Status:

WITHDRAWN

Mesenchymal Stromal Cells for COVID-19 and Viral Pneumonias

Lead Sponsor:

Medical University of South Carolina

Collaborating Sponsors:

Pandorum International, Inc.

Conditions:

COVID-19 Pneumonia

Viral Pneumonia

Eligibility:

All Genders

18-80 years

Phase:

PHASE1

Brief Summary

This is an open-label phase 1 clinical trial of allogeneic umbilical cord derived mesenchymal stromal cells (MSCs) for hospitalized individuals with COVID-19 or other viral pneumonias. Hospitalized in...

Detailed Description

Study Design: This open-label phase 1 trial in 10 patients will assess the efficacy and safety of UC-MSCs given on day 1 and 3 in hospitalized patients with acute respiratory symptoms between 1 and 7 ...

Eligibility Criteria

Inclusion

  • Hospitalized with COVID-19 respiratory symptoms and confirmation via COVID-19 SARS-CoV-2 RT-PCR testing.
  • Patient or their surrogate is willing and able to provide written informed consent and comply with all protocol requirements.
  • Diagnosis with Mild or Moderate Pneumonia not requiring mechanical ventilation: Patient must have at least one of the following features:
  • i. Bilateral pneumonia present on chest radiograph or computed tomography ii. Partial pressure of oxygen/fraction of inspired oxygen (PaO2/FiO2) on arterial blood gas showing: \>100mmHg and ≤ 300mmHg regardless of oxygen dose at time of testing.
  • iii. Pulse oxygen saturation (SpO2) at rest ≤ 93% or any degree of hypoxia requiring supplemental oxygen
  • Patient agrees to storage of specimens for future testing.
  • Willingness to undergo mechanical ventilation for worsening

Exclusion

  • Intubation with mechanical ventilation prior to study enrolment. High flow nasal cannula and non-invasive mechanical ventilation is allowed.
  • Pneumonia caused by bacteria, mycoplasma, chlamydia, legionella, fungi or other viruses
  • Obstructive pneumonia induced by lung cancer or other known causes
  • Significant comorbid illness likely to impact the outcome of COVID-19 including but not limited to active malignancy other than skin cancer.
  • Patients who are participating in other therapeutic clinical trials within 30 days of consent.
  • History of long-term use of immunosuppressive agents including prednisone dose \>5mg daily over the 30 days prior to enrollment.
  • History of severe chronic respiratory disease and requirement for long-term oxygen therapy
  • Undergoing hemodialysis or peritoneal dialysis
  • Estimated or actual rate of creatinine clearance \< 15 ml/min
  • History of moderate and severe liver disease (Child-Pugh score \>12)
  • Substance abuse sufficient that the patient is unlikely to comply with testing requirements.
  • History of deep venous thrombosis, pulmonary embolism, cerebral vascular disease within the last 3 years
  • Known HIV, hepatitis virus, or syphilis infection
  • Co-Infection of tuberculosis, influenza virus, adenovirus and other respiratory infection virus
  • Moribund patient not expected to survive \> 24hours
  • Allergy to diphenhydramine, or hydrocortisone
  • Any condition unsuitable for the study as determined by the investigators
  • Female subjects with positive pregnancy test, breastfeeding, or planning to become pregnant/breastfeed during the study period.
  • Receipt of experimental therapy for COVID-19 with the exception of convalescent plasma, dexamethasone or another corticosteroid, or remdesivir in an open label study.

Key Trial Info

Start Date :

October 1 2024

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 1 2024

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT05286255

Start Date

October 1 2024

End Date

October 1 2024

Last Update

October 30 2024

Active Locations (1)

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Medical University of South Carolina

Charleston, South Carolina, United States, 29425