Landmark 10 · Trial in people

Bemdaneprocel embryonic stem-cell dopamine neurons

In 12 people, with no comparison group, the cells were safe and made dopamine. High-dose motor scores improved 23 points. All took immune-suppressing drugs for a year.

In short

Dopamine neurons grown from embryonic stem cells and transplanted into 12 patients were safe and made dopamine in a first-in-human trial; the product, bemdaneprocel, is now in Phase 3. The parallel Kyoto trial of iPSC-derived cells is landmark 300.

What it is
Trial in people
Outcome
Passed this stage
When
2025
Approach
Replace or repair what's lost
Research lane
Cell replacement
Trial registry
NCT04802733
Last checked
19 Oct 2026

The research record

This is the project's file for this landmark, as written and checked. Sources are listed at the end; anything not yet confirmed is marked "Not yet verified".

Who

Viviane Tabar and Lorenz Studer (Memorial Sloan Kettering) with BlueRock/Bayer (bemdaneprocel). Published in Nature, April 2025.

What happened

Phase 1 (NCT04802733), open-label: 12 patients with cryopreserved bemdaneprocel cells grafted into both putamens, in two cohorts: low dose (0.9 million cells, n = 5) and high dose (2.7 million cells, n = 7). All had one year of immunosuppression. The trial met its safety aims at one year, with no adverse events related to the cell product. At 18 months, putamen F-DOPA PET uptake had risen, indicating graft survival. The motor exam off medication (MDS-UPDRS Part III) improved by an average of 23 points in the high-dose cohort, with no control group. There were no graft-induced dyskinesias. In July 2026 the European STEM-PD trial (landmark 74) reported similar early results. The Kyoto iPSC trial, published in the same month, has its own file: landmark 300.

Why it moved us toward a cure

This is the first standardised, scalable source of replacement neurons, built on the recipe in landmark 17 and a successor to the fetal grafts of landmark 3: a route to restoring what was lost, not just slowing further loss. Bemdaneprocel is now in a sham-controlled Phase 3 (exPDite-2, 102 people planned; landmark 158).

Outcome

Advanced, with a pivotal trial underway. Caveat: the grafts restore dopamine but do not stop the underlying disease, and landmark 8 shows grafts can eventually be invaded.

Sources

  • Tabar et al., Nature 2025;641:978–983, DOI 10.1038/s41586-025-08845-y (DOI link; PMID 40240592; abstract read via Europe PMC)
  • Bayer: Phase 3 first patient
  • STEM-PD, Nat Med 2026
  • ClinicalTrials.gov NCT06944522 (exPDite-2; API checked 19 Oct 2026: Phase 3, 102 planned, recruiting)
  • Not yet verified: the Phase 3 first-patient date (the Bayer release is dated 22 Sep 2025 per search results, and an AAN abstract puts the first surgery in August 2025; the registry start is 17 Jun 2025; the Bayer page itself would not load); the Nature full text beyond the abstract (so the 23-point figure has no confidence interval here).

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