A Growing and Promising Field of Research
How active is Research Today?
• 1,200+ active clinical trials worldwide involving cord blood or postpartum tissue–derived cells
• Research spans neurologic, immune, autoimmune, orthopedic, and other conditions
• Most studies are Phase I or II, meaning they are designed to learn—not to confirm effectiveness yet
Key Areas of Research
• Cerebral Palsy (CP)
• Autism Spectrum Disorder (ASD)
• Autoimmune & Inflammatory Conditions
• Musculoskeletal Conditions
Important Safety & Regulatory Notes
• Outside of established uses like certain blood cancers (stem cell transplant), these therapies are not FDA approved
• Some U.S. states now allow carefully regulated early medical research, but this does not replace FDA oversight
• Participation in research is voluntary and requires informed consent
Bottom Line for Parents
Research into cord blood and cord tissue cells is growing and promising, but still early. Scientists are learning more about safety, who may benefit, and how these cells might work—but they are not cures, and outcomes vary. Banking is about preserving possibility, not making promises.
The Living Evidence Dashboard
What’s in this dashboard?
• Quarterly snapshot of the research landscape: A curated, high level view of peer reviewed publications and registered clinical studies involving cord blood, placenta, and cord/placental tissue–derived cells.
• Key study summaries (2020–2026): Plain language overviews of selected high impact studies, including what was studied, what was found, and what it may (and may not) mean.
• Safety and evidence context: Where available, summaries include safety observations and important limitations (e.g., study size, trial phase, endpoints) to help interpret results responsibly.
• Ongoing and recent clinical research: Highlights of active/registered trials and programs (including investigational work) to show where research is currently focused.
• Therapeutic areas tracked: A roll up view of research activity across major categories (e.g., neurological, blood/immune, autoimmune, musculoskeletal and more), with approximate trial counts by area.
Important Disclosure Notice: This dashboard summarizes peer reviewed publications and registered clinical studies involving cord blood and cord tissue–derived cells. Inclusion of any study, indication, or therapeutic area does not imply regulatory approval, clinical recommendation, or likelihood of benefit. All non approved uses remain investigational. This material is provided for informational and educational purposes only and is not medical advice.
Lifebank is more than a cord blood and tissue bank, it is part of Celularity Inc., a clinical stage cell therapy company developing and manufacturing allogeneic, placenta derived cellular medicines. This connection provides families not only long term cell storage, but proximity to active translational research and regulated cell therapy manufacturing.
– THE CELULARITY TEAM
Selected High-Impact Peer-Reviewed Studies Published in 2020-2026
A peer-reviewed individual participant data meta-analysis published in Pediatrics (Finch-Edmondson et al., 2025)
What This Study Looked At
Researchers combined and re‑analyzed data from 11 previously conducted clinical studies involving children with cerebral palsy (CP) who received umbilical cord blood (UCB). This type of analysis, called an individual participant data meta‑analysis, allows researchers to examine results across studies in a consistent way and explore which children may respond differently. It also allows researchers to assess safety and efficacy since a large pool of study participants is being evaluated now.
In total, 498 participant records were examined. The main comparison focused on children who received UCB versus children who did not, and how their gross motor function changed over time, measured using a standardized tool called the Gross Motor Function Measure (GMFM‑66).
What The Researchers Found
Motor function improvements:
Children who received UCB showed, on average, measurable and clinically meaningful improvements in gross motor function compared with children who did not receive UCB, and at 12 months this was measurably greater than at 6 months after treatment.
Dose mattered:
Higher numbers of cells were associated with larger improvements, suggesting that cell dose may influence response.
Who appeared to benefit most:
Greater improvements were observed in:
• Younger children (approximately under 5 years of age)
• Children with milder forms of cerebral palsy
Safety:
The rate of serious adverse events was similar between children who received UCB and those who did not, suggesting no new safety concerns for UCB use were identified in this analysis.
What These Results Mean
The study suggests that umbilical cord blood treatment may be associated with modest improvements in motor function for some children with CP.
The results highlight that CP is a heterogeneous condition, and not all children respond the same way.
The study helps researchers better understand which children and which treatment characteristics should be evaluated in future clinical trials.
Cerebral Palsy Statistics in the United States
• Around 10,000 babies are born each year with cerebral palsy.
• Between 1,200 and 1,500 school-aged children are diagnosed with cerebral palsy each year.
• Boys are diagnosed more often with cerebral palsy than girls.
• Cerebral palsy is the most commonly diagnosed childhood motor disability in the U.S.
• The Autism and Developmental Disabilities Monitoring (ADDM) reports that 1 in 323 children have some form of cerebral palsy.
More information here: https://cerebralpalsyguidance.com/cerebral-palsy/research/facts-and-statistics/
Autism spectrum disorder (ASD) study published in J., Pediatrics (Dawson et al., 2020)
What This Study Looked At
This prospective, randomized, placebo-controlled, double-blind study evaluated whether UCB infusion is safe and associated with improved social and communication abilities in children with autism spectrum disorder (ASD). This study included 180 children with ASD, aged 2-7 years, who received a single intravenous autologous (n = 56) or allogeneic (n = 63) UCB infusion vs placebo (n = 61) and were evaluated at 6 months post infusion.
What The Researchers Found
UCB infusion was safe and well tolerated. Analysis of the entire sample showed no evidence that UCB was associated with improvements in the primary outcome, social communication or the secondary outcomes, autism symptoms. There was also no overall evidence of differential effects by type of UCB infused.
Who appeared to benefit most:
In a subanalysis of children without intellectual disability (ID), allogeneic, but not autologous, UCB was associated with improvement in a larger percentage of children, but the improvement was not significant. Children without ID treated with UCB showed significant improvements in communication skills, and exploratory measures including attention to toys and sustained attention (eye-tracking) and increased alpha and beta electroencephalographic power.
What These Results Mean
Overall, a single infusion of UCB was not associated with improved socialization skills or reduced autism symptoms. More research is warranted to determine whether UCB infusion is an effective treatment for some children with ASD. A Phase II randomized, placebo controlled trial evaluating intravenous umbilical cord blood infusion in young children with ASD found the treatment to be safe but not associated with significant improvement in core autism symptoms overall, though exploratory subgroup analyses suggested potential signals in selected populations (Dawson G et al., J Pediatrics, 2020).
Umbilical Cord Tissue-Derived Mesenchymal Stromal Cells (MSC) in Children with Cerebral Palsy published in Stem Cell Research & Therapy (Amanat et al., 2021)
What This Study Looked At
The researchers explored whether umbilical cord tissue cells could be safely given to children with cerebral palsy (CP) and whether this was associated with improvements in movement, daily functioning, and quality of life. The study included 72 children between 4 and 14 years of age with spastic CP. Children were randomly assigned to receive either the cell treatment or a sham (placebo) procedure, and neither families nor doctors knew which treatment a child received. Researchers followed the children for one year, using standardized tests to measure motor skills, muscle stiffness, daily activities, quality of life, and changes seen on brain imaging.
What The Researchers Found
Movement and daily function:
Children who received the umbilical cord tissue–derived cells showed greater improvements in movement abilities, such as sitting, standing, and walking skills, compared with children who did not receive the cells. Improvements were also seen in daily activities, including mobility and self care.
Muscle stiffness:
Children in the treatment group experienced reduced muscle tightness over time, which can make movement more comfortable and functional for some children.
Quality of life:
Parents reported improvements in areas such as communication, participation in activities, and social interaction in children who received the cell treatment compared with those who did not.
Brain imaging:
Advanced MRI scans showed positive changes in brain pathways related to movement in the treated group, suggesting improved organization of important motor connections.
Safety Observations
The treatment was well tolerated. No serious side effects related to the cells were reported during the study. Minor, temporary effects related to the injection procedure were similar between children who received the cells and those who received the sham procedure. Overall, the study did not identify new safety concerns from the use of these cells in this setting.
What These Results Mean
• Treatment with umbilical cord tissue–derived cells may be associated with meaningful improvements in movement, daily function, and certain aspects of quality of life for some children with spastic cerebral palsy.
• This treatment is still considered investigational. The study involved a single dose, a specific group of children, and a limited number of participants.
• These findings help researchers better understand how perinatal cell therapies might work and support continued clinical research, but more studies are needed to determine who may benefit most, and how durable the improvements are.
Mesenchymal Stromal Cell (MSC) Research in Children with Cerebral Palsy published in Cells (Paton et al., 2025)
What This Study Looked At
This study reviewed and analyzed clinical studies evaluating mesenchymal stromal cells (MSCs) as an investigational approach for children with cerebral palsy (CP). The authors conducted a review of the existing clinical literature and included an analysis focusing on changes in gross motor function, measured using standardized tools such as the Gross Motor Function Measure (GMFM).
The review included studies using MSCs derived from various sources, including perinatal tissues, and encompassed different study designs, dosing approaches, routes of administration, and patient populations.
What The Researchers Found
Motor function outcomes:
Across analyzed studies, MSC administration was associated with small improvements in gross motor function compared with baseline or control groups in some trials. The magnitude of improvement varied widely across studies.
Outcomes differed substantially depending on:
• Age of the child
• Severity and type of cerebral palsy
• Cell source and dose
• Timing and route of administration
This variability limited direct comparisons between studies.
Safety Observations
Reported adverse events were generally mild to moderate, and serious adverse events were uncommon. Overall, the available data did not identify new or consistent safety concerns, although study sizes were relatively small.
What These Results Mean
• The review suggests that MSCs may be associated with modest improvements in motor outcomes in some children with CP, but responses are not uniform.
• The evidence does not establish MSCs as a proven or approved treatment for cerebral palsy.
• The findings reinforce that cerebral palsy is a heterogeneous condition, and outcomes may depend on individual patient and treatment characteristics.
• The primary value of this publication lies in guiding future clinical research, including study design, outcome selection, and patient stratification.
Ongoing and Recent Research
Duke Led Research Programs Using Umbilical Cord Blood in Pediatric Neurological Injury
What These Programs Are
Researchers at Duke University, led by Dr. Joanne Kurtzberg, via Expanded Access Protocol: Umbilical Cord Blood Infusions for Children With Brain Injuries | Smart Patients have conducted and continue to lead clinical research programs evaluating umbilical cord blood (UCB) as an investigational approach for children with neurological injuries and neurodevelopmental conditions. These programs include early phase clinical trials and expanded access protocols registered on ClinicalTrials.gov, primarily focused on safety, feasibility, and exploratory clinical outcomes.
Conditions Studied
Duke led programs have evaluated UCB infusions in children and young adults with conditions such as:
• Cerebral palsy
• Hypoxic ischemic encephalopathy (HIE)
• Traumatic and acquired brain injury
• Stroke
• Congenital hydrocephalus
• Apraxia of speech
Participants are typically under 26 years of age and must meet eligibility criteria related to immune function and cord blood unit quality.
What Type of Cord Blood is Used
Depending on the protocol, studies have involved:
• Autologous cord blood (the child’s own stored cord blood)
• Allogeneic cord blood (sibling or unrelated donor units)
Cord blood units must meet predefined criteria for cell dose, sterility, and viability. Infusions are administered without chemotherapy or immunosuppression and are considered minimally manipulated cellular therapies under research protocols.
What Has Been Observed So Far
Safety:
Early phase trials and expanded access programs have generally reported that UCB infusions were feasible and well tolerated, with no consistent new safety concerns identified across preliminary outcomes:
Some studies have observed modest functional changes in subsets of participants; however, results have been variable and not uniform across patients or conditions. These findings are exploratory and not definitive.
What These Findings Mean
Duke led research suggests that umbilical cord blood administration is technically feasible and can be studied safely in pediatric neurological conditions.
Updates in Autoimmune Disease Research with Cord Blood and Postpartum Tissue–Derived Cell Therapies (2024–early 2026)
Research exploring cord blood and postpartum tissue–derived cells, most commonly umbilical cord–derived mesenchymal stromal cells (UC MSCs), in autoimmune diseases has continued to expand, but remains early phase and investigational. The primary focus across indications is safety, feasibility, and immune modulation, rather than demonstration of durable clinical efficacy.
Most studies are Phase I or Phase II, involve small patient numbers, and evaluate refractory or treatment resistant disease populations.
Systemic Lupus Erythematosus (SLE)
UC-MSCs have shown potential in treating refractory SLE. A multicenter Phase II trial involving patients with severe, treatment-resistant SLE reported a 92.5% overall survival rate. While the study documented improvements in disease activity indices, including reductions in SLEDAI scores (p < 0.001), these results require validation in larger, controlled studies. Notably, no transplantation-related adverse events were reported, though long-term safety data remain limited (Wu 2025).
Study Interpretation:
UC MSC therapy for SLE remains experimental, with early data supporting feasibility and short term safety.
Multiple autoimmune diseases (mixed populations)
Ongoing registered trials are evaluating MSC infusions across heterogeneous autoimmune conditions, including rheumatologic and systemic inflammatory diseases.
These studies commonly compare MSC therapy with placebo or standard care and emphasize:
• Immune cell subset changes
• Autoantibody levels
• Safety outcomes at short term follow up (3–6 months).
Study Interpretation:
These trials are designed to generate hypothesis level data and to inform future, disease specific studies.
Rheumatoid arthritis (RA)
Reviews published in 2025 summarize preclinical models and limited early clinical experience using perinatal tissue–derived MSCs for RA.
Available clinical data suggest acceptable short term safety, but clinical efficacy remains unproven, with few controlled trials completed to date (Alivernini 2025).
What the broader emerging research landscape shows
Safety:
Early phase trials and expanded access programs have generally reported that UCB infusions were feasible and well tolerated, with no consistent new safety concerns identified across preliminary outcomes:
Some studies have observed modest functional changes in subsets of participants; however, results have been variable and not uniform across patients or conditions. These findings are exploratory and not definitive.
What These Findings Mean
Large systematic analyses of stem cell–based trials in autoimmune diseases show that:
• Umbilical cord and placenta derived MSCs are among the most frequently used cell sources
• More than 80% of studies are Phase I–II
• Regulatory approval has not yet been established for autoimmune indications outside hematopoietic stem cell transplantation related contexts.
Key Takeaway for Parents and Clinicians:
Current Research in Autoimmune Diseases with Cord Blood and Postpartum Tissue–Derived Cell Therapies is Active but Early Stage.
Updates in Musculoskeletal Condition Research with Cord Blood and Postpartum Tissue–Derived Cell Therapies (2024–early 2026)
Research evaluating umbilical cord blood and postpartum tissue–derived cells, most commonly perinatal mesenchymal stromal cells (MSCs) derived from umbilical cord tissue or placenta, in musculoskeletal conditions remains early stage and investigational. Most studies are Phase I–II, focus on safety and feasibility, and are not designed to establish durable clinical efficacy.
Conditions Studied
• Osteoarthritis (knee and hip)
• Degenerative disc disease and back pain
• Cartilage and meniscal injuries
• Tendon and ligament injuries
Most studies explore local (intra articular or intralesional) administration of perinatal MSCs, rather than systemic infusion.
What The Researchers Are Studying
Across musculoskeletal trials, primary objectives include:
• Safety and tolerability of postpartum tissue–derived MSCs
• Feasibility of local delivery into joints or soft tissues
• Exploratory assessments of:
• Pain scores
• Functional measures (e.g., mobility, joint range of motion)
• Imaging or biomarker changes
These outcomes are exploratory and often assessed over short follow up periods (typically 3–12 months).
What Type of Cord Blood is Used
Depending on the protocol, studies have involved:
• Autologous cord blood (the child’s own stored cord blood)
• Allogeneic cord blood (sibling or unrelated donor units)
Cord blood units must meet predefined criteria for cell dose, sterility, and viability. Infusions are administered without chemotherapy or immunosuppression and are considered minimally manipulated cellular therapies under research protocols.
What Has Been Observed So Far
Safety:
Early phase studies and reviews consistently report acceptable short term safety, with most adverse events described as mild to moderate (e.g., transient injection site pain or swelling). Serious adverse events directly attributable to cells are uncommon in published trials, recognizing that sample sizes are limited.
Clinical signals:
Some trials report improvements in pain or function in subsets of participants. However, outcomes are variable, placebo effects are difficult to exclude, and methodological limitations (small size, lack of blinding, inconsistent endpoints) prevent conclusions about efficacy.
These findings are summarized in recent reviews of perinatal MSC use in musculoskeletal and inflammatory joint conditions, including rheumatoid arthritis and degenerative joint disease (Acharya 2025).
Key Facts
| FDA-recognized indications for HSCT | 80+ | ||||||||||||||
| Active registered clinical trials worldwide | 1,200+ | ||||||||||||||
| Therapeutic areas tracked across cord blood and postpartum tissue‑derived cell research 14 | |||||||||||||||
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| Acharya et al., Bioengineering & Translational Medicine, 2025 | |||||||||||||||
| Years of documented cryopreserved cell viability* | 27+ | ||||||||||||||
| Liedtke et al., Stem Cells Translational Medicine, 2024 | |||||||||||||||
| *Note: As long as the history of cord blood banking itself, first cord blood unit stored in 1988. Documented cryopreservation performance is based on published post‑thaw analyses and does not predict clinical outcomes. Indications refer to hematopoietic stem cell transplantation broadly and do not imply approval of any specific Lifebank product. | |||||||||||||||
Active registered clinical trials involving cord blood and postpartum tissue–derived cells by therapeutic area

Source: ClinicalTrials.gov (April 2026). Counts reflect approximate numbers of active registered studies identified using broad search terms related to cord blood and cord tissue–derived cells. Trial categorization and totals vary based on registry updates, indication overlap, and classification methodology. Registered trials may evaluate investigational uses. Inclusion does not imply regulatory approval, clinical recommendation, or positive outcomes.
Definition of “active clinical trial”: For the purposes of this dashboard, active clinical trials include studies registered on ClinicalTrials.gov that are listed as Recruiting, Not Yet Recruiting, or Active, Not Recruiting at the time of data capture. Trials that are Completed, Terminated, Withdrawn, or Suspended are not included.
Global Clinical Trial Landscape of Stem Cell Therapies for Autoimmune and Inflammatory Diseases (TrialTrove, cut-off October 2024; N = 1136) (reproduced from Wu et al 2025).

Indication-level trial counts stratified by phase for major autoimmune and inflammatory diseases (Wu et al 2025).
Evolving State Laws and Cell-Based Research
Some U.S. states have recently passed or updated laws to support early medical research involving stem cells and regenerative medicine. These laws do not approve new treatments or replace FDA oversight, but they help create clearer rules for how research and early clinical exploration can happen safely and transparently.
Examples of recent state actions include:
Florida
In 2025, Florida passed Senate Bill 1768, which went into effect on July 1, 2025, creating a legal framework for physicians to administer certain stem cell therapies not yet approved by the FDA. This establishes a state framework for certain physician led stem cell therapies using ethically sourced cells, including umbilical cord blood and postpartum tissues, with required patient disclosures and safety standards. The law focuses on expanding access to regenerative medicine for orthopedic, wound care, and pain management treatments.
Texas
Texas has expanded patient access to investigational adult stem cell treatments through the expansion of Right to Try legislation, specifically under Texas Health & Safety Code Chapter 1003 (often referred to as Charlie’s Law). This legislation permits patients with severe chronic or terminal illnesses to access experimental adult stem cell treatments that are currently in clinical trials but not yet FDA-approved.
Arizona
In 2026, Arizona advanced the Stem Cell and Regenerative Therapy Act (SB 1214), which regulates non-FDA approved regenerative therapies, including stem cell and birth tissue treatments. The bill mandates strict sourcing from approved labs, comprehensive informed consent, and transparent advertising, while strictly prohibiting the use of aborted fetal/embryonic tissue, aiming to protect patient safety. The legislation applies to licensed physicians providing therapies within their scope of practice, often for orthopedic injuries, wound care, and pain management.
What This Means For Patients
These state level changes highlight growing interest in responsibly studying cell based therapies, but they do not mean that new treatments are proven, approved, or guaranteed. For families who choose to bank cord blood and cord tissue with Lifebank®, this evolving landscape underscores the potential value of preserving these cells today. Banking does not promise future use or benefit, it simply helps families keep access to their child’s cells as science, research, and regulations continue to develop.
Did you know?
Umbilical cord blood-derived MSCs make up only 0.2%–1.8% of the isolated mononuclear cells (Li 2023). MSCs derived from umbilical cord blood exhibit better proliferation ability than bone marrow-derived MSCs. Age is also a major consideration when isolating autologous MSCs, as older age is associated with senescence and reduced proliferation and differentiation capabilities of MSCs.
Until recently, the main limitation regarding using cord blood stem cells was the limited number of hematopoietic cells per cord blood unit.
In April 2023, the US Food and Drug Administration (FDA) approved a cord blood stem cell multiplication procedure. Omidubicel (brand name Omisirge®) is the first FDA approved nicotinamide modified allogeneic hematopoietic progenitor cell therapy, derived from umbilical cord blood. This nicotinamide-modified stem cell transplant derived from umbilical cord blood is being developed for treating cancers (for adults and children ≥12 years of age) of the hematopoietic system and hemoglobinopathies.
Using this technology, the number of hematopoietic cells can be increased 50-fold. The potential for clinical applications of human cord blood
stem cells is leading to new research. As it progresses, the possibilities for its therapeutic use are also changing. These cells also represent a promising source for the production of gene therapy products, e.g. CAR-T (chimeric antigen
receptor) and CAR-NK (chimeric antigen receptor natural killer) cells – ‘natural killer’ cells with an added receptor that enables them to destroy leukemic cells (Bien 2024).
REFERENCES
- Finch-Edmondson M, Paton MCB, Webb A, et al. Cord Blood Treatment for Children With Cerebral Palsy: Individual Participant Data Meta-Analysis. Pediatrics. 2025; 155(5):e2024068999
- Paton, M.C.B.; Griffin, A.R.; Blatch-Williams, R.; Webb, A.; Verter, F.; Couto, P.S.; Bersenev, A.; Dale, R.C.; Popat, H.; Novak, I.; et al. Clinical Evidence of Mesenchymal Stromal Cells for Cerebral Palsy: Scoping Review with Meta-Analysis of Efficacy in Gross Motor Outcomes. Cells. 2025, 14, 700. https://doi.org/10.3390/ cells14100700
- Wu D, Gao F, Dai MJ, Gao N. Clinical trial landscape for stem cells in autoimmune and inflammatory diseases: a comprehensive analysis and path forward. Annals of Medicine & Surgery 2025.
- Alivernini S, Masserdotti A, Magatti M, Cargnoni A et al, Exploring perinatal mesenchymal stromal cells as a potential therapeutic strategy for rheumatoid arthritis. 2025, Heliyon 11, e41438.
- Acharya S, Shaha S, Bibbey MG, Mukherji M, Zhao Z, Mitragotri S. Stem cell therapies in the clinic. 2025 Bioeng Transl Med;10:e70000.
- Li J, Wu Z, Zhao L, et al. The heterogeneity of mesenchymal stem
cells: an important issue to be addressed in cell therapy. Stem Cell
Res Ther. 2023;14(1):381. doi:10.1186/s13287-023-03587-y - FDA licensed cord blood products used for HSCT across multiple diseases. Approved Cellular and Gene Therapy Products | FDA
- Bień A, Vermeulen J, Bączek G, Pięta M, Pięta B., Cord blood banking: balancing hype and hope in stem cell therapy 2024, Eur J Midwifery;8(October):59
- Heo YA. Omidubicel: First Approval. Mol Diagn Ther. 2023;27(5):637-642. doi:10.1007/s40291-02300662-1
- US Food & Drug Administration. FDA approves cell therapy for patients with blood cancers to reduce risk of infection following stem cell transplantation [media release]. 17 Apr 2023. https://www.fda.gov/news-events/press-announcements/fda-approves-cell-therapy-patients-blood-cancers-reduce-risk-infection-following-stem-cell.
- Liedtke S, Többen S, Gressmann H, Meyer M, Verde PE, Gluckman E, Gesine Kogler. Long-Term Stability of Cord Blood Units After 29 Years of Cryopreservation: Follow-Up Data from the José Carreras Cord Blood Bank. Stem Cells Translational Medicine, 2024, 13, 30–4
- Dawson G, Sun JM, Baker J, Carpenter K, Comptonet S et al. Phase II randomized trial of cord blood infusion for autism spectrum disorder. 2020 J Pediatr;222:164-73
- Amanat M, Majmaa A, Zarrabi M, et al. Clinical and imaging outcomes after intrathecal injection of umbilical cord tissue mesenchymal stem cells in cerebral palsy: a randomized double-blind sham-controlled clinical trial. Stem Cell Res Ther. 2021; 12(1):439.
