扩大 COVID-19 患者使用 Zofin 的机会
扩大使用 Zofin 治疗门诊和住院患者因 SARS-Cov-2 导致的轻度至中度 COVID-19 患者
研究概览
详细说明
一种人类冠状病毒 (HCoV-19) 已在全球范围内引发新型冠状病毒病 (COVID-19)。 COVID-19 的常见症状包括发烧、咳嗽和呼吸急促。 大多数病例会导致轻微症状,但有些会发展为肺炎和多器官衰竭。 根据严重程度分为轻度、正常、重度和危重症,与入住ICU和病死率相关。 目前,COVD-19患者的标准治疗是氧疗、机械通气和药物维持血压。 截至目前,尚无针对 COVID-19 患者的特定抗病毒疗法。 部分患者免疫激活,细胞因子风暴综合征(CSS)的出现是导致肺部和其他器官严重受损甚至死亡的重要原因之一。 迫切需要开发新的干预措施,及时抑制病程中的过度免疫反应,保护肺泡功能,减少肺和全身器官损伤。
Zofin 是一种脱细胞、最低限度操作的产品,源自人羊水 (HAF)。 该产品包含超过 300 种生长因子、细胞因子和趋化因子以及其他源自羊膜干细胞和上皮细胞的细胞外囊泡/纳米颗粒。 该产品的平均浓度为 5.24x10^11 粒子/mL,平均模式尺寸为 125.2nm。 表面标记分析证实,除了 CD133 的高表达外,还存在外泌体相关蛋白 CD63、CD81 和 CD9。 完成的测序揭示了 102 个普遍表达的 miRNA(最小表达量为 100 拷贝)。 生物信息学分析将 63 个 miRNA 与 1216 个 RNA 靶标联系起来。 在 Organicell 的产品中发现了被 miRNA 靶向的促炎细胞因子级联中的主要参与者,包括 TNF、IL-6 和 IL-8。 此外,更广泛的促炎细胞因子也被 miRNA 的集合所靶向,例如 FGF2、IFNB1、IGF1、IL36a、IL37、TGF-B2、VEGFA、CCL8 和 CXCL12。 已发表的研究表明,抑制或抑制这种促炎细胞因子级联可能会降低与免疫反应升高相关的症状的严重程度。 此外,发现 miRNA 靶向 148 个与免疫反应相关的基因。
Zofin 的特性证明了作为细胞因子激活抑制剂以降低 COVID-19感染严重程度的治疗潜力。 这是一个开放标签扩展访问协议,用于使用 ZofinTM(OrganicellTM Flow)治疗因 SARS-Cov-2 引起的轻度至中度 COVID-19 的受试者。
研究类型
扩展访问类型
- 治疗 IND/方案
联系人和位置
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
纳入标准:
- 提供书面知情同意书
- 受试者在签署知情同意书时年龄 > 18 岁。
- 男女不限
- 必须通过定性逆转录聚合酶链反应 (RT-PCR) 对 COVID-19 进行临床诊断,并且至少具有以下#5 中定义的轻度或中度 COVID-19 临床症状之一
具有轻度至中度 COVID-19 症状的门诊和住院患者。
轻症的主要症状是:
- 低烧 <38°C(37.5 至 37.9)
- 干咳
- 疲倦
- 感觉有点喘不过气来
- 肌肉疼痛
- 头痛
- 咽喉痛
- 腹泻
中度疾病的主要症状是:
除了轻度疾病患者可能出现的症状外,他们还可能会遇到:
- 发热≥38°
- 每小时数次干咳和更持久的咳嗽
- 疲倦和需要卧床休息
- 进行适度运动(例如上楼)时感到气喘吁吁
- 肌肉疼痛和酸痛,需要卧床休息
- 头痛,特别是当你感觉热的时候
- 喉咙痛,咳嗽酸痛,但不痛
- 腹泻
- 口干舌燥
- 足够的静脉通路
仅限有生育能力的女性 (WOCBP),愿意在治疗后 6 个月内使用 FDA 推荐的避孕措施。 下面列出了 FDA 批准和批准的节育方法:
- 永久灭菌
- 长效可逆避孕药 (LARC)
- 避孕针
- 短效荷尔蒙方法
- 屏障方法
- 紧急避孕药
https://www.fda.gov/consumers/free-publications-women/birth-control
- 任何男性受试者都必须同意在研究期间使用避孕药具并且不捐献精子。
- 必须同意遵守所有协议要求并愿意完成所有研究访问
排除标准:
- 因 COVID-19 而患有中度至重度呼吸窘迫综合征的患者
- 是怀孕、哺乳或有生育潜力但未采取有效避孕方法的女性。 女性受试者必须在 IP 输注后 72 小时内进行筛选时的血液妊娠试验。
- 无法执行任何所需的评估。
- 任何器官移植的积极上市(或预期未来上市)。
- 成为实体器官移植受者。 这不包括先前的基于细胞的治疗(入组前 12 个月以上)、骨骼、皮肤、韧带、肌腱或角膜移植。 有器官或细胞移植排斥反应史。
- 药物滥用史(除大麻外的非法“街头”药物(如果在患者居住的州合法使用),或处方药未正确用于既往疾病或酗酒(≥ 5 杯/天用于 ˃ 3 个月),或有记录的过去 24 个月内因饮酒或吸毒引起的医疗、职业或法律问题
- 未经治疗的 HIV 感染患者。 但是,如果患者接受过 HIV 治疗并且 HIV 病毒载量检测呈阴性但抗体检测仍呈阳性,则可以入组。
学习计划
研究是如何设计的?
合作者和调查者
出版物和有用的链接
一般刊物
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