Pneumonia, Ventilator-Associated, Pneumonia, Viral
Conditions
Keywords
2019-nCOV infection, UC-MSCs Treatment
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.
Interventions
After enrollment, each subject will receive UC-MSCs infusion intravenously on day 1, day 3, day 5, and day 7.
Sponsors
Study design
Intervention model description
reaching the criteria of pneumonia according to Diagnosis and Clinical Management of Pneumonia caused by 2019-nCoV Infection(Trial Version 4)
Eligibility
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Oxygenation index | on the day 14 after enrollment | partial arterial oxygen pressure (PaO2) / oxygen concentration (FiO2) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hospital stay | up to 6 months | days of the patients in hospital |
| 2019-nCoV antibody test | on the day 7,14,28 after enrollment | whether or not the 2019-nCoV antibody is positive |
| 2019-nCoV nucleic acid test | on the day 7,14,28 after enrollment | whether or not the 2019-nCoV nucleic acid test is positive |
| Improvement of lung imaging examinations | on the day 7,14,28 after enrollment | whether lung imaging examinations show the improvement of the pneumonia |
| White blood cell count | on the day 7,14,28 after enrollment | counts of white blood cell in a litre of blood |
| Lymphocyte count | on the day 7,14,28 after enrollment | counts of lymphocyte in a litre (L) of blood |
| Procalcitonin | on the day 7,14,28 after enrollment | procalcitonin in microgram(ug)/L |
| interleukin(IL)-2 | on the day 7,14,28 after enrollment | IL-2 in picogram(pg)/millilitre(mL) |
| 28 day mortality | on the day 28 after enrollment | whether the patient survives |
| IL-6 | on the day 7,14,28 after enrollment | IL-6 in pg/mL |
| IL-10 | on the day 7,14,28 after enrollment | IL-10 in pg/mL |
| tumor necrosis factor(TNF)-α | on 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 |
| C-reactive protein(CRP) | on the day 7,14,28 after enrollment | CRP in microgram(μg)/L |
| CD4+ T-Lymphocytopenia | on the day 7,14,28 after enrollment | counts of CD4+ T-Lymphocytopenia in litre |
| CD8+ T-Lymphocytopenia | on the day 7,14,28 after enrollment | counts of CD8+ T-Lymphocytopenia in a litre |
| natural killer cell(NK) | on the day 7,14,28 after enrollment | counts of NK in a litre |
| IL-4 | on the day 7,14,28 after enrollment | IL-4 in pg/mL |
Countries
China