NCT04525378

Brief Summary

Considering the potential of mesenchymal stromal cells (MSCs) in the treatment of lung injuries by COVID-19, this pilot clinical trial evaluates the safety and potential efficacy of the cell therapy, administered intravenously, in patients with pneumonia associated with COVID-19-associated acute respiratory distress syndrome.

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
20

participants targeted

Target at below P25 for phase_1 covid19

Timeline
Completed

Started Jul 2020

Shorter than P25 for phase_1 covid19

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

Study Start

First participant enrolled

July 1, 2020

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

July 31, 2020

Completed
25 days until next milestone

First Posted

Study publicly available on registry

August 25, 2020

Completed
1 month until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 30, 2020

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

October 31, 2020

Completed
Last Updated

August 26, 2020

Status Verified

August 1, 2020

Enrollment Period

3 months

First QC Date

July 31, 2020

Last Update Submit

August 24, 2020

Conditions

Outcome Measures

Primary Outcomes (1)

  • Intrahospital mortality

    28 days

Secondary Outcomes (6)

  • Length of stay in the ICU and Hospital

    28 days

  • Days without mechanical ventilation in 28 days

    28 days

  • PaO2 / FiO2 ratio

    Day 1, Day 2 and Day 7 after cell infusion

  • Incidence of secondary infections

    28 days

  • Incidence of adverse events

    28 days

  • +1 more secondary outcomes

Study Arms (4)

Control

NO INTERVENTION

Patients will receive standard care.

MSC - low dose (2.5x10ˆ7)

EXPERIMENTAL

Patients will receive standard care plus cell therapy.

Other: Mesenchymal stromal cell-based therapy

MSC - intermediate dose (5x10ˆ7)

EXPERIMENTAL

Patients will receive standard care plus cell therapy.

Other: Mesenchymal stromal cell-based therapy

MSC - high dose (10x10ˆ7)

EXPERIMENTAL

Patients will receive standard care plus cell therapy.

Other: Mesenchymal stromal cell-based therapy

Interventions

Intravenous administration of MSCs, performed as single dose (high dose group) or repeated after 48 h (low doses; intermediate dose)

MSC - high dose (10x10ˆ7)MSC - intermediate dose (5x10ˆ7)MSC - low dose (2.5x10ˆ7)

Eligibility Criteria

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

You may qualify if:

  • Clinical diagnosis of COVID-19 confirmed by RT-PCR;
  • Thorax CT image suggestive of viral pneumonia;
  • Respiratory failure (SaO2 \<93% with O2 at 5L / min)
  • Tracheal intubation (first 48 h);

You may not qualify if:

  • Pregnancy or breastfeeding;
  • Patients with a history of cancer, chemotherapy in the past 2 years;
  • Life expectancy less than 6 months or in exclusive palliative care;
  • Severe liver failure, with Child-Pugh score\> 12;
  • High probability of death in the following 48 h;
  • Previous renal failure: patients who were already on dialysis or patients with RFG \<30ml / min / 1.73 m2;
  • Clinical or radiological suspicion of tuberculosis and bacterial pneumonia.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hospital São Rafael

Salvador, Estado de Bahia, 41253-190, Brazil

RECRUITING

MeSH Terms

Conditions

COVID-19Respiratory Distress Syndrome

Condition Hierarchy (Ancestors)

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

Central Study Contacts

Bruno SF Souza, MD PHD

CONTACT

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 31, 2020

First Posted

August 25, 2020

Study Start

July 1, 2020

Primary Completion

September 30, 2020

Study Completion

October 31, 2020

Last Updated

August 26, 2020

Record last verified: 2020-08

Data Sharing

IPD Sharing
Will not share

Locations