Part Two of Novel Adoptive Cellular Therapy With SARS-CoV-2 Specific T Cells in Patients With Severe COVID-19

NCT ID: NCT04457726

Last Updated: 2020-07-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE1/PHASE2

Total Enrollment

18 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-07-01

Study Completion Date

2022-12-31

Brief Summary

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The overall objective of this project is to develop an emergent treatment protocol using adoptive T-cell therapy for the treatment of severe COVID-19. The central hypothesis is that SARS-CoV-2 specific T cells from convalescent donors who have recovered from COVID-19 can be manufactured expeditiously and these cells are safe and effective for the treatment of severe SARS-CoV-2 infections.

Detailed Description

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A novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the cause of Coronavirus Disease 2019 (COVID-19). Currently, no vaccine has been proven to be effective. While waiting for vaccine to be developed, passive immunity can be acquired immediately by adoptive transfer of SARS-CoV-2 specific T cells from convalescent donors into newly infected patients.

The overall objective of this project is to develop an emergent treatment protocol using adoptive T-cell therapy for the treatment of severe COVID-19. The central hypothesis is that SARS-CoV-2 specific T cells from convalescent donors who have recovered from COVID-19 can be manufactured expeditiously and these cells are safe and effective for the treatment of severe SARS-CoV-2 infections. Part Two of this project is to assess the safety and efficacy of these T cells in patients with COVID-19.

Conditions

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COVID-19

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Recipients with severe COVID-19

Recipients who are confirmed positive by SARS-CoV-2 testing and have severe COVID-19.

Group Type EXPERIMENTAL

SARS-CoV-2 Specific T Cells

Intervention Type BIOLOGICAL

Eligible patients will receive a single infusion of SARS-CoV-2 specific T cells intravenously.

Recipients with mild to moderate COVID-19

Recipients who are confirmed positive by SARS-CoV-2 testing and have mild to moderate COVID-19.

Group Type EXPERIMENTAL

SARS-CoV-2 Specific T Cells

Intervention Type BIOLOGICAL

Eligible patients will receive a single infusion of SARS-CoV-2 specific T cells intravenously.

Interventions

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SARS-CoV-2 Specific T Cells

Eligible patients will receive a single infusion of SARS-CoV-2 specific T cells intravenously.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Age 1 to 90 years
* Tested positive for SARS-CoV-2 \<72 hours prior to enrolment
* Predicted to have high chance of mortality:

Group 1: Severe disease, defined by one or more of the following:

* Dyspnea
* Respiratory frequency ≥ 30/min
* Blood oxygen saturation ≤ 93%
* Partial pressure of arterial oxygen to fraction of inspired oxygen ratio \< 300
* Lung infiltrates \> 50% within 24 to 48 hours
* Respiratory failure
* Septic shock
* Multiple organ dysfunction or failure

Group 2: Mild to moderate disease, at high risk of progression to severe disease. For example,

* Age \> 65 years
* Chronic health conditions such as chronic lung disease, cardiovascular disease, diabetes mellitus, obesity, end-stage renal disease or liver disease

Exclusion Criteria

* Rapidly progressive disease with anticipated life-expectancy \<72 hours
* Receiving steroid (\>0.5mg/kg methylprednisolone equivalent)
* Pregnancy
* Breastfeeding
Minimum Eligible Age

1 Year

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Duke-NUS Graduate Medical School

OTHER

Sponsor Role collaborator

National University Hospital, Singapore

OTHER

Sponsor Role collaborator

Singapore General Hospital

OTHER

Sponsor Role collaborator

Sengkang General Hospital

OTHER

Sponsor Role collaborator

Changi General Hospital

OTHER

Sponsor Role collaborator

KK Women's and Children's Hospital

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Wing Hang Leung

Role: PRINCIPAL_INVESTIGATOR

KK Hospital, SingHealth Duke NUS

Locations

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Changi General Hospital

Singapore, , Singapore

Site Status RECRUITING

KK Women's and Children's Hospital

Singapore, , Singapore

Site Status RECRUITING

National University Hospital

Singapore, , Singapore

Site Status RECRUITING

Sengkang General Hospital

Singapore, , Singapore

Site Status RECRUITING

Singapore General Hospital

Singapore, , Singapore

Site Status RECRUITING

Countries

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Singapore

Central Contacts

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Michaela Seng

Role: CONTACT

Facility Contacts

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Roshni Sadashiv Gokhale

Role: primary

Michaela Seng

Role: primary

Lip Kun Tan

Role: primary

Jiashen Loh

Role: primary

Yeh Ching Linn

Role: primary

Other Identifiers

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COVID-T 2.0

Identifier Type: -

Identifier Source: org_study_id

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