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Single-center Phase 1 RCT assesses ALC05 injection safety in unilateral mesial temporal lobe epilepsy patients.

Single-center Phase 1 RCT assesses ALC05 injection safety in unilateral mesial temporal lobe epileps…
Photo by Ian Talmacs / Unsplash
Key Takeaway
Note that specific safety and efficacy data for ALC05 injection in MTLE were not reported in this small Phase 1 trial.

This single-center Phase 1 randomized controlled trial enrolled 12 patients diagnosed with unilateral mesial temporal lobe epilepsy. The primary objective was to assess the incidence and severity of adverse events (AEs) and serious adverse events (SAEs) following a single intracranial injection of ALC05, which consists of iPSC-derived GABAergic interneurons. Patients were randomized into low-dose and high-dose groups to evaluate tolerability and safety. Secondary outcomes included cell engraftment, survival rates, responder rates, and seizure frequency.

The study design incorporated a one-year follow-up period within the initial study phase, with plans for a subsequent 15-year long-term safety follow-up after the initial period concludes. Specific numerical results regarding the incidence of adverse events, serious adverse events, discontinuations, or tolerability were not reported in the available data. Consequently, no quantitative data on safety signals or efficacy metrics could be extracted for this analysis.

Key limitations include the small sample size of 12 subjects and the lack of reported safety data, which precludes a robust assessment of the intervention's risk profile. Funding sources and potential conflicts of interest were not reported. Given the absence of reported adverse events or specific outcome numbers, the clinical relevance of these findings remains uncertain. Further investigation with larger cohorts and complete safety reporting is required before these results can inform clinical practice.

Study Details

Study typeRct
EvidenceLevel 2
PublishedApr 2026
View Original Abstract ↓
ImportanceEpilepsy is one of the most common neurological disorders globally. A significant proportion of patients fail to achieve effective seizure control with medication and ultimately develop drug-resistant epilepsy, particularly mesial temporal lobe epilepsy (MTLE). While surgical resection and laser interstitial thermal therapy (LITT) are effective treatments for drug-resistant MTLE, these procedures may be associated with severe adverse events. In contrast, allogeneic induced pluripotent stem cell (iPSC)-based therapy is expected to offer a novel, potentially safer therapeutic approach with fewer side effects for patients with drug-resistant MTLE. ObjectiveTo evaluate the safety and preliminary efficacy of a single intracranial injection of ALC05 (iPSC-derived GABAergic interneurons) in patients with unilateral MTLE, and to assess the therapeutic effects of different dosage levels. Design, Setting, and ParticipantsThis single-center, randomized, double-blind, Phase 1 clinical trial will enroll 12 subjects with unilateral MTLE. All subjects will be randomly assigned to either the low-dose or high-dose group in a 1:1 ratio. To minimize risks at each dose level, the first subject in each dose group will be monitored for safety for at least 3 months following ALC05 injection and must demonstrate acceptable safety and tolerability before the remaining subjects are enrolled. The primary outcome will be the incidence and severity of adverse events (AEs) and serious adverse events (SAEs). Secondary outcomes include cell engraftment and survival, responder rate, and seizure frequency. The follow-up period for this study is 1 year. After completing the follow-up period within this study, subjects will enter a 15-year long-term safety follow-up. DiscussionMTLE remains a significant challenge in neurology. The results of this study will provide critical data regarding the feasibility and preliminary efficacy of ALC05 in treating MTLE and may offer a transformative therapeutic option for this condition.
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