Use of UC-MSCs for COVID-19 Patients

NCT ID: NCT04355728

Last Updated: 2021-12-06

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-04-25

Study Completion Date

2020-10-31

Brief Summary

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The purpose of this research study is to learn about the safety and efficacy of human umbilical cord derived Mesenchymal Stem Cells (UC-MSC) for treatment of COVID-19 Patients with Severe Complications of Acute Lung Injury/Acute Respiratory Distress Syndrome (ALI/ARDS).

Detailed Description

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Conditions

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Corona Virus Infection ARDS ARDS, Human Acute Respiratory Distress Syndrome COVID-19

Keywords

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COVID-19

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The trial has two groups, each with 12 subjects (n=24). All eligible subjects will be randomized to either the treatment group or standard of care, and randomization will be stratified by ARDS severity.
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators
Double-Blinding Trial

Study Groups

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UC-MSCs Group

Participants in this group will be treated with two infusions of UC-MCSs along with heparin (blood thinner) in addition to standard of care treatment. The first infusion will be administered within 24 hours of study enrollment and the second infusion will be administered within 72 hours of study enrollment.

Group Type EXPERIMENTAL

Umbilical Cord Mesenchymal Stem Cells + Heparin along with best supportive care.

Intervention Type BIOLOGICAL

UC-MSC will be administered at 100x10\^6 cells/infusion administered intravenously in addition to the standard of care treatment.

Control Group

Participants in this group will be treated with two infusions of vehicle along with heparin (blood thinner) in addition to standard of care treatment. The first infusion will be administered within 24 hours of study enrollment and the second infusion will be administered within 72 hours of study enrollment.

Group Type PLACEBO_COMPARATOR

Vehicle + Heparin along with best supportive care

Intervention Type OTHER

Best supportive care treatment per the treating hospital protocol.

Interventions

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Umbilical Cord Mesenchymal Stem Cells + Heparin along with best supportive care.

UC-MSC will be administered at 100x10\^6 cells/infusion administered intravenously in addition to the standard of care treatment.

Intervention Type BIOLOGICAL

Vehicle + Heparin along with best supportive care

Best supportive care treatment per the treating hospital protocol.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Patient currently hospitalized
2. Aged ≥ 18 years
3. Willing and able to provide written informed consent, or with a legal representative who can provide informed consent
4. Peripheral capillary oxygen saturation (SpO2) ≤ 94% at room air, or requiring supplemental oxygen at screening
5. PaO2/FiO2 ratio \< 300 mmHg
6. Bilateral infiltrates on frontal chest radiograph or bilateral ground glass opacities on a chest CT scan
7. Hypoxemia requiring an increase in the fraction of inspired oxygen (FiO2) of ≥ 20% AND an increase in positive end-expiratory airway pressure (PEEP) level of 5 cm H2O or more to maintain transcutaneous oxygen saturations in the target range of 88-95%, or requirement for escalation from oxygen therapy to invasive mechanical ventilation

Exclusion Criteria

1. PaO2/FiO2 ≥ 300 at the time of enrollment
2. A previous MSC infusion not related to this trial
3. History of Pulmonary Hypertension (WHO Class III/IV)
4. History of left atrial hypertension or decompensated left heart failure.
5. Pregnant or lactating patient
6. Unstable arrhythmia
7. Patients with previous lung transplant
8. Patients currently receiving chronic dialysis
9. Patients currently receiving Extracorporeal Membrane Oxygenation (ECMO)
10. Presence of any active malignancy (except non-melanoma skin cancer)
11. Any other irreversible disease or condition for which 6-month mortality is estimated to be greater than 50%
12. Moderate to severe liver disease (AST and ALT \>5 X ULN)
13. Severe chronic respiratory disease with a PaCO2 \> 50 mm Hg or the use of home oxygen
14. Baseline QT prolongation
15. Moribund patient not expected to survive \> 24 hours
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Camillo Ricordi

OTHER

Sponsor Role lead

Responsible Party

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Camillo Ricordi

Professor of Surgery and Chief, Division of Cellular Transplantation

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Camillo Ricordi, MD

Role: PRINCIPAL_INVESTIGATOR

University of Miami

Locations

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Diabetes Research Institute, University of Miami Miller School of Medicine

Miami, Florida, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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20200370

Identifier Type: OTHER

Identifier Source: secondary_id

20200671

Identifier Type: -

Identifier Source: org_study_id