Efficacy and Safety Study of Allogeneic HB-adMSCs for the Treatment of COVID-19
A Randomized, Placebo-Controlled, Double-Blind, Efficacy and Safety Study of Allogeneic HB-adMSCs for the Treatment of COVID-19
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
Texas
-
Houston, Texas, United States, 77091
- United Memorial Medical Center
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Houston, Texas, United States, 77027
- River Oaks Hospital and Clinics
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Men, and women, over 18 years of age inclusively.
- Patient is suspected to have COVID-19 infection.
- Provides consent or consent is given by their legally authorized representative (LAR).
- Agrees to the collection of venous blood per protocol.
- Women of childbearing potential (WOCBP) and men (if their sexual partners are WOCBP) must use at least 1 highly effective form of birth control throughout the study and for 6 months after the last dose of study treatment. Highly effective methods of birth control include true sexual abstinence (defined as refraining from heterosexual intercourse during the entire period of risk, in line with the preferred and usual lifestyle of the patient), surgery (bilateral tubal ligation or occlusion, vasectomized partner), progestogen-only or estrogen/progestogen hormonal contraceptive associated with inhibition of ovulation (oral, patch, injectable, implantable, or intravaginal), intrauterine device (IUD), or intrauterine hormone-releasing system (IUS).
Exclusion Criteria:
- Pregnancy, lactation and those who are not pregnant but do not take effective contraceptive measures, in women of childbearing age. Absence of pregnancy will be confirmed through urine pregnancy test.
- Patients who have participated or are participating in a clinical trial of an experimental vaccine for SARS-CoV-2 or coronavirus during the study or within 30 days.
- Inability to provide informed consent or to comply with study requirements.
Patients with the following concomitant or past medical history:
- Both Hypertension and Diabetes Mellitus.
- Both Hypertension and Chronic Kidney Disease.
- Both Diabetes Mellitus and Chronic Kidney Disease.
- History or evidence of alcohol abuse.
- History or evidence of consumption of illicit drugs.
- Patients requiring mechanical ventilation.
- Patients who are determined by the Principal Investigator to be unsuitable for study enrollment for other reasons.
- Any medical disease or condition that, in the opinion of the site Principal Investigator or sub-investigator, precludes study participation. Including acute, subacute, intermittent or chronic medical disease or condition that would place the subject at an unacceptable risk of injury, render the subject unable to meet the requirements of the protocol, or may interfere with the evaluation of responses or the subject's successful completion of this trial.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: HB-adMSCs
Subjects assigned to this arm will receive 4 intravenous infusions of HB-adMSCs at 100 million cells/dose.
HB-adMSC infusions will occur at day 0, 3, 7, and 10.
|
Hope Biosciences allogeneic adipose-derived mesenchymal stem cells
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Placebo Comparator: Placebo
Subjects assigned to this arm will receive 4 intravenous infusions of placebo (saline solution).
Infusions will occur at day 0, 3, 7, and 10.
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Saline
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Tumor Necrosis Factor-Alpha (TNF-alpha)
Time Frame: Day 0, 3, 7, and 10
|
Change from baseline in Tumor Necrosis Factor-Alpha (TNF-alpha) in the blood (pg/mL)
|
Day 0, 3, 7, and 10
|
|
Interleukin-10 (IL-10)
Time Frame: Day 0, 3, 7, and 10
|
Change from baseline level of Interleukin-10 (IL-10) in the blood (pg/mL)
|
Day 0, 3, 7, and 10
|
|
Interleukin-6 (IL-6)
Time Frame: Day 0, 3, 7, and 10
|
Change from baseline in Interleukin-6 (IL-6) in the blood (pg/mL)
|
Day 0, 3, 7, and 10
|
|
C-Reactive Protein (CRP)
Time Frame: Day 0, 3, 7, and 10
|
Change from baseline in C-Reactive Protein (CRP) in the blood (mg/L)
|
Day 0, 3, 7, and 10
|
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Oxygenation
Time Frame: Day 0, 3, 7, and 10
|
Change from baseline Oxygenation (%) in the blood
|
Day 0, 3, 7, and 10
|
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Return To Room Air (RTRA)
Time Frame: Day 0, 3, 7, and 10
|
Number of participants who returned to room air
|
Day 0, 3, 7, and 10
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
D-dimer
Time Frame: Day 0, 3, 7, and Day 10
|
Change from baseline in D-dimer in the blood (mg/L)
|
Day 0, 3, 7, and Day 10
|
|
Myoglobin
Time Frame: Day 0, 3 7, and 10
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Clinical lab evaluation of level of Myoglobin in the blood (ng/mL)
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Day 0, 3 7, and 10
|
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Troponin
Time Frame: Day 0, 3, 7, and 10
|
Clinical lab evaluation of level of Troponin in the blood (ng/mL)
|
Day 0, 3, 7, and 10
|
|
Creatinine Kinase MB (CK-MB)
Time Frame: Day 0, 3, 7, and 10
|
Clinical lab evaluation of level of Creatinine Kinase (CK-MB) in the blood (ng/mL)
|
Day 0, 3, 7, and 10
|
|
Serum Ferritin
Time Frame: Day 0, 3, 7, and 10
|
Clinical lab evaluation of level of Serum Ferritin in the blood (ng/mL)
|
Day 0, 3, 7, and 10
|
|
NK Cell Surface Antigen (CD3-CD56+)
Time Frame: Day 0, 3, 7, and 10
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Clinical lab evaluation of Percentage of Cells CD3-CD56+ in the blood (%)
|
Day 0, 3, 7, and 10
|
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CD4+/CD8+ Ratio
Time Frame: Day 0, 3, 7, and 10
|
Clinical lab evaluation of Ratio of CD4+/CD8+ Cells in the blood
|
Day 0, 3, 7, and 10
|
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7-Point Ordinal Scale
Time Frame: Day 0, 3, 7, 10, and 28 (End of Study)
|
Change from baseline in Ordinal scale score.
Scale of 1-7.
A score of 1 indicates Death and 7 indicates Subject is not Hospitalized and has no Limitations on activities.
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Day 0, 3, 7, 10, and 28 (End of Study)
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|
Computed Tomography (CT) Score
Time Frame: Day 0 and Day 28
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Change from baseline Computed Tomography (CT) Scan Score.
A semi-quantitative CT severity scoring was calculated per each of the 5 lobes considering the extent of anatomic involvement: 0, no involvement; 1, < 5% involvement; 2, 5-25% involvement; 3, 26-50% involvement; 4, 51-75% involvement; and 5, > 75% involvement.
The resulting global CT score was the sum of each individual lobar score and (0 - no involvement to 25 - maximum involvement).
Lower score is better.
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Day 0 and Day 28
|
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Chest X-Ray Score
Time Frame: Day 0, Day 28
|
Change from baseline in Chest X-Ray Score.
Scoring was calculated per each of the 5 lobes considering the extent of anatomic involvement: 0, no involvement; 1, < 5% involvement; 2, 5-25% involvement; 3, 26-50% involvement; 4, 51-75% involvement; and 5, > 75% involvement.
The resulting score was the sum of each individual lobar score and (0 - no involvement to 25 - maximum involvement).
Lower score is better.
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Day 0, Day 28
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Glucose
Time Frame: Screening, Day 0, 3, 7, and 10
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Clinical lab evaluation of level of Glucose in the blood (mg/dL)
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Screening, Day 0, 3, 7, and 10
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Blood Urea Nitrogen (BUN)
Time Frame: Screening, Day 0, 3, 7, and 10
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Clinical lab evaluation of level of Blood Urea Nitrogen (BUN) (mg/dL)
|
Screening, Day 0, 3, 7, and 10
|
|
Estimated Glomerular Filtration Rate (eGFR) if Non-African American
Time Frame: Screening, Day 0, 3, 7, and 10
|
Clinical lab evaluation of level of Estimated glomerular filtration rate (eGFR) if Non-African American in the blood (mL/min/1.73)
|
Screening, Day 0, 3, 7, and 10
|
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Estimated Glomerular Filtration Rate (eGFR) if African American
Time Frame: Screening, Day 0, 3, 7, and 10
|
Clinical lab evaluation of level of Estimated glomerular filtration rate (eGFR) If African American in the blood (mL/min/1.73)
|
Screening, Day 0, 3, 7, and 10
|
|
BUN/Creatinine Ratio
Time Frame: Screening, Day 0, 3, 7, and 10
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Clinical lab evaluation of BUN/Creatinine Ratio in the blood
|
Screening, Day 0, 3, 7, and 10
|
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Sodium
Time Frame: Screening, Day 0, 3, 7, and 10
|
Clinical lab evaluation of level of Sodium in the blood (mmol/L)
|
Screening, Day 0, 3, 7, and 10
|
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Potassium
Time Frame: Screening, Day 0, 3, 7, and 10
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Clinical lab evaluation of level of Potassium in the blood (mmol/L)
|
Screening, Day 0, 3, 7, and 10
|
|
Chloride
Time Frame: Screening, Day 0, 3, 7, and 10
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Clinical lab evaluation of level of Chloride in the blood (mmol/L)
|
Screening, Day 0, 3, 7, and 10
|
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Carbon Dioxide Total
Time Frame: Screening, Day 0, 3, 7, and 10
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Clinical lab evaluation of total level of Carbon Dioxide in the blood (mmol/L)
|
Screening, Day 0, 3, 7, and 10
|
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Calcium
Time Frame: Screening, Day 0, 3, 7, and 10
|
Clinical lab evaluation of level of Calcium in the blood (mg/dL)
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Screening, Day 0, 3, 7, and 10
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Protein Total
Time Frame: Screening, Day 0, 3, 7, and 10
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Clinical lab evaluation of total level of Protein in the blood (g/dL)
|
Screening, Day 0, 3, 7, and 10
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Albumin
Time Frame: Screening, Day 0, 3, 7, and 10
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Clinical lab evaluation of level of Albumin in the blood (g/dL)
|
Screening, Day 0, 3, 7, and 10
|
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Globulin Total
Time Frame: Screening, Day 0, 3, 7, and 10
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Clinical lab evaluation of the total level of Globulin in the blood (g/dL)
|
Screening, Day 0, 3, 7, and 10
|
|
Albumin/Globulin (A/G) Ratio
Time Frame: Screening, Day 0, 3, 7, and 10
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Clinical lab evaluation of Albumin/Globulin (A/G) Ratio in the blood
|
Screening, Day 0, 3, 7, and 10
|
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Bilirubin Total
Time Frame: Screening, Day 0, 3, 7, and 10
|
Clinical lab evaluation of the total level of Bilirubin in the blood (mg/dL)
|
Screening, Day 0, 3, 7, and 10
|
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Alkaline Phosphatase
Time Frame: Screening, Day 0, 3, 7, and 10
|
Clinical lab evaluation of level of Alkaline Phosphatase in the blood (IU/L)
|
Screening, Day 0, 3, 7, and 10
|
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Aspartate Aminotransferase (SGOT)
Time Frame: Screening, Day 0, 3, 7, and 10
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Clinical lab evaluation of level of Aspartate aminotransferase (SGOT) in the blood (IU/L)
|
Screening, Day 0, 3, 7, and 10
|
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Alanine Aminotransferase (SGPT)
Time Frame: Screening, Day 0, 3, 7, and 10
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Clinical lab evaluation of level of Alanine aminotransferase (SGPT) in the blood (IU/L)
|
Screening, Day 0, 3, 7, and 10
|
|
White Blood Count (WBC)
Time Frame: Screening, Day 0, 3, 7, and 10
|
Clinical lab evaluation of count of White Blood Cells (WBCs) in the blood (x10^3/uL)
|
Screening, Day 0, 3, 7, and 10
|
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Red Blood Cell (RBC) Count
Time Frame: Screening, Day 0, 3, 7, and 10
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Clinical lab evaluation of Red Blood Cell (RBC) Count in the blood (cells x 10^3/uL)
|
Screening, Day 0, 3, 7, and 10
|
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Hemoglobin
Time Frame: Screening, Day 0, 3, 7, and 10
|
Clinical lab evaluation of level of Hemoglobin in the blood (g/dL)
|
Screening, Day 0, 3, 7, and 10
|
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Hematocrit
Time Frame: Screening, Day 0, 3, 7, and 10
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Clinical lab evaluation of level of Hematocrit in the blood (%)
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Screening, Day 0, 3, 7, and 10
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Mean Corpuscular Volume (MCV)
Time Frame: Screening, Day 0, 3, 7, and 10
|
Clinical lab evaluation of level of Mean Corpuscular Volume (MCV) in the blood (fL)
|
Screening, Day 0, 3, 7, and 10
|
|
Mean Corpuscular Hemoglobin (MCH)
Time Frame: Screening, Day 0, 3, 7, and 10
|
Clinical lab evaluation of level of Mean Corpuscular Hemoglobin (MCH) in the blood (pg)
|
Screening, Day 0, 3, 7, and 10
|
|
Mean Corpuscular Hemoglobin Concentration (MCHC)
Time Frame: Screening, Day 0, 3, 7, and 10
|
Clinical lab evaluation of Mean Corpuscular Hemoglobin Concentration (MCHC) in the blood (g/dL)
|
Screening, Day 0, 3, 7, and 10
|
|
Red Cell Distribution Width (RDW)
Time Frame: Screening, Day 0, 3, 7, and 10
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Clinical lab evaluation of Red Cell Distribution Width (RDW) in the blood (%)
|
Screening, Day 0, 3, 7, and 10
|
|
Platelets
Time Frame: Screening, Day 0, 3, 7, and 10
|
Clinical lab evaluation of level of Platelets in the blood (cells x10^3/uL)
|
Screening, Day 0, 3, 7, and 10
|
|
Neutrophils
Time Frame: Screening, Day 0, 3, 7, and 10
|
Clinical lab evaluation of level of Neutrophils in the blood (%)
|
Screening, Day 0, 3, 7, and 10
|
|
Lymphocytes
Time Frame: Screening, Day 0, 3, 7, and 10
|
Clinical lab evaluation of level of Lymphocytes in the blood (%)
|
Screening, Day 0, 3, 7, and 10
|
|
Monocytes
Time Frame: Screening, Day 0, 3, 7, and 10
|
Clinical lab evaluation of level of Monocytes in the blood (%)
|
Screening, Day 0, 3, 7, and 10
|
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Eosinophils
Time Frame: Screening, Day 0, 3, 7, and 10
|
Clinical lab evaluation of level of Eosinophils n the blood (%)
|
Screening, Day 0, 3, 7, and 10
|
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Basophils
Time Frame: Screening, Day 0, 3, 7 and 10
|
Clinical lab evaluation of level of Basophils in the blood (%)
|
Screening, Day 0, 3, 7 and 10
|
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Absolute Neutrophils
Time Frame: Screening, Day 0, 3, 7, and 10
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Clinical lab evaluation of level of Absolute Neutrophils in the blood (cells x10^3/uL)
|
Screening, Day 0, 3, 7, and 10
|
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Absolute Lymphocytes
Time Frame: Screening, Day 0, 3, 7, and 10
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Clinical lab evaluation of level of Absolute Lymphocytes in the blood (cells x10^3/uL)
|
Screening, Day 0, 3, 7, and 10
|
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Absolute Monocytes
Time Frame: Screening, Day 0, 3, 7, and 10
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Clinical lab evaluation of level of Absolute Monocytes in the blood (cells x10^3/uL)
|
Screening, Day 0, 3, 7, and 10
|
|
Absolute Eosinophils
Time Frame: Screening, Day 0, 3, 7, and 10
|
Clinical lab evaluation of level of Absolute Eosinophils in the blood (cells x10^3/uL)
|
Screening, Day 0, 3, 7, and 10
|
|
Absolute Basophils
Time Frame: Screening, Day 0, 3, 7, and 10
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Clinical lab evaluation of level of Absolute Basophils in the blood (cells x10^3/uL)
|
Screening, Day 0, 3, 7, and 10
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Immature Granulocytes
Time Frame: Screening, Day 0, 3, 7, and 10
|
Clinical lab evaluation of level of Immature Granulocytes in the blood (%)
|
Screening, Day 0, 3, 7, and 10
|
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Absolute Immature Granulocytes
Time Frame: Screening, Day 0, 3, 7, and 10
|
Clinical lab evaluation of level of Absolute Immature Granulocytes in the blood (cells x10^3/uL)
|
Screening, Day 0, 3, 7, and 10
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International Normalized Ratio (INR)
Time Frame: Screening, Day 0, 3, 7, and 10
|
Clinical lab evaluation of International Normalized Ratio (INR)
|
Screening, Day 0, 3, 7, and 10
|
|
Prothrombin Time (PT)
Time Frame: Screening, Day 0, 3, 7, and 10
|
Clinical lab evaluation of Prothrombin Time (seconds)
|
Screening, Day 0, 3, 7, and 10
|
|
Partial Thromboplastin Time (PTT)
Time Frame: Screening, Day 0, 3, 7, and 10
|
Clinical lab evaluation of Partial Thromboplastin Time (PTT) (seconds)
|
Screening, Day 0, 3, 7, and 10
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Rajiv Thakur, MD, River Oaks Hospital and Clinics
- Principal Investigator: Joseph Gathe, MD, United Memorial Medical Center
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- HBCOV03
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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