Status:

UNKNOWN

ACT-20 in Patients With Severe COVID-19 Pneumonia

Lead Sponsor:

Aspire Health Science

Conditions:

COVID-19 Pneumonia

Eligibility:

All Genders

18-85 years

Phase:

PHASE1

PHASE2

Brief Summary

The primary objective of this study is determine the safety and efficacy of ACT-20-MSC (allogenic human umbilical derived mesenchymal stem cells) and ACT-20-CM (allogenic human umbilical derived mesen...

Detailed Description

This study will assess the safety and efficacy of ACT-20-MSC and ACT-20-CM administered intravenously to subjects with moderate to severe COVID-19 related pneumonia in two parts. Part 1 is an open-la...

Eligibility Criteria

Inclusion

  • Male or female patients age 18 to 85, inclusive
  • Confirmed positive test for COVID-19 by standard reverse transcriptase polymerase chain reaction (RT-PCR) assay or equivalent
  • On mechanical ventilation (n=35), or high-flow O2 support (n=35) and:
  • Disease severity level of "moderate" (PaO2/FiO2 of 100-200) (n=35), or "severe" (PaO2/FiO2 \< 100) (n=35) as established using the Berlin Criteria for ARDS (Barbas, Isola \& Caser, 2014; Baron \& Levy, 2016).
  • Positive end-expiratory airway pressure (PEEP) ≥ 5 cmH2O
  • Oxygen saturation ≤ 93%
  • Non-cardiogenic bilateral pulmonary edema on frontal chest radiograph that cannot be explained by effusion, collapsed lung or lung nodule
  • Able to understand and provide voluntary informed consent

Exclusion

  • Unable to understand and provide voluntary informed consent
  • Current infection with HIV-1, HIV-2, Hepatitis B, Hepatitis C or HTLV
  • History of malignancy, other than non-melanoma skin cancer or non-metastatic prostate cancer
  • Currently receiving extracorporeal life support or high-frequency oscillatory ventilation
  • Weight \> 150 kg
  • Current severe chronic respiratory disease, as demonstrated by:
  • PaCO2 \> 50 mm Hg, or
  • history of use of home oxygen
  • Major trauma within the past 7 days
  • Lung transplant recipient
  • WHO Class III or IV pulmonary hypertension
  • Documented deep vein thrombosis or pulmonary embolism within the past 3 months
  • Currently pregnant or lactating
  • Currently participating in another clinical trial, or participation in another clinical trial within 30 days of enrollment
  • Hypersensitivity to Dextran-40 or Dimethyl Sulfoxide (DMSO)
  • Current pharmacotherapy using hydroxychloroquine or Interleukin-6 inhibitors
  • History of CVA or MI within 180 days of study enrollment

Key Trial Info

Start Date :

May 1 2020

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

October 1 2020

Estimated Enrollment :

70 Patients enrolled

Trial Details

Trial ID

NCT04398303

Start Date

May 1 2020

End Date

October 1 2020

Last Update

May 21 2020

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