- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT04657406
Utvidet tilgang til Zofin for pasienter med COVID-19
Utvidet tilgang til Zofin for behandling av pasienter med mild til moderat COVID-19 på grunn av SARS-Cov-2 for polikliniske og inneliggende pasienter
Studieoversikt
Status
Forhold
Intervensjon / Behandling
Detaljert beskrivelse
Et menneskelig koronavirus (HCoV-19) har forårsaket utbruddet av den nye koronavirussykdommen (COVID-19) over hele verden. Vanlige symptomer på COVID-19 inkluderer feber, hoste og kortpustethet. De fleste tilfeller resulterer i milde symptomer, men noen kan utvikle seg til lungebetennelse og multiorgansvikt. I henhold til alvorlighetsgraden deles den inn i mild, normal, alvorlig og kritisk syk, som er assosiert med innleggelse på intensivavdeling og dødelighet. For tiden er standardbehandlingen av COVD-19-pasienter oksygenbehandling, mekanisk ventilasjon og medisiner for å opprettholde blodtrykket. Per i dag er ingen spesifikk antiviral behandling tilgjengelig for pasienter med COVID-19. Immunaktivering hos noen pasienter, og forekomsten av cytokinstormsyndrom (CSS) er en av de viktigste årsakene til alvorlig skade på lunger og andre organer, som kan føre til døden. Det er et presserende behov for å utvikle nye intervensjoner for å undertrykke den overdrevne immunresponsen i tide i løpet av sykdomsforløpet, beskytte alveolær funksjon og redusere lunge- og systemiske organskader.
Zofin er et acellulært, minimalt manipulert produkt, avledet fra humant fostervann (HAF). Dette produktet inneholder over 300 vekstfaktorer, cytokiner og kjemokiner samt andre ekstracellulære vesikler/nanopartikler avledet fra amniotiske stam- og epitelceller. Produktet inneholder en gjennomsnittlig konsentrasjon på 5,24x10^11 partikler/ml med en gjennomsnittlig modusstørrelse på 125,2nm. Overflatemarkøranalyse bekreftet tilstedeværelsen av eksosomassosierte proteiner CD63, CD81 og CD9 i tillegg til høy ekspresjon av CD133. Den fullførte sekvenseringen avslørte 102 vanlig uttrykte miRNA (med et minimum på 100 kopier). Bioinformatikkanalyse koblet 63 miRNA-er til 1216 RNA-mål. Store aktører i den proinflammatoriske cytokinkaskaden som ble funnet å være målrettet av miRNA ble oppdaget i Organicells produkt inkluderer TNF, IL-6 og IL-8. I tillegg er et bredere utvalg av pro-inflammatoriske cytokiner også målrettet av samlingen av miRNA som FGF2, IFNB1, IGF1, IL36a, IL37, TGF-B2, VEGFA, CCL8 og CXCL12. Det har blitt antydet i publisert forskning at hemming eller undertrykkelse av denne pro-inflammatoriske cytokinkaskaden kan redusere alvorlighetsgraden av symptomene forbundet med forhøyet immunrespons. Videre ble miRNA funnet å målrette mot 148 gener assosiert med immunrespons.
Egenskapen til Zofin demonstrerer det terapeutiske potensialet som en suppressor av cytokinaktivering for å redusere alvorlighetsgraden av COVID-19-infeksjonen. Dette er en åpen etikett for utvidet tilgangsprotokoll for å behandle forsøkspersoner som bruker ZofinTM (OrganicellTM Flow) for behandling av mild til moderat COVID-19 på grunn av SARS-Cov-2.
Studietype
Utvidet tilgangstype
- Behandling IND/Protokoll
Kontakter og plasseringer
Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
Inklusjonskriterier:
- Gi skriftlig informert samtykke
- Forsøkspersoner alder > 18 år på tidspunktet for undertegning av informert samtykkeskjema.
- Mann eller kvinne
- Må ha en klinisk diagnose av COVID-19 ved den kvalitative revers-transkripsjonspolymerasekjedereaksjonen (RT-PCR), med minst ett av milde eller moderate covid-19 kliniske symptomer som er definert nedenfor i #5
Personer med milde til moderate covid-19-symptomer for poliklinisk og innlagt populasjon.
De viktigste symptomene på mild sykdom er:
- lavgradig feber <38°C (37,5 til 37,9)
- en tørr hoste
- tretthet
- føler meg litt andpusten
- Muskelsmerte
- hodepine
- sår hals
- diaré
De viktigste symptomene på moderat sykdom er:
I tillegg til symptomene pasienter kan få med en mild sykdom, kan de også oppleve:
- feber ≥38°
- en tørr og mer vedvarende hoste flere ganger i timen
- tretthet og behov for å ligge i sengen
- andpusten når du gjør moderat trening (som å gå ovenpå)
- muskelsmerter og smerter og må ligge i sengen
- hodepine spesielt hvis du føler deg varm
- sår hals, sårhet fra hoste, men ingen smerter
- diaré
- en tørr munn
- Tilstrekkelig venøs tilgang
Kun for kvinner med fødedyktighet (WOCBP), vilje til å bruke FDA-anbefalt prevensjon inntil 6 måneder etter behandling. De FDA-godkjente og godkjente metodene for prevensjon er oppført nedenfor:
- Permanent sterilisering
- Langtidsvirkende reversible prevensjonsmidler (LARC)
- Prevensjonsinjeksjon
- Korttidsvirkende hormonelle metoder
- Barrieremetoder
- Nødprevensjon
https://www.fda.gov/consumers/free-publications-women/birth-control
- Enhver mannlig forsøksperson må godta å bruke prevensjonsmidler og ikke donere sæd under studien.
- Må godta å overholde alle protokollkrav og være villig til å gjennomføre alle studiebesøk
Ekskluderingskriterier:
- Pasienter som har moderat til alvorlig respiratorisk distress-syndrom på grunn av COVID-19
- Vær en kvinne som er gravid, ammer eller er i fertil alder uten å praktisere effektive prevensjonsmetoder. Kvinnelige forsøkspersoner må gjennomgå en blodgraviditetstest ved screening som vil være innen 72 timer etter IP-infusjonen.
- Manglende evne til å utføre noen av de nødvendige vurderingene.
- Aktiv oppføring (eller forventet fremtidig oppføring) for transplantasjon av ethvert organ.
- Vær en solid organtransplantasjonsmottaker. Dette inkluderer ikke tidligere cellebasert terapi (>12 måneder før registrering), bein-, hud-, ligament-, sene- eller hornhinnetransplantasjon. Har en historie med organ- eller celletransplantasjonsavvisning.
- Historie med narkotikamisbruk (ulovlige "gate"-medisiner unntatt marihuana (hvis det er lovlig bruk i stater der pasienten bor), eller reseptbelagte medisiner som ikke brukes riktig for en eksisterende medisinsk tilstand eller alkoholmisbruk (≥ 5 drinker/dag i ˃ 3 måneder), eller dokumenterte medisinske, yrkesmessige eller juridiske problemer som oppstår fra bruk av alkohol eller narkotika i løpet av de siste 24 månedene
- Pasienter med ubehandlet HIV-infeksjon. Pasienter kan imidlertid registreres hvis de har blitt behandlet for HIV og testen negativ for HIV-virusmengde, men fortsatt tester positiv for antistoffer.
Studieplan
Hvordan er studiet utformet?
Samarbeidspartnere og etterforskere
Sponsor
Publikasjoner og nyttige lenker
Generelle publikasjoner
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Studierekorddatoer
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
- Patologiske prosesser
- Coronaviridae-infeksjoner
- Nidovirales infeksjoner
- RNA-virusinfeksjoner
- Virussykdommer
- Infeksjoner
- Luftveisinfeksjoner
- Sykdommer i luftveiene
- Respirasjonsforstyrrelser
- Lungebetennelse, viral
- Lungebetennelse
- Lungesykdommer
- Sykdom
- Spedbarn, nyfødte, sykdommer
- Lungeskade
- Spedbarn, premature, sykdommer
- Alvorlig akutt luftveissyndrom
- Covid-19
- Coronavirus-infeksjoner
- Syndrom
- Respiratorisk distress syndrom
- Respiratorisk distress syndrom, nyfødt
- Akutt lungeskade
Andre studie-ID-numre
- 19881-EA
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