Autologous Adipose-derived Stem Cells (AdMSCs) for COVID-19
Primary Purpose
COVID-19
Status
Not yet recruiting
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
autologous adipose-derived stem cells
Sponsored by
About this trial
This is an interventional treatment trial for COVID-19 focused on measuring Autologous Adipose-derived Stem Cells (AdMSCs) for COVID-19 [NCT ID not yet assigned]
Eligibility Criteria
Inclusion Criteria:
- Age above 18 years.
- Male or female
- Subjects should have banked AdMSCs in Celltex (already passed communicable disease screen tests for HIV, syphilis, Hepatitis B and C during banking stage)
- Must understand and voluntarily sign an Informed Consent for study participation obtained prior to undergoing any study-specific procedures
- Highly susceptible to SARS-Cov-2 infections, such as obesity (BMI ≥ 40), early to middle stage of hypertension (systolic pressure ranging above 140 Hg or a diastolic pressure ranging from 90 mm Hg), diabetic mellitus hemoglobin A1c >8%), chronic heart disease (one or more conditions including previously diagnosed as coronary artery disease, chronic heart arrhythmia, cardiomyopathy…) chronic pulmonary disease (COPD, fibrosis), chronic liver disease (Hepatic impairment, defined as any of ALT, AST, LDH or bilirubin > 2 x the upper limit of normal (ULN) range according to local laboratory standards) and kidney diseases (serum creatinine > 133 mmol/L (1.5 mg/dL). No terminal stages of the above medical conditions.
- No previous COVID-19 history
- SARS-CoV-2 RT-PCR or equivalent tests negative in respiratory tract specimen
- Blood test for SARS-Cov-2 IgM and IgG negative
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
- Blood test for SARS-Cov-2 antibodies IgM and IgG positive
- Patients with serious basic diseases that affect survival, including blood diseases, cachexia, active bleeding, severe malnutrition, etc.
- Clinically active malignant disease
- Previous thrombotic disorder
- 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)
- 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 in the Investigator's opinion that is likely to interfere with evaluation of the AdMSC therapy or satisfactory conduct of the study
- Irreversible severe end-organ failures, such as heart failure/attack, stroke, liver and renal failure due to other disease conditions
- Patients or family history with hypercoagulable states, such as protein C/protein S deficiency, factor V Leiden, prothrombin gene mutation, dysfibrinogenemia, etc.
- History of long-term use of immunosuppressive agents
- Organ transplant 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 severe pulmonary obstructive pneumonia, severe pulmonary interstitial fibrosis, alveolar proteinosis, allergic alveolitis, and other known viral pneumonia or bacterial pneumonia. This includes patients with pulmonary imaging that reveals interstitial lung damage before contracting COVID-19.
- QT interval shows greater than 450 ms in males and 470 ms in females in the medical histories or during screen EKG test.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
Phase 2 AdMSC group
Phase 2 Placebo group
Arm Description
Each subject receives three doses of 200 million autologous adipose derived mesenchymal stem cells via intravenously infusion every three days Other Names: Celltex-AdMSCs Celltex-AdMSCs
The control group- receive three doses of placebo via intravenously infusion every three days.
Outcomes
Primary Outcome Measures
Tolerability and acute safety of AdMSC infusion by assessment of the total number of AEs/SAEs related and non-related with the medication
adverse events and severe adverse events
The overall proportion of subjects who develop any AEs/SAEs related and non-related with the AdMSC infusions as compared to the control group
adverse events and severe adverse events
COVID-19 incidence rates in both the study and control groups
efficacy
Secondary Outcome Measures
The proportion of subjects who are infected by SARS-Cov-2 measured by PCR or other nuclear level-based SARS-Cov-2 virus testing in respiratory tract specimens (oropharyngeal samples) collected by oropharyngeal swab using the CDC standard method.
efficacy
The proportion of subjects who are infected by SARS-Cov-2 virus develop symptoms including mild, classic, severe and critical sever cases between study group and control group.
efficacy
Change of proportion of subjects who are infected by SARS-Cov-2 and develop IgM/IgG antibodies against SARS-Cov-2 between study group and control group.
efficacy
Change of lymphocyte count in white blood cell counts from the baseline
efficacy
Change of PaO2 arterial blood gases from the baseline
efficacy
Compare the proportion of subjects who develop severe COVID-19 pneumonia cases for both study and control groups
efficacy
COVID-19 mortality rates for both study and control groups
efficacy
Change of C-reactive protein (CRP) (mg/L) from the baseline
efficacy
Change of D-dimer (mg/L) from the baseline
efficacy
Change of Procalcitonin (ug)/L from the baseline
efficacy
Change of pro-type B natriuretic peptide (pro-BNP) (pg/mL) from the baseline
efficacy
Change of Bilirubin (mg/dL) from the baseline
efficacy
Change of Creatinine (mg/dL) from the baseline
efficacy
Change in blood test values for cytokine panels (IL-1β, IL-6, IL-8, IL-10, TNFα) from the baseline
efficacy
The proportion of subjects from SARS-CoV-2 RT-PCR positive to negativity in respiratory tract specimens (oropharyngeal samples) collected by oropharyngeal swab using the CDC standard method. as compared to control group
efficacy
Quantifying viral RNA in stool for baseline and final follow-up.
efficacy
Full Information
NCT ID
NCT04428801
First Posted
April 8, 2020
Last Updated
April 13, 2023
Sponsor
Celltex Therapeutics Corporation
1. Study Identification
Unique Protocol Identification Number
NCT04428801
Brief Title
Autologous Adipose-derived Stem Cells (AdMSCs) for COVID-19
Official Title
Clinical Study for the Prophylactic Efficacy of Autologous Adipose Tissue-Derived Mesenchymal Stem Cells (AdMSCs) Against Coronavirus 2019 (COVID-19)
Study Type
Interventional
2. Study Status
Record Verification Date
April 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
September 2023 (Anticipated)
Primary Completion Date
September 2024 (Anticipated)
Study Completion Date
September 2026 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Celltex Therapeutics Corporation
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No
5. Study Description
Brief Summary
This is a phase 2 multi-center, double-blind, randomized, placebo-control clinical trial with 200 subjects who have never been infected by COVID-19 (SARS-Cov-2 virus screen test negative, no blood SARS-Cov-2 IgM and IgG antibodies detected during enrollment) followed by a pilot study of 5 subjects to demonstrate the safety of proposed three-dose regimen of autologous AdMSCs infusions. The 100 study subjects who have previously banked their AdMSCs with Celltex, will receive three doses of autologous AdMSCs (approximately 200 million cells) intravenous infusion every three days. The 100 subjects in the control group who have previously banked their AdMSCs with Celltex will not receive any Celltex's AdMSC therapy but placebo treatments. All subjects are monitored for safety (adverse events/severe adverse events), COVID-19 symptoms, SARS-Cov-2 virus test, blood SARS-Cov-2 IgM and IgG antibodies tests, blood cytokine and inflammatory (CRP, IL_6, IL-10, TNFα) tests and disease severity evaluation for 6 months after the last dose of AdMSC infusion for the study group and 6 months after the enrollment for the control group.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
COVID-19
Keywords
Autologous Adipose-derived Stem Cells (AdMSCs) for COVID-19 [NCT ID not yet assigned]
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Model Description
The Phase 2 study is a randomized, double-blind, placebo-control study conducted in multiple clinic facilities.
Masking
ParticipantOutcomes Assessor
Masking Description
Patients and evaluators
Allocation
Randomized
Enrollment
200 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Phase 2 AdMSC group
Arm Type
Experimental
Arm Description
Each subject receives three doses of 200 million autologous adipose derived mesenchymal stem cells via intravenously infusion every three days
Other Names: Celltex-AdMSCs Celltex-AdMSCs
Arm Title
Phase 2 Placebo group
Arm Type
Placebo Comparator
Arm Description
The control group- receive three doses of placebo via intravenously infusion every three days.
Intervention Type
Biological
Intervention Name(s)
autologous adipose-derived stem cells
Other Intervention Name(s)
Celltex-AdMSCs
Intervention Description
Culture expanded mesenchymal stem cells isolated from a patient's own abdominal fat tissue
Primary Outcome Measure Information:
Title
Tolerability and acute safety of AdMSC infusion by assessment of the total number of AEs/SAEs related and non-related with the medication
Description
adverse events and severe adverse events
Time Frame
6 months
Title
The overall proportion of subjects who develop any AEs/SAEs related and non-related with the AdMSC infusions as compared to the control group
Description
adverse events and severe adverse events
Time Frame
6 months
Title
COVID-19 incidence rates in both the study and control groups
Description
efficacy
Time Frame
6 months
Secondary Outcome Measure Information:
Title
The proportion of subjects who are infected by SARS-Cov-2 measured by PCR or other nuclear level-based SARS-Cov-2 virus testing in respiratory tract specimens (oropharyngeal samples) collected by oropharyngeal swab using the CDC standard method.
Description
efficacy
Time Frame
6 months
Title
The proportion of subjects who are infected by SARS-Cov-2 virus develop symptoms including mild, classic, severe and critical sever cases between study group and control group.
Description
efficacy
Time Frame
6 months
Title
Change of proportion of subjects who are infected by SARS-Cov-2 and develop IgM/IgG antibodies against SARS-Cov-2 between study group and control group.
Description
efficacy
Time Frame
6 months
Title
Change of lymphocyte count in white blood cell counts from the baseline
Description
efficacy
Time Frame
6 months
Title
Change of PaO2 arterial blood gases from the baseline
Description
efficacy
Time Frame
6 months
Title
Compare the proportion of subjects who develop severe COVID-19 pneumonia cases for both study and control groups
Description
efficacy
Time Frame
6 months
Title
COVID-19 mortality rates for both study and control groups
Description
efficacy
Time Frame
6 months
Title
Change of C-reactive protein (CRP) (mg/L) from the baseline
Description
efficacy
Time Frame
6 months
Title
Change of D-dimer (mg/L) from the baseline
Description
efficacy
Time Frame
6 months
Title
Change of Procalcitonin (ug)/L from the baseline
Description
efficacy
Time Frame
6 months
Title
Change of pro-type B natriuretic peptide (pro-BNP) (pg/mL) from the baseline
Description
efficacy
Time Frame
6 months
Title
Change of Bilirubin (mg/dL) from the baseline
Description
efficacy
Time Frame
6 months
Title
Change of Creatinine (mg/dL) from the baseline
Description
efficacy
Time Frame
6 months
Title
Change in blood test values for cytokine panels (IL-1β, IL-6, IL-8, IL-10, TNFα) from the baseline
Description
efficacy
Time Frame
6 months
Title
The proportion of subjects from SARS-CoV-2 RT-PCR positive to negativity in respiratory tract specimens (oropharyngeal samples) collected by oropharyngeal swab using the CDC standard method. as compared to control group
Description
efficacy
Time Frame
6 months
Title
Quantifying viral RNA in stool for baseline and final follow-up.
Description
efficacy
Time Frame
6 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Age above 18 years.
Male or female
Subjects should have banked AdMSCs in Celltex (already passed communicable disease screen tests for HIV, syphilis, Hepatitis B and C during banking stage)
Must understand and voluntarily sign an Informed Consent for study participation obtained prior to undergoing any study-specific procedures
Highly susceptible to SARS-Cov-2 infections, such as obesity (BMI ≥ 40), early to middle stage of hypertension (systolic pressure ranging above 140 Hg or a diastolic pressure ranging from 90 mm Hg), diabetic mellitus hemoglobin A1c >8%), chronic heart disease (one or more conditions including previously diagnosed as coronary artery disease, chronic heart arrhythmia, cardiomyopathy…) chronic pulmonary disease (COPD, fibrosis), chronic liver disease (Hepatic impairment, defined as any of ALT, AST, LDH or bilirubin > 2 x the upper limit of normal (ULN) range according to local laboratory standards) and kidney diseases (serum creatinine > 133 mmol/L (1.5 mg/dL). No terminal stages of the above medical conditions.
No previous COVID-19 history
SARS-CoV-2 RT-PCR or equivalent tests negative in respiratory tract specimen
Blood test for SARS-Cov-2 IgM and IgG negative
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
Blood test for SARS-Cov-2 antibodies IgM and IgG positive
Patients with serious basic diseases that affect survival, including blood diseases, cachexia, active bleeding, severe malnutrition, etc.
Clinically active malignant disease
Previous thrombotic disorder
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)
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 in the Investigator's opinion that is likely to interfere with evaluation of the AdMSC therapy or satisfactory conduct of the study
Irreversible severe end-organ failures, such as heart failure/attack, stroke, liver and renal failure due to other disease conditions
Patients or family history with hypercoagulable states, such as protein C/protein S deficiency, factor V Leiden, prothrombin gene mutation, dysfibrinogenemia, etc.
History of long-term use of immunosuppressive agents
Organ transplant 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 severe pulmonary obstructive pneumonia, severe pulmonary interstitial fibrosis, alveolar proteinosis, allergic alveolitis, and other known viral pneumonia or bacterial pneumonia. This includes patients with pulmonary imaging that reveals interstitial lung damage before contracting COVID-19.
QT interval shows greater than 450 ms in males and 470 ms in females in the medical histories or during screen EKG test.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jane Young
Phone
7135901000
Email
jyoung@celltexbank.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Derek W Guillory, MD.
Organizational Affiliation
Root Causes Medicine
Official's Role
Principal Investigator
12. IPD Sharing Statement
Learn more about this trial
Autologous Adipose-derived Stem Cells (AdMSCs) for COVID-19
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