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NCT Number: NCT05017298

Clinical Study for Subjects With COVID-19 Using Allogeneic Adipose Tissue-Derived Mesenchymal Stem Cells

This is an interventional new drug clinical trial for a Phase 2 randomized, double-blind, and placebo control study using intravenous injection of allogeneic adipose stem cells (Celltex AdMSCs) for subjects with severe COVID-19.

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Key information

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age above 18 years.
  • Male and female
  • Must understand and voluntarily sign an Informed Consent for study participation obtained prior to undergoing any study-specific procedures
  • Diagnosed as COVID-19 based upon SARS-CoV-2 RT-PCR test positive
  • Clinical diagnosis meets severe and/or critical parameters
  • Male participants must be willing to ensure their partners do not become pregnant either by practicing abstinence or the use of condoms during sexual activity

Exclusion criteria

  • Participation in another clinical study (with use of another Investigational Medical Product) within 3 months prior to study treatment start
  • Unwillingness or inability to comply with study procedures
  • Patients with serious basic diseases that affect survival, including blood diseases, cachexia, active bleeding, severe malnutrition, etc.
  • Clinically active malignant disease
  • Subjects who are receiving ECMO and CRRT currently
  • History of known pulmonary embolism or known secondary anti-phospholipid syndrome
  • Known or suspected hypersensitivity to any components used to culture the AdMSCs, e.g. BSA and sulfur containing products (e.g., DMSO)
  • Known or suspected allergic to diphenhydramine.
  • Major trauma or surgery within 14 days of study treatment start
  • Mental condition rendering the subject (or the subject's legally acceptable representative[s]) unable to understand the nature, scope and possible consequences of the study
  • Alcohol, drug, or medication abuse within one year prior to study treatment start
  • Any condition that, in the Investigator's opinion, is likely to interfere with evaluation of the AdMSC therapy or satisfactory conduct of the study
  • Irreversible severe end organ failure, such as heart failure/attack, stroke, liver and renal failure due to other disease conditions
  • Patients or family history with hypercoagulable status, such as protein C/protein S deficiency, factor V Leiden, prothrombin gene mutation, dysfibrinogenemia, etc.
  • History of long-term use of immunosuppressive agents
  • Organ transplants in the past 6 months
  • Pregnant, breastfeeding, or desire to become pregnant or unwilling to practice birth control during participation in the study duration, unless surgically sterilized or postmenopausal during the study.
  • Patients with previous pulmonary obstructive pneumonia, severe pulmonary interstitial fibrosis, alveolar proteinosis, allergic alveolitis, and other known viral pneumonia or bacterial pneumonia before COVID-19 infection. The pulmonary imaging revealed the interstitial damage of lungs before the COVID-19 confirmed.
  • QT interval shows greater than 450 ms in males and 470 ms in females in the medical histories or during screen EKG test.
  • Subjects are not medically unstable at time of infusion including but not limiting unstable hypertension, pulse, oximetry, etc.

Treatment and study plan

Allogeneic adipose-derived stem cells

Biological

Culture expanded mesenchymal stem cells isolated from a patient's own abdominal fat tissue

Other names: Celltex-AdMSCs

Primary outcomes

  1. Safety of AdMSC injection will be evaluated by assessment of the frequency and nature of adverse events occurring during the study based on the rate of all AdMSC-associated adverse events (AEs) in all subjects.

    Time frame: 6 months

    Incidence of treatment-related adverse events and severe adverse events during the study period

  2. Safety for AdMSCs based upon incidence of all AEs

    Time frame: 6 months

    Grouped by Medical Dictionary for Regulatory Activities (MedDRA)

  3. Compare the mortality rate

    Time frame: 6 months

    AdMSC treating group vs. control group

Secondary outcomes

  1. Recognized immune measurements evaluating patients' symptom changes and overall function

    Time frame: 6 months

    To evaluate change of sequential organ failure assessment (SOFA) score as compare to the baseline

  2. Organ functional tests including blood specific enzymes and proteins

    Time frame: 6 months

    To evaluate the efficacy of allogeneic AdMSCs for COVID-19

  3. Duration (days) of weaning from mechanical ventilation

    Time frame: 6 months

    Compared to control group

  4. Duration (days) of ICU monitoring

    Time frame: 6 months

    Compared to control group

  5. Duration (days) of vasoactive agent's usage

    Time frame: 6 months

    Compared to control group

  6. Duration of hospitalization (days)

    Time frame: 6 months

    Compared to control group

  7. Proportions of SARS-CoV-2 RT-PCR change to negative from respiratory tract specimens (oropharyngeal swabs) using CDC standard method

    Time frame: 6 months

    Compared to control group

  8. Proportions of quantifying viral RNA in stool change to negative in final follow-up using CDC standard method

    Time frame: 6 months

    Compared to control group

  9. Proportions of blood SARS-CoV-2 antibodies IgM/IgG show positive

    Time frame: 6 months

    Compared to control group

Other outcomes

  1. Mortality rate down to 0%

    Time frame: 6 months

    For severe and critical cases

  2. Achieve at least 30% more proportion of severe patients in AdMSC study group without developing organ failure or recovery from previous organ failure

    Time frame: 6 months

    Compared to control group

Study contacts

Contact information is provided by the study sponsor or research team.

Jane Young, Ph.D.

CONTACT

[email protected]

7135901000

Sponsors and collaborators

Lead sponsor

Celltex Therapeutics Corporation

Industry

Registry information

Official study title

Clinical Study for Subjects With Coronavirus 2019 (COVID-19) Using Multiple Dose Intravenous Infusions of Allogeneic Adipose Tissue-Derived Mesenchymal Stem Cells (AdMSCs)

Acronym: AdMSCs

Important dates

Study start
2024
Primary completion
2024
Study completion
2026
First posted
Aug 23, 2021
Registry last updated
Feb 7, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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