Status:

COMPLETED

A Pilot Clinical Study on Inhalation of Mesenchymal Stem Cells Exosomes Treating Severe Novel Coronavirus Pneumonia

Lead Sponsor:

Ruijin Hospital

Collaborating Sponsors:

Shanghai Public Health Clinical Center

Wuhan Jinyintan Hospital, Wuhan, China

Conditions:

Coronavirus

Eligibility:

All Genders

18-75 years

Phase:

PHASE1

Brief Summary

In December 2019, a novel coronavirus infectious disease characterized by acute respiratory impairment due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) broke out in Wuhan city of Hu...

Detailed Description

Since December 2019, SARS-CoV-2 infection has become a worldwide urgent public health event, especially in China. As of February 13, 2020, over 63,000 cases have been confirmed with over 10,200 severe...

Eligibility Criteria

Inclusion

  • Willingness of study participant to accept this treatment arm, and signed informed consent; 2.Male or female, aged at 18 years (including) to 75 years old; 3.Patients with confirmed novel coronavirus pneumonia; 4.Confirmation of SARS-CoV-2 infection by reverse-transcription polymerase chain reaction (RT-PCR) from respiratory tract or blood specimens; 5.Diagnostic criteria of "Severe" or " Critical":
  • Severe, comply with any of the following:
  • Respiratory distress, Respiratory rate (RR) ≥ 30 times/min
  • Pulse oxygen saturation (SpO2) at rest ≤ 93%
  • Partial pressure of oxygen/fraction of inspired oxygen (PaO2/FiO2) ≤ 300mmHg
  • Critical, comply with any of the following:
  • Respiratory failure, and requirement for mechanical ventilation
  • Shock
  • Other organ failure and requirement for ICU monitoring

Exclusion

  • Allergic or hypersensitive to any of the ingredients;
  • Pneumonia caused by bacteria, mycoplasma, chlamydia, legionella, fungi or other viruses;
  • Obstructive HABP/VABP induced by lung cancer or other known causes;
  • Carcinoid syndrome;
  • History of long-term use of immunosuppressive agents;
  • History of epilepsy and requirement for continuous anticonvulsant treatment or anticonvulsant treatment received within the last 3 years;
  • History of severe chronic respiratory disease and requirement for long-term oxygen therapy;
  • Undergoing hemodialysis or peritoneal dialysis;
  • Estimated or actual rate of creatinine clearance \< 15 ml/min;
  • History of moderate and severe liver disease (Child-Pugh score \>12);
  • Expectation of receiving any of following medications during the study:
  • Receiving continuous valproic acid or sodium valproate within the first 2 weeks prior to screening
  • Receiving 5-transtryptamine reuptake inhibitors, tricyclic antidepressants, 5-HT1 receptor agonists or monoamine oxidase inhibitors within the first 2 weeks prior to screening
  • Incapable of understanding study protocol;
  • History of deep venous thrombosis or pulmonary embolism within the last 3 years;
  • Undergoing ECMO or high-frequency oscillatory ventilation support;
  • HIV, hepatitis virus, or syphilis infection;
  • Period of pregnancy or lactation, or planned pregnancy within 6 months;
  • Any condition of unsuitable for the study determined by investigators.

Key Trial Info

Start Date :

February 15 2020

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

July 31 2020

Estimated Enrollment :

24 Patients enrolled

Trial Details

Trial ID

NCT04276987

Start Date

February 15 2020

End Date

July 31 2020

Last Update

September 7 2020

Active Locations (1)

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1

Ruijin Hospital Shanghai Jiao Tong University School of Medicine

Shanghai, Shanghai Municipality, China, 200025