NCT04273646

Brief Summary

The novel coronavirus pneumonia is a kind of new emerging respiratory infectious disease, characterized by fever, dry cough, and chest tightness, and caused by the infection of the 2019 novel coronavirus (2019-nCoV). In severe cases, there will be rapid respiratory system failure. The novel coronavirus pneumonia is extremely contagious and the disease progresses rapidly. It has become a urgent and serious public health event that threatens human life and health globally. Among them, severe pneumonia caused by novel coronavirus is characterized by extensive acute inflammation of the lungs and the patient is critically ill. At present, there is no effective treatment in clinical practice.Most of them should receive supportive care to help relieve symptoms. For severe cases, treatment should include care to support vital organ functions. This clinical trial is to inspect the safety and efficiency of Human Umbilical Cord Mesenchymal Stem Cells (UC-MSCs) therapy for severe pneumonia patients infected with 2019-nCoV.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
48

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Apr 2020

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 14, 2020

Completed
4 days until next milestone

First Posted

Study publicly available on registry

February 18, 2020

Completed
2 months until next milestone

Study Start

First participant enrolled

April 20, 2020

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2020

Completed
1.6 years until next milestone

Study Completion

Last participant's last visit for all outcomes

February 15, 2022

Completed
Last Updated

April 14, 2020

Status Verified

April 1, 2020

Enrollment Period

2 months

First QC Date

February 14, 2020

Last Update Submit

April 10, 2020

Conditions

Keywords

2019 Novel Coronavirus PneumoniaSafetyEfficiencyCell TherapyUC-MSCs

Outcome Measures

Primary Outcomes (2)

  • Pneumonia severity index

    Evaluation of Pneumonia Improvement

    From Baseline (0W) to 12 week after treatment

  • Oxygenation index (PaO2/FiO2)

    Evaluation of Pneumonia Improvement

    From Baseline (0W) to 12 week after treatment

Secondary Outcomes (8)

  • Side effects in the UC-MSCs treatment group

    From Baseline (0W) to 96 week after treatment

  • 28-days survival

    Day 28

  • Sequential organ failure assessment

    Day 28

  • C-reactive protein

    From Baseline (0W) to 12 week after treatment

  • Procalcitonin

    From Baseline (0W) to 12 week after treatment

  • +3 more secondary outcomes

Study Arms (2)

UC-MSCs Treatment Group

EXPERIMENTAL

Conventional treatment plus UC-MSCs: Participants will receive conventional treatment plus 4 times of UC-MSCs(0.5\*10E6 UC-MSCs/kg body weight intravenously at Day 1,Day 3,Day 5,Day7).

Biological: UC-MSCs

Conventional Control Group

PLACEBO COMPARATOR

Conventional treatment plus Placebo: Without UC-MSCs Therapy but conventional treatment should be received. Participants will receive conventional treatment plus 4 times of Placebo intravenously at Day 1,Day 3,Day 5,Day7).

Drug: Placebo

Interventions

UC-MSCsBIOLOGICAL

4 times of UC-MSCs(0.5\*10E6 UC-MSCs/kg body weight intravenously at Day 1, Day 3, Day 5, Day 7).

UC-MSCs Treatment Group

4 times of cell-free stem cell suspension (saline containing 1% human albumin) intravenously at Day 1, Day 3, Day 5, Day 7).

Conventional Control Group

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • CT image is characteristic of viral pneumonia;
  • ncov infection (positive nucleic acid test) is confirmed by pathogenic test;
  • In compliance with the 2019-nCoV infection severe pneumonia diagnosis standard (according to the novel coronavirus infection pneumonia diagnosis and treatment program (Trial Implementation Version 5) issued by the National Health and Medical Commission, and WHO 2019 new coronavirus guidelines standards). It is severe if it meets any of the following: (A) Increased breathing rate (≥30 beats / min), difficulty breathing, cyanosis of the lips; (B) When inhaling, means oxygen saturation ≤93%; (C) Partial pressure of arterial oxygen (PaO2) / Fraction of inspired oxygen (FiO2) ≤300 mmHg (1mmHg = 0.133kPa);
  • years old ≤ age ≤ 65 years old, regardless of gender;
  • The patient or legal donor agrees to participate in the study and signs the informed consent.

You may not qualify if:

  • Patients with severe allergies or allergies to stem cell preparations and their components;
  • Patients with serious basic diseases that affect survival, including: blood diseases, cachexia, active bleeding, severe malnutrition, etc .;
  • Patients with pulmonary obstructive pneumonia, severe pulmonary interstitial fibrosis, alveolar proteinosis, allergic alveolitis, and other known viral pneumonia or bacterial pneumonia;
  • Continuous use of immunosuppressive agents or organ transplants in the past 6 months;
  • In vitro life support (ECMO, ECCO2R, RRT);
  • Expected deaths within 48 hours, uncontrolled infections;
  • Patients with malignant blood-borne diseases such as HIV or syphilis;
  • Patient with pregnancy, are planning to become pregnant or breastfeeding;
  • Patients with poor compliance and unable to complete the full study;
  • The investigator determines that there may be increased risk of the subject or other conditions that interfere with the clinical trial and the judgment of the results (such as excessive stress, sensitivity or cognitive impairment, etc.);
  • There are other situations that the researchers think are not suitable to participate in this clinical study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei, 430000, China

Location

MeSH Terms

Conditions

COVID-19

Condition Hierarchy (Ancestors)

Pneumonia, ViralPneumoniaRespiratory Tract InfectionsInfectionsVirus DiseasesCoronavirus InfectionsCoronaviridae InfectionsNidovirales InfectionsRNA Virus InfectionsLung DiseasesRespiratory Tract Diseases

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Parallel Assignment
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principle Investigator, Clinical Professor of Department of Respiratory and Critical Care Medicine,

Study Record Dates

First Submitted

February 14, 2020

First Posted

February 18, 2020

Study Start

April 20, 2020

Primary Completion

June 30, 2020

Study Completion

February 15, 2022

Last Updated

April 14, 2020

Record last verified: 2020-04

Data Sharing

IPD Sharing
Will not share

Locations