Treatment of Coronavirus COVID-19 Pneumonia (Pathogen SARS-CoV-2) With Cryopreserved Allogeneic P_MMSCs and UC-MMSCs

NCT ID: NCT04461925

Last Updated: 2020-07-08

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

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-05-02

Study Completion Date

2021-12-31

Brief Summary

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Assessment of the clinical effects of infusions of cryopreserved allogeneic multipotent mesenchymal stem cells of the placenta and umbilical cord for COVID-19 patients with acute respiratory distress syndrome.

Detailed Description

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Currently, cell-based therapy and especially stem cell therapy has become a promising therapeutic field, in which many see opportunities to cure incurable diseases. Severe respiratory consequences of the COVID-19, the disease caused by the novel SARS-CoV-2 coronavirus, have prompted urgent need for novel therapies.

Cell-based approaches, primarily using mesenchymal stem cells (MSCs), have demonstrated safety and efficacy in patients with the acute respiratory distress syndrome (ARDS) - common manifestation of cytokine storms, and the cause of death in many COVID-19 patients.

Mesenchymal stem cells are a powerful immunomodulator, they secrete many anti-inflammatory biologically active substances (cytokines) that reduce the inflammatory process in the lungs. Also mesenchymal stem cells secrete numerous growth factors that contribute to the recovery of not only the affected lung tissue but also other organs.

Conditions

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COVID-19 Pneumonia

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Experimental: stem cells therapy + treatment in according with approved by Ukrainian Health Ministry COVID-19 clinical protocol Experimental Group 1: Subjects with severe COVID-19 pneumonia shall be received three infusions of cryopreserved allogeneic P-MMSCs (1 million cells/kg body weight) at 2-days intervals: Day "1", Day "4", Day "7".

Control Group: treatment in according with approved by Ukrainian MoH COVID-19 clinical protocol.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Experimental group

On the basis conventional symptomatic treatment and supportive therapy, P-MMSCs were given at 1 million cells/kg body weight/ time, once every 3 days for a total of 3 times: Day "1", Day "4", Day "7".

Group Type EXPERIMENTAL

Placenta-Derived MMSCs; Cryopreserved Placenta-Derived Multipotent Mesenchymal Stromal Cells

Intervention Type PROCEDURE

i/v infusions

Antibiotics

Intervention Type DRUG

per os

Hormones

Intervention Type DRUG

a moderate amount of dexamethasone i/v

Anticoagulant Therapy

Intervention Type DRUG

Sub-Q

Оxygen therapy

Intervention Type DEVICE

Оxygen therapy, mechanical ventilation and other supportive therapies

Control Group

Conventional symptomatic treatments such as antibacterial (ceftriaxone, azithromycin), anticoagulants, hormones, oxygen therapy, mechanical ventilation and other supportive therapies

Group Type ACTIVE_COMPARATOR

Antibiotics

Intervention Type DRUG

per os

Hormones

Intervention Type DRUG

a moderate amount of dexamethasone i/v

Anticoagulant Therapy

Intervention Type DRUG

Sub-Q

Оxygen therapy

Intervention Type DEVICE

Оxygen therapy, mechanical ventilation and other supportive therapies

Interventions

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Placenta-Derived MMSCs; Cryopreserved Placenta-Derived Multipotent Mesenchymal Stromal Cells

i/v infusions

Intervention Type PROCEDURE

Antibiotics

per os

Intervention Type DRUG

Hormones

a moderate amount of dexamethasone i/v

Intervention Type DRUG

Anticoagulant Therapy

Sub-Q

Intervention Type DRUG

Оxygen therapy

Оxygen therapy, mechanical ventilation and other supportive therapies

Intervention Type DEVICE

Other Intervention Names

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P-MMSCs ceftriaxone and azithromycin capsules dexamethasone Еnoxaparin Оxygen insufflation

Eligibility Criteria

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Inclusion Criteria

* Male or female, aged at 18 years (including) - 75 years old.
* Laboratory confirmation of SARS-CoV-2 infection by reverse-transcription polymerase chain reaction (RT-PCR) from any diagnostic sampling source.
* Pneumonia that is judged by X-ray imaging.

In accordance with any one of the following:

* dyspnea (RR ≥ 30 times / min);
* finger oxygen saturation ≤ 93% in resting state;
* arterial oxygen partial pressure (PaO2) / oxygen absorption concentration (FiO2) ≤ 300MMHG (if possible);
* invasive ventilation\< 48 h.

Exclusion Criteria

* Male or female, aged at \<18 years and \> 75 years old.
* Pregnancy, lactation and those who are not pregnant but do not take effective contraceptives measures.
* Patients with malignant tumor, other serious systemic diseases and psychosis.
* Patients who are participating in other clinical trials.
* Inability to provide informed consent or to comply with test requirements.
* Co-Infection of HIV, syphilis.
* Invasive ventilation \> 48 h.
* Combined with other organ failure (need organ support).
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kyiv City Clinical Hospital # 4

UNKNOWN

Sponsor Role collaborator

Institute of Cell Therapy

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Peter Nemtinov, MD

Role: STUDY_DIRECTOR

Institute of Cell Therapy

Locations

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Institute of Cell Therapy

Kyiv, , Ukraine

Site Status RECRUITING

Countries

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Ukraine

Central Contacts

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Peter Nemtinov, MD

Role: CONTACT

+380442079207

Alina Ustymenko, PhD

Role: CONTACT

+380442079207

Facility Contacts

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Peter Nemtinov, MD

Role: primary

+380442079207

Alina Ustymenko, PhD

Role: backup

+380442079207

Other Identifiers

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#4/24.04.2020

Identifier Type: -

Identifier Source: org_study_id

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