When to Apply to Which Patient in MSC?

NCT ID: NCT05240430

Last Updated: 2022-02-15

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

Total Enrollment

1 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-01-01

Study Completion Date

2022-03-31

Brief Summary

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Mesenchymal stem cell (MSC) therapy is among the promising treatments for acute respiratory distress syndrome (ARDS). Our study aimed to investigate the clinical efficacy of MSC treatment in COVID-19 patients, to determine when this treatment can be applied to which patient, and to evaluate its contribution to prognosis.

Detailed Description

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The study was conducted retrospectively in patients diagnosis of COVID-19 in the intensive care units. Patients with severe ARDS \[partial pressure of arterial blood oxygen and inhaled oxygen fraction (PaO2: FiO2) ratio of 100 or less\] were included in the study. Demographic data of the patients (gender, age), comorbidities (hypertension, coronary heart disease, diabetes, cerebrovascular diseases, hepatitis B infection, cancer, chronic kidney disease, and immunodeficiency), Charlson comorbidity index (CMI), date of diagnosis, date of admission to the hospital, date of admission to the ICU, Acute Physiology And Chronic Health Evaluation (APACHE) II score, presence of high flow nasal oxygen (HFNO) or mechanical ventilator (MV) support, laboratory findings (blood cell count, blood biochemistry, hepatorenal function, coagulation function, D-dimer, C-reactive protein (CRP), procalcitonin, ferritin, arterial blood gas analysis) before (day 0) and after MSC application, on 3rd and 7th days, partial oxygen/fractionated oxygen (Pa/Fi) ratio, discharge or death information, and attributed causes of death were recorded on the study form. Pa/Fi ratio was calculated with the formula (oxygen dissolved in arterial blood gas / oxygen liter given to the patient).

Conditions

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COVID-19 Acute Respiratory Distress Syndrome

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

OTHER

Study Groups

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stem cell application; Group I disease 0-7. days,

In mesenchymal stem cell application, according to the diagnosis of COVID 19 and the day of stem cell application; Group I disease 0-7. days,

Mesenchymal Stem Cell Antigen-1, Human

Intervention Type DRUG

Human umbilical cord-derived MSCs were used in the study. MSCs were prepared/obtained/produced/provided by Atigen-Cell Technology Center, Trabzon, Turkey. MSC for patients was calculated as a single dose, 1x106 cells per kilogram. MSC was infused in 100 ml of normal saline at 2 ml/min over 40 min, as described in previous studies

stem cell application; Group II; 8-14 days of the disease. days

In mesenchymal stem cell application, according to the diagnosis of COVID 19 and the day of stem cell application; Group II; 8-14 days of the disease. days

Mesenchymal Stem Cell Antigen-1, Human

Intervention Type DRUG

Human umbilical cord-derived MSCs were used in the study. MSCs were prepared/obtained/produced/provided by Atigen-Cell Technology Center, Trabzon, Turkey. MSC for patients was calculated as a single dose, 1x106 cells per kilogram. MSC was infused in 100 ml of normal saline at 2 ml/min over 40 min, as described in previous studies

stem cell application; Group III; those applied on the 15th day and after.

In mesenchymal stem cell application, according to the diagnosis of COVID 19 and the day of stem cell application; Group III; It will be divided into 3 groups as those applied on the 15th day and after.

Mesenchymal Stem Cell Antigen-1, Human

Intervention Type DRUG

Human umbilical cord-derived MSCs were used in the study. MSCs were prepared/obtained/produced/provided by Atigen-Cell Technology Center, Trabzon, Turkey. MSC for patients was calculated as a single dose, 1x106 cells per kilogram. MSC was infused in 100 ml of normal saline at 2 ml/min over 40 min, as described in previous studies

Interventions

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Mesenchymal Stem Cell Antigen-1, Human

Human umbilical cord-derived MSCs were used in the study. MSCs were prepared/obtained/produced/provided by Atigen-Cell Technology Center, Trabzon, Turkey. MSC for patients was calculated as a single dose, 1x106 cells per kilogram. MSC was infused in 100 ml of normal saline at 2 ml/min over 40 min, as described in previous studies

Intervention Type DRUG

Other Intervention Names

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Human umblical cord deriveted Mesenchymal Stem Cell

Eligibility Criteria

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Inclusion Criteria

* Patients who were followed up and treated after being admitted to the Intensive Care Unit after March 2020
* Patients with COVID PCR +
* Typical or suspected cases of Thorax BT COVID
* Cases over the age of 18.

Exclusion Criteria

* Those with a contraindicated condition (cancer disease, allergy) for MSC application
* Those who are endotracheal intubated during the application and are connected to a respirator
* Those who died in the first 24 hours after the application
* Cases that are not positive or suspicious for COVID.
* Cases under the age of 18.
* Cases where patient data could not be reached.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Trabzon Kanuni Education and Research Hospital

OTHER

Sponsor Role lead

Responsible Party

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Seyfi KARTAL, MD

Assistant professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ahmet AKYOL, MD

Role: STUDY_CHAIR

Trabzon Kanuni Training and Research Hospital, University of Healthy Sciences, Trabzon, Turkey

Locations

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Trabzon Kanuni Training and Research Hospital, University of Healthy Sciences

Trabzon, Yomra, Turkey (Türkiye)

Site Status RECRUITING

Countries

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Turkey (Türkiye)

Central Contacts

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Recep ERİN, MD

Role: CONTACT

+90462 341 5656

Seyfi KARTAL, MD

Role: CONTACT

+904623415656

Facility Contacts

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Seyfi KARTAL, MD

Role: primary

+90462 341 5656

Related Links

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https://pubmed.ncbi.nlm.nih.gov/33514427/

Mesenchymal stem cells derived from perinatal tissues for treatment of critically ill COVID-19-induced ARDS patients: a case series

https://pubmed.ncbi.nlm.nih.gov/32811531/

Treatment of severe COVID-19 with human umbilical cord mesenchymal stem cells

Other Identifiers

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Trabzon Kanuni TRH

Identifier Type: -

Identifier Source: org_study_id

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