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Umbilical Cord(UC)-Derived Mesenchymal Stem Cells(MSCs) Treatment for the 2019-novel Coronavirus(nCOV) Pneumonia

Phase 2
Conditions
Pneumonia, Viral
Pneumonia, Ventilator-Associated
Interventions
Biological: UC-MSCs
Registration Number
NCT04269525
Lead Sponsor
ZhiYong Peng
Brief Summary

Serious Pneumonia and Critical Pneumonia caused by the 2019-nCOV infection greatly threats patients' life, UC-MSCs treatment has been proved to play a role in curing multiple diseases. And this study is conducted to find out whether or not it will function in 2019-nCOV infection Pneumonia.

Detailed Description

Serious Pneumonia and Critical Pneumonia caused by the 2019-nCOV infection greatly threats patients' life, UC-MSCs treatment has been proved to play a role in curing multiple diseases. And this study is conducted to find out whether or not it will function in 2019-nCOV infection Pneumonia. And we are going to get the permission of the enrolled patients. Besides the present clinical treatment, UC-MSCs treatment will be applied to those fulfilling the enrollment. After a period of UC-MSCs treatment, the analysis of UC-MSCs treatment will be completed from related aspects.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
16
Inclusion Criteria
  • 18-80 years old ,no gender restriction
  • According to Diagnosis and Clinical Management of Pneumonia caused by 2019-nCoV infection(Trial Version 6), patients are diagnosed with severe or critical 2019-nCoV pneumonia
  • Women of childbearing age should have a negative blood pregnancy test before the start of dosing and agree to take effective contraceptive measures during the trial until the last follow-up (28 days)
  • Previous detection of Nucleotide or antibody of 2019-nCoV pneumonia was positive
  • Voluntarily participate in this clinical study and sign a written informed consent. If the patient cannot obtain informed consent, he can authorize his legal representative.
Exclusion Criteria
  • Liver SOFA score of more than 3 points;
  • HIV positive
  • Highly allergic constitution or history of severe allergies;
  • Pregnant and lactating women;
  • Patients with malignant tumors;
  • Patients with previous history of pulmonary embolism;
  • Participating in clinical trials of other drugs within 3 months before enrollment.
  • be thought by researchers to be inappropriate to participate in this clinical study.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
pneumoniaUC-MSCsAccording to Diagnosis and Clinical Management of Pneumonia caused by 2019-nCoV Infection(Trial Version 4), patients enrolled will be divided to serious pneumonia group or critical pneumonia group. All subjects will receive UC-MSCs 3.3 \* 107 cell number / 50ml / bag, 3 bags each time. And UC-MSCs will be infused intravenously on the 1st, 3rd, 5th, and 7th days after enrollment, 1 time each day. The efficacy and safety of the treatment, patients' adverse reactions will be monitored.
Primary Outcome Measures
NameTimeMethod
Oxygenation indexon the day 14 after enrollment

partial arterial oxygen pressure (PaO2) / oxygen concentration (FiO2)

Secondary Outcome Measures
NameTimeMethod
IL-4on the day 7,14,28 after enrollment

IL-4 in pg/mL

28 day mortalityon the day 28 after enrollment

whether the patient survives

Hospital stayup to 6 months

days of the patients in hospital

interleukin(IL)-2on the day 7,14,28 after enrollment

IL-2 in picogram(pg)/millilitre(mL)

2019-nCoV antibody teston the day 7,14,28 after enrollment

whether or not the 2019-nCoV antibody is positive

2019-nCoV nucleic acid teston the day 7,14,28 after enrollment

whether or not the 2019-nCoV nucleic acid test is positive

Improvement of lung imaging examinationson the day 7,14,28 after enrollment

whether lung imaging examinations show the improvement of the pneumonia

White blood cell counton the day 7,14,28 after enrollment

counts of white blood cell in a litre of blood

Procalcitoninon the day 7,14,28 after enrollment

procalcitonin in microgram(ug)/L

Lymphocyte counton the day 7,14,28 after enrollment

counts of lymphocyte in a litre (L) of blood

IL-6on the day 7,14,28 after enrollment

IL-6 in pg/mL

IL-10on the day 7,14,28 after enrollment

IL-10 in pg/mL

C-reactive protein(CRP)on the day 7,14,28 after enrollment

CRP in microgram(μg)/L

CD4+ T-Lymphocytopeniaon the day 7,14,28 after enrollment

counts of CD4+ T-Lymphocytopenia in litre

tumor necrosis factor(TNF)-αon the day 7,14,28 after enrollment

TNF-α in nanogram(ng)/L

γ-interferon(IFN)on the day 7,14,28 after enrollment

γ-IFN in a thousand unit (KU)/L

natural killer cell(NK)on the day 7,14,28 after enrollment

counts of NK in a litre

CD8+ T-Lymphocytopeniaon the day 7,14,28 after enrollment

counts of CD8+ T-Lymphocytopenia in a litre

Trial Locations

Locations (1)

Zhongnan Hospital of Wuhan University

🇨🇳

Wuhan, Hubei, China

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