Allogenic UCMSCs as Adjuvant Therapy for Severe COVID-19 Patients (UCMSC)
23. november 2021 opdateret af: Bintang Soetjahjo, SpOT (K), MD. PhD, Kementerian Riset dan Teknologi / Badan Riset dan Inovasi Nasional, Indonesia
Efficacy and Safety of Normoxic Allogenic Umbilical Cord Mesenchymal Stem Cells Administered as Adjuntive Treatment to Standard Treatment in Severe Patients With COVID-19
This study is conducted to assess the efficacy and safety of stem cells as adjunctive treatment for severe COVID-19 patients.
Here, we want to study whether the administration of mesenchymal stem cells are safe and able to relieve some of the COVID-19 symptoms
Studieoversigt
Status
Rekruttering
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
This is a randomized controlled trial.
double-blind, multi-center clinical study conducted at three different hospitals, on 21 patients who received intervention and 21 patients who received control treatment.
The purpose of this study is to evaluate the efficacy and safety of intravenous administration of normoxic allogeneic umbilical cord-derived mesenchymal stem cell (UCMSC) in the treatment group, compared to the control group who are only given standard COVID-19 treatments and normal saline infusion
Undersøgelsestype
Interventionel
Tilmelding (Forventet)
42
Fase
- Fase 2
- Fase 3
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiekontakt
- Navn: Bintang Soetjahjo, MD PhD
- Telefonnummer: +628122987359
- E-mail: bjortho@yahoo.com
Studiesteder
-
-
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Yogyakarta, Indonesien, 55281
- Rekruttering
- Dr. Sardjito General Hospital
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Kontakt:
- Samekto Wibowo, Prof. MD
- Telefonnummer: +628122715617
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Ledende efterforsker:
- Samekto Wibowo, Prof. MD
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Underforsker:
- Sumardi Sumardi, MD
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Underforsker:
- Sudadi Sudadi, MD, PhD
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Underforsker:
- Jarir At Thobari, MD, PhD
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Underforsker:
- E Henry Hamingtyas, MD, PhD
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Underforsker:
- Rusdy Ghazali Malueka, MD, PhD
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Central Java
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Surakarta, Central Java, Indonesien, 57126
- Rekruttering
- Dr. Moewardi General Hospital
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Kontakt:
- Arief Nurudhin, MD, PhD
- Telefonnummer: +6281393955596
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Ledende efterforsker:
- Arief Nurudhin, MD, PhD
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Underforsker:
- Bintang Soetjahjo, MD. PhD
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Underforsker:
- Purwoko Purwoko, MD. PhD
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Underforsker:
- Artrian Adhiputri, MD
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Underforsker:
- Rina Sidharta, MD
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Underforsker:
- Widiastuti Widiastuti, MD, PhD
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West Java
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Bandung, West Java, Indonesien, 40161
- Rekruttering
- Dr. Hasan Sadikin
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Kontakt:
- Ahmad Faried, Prof. MD
- Telefonnummer: +6281320230371
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Ledende efterforsker:
- Ahmad Faried, Prof. MD
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Underforsker:
- Rudi Wisaksana, MD. PhD
-
Underforsker:
- Arto Yuwono, MD. PhD
-
Underforsker:
- Tri Wahyu Murni, MD. PhD
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Underforsker:
- Reza Sudjud, MD. PhD
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Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
18 år til 75 år (Voksen, Ældre voksen)
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Alle
Beskrivelse
Inclusion Criteria:
- Man or woman age 18-75 years
- SARS-CoV2 positive as confirmed by SARS-CoV2 RT-PCR Test
- Diagnosed with pnumonia as confirmed by chect radiography and history of fever, coug with one of the following symptoms: RR > 30x per minute, SaO2 93%, FaO2/FiO2 300 mmHg
- Voluntarily joined the clinical trial and has signed the informed consent form
Exclusion Criteria:
- Pregnant and lactating woman
- Patient who are diagnosed or have history of tumor and cancer
- Patient whose mother or sister are diagnosed with breast or ovarian cancer
- Level of SGPT/ALT is ≥ 5 times upper limit from normal value
- Level of eGFR is < 30 ml/min
- Reluctant to sign informed consent and unwilling to take the required tests
- Require invasive ventilation
- Shock
- Organ failure
- Currently involve in other clinical trial, or join another clinical trial in the last 3 months
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Firedobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
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Eksperimentel: Treatment
Group receiving standard COVID-19 treatment and UCMSC infusion
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Allogenic umbilical cord-derived mesenchymal stem cell (UCMSC) from normoxic, culture condition, administered through intravenousinfusion at dose 1x10^6 cells MSC/kg body weight.
The treatment will be administered three times, at three days intervals (day 0, day 3, and day 6)
|
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Sham-komparator: Control
Group receiving standard COVID-19 treatment and normal saline infusion
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Sterile saline solution and adminastered through intravenous infusion three times, at three day intervals (day 0, day 3, and day 6)
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Duration of hospital stay
Tidsramme: 20 - 24 days
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Number of days since patient was administered until discharge in hospitals
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20 - 24 days
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Post-administration clinical and radiological improvement
Tidsramme: Baseline/day-1 (-2 days), day-15 (+/- 2 days), day-22 (+/1 2 days) post randomization day
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Chest X-ray evaluation; mMRC(Modified Medical Research Council) Dyspnea scale;
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Baseline/day-1 (-2 days), day-15 (+/- 2 days), day-22 (+/1 2 days) post randomization day
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Adverse Event and Serious Adverse Event Evaluation
Tidsramme: 20 - 24 days
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Evaluation of all adverse event or serious adverse event that is observed or reported by
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20 - 24 days
|
Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Samarbejdspartnere
Efterforskere
- Ledende efterforsker: Arief Nurudin, MD PhD, Dr. Moewardi General Hospital, Surakarta, Indonesia
- Ledende efterforsker: Samekto Wibowo, Prof. MD, Dr. Sardjito General Hospital, Yogyakarta, Indonesia
- Ledende efterforsker: Ahmad Faried, Prof. MD, Dr. Hasan Sadikin General Hospital, Bandung, Indonesia
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Generelle publikationer
- Xu Z, Shi L, Wang Y, Zhang J, Huang L, Zhang C, Liu S, Zhao P, Liu H, Zhu L, Tai Y, Bai C, Gao T, Song J, Xia P, Dong J, Zhao J, Wang FS. Pathological findings of COVID-19 associated with acute respiratory distress syndrome. Lancet Respir Med. 2020 Apr;8(4):420-422. doi: 10.1016/S2213-2600(20)30076-X. Epub 2020 Feb 18. No abstract available. Erratum In: Lancet Respir Med. 2020 Feb 25;:
- Galipeau J, Sensebe L. Mesenchymal Stromal Cells: Clinical Challenges and Therapeutic Opportunities. Cell Stem Cell. 2018 Jun 1;22(6):824-833. doi: 10.1016/j.stem.2018.05.004.
- Atluri S, Manchikanti L, Hirsch JA. Expanded Umbilical Cord Mesenchymal Stem Cells (UC-MSCs) as a Therapeutic Strategy in Managing Critically Ill COVID-19 Patients: The Case for Compassionate Use. Pain Physician. 2020 Mar;23(2):E71-E83.
- Richardson JB. Urban forests near municipal solid waste incinerators do not show elevated trace metal or rare earth element concentrations across three cities in the northeast USA. Environ Sci Pollut Res Int. 2020 Jun;27(17):21790-21803. doi: 10.1007/s11356-020-08439-3. Epub 2020 Apr 12.
- Liang B, Chen J, Li T, Wu H, Yang W, Li Y, Li J, Yu C, Nie F, Ma Z, Yang M, Xiao M, Nie P, Gao Y, Qian C, Hu M. Clinical remission of a critically ill COVID-19 patient treated by human umbilical cord mesenchymal stem cells: A case report. Medicine (Baltimore). 2020 Jul 31;99(31):e21429. doi: 10.1097/MD.0000000000021429.
- Khoury M, Cuenca J, Cruz FF, Figueroa FE, Rocco PRM, Weiss DJ. Current status of cell-based therapies for respiratory virus infections: applicability to COVID-19. Eur Respir J. 2020 Jun 4;55(6):2000858. doi: 10.1183/13993003.00858-2020. Print 2020 Jun.
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart (Faktiske)
17. januar 2021
Primær færdiggørelse (Forventet)
1. november 2021
Studieafslutning (Forventet)
1. november 2021
Datoer for studieregistrering
Først indsendt
23. november 2021
Først indsendt, der opfyldte QC-kriterier
23. november 2021
Først opslået (Faktiske)
24. november 2021
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
24. november 2021
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
23. november 2021
Sidst verificeret
1. november 2021
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- BRIN20211118a
Plan for individuelle deltagerdata (IPD)
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