Stroke Recovery and Exosomes and extracellular vesicles: what the trial registry contains
The ClinicalTrials.gov registry holds 11 records for exosomes in Stroke Recovery: 2 recruiting now, 0 labelled Phase 3 or 4, across 9 countries. Snapshot 2026-08-29.
Why this is studied in Stroke Recovery
After ischaemic stroke, some recovery happens spontaneously through oedema resolution and cortical reorganisation, mostly in the first three to six months. Cell therapy is studied both acutely for neuroprotection and chronically for plasticity support — and that spontaneous recovery window is the reason early uncontrolled results in this indication are so often misleading.
What exosomes means in this table
Exosome and extracellular-vesicle products are cell-free: vesicles harvested from cultured cells and given without the cells themselves. They are attractive commercially because they avoid live-cell logistics, and they are regulatorily contested for the same reason — several regulators have issued explicit warnings about unapproved exosome products marketed for human use.
The numbers
Every figure below comes from one reproducible query (stroke x exosome) run against ClinicalTrials.gov API v2 on 2026-08-29.
| Metric | Value |
|---|---|
| Registered studies (all statuses) | 11 |
| Interventional studies in the sample | 8 |
| Recruiting right now | 2 |
| Completed | 2 |
| Terminated, withdrawn or suspended | 0 |
| Phase 3 or Phase 4 records | 0 |
| Countries with at least one site | 9 |
| Median planned enrolment | 36 participants |
| Largest single planned enrolment | 200 participants |
| First / most recent start year | 2018 — 2026 |
How mature is this evidence?
There is no confirmatory research programme here — 11 registrations, all early-phase or unlabelled, 2 of them active.
Of those, 2 are marked completed and 0 were terminated, withdrawn or suspended — a stop rate of 0%, worth weighing when a clinic quotes 'ongoing research' as reassurance.
| Phase label | Records | Share |
|---|---|---|
| Phase 1 | 6 | 40% |
| Not applicable | 5 | 33% |
| Phase 2 | 4 | 27% |
Median planned enrolment is 36 participants (largest single study: 200). Trials of this size can describe safety and generate hypotheses; detecting a modest clinical benefit reliably usually needs substantially larger numbers with a control group.
Where the studies are
Research is not evenly spread: Taiwan carries about 20% of the country mentions among 9 countries with sites.
| Country | Studies with a site there |
|---|---|
| Taiwan | 2 |
| South Korea | 1 |
| Switzerland | 1 |
| Antigua and Barbuda | 1 |
| Argentina | 1 |
| Italy | 1 |
| Mexico | 1 |
| Iran | 1 |
| China | 1 |
Legal pathway differs by country — see where cell therapy is legal, by country.
Who runs them
Lead sponsors split roughly 5 academic or hospital against 2 commercial — a academic profile. Commercial sponsorship is not a red flag by itself, but it changes publication incentives.
- Xuanwu Hospital, Beijing — 2 records
- China Medical University Hospital — 1 record
- S&Ebio Co. Ltd. — 1 record
- Ospedale Civico, Lugano — 1 record
- Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine — 1 record
- The Foundation for Orthopaedics and Regenerative Medicine — 1 record
Representative registered studies
Recruiting studies first, then the most advanced phases. Each identifier links to the registry record, where eligibility criteria, outcome measures and contacts are published.
| Study | Phase | Status | Planned n | Lead sponsor | Start |
|---|---|---|---|---|---|
| NCT06995625 — The STem Cell-derived Extracellular Vesicle Therapy In Acute Ischemic Stroke (STEVIA) | Phase 1 | Recruiting | 18 | S&Ebio Co. Ltd. | 2026-06-22 |
| NCT05158101 — Safety of Cultured Allogeneic Adult Umbilical Cord Derived Mesenchymal Stem Cell Exosome Intranasal Instillations for Stroke | Phase 1 | Recruiting | 15 | The Foundation for Orthopaedics and Regenerative Medicine | 2022-02-01 |
| NCT07398612 — Safety and Efficacy of Human Adipose-Derived Stem Cell Exosomes in Acute Ischemic Stroke | Phase 1, Phase 2 | Not Yet Recruiting | 60 | Shanghai General Hospital, Shanghai Jiao Tong University Sch | 2026-01-31 |
| NCT07143786 — Human Induced Neural Stem Cell-derived Exosomes for Treating Acute Ischemic Stroke | Phase 1, Phase 2 | Not Yet Recruiting | 38 | Xuanwu Hospital, Beijing | 2025-10-01 |
| NCT06138210 — The Effect of GD-iExo-003 in Acute Ischemic Stroke | Phase 1, Phase 2 | Completed | 29 | Xuanwu Hospital, Beijing | 2024-06-05 |
| NCT03384433 — Allogenic Mesenchymal Stem Cell Derived Exosome in Patients With Acute Ischemic Stroke | Phase 1, Phase 2 | Unknown | 5 | Isfahan University of Medical Sciences | 2019-04-17 |
| NCT07521384 — Real World Outcomes of Intranasal MuSE Exosomes and Stem Cells in Neurological Regenerative Therapy | n/a | Enrolling By Invitation | 36 | Healing Hope International | 2026-06-01 |
| NCT05326724 — The Role of Acupuncture-induced Exosome in Treating Post-stroke Dementia | n/a | Unknown | 30 | China Medical University Hospital | 2022-08-01 |
| NCT06319742 — Extracellular Vesicle Surface Markers In Acute Cerebrovascular Syndromes. | n/a | Unknown | 200 | Ospedale Civico, Lugano | 2022-11-18 |
| NCT04184076 — Randomized Controlled Trial of Time-Restricted Feeding (TRF) in Acute Ischemic Stroke Patients | n/a | Unknown | 40 | National Taiwan University Hospital | 2020-01-01 |
What this page does and does not tell you
A registry is a plan repository. Counting entries tells you what people intended to study, which is a weaker thing than what they found.
If a clinic offers you this today, the useful question is not "is there research?" but "which of these registered studies is mine part of, and if none, what evidence applies to the exact product I am being sold?" The Provider Question Builder turns that into a scored checklist.
Frequently asked
How many exosomes studies for Stroke Recovery are recruiting right now?
2 of 11 registered records were listed as recruiting in the 2026-08-29 snapshot. Recruitment status changes frequently; the registry record is authoritative.
Is exosomes an approved treatment for Stroke Recovery?
Registration on ClinicalTrials.gov is not approval. Approval is granted by a regulator for a specific product and indication after review of submitted evidence. 11 registered studies tell you research exists, not that a product cleared review.
How advanced is the research on exosomes for Stroke Recovery?
0 of 11 records carry a Phase 3 or Phase 4 label and 2 are marked completed. Registrations run from 2018 to 2026.
Registry and literature counts retrieved 2026-08-29 (ClinicalTrials.gov API v2; PubMed E-utilities). Registration or publication volume measures research activity, not effectiveness or approval. Educational information — not medical advice; verify product, indication, legal pathway and evidence with an independent qualified physician. Page generated 2026-08-29. See our editorial standards.
More on this condition
- Stroke Recovery: cell-therapy evidence and registered trials
- How much does stem cell therapy for Stroke Recovery cost? (2026)
- Stroke Recovery stem cell therapy — your questions answered (2026)
- Stroke Recovery: cell-therapy evidence by therapy class
- MSC vs HSCT for Stroke Recovery: what the registries show
Download the query data
Query totals are full API matches; status, phase and country counts describe the first up to 400 returned records per query. Query classes overlap and must not be summed as unique trials. Counts are not treatment outcomes. Snapshot: 2026-08-29. Methods and field definitions.