Management of Cytokine Storms in Severe COVID-19 Patients With Autologous Activated Platelet-rich Plasma Therapy
1 other identifier
interventional
30
1 country
1
Brief Summary
The positive cases of coronavirus disease-2019 (COVID-19) in Indonesia has been increasing rapidly since the first case found in March 2020 to date. Coronavirus 2 (SARS-CoV-2) virus disrupts human normal immune system resulting in uncontrolled inflammatory response. Based on our research and experience in doing cell therapy for 9 years, activated platelet-rich plasma (PRP) produces anti-inflammatory effects in inflammatory condition that is beneficial for tissue regeneration. In this study, we aimed to evaluate the potential of autologous activated platelet-rich plasma (aaPRP) and the outcomes for treating severe Coronavirus Disease-2019 (COVID-19) patients in Intensive Care Unit (ICU).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_1 covid19
Started Dec 2020
Typical duration for phase_1 covid19
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 29, 2020
CompletedFirst Submitted
Initial submission to the registry
January 15, 2021
CompletedFirst Posted
Study publicly available on registry
January 20, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 29, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
December 27, 2021
CompletedJanuary 20, 2021
January 1, 2021
11 months
January 15, 2021
January 17, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (4)
Effect of aaPRP on pro-inflammatory cytokines plasma level (IL-6, IL-1B, TNFa, IFN gamma, MCP-1) before and after intervention compared to control.
Patients with positive COVID19 who will improve after receiving aaPRP compared to control.
6 days
to evaluate the change of Effect of aaPRP on anti-inflammatory cytokines plasma level (IL-1RA, IL-4, IL-10) before and after intervention compared to control.
Patients with positive COVID19 who will improve after receiving aaPRP compared to control.
6 days
Effect of aaPRP on overall adverse event related to the treatment.
Patients with positive COVID19 who will improve after receiving aaPRP compared to control.
6 days
Effect of aaPRP on CRP level before and after intervention compared to control.
Patients with positive COVID19 who will improve after receiving aaPRP compared to control.
6 days
Secondary Outcomes (2)
Effect of aaPRP on Thorax X-ray image pre and post intervention between control and aaPRP-treated group
6 days
Effect of aaPRP on duration of hospitality of patient compared to control
6 days
Study Arms (2)
Control
OTHEROnly received standard medication (avigan) for severe COVID-19 management
PRP Group
EXPERIMENTALreceived standard medication (avigan) for severe COVID-19 management and autologous activated platelet-rich plasma transfusion
Interventions
Patient received standard medication for COVID-19 management and autologous activated platelet-rich plasma on day 1, 3 and 5 while patient in ICU. On day 0, 4 and 6, hematology analysis, multicytokines measurement and thorax X-ray were done to each patient
Patient received avigan 2x1,600 mg for a day, followed by 2x600 mg for five consecutive days.
Eligibility Criteria
You may qualify if:
- severe covid-19 patient in ICU
You may not qualify if:
- CKD on hemodialysis, HIV positive, hepatitis, pregnant, destroyed lung, cancer
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Hayandra Peduli Foundationlead
- Koja Regional Public Hospitalcollaborator
Study Sites (1)
Koja Regional Public Hospital
Jakarta, DKI Jakarta, 14220, Indonesia
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Louis Martin Christoffel, MD
Koja Regional Public Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 15, 2021
First Posted
January 20, 2021
Study Start
December 29, 2020
Primary Completion
November 29, 2021
Study Completion
December 27, 2021
Last Updated
January 20, 2021
Record last verified: 2021-01