Acute Respiratory Distress Syndrome, Adult
Conditions
Keywords
Extracorporeal membrane oxygenation
Brief summary
This is a multi-center, open-label, non-randomized controlled trial. Patients with viral-induced acute respiratory distress syndrome (ARDS) on extracorporeal membrane oxygenation (ECMO) will be eligible. Ten patients will be enrolled and receive allogeneic bone marrow-derived mesenchymal stromal cells (BM-MSC). Ventilator parameters as well as preoperative clinical characteristics and postoperative clinical outcomes will be registered. Routine blood sampling, radiography, and bronchioalveolar lavage will be performed pre- and postoperatively. Spirometry, quality of life assessment, and 6 minute walk test will be performed postoperatively. All available data will be collected prospectively. Follow-up is 12 months. Informed consent will be obtained from relatives to patients meeting the inclusion criteria before the initiation of any study-specific procedures.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* ≥ 18 years of age * Viral-induced acute respiratory distress syndrome * Ventilator treatment * Extracorporeal membrane oxygenation treatment * Relatives provide written informed consent
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| In-hospital mortality | During hospital stay, an expected average 2 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pulmonary compliance | During ventilator treatment, an expected average of 1 month | — |
| Pulmonary tidal volume | During ventilator treatment, an expected average of 1 month | — |
| All-cause mortality | 12 months | — |
| Recovery of organ functions | 12 months | kidney, liver, heart functions |
| Adverse events | 6 months | I.e infection, fever, effect on end-organ function |
Other
| Measure | Time frame | Description |
|---|---|---|
| Immune modulation | 3 months | Change in T-cell, mononuclear cell, cytokine ans microRNA response towards an immunomodulatory phenotype |
Countries
Sweden