EUCTR2020-001450-22-ES进行中（未招募）1 期
Phase II Clinical Trial to explore the efficacy of allogeneic mesenchymal cells from umbilical cord tissue in patients with severe pulmonary involvement by COVID-19. - MESCEL-COVID19
Fundación de Investigación del Hospital Infantil Universitario Niño Jesús0 个研究点目标入组 106 人开始时间: 2020年5月5日最近更新:
试验速览
- 阶段
- 1 期
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 106
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional clinical trial of medicinal product
入排标准
- 性别
- All
入选标准
- •1. Patients aged between 40 and 80 years
- •2. Body weight between 50 kg and 100 kg
- •3. PCR diagnosis of SARS-CoV-2 virus infection
- •4. Clinical diagnosis of severe lung involvement associated with SARS-CoV-2 virus infection according to the criteria of the National Health Commission of China, that is, patients who meet at least one of the following criteria:
- •a) Respiratory distress with = 30 breaths per minute; or
- •b) Oxygen saturation = 93% at baseline; or
- •c) Partial arterial oxygen pressure (PaO2) / Fraction of inspiration of O2 (FiO2) =300mmHg. (PaO2 / FiO2 is accepted based on SatO2 - see Annex VI).
- •Patients who do not require respiratory support, or who require non-invasive respiratory support (conventional, high-flow oxygen therapy, or non-invasive mechanical ventilation) are considered eligible.
- •5. Patients who are already receiving the standard medical treatment* available for severe lung involvement associated with SARS-CoV-2 virus infection or any of the standard treatments are contraindicated in the patient and cannot be used and it is necessary to consider other alternatives.
- •6. Women who are surgically sterile or postmenopausal or women of childbearing potential with negative urine or serum pregnancy test or men willing to use condoms for the entire duration of the study or for three months after the last dose of the investigational drug, whichever is later, or have a partner who is using a contraceptive method with high efficacy, such as described above.
- •7. Signed informed consent.
- •Are the trial subjects under 18? no
- •Number of subjects for this age range:
- •F.1.2 Adults (18-64 years) yes
- •F.1.2.1 Number of subjects for this age range 50
- •F.1.3 Elderly (>=65 years) yes
- •F.1.3.1 Number of subjects for this age range 56
排除标准
- •1. Clinical diagnosis of critically serious lung involvement associated with SARS-CoV-2 virus infection according to the criteria of the National Health Commission of China, that is, patients who meet any of the following criteria:
- •a) Respiratory failure requiring invasive mechanical ventilation; or
- •b) Shock; or
- •c) Combination with failure of another organ; need for ICU admission for monitoring / treatment.
- •2. Patients who are expected to develop rapidly fatal disease within 72 hours of enrollment.
- •3. Inability to maintain a mean arterial pressure > 50 mmHg before selection despite the presence of vasopressors and intravenous fluids.
- •4. Patients requiring treatment with vasopressors (dopamine > 5 mg / kg / min or any dose of epinephrine, norepinephrine, phenylephrine, or vasopressin) for at least 2 hours to maintain systolic blood pressure (SBP) > 90 mmHg (or mean blood pressure [MBP] > 70 mmHg) after adequate fluid administration.
- •5. Patients who are not expected to live more than 3 months due to other medical illnesses, such as neoplasia or other terminal illnesses.
- •6. Patients with primary or metastatic lung cancer or with chemotherapy scheduled for the next 90 days.
- •7. Patients with a known primary immunodeficiency disorder or with acquired immunodeficiency syndrome (HIV infection) with a CD4 count <200 cells / mm3 or who do not have an undetectable viral load (<200 copies).
- •8. Patients receiving immunosuppressive therapy (including chronic treatment with any alpha antitumor necrosis factor [TNFa]) or corticosteroid therapy.
- •9. Granulocytopenia, not due to sepsis, evidenced by an absolute neutrophil count <500 per µL.
- •10. Hematologic or lympho-reticular malignancies, unless in remission.
- •11. Patients who have received a stem cell, organ, or bone marrow transplant in the last 6 months.
- •12. Patients in current treatment with a biological product (eg, antibodies, cell therapy) or with plasmapheresis in the last 8 weeks.
- •13. Patients who are currently receiving or have received another investigational drug in the 90 days prior to study initiation (or 5 half-lives of the investigational compound, whichever is longer).
- •14. Known allergies or hypersensitivity to antibiotics and/or any component of the investigatrional product.
- •15. Patients with known severe liver function impairment.
- •16. Patients with known severe kidney function impairment.
- •17. Patients admitted in the previous 15 days for causes other than SARS-CoV-2 virus infection.
- •18. Diseases other than SARS-CoV-2 virus infection leading to New York Heart Association class IV status.
- •19. Terminal neuromuscular disorders that alter the gradual withdrawal of the ventilator (eg, amyotrophic lateral sclerosis).
- •20. Patients with complete tetraplegia (traumatic or otherwise).
- •21. Dementia-Alzheimer and another situation in which is considered patient can not understand what is explaining, can not read or does not understant the language.
研究者
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