53 patients with active rheumatoid arthritis (28-joint disease activity score >3.2) who had not responded to at least two biologic agents were randomly assigned to three once-weekly infusions of allogeneic Cx611 adipose-tissue derived stem cells (which resemble mesenchymal stem cells) at doses of 1×106, 2×106 or 4×106 cells per kg, or placebo. Treatment was generally well tolerated, and no dose-limiting toxic effects were observed. Although the study was not designed to assess efficacy, a trend towards improved response was observed in Cx611-treated patients versus those who received placebo.