izumi, Osaka, 594-1101, Japan. kwada@wch.opho.jp.
Akihito TakeuchiDivision of Neonatology, NHO Okayama Medical Center, Okayama, Japan.
Yoshinori KatayamaDepartment of Neonatology, Takatsuki General Hospital, Osaka, Japan.
Natsuki OhkawaDepartment of Neonatology, Juntendo University Shizuoka Hospital, Shizuoka, Japan.
Masato KantakeDivision of Neonatology, Juntendo University Nerima Hospital, Tokyo, Japan.
Kazumichi FujiokaDepartment of Pediatrics, Kobe University Graduate School of Medicine, Hyogo, Japan.
Toshiya NishikuboDivision of Neonatal Intensive Care, Fetal and Neonatal Medical Center, Nara Medical University Hospital, MaternalNara, Japan.
Yutaka YamamotoDepartment of Neonatology, Gifu Prefectural General Medical Center, Gifu, Japan.
Yasumasa YamadaDepartment of Perinatal and Neonatal Medicine, Aichi Medical University, Aichi, Japan.
Seiji YoshimotoDepartment of Neonatology, Hyogo Prefectural Kobe Children's Hospital, Hyogo, Japan.
Kiyoaki SumiDepartment of Pediatrics, Aizenbashi Hospital, Osaka, Japan.
Tomoaki IoroiDepartment of Pediatrics, Perinatal Medical Center, Himeji Red Cross Hospital, Hyogo, Japan.
Takeo MureDepartment of Pediatrics, Chibune General Hospital, Osaka, Japan.
Norihisa WadaKindai University Hospital Perinatal Medical Center, Osaka, Japan.
Yukimichi NakanoResearch Division, JCR Pharmaceuticals, Hyogo, Japan.
Naoko TakasaoDevelopment Division, JCR Pharmaceuticals, 3-19 Kasuga-cho, Ashiya, Hyogo, 659-0021, Japan.
Kenji TadaDevelopment Division, JCR Pharmaceuticals, 3-19 Kasuga-cho, Ashiya, Hyogo, 659-0021, Japan.
Tatsuyoshi YamamotoDevelopment Division, JCR Pharmaceuticals, 3-19 Kasuga-cho, Ashiya, Hyogo, 659-0021, Japan.
Hideaki HiraiDevelopment Division, JCR Pharmaceuticals, 3-19 Kasuga-cho, Ashiya, Hyogo, 659-0021, Japan.
Yuji SatoDevelopment Division, JCR Pharmaceuticals, 3-19 Kasuga-cho, Ashiya, Hyogo, 659-0021, Japan.
Hideyuki IdeDevelopment Division, JCR Pharmaceuticals, 3-19 Kasuga-cho, Ashiya, Hyogo, 659-0021, Japan. ide-h@jp.jcrpharm.com.
Satoshi KusudaNeonatal Research Network of Japan, Shinjuku Park Tower N30, 3-7-1, Nishishinjuku, Shinjuku, Tokyo, 163-1030, Japan. kusuda-satoshi@nrnj.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neonatal hypoxic ischemic encephalopathy (nHIE) is a serious disease that causes severe and chronic neurological damage. Hypothermia therapy improves patients' outcomes albeit with some limitations, but combining it with treatment with cord blood cells (analogous to mesenchymal stem cells [MSCs]) reportedly improves its effectiveness. TEMCELL HS Inj. (Temcell), a human bone marrow-derived MSC product used for acute graft-versus-host disease, seems an appropriate candidate for this combination therapy. Therefore, we performed a randomized, parallel-group study to compare combined treatment with Temcell and hypothermia versus hypothermia therapy-alone to evaluate the safety and efficacy of Temcell in nHIE patients. The primary endpoint was treatment response defined as an overall developmental quotient of ≥ 85 at 18 months of age. Fourteen patients were enrolled and randomized, with 7 assigned to each group. Both groups had similar demographic characteristics and nHIE severity. Treatment response was observed in 4 of the 6 (66.7%) patients in the Temcell combination group, and in 4 of the 7 patients (57.1%) in the hypothermia therapy-alone group. No marked differences in safety profile were observed between the groups. These results indicate that the efficacy of Temcell combined with hypothermia is comparable to therapeutic hypothermia for patients with nHIE.Clinical Trial Registration: jRCT1080224818.

Indexed as

Hypothermia, InducedHypoxia-Ischemia, BrainMesenchymal Stem CellsMesenchymal Stem Cell TransplantationCombined Modality TherapyFemaleHumansInfantInfant, NewbornMaleTreatment Outcome

Identifiers

PMID40348804
PMCPMC12065831

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.