Acute Respiratory Distress Syndrome, Ards
Conditions
Keywords
ARDS
Brief summary
This is a Phase 2 randomized study to assess the safety and efficacy of COVI-MSC in the setting of current standard of care treatments for subjects hospitalized subjects with acute respiratory distress syndrome not related to COVID-19 infection.
Detailed description
This is a Phase 2, randomized controlled, multicenter study to assess the safety and efficacy of COVI-MSC in the setting of current standard of care treatments for subjects hospitalized subjects with acute respiratory distress syndrome not related to COVID-19 infection. Subjects will be randomized 2:1 to receive COVI-MSC or placebo. COVI-MSC or placebo will be administered intravenously on Day 0, Day 2, and Day 4.
Interventions
COVI-MSC are allogeneic culture-expanded adipose-derived mesenchymal stem cells
Excipient solution
Sponsors
Study design
Eligibility
Inclusion criteria
* Negative for SARS-CoV-2 infection as determined by an approved polymerase chain reaction (PCR) or an approved antigen test of any specimen * Hospitalized with non-COVID-19-induced ARDS (any severity) with a PaO2/FiO2 (PF ratio) ≤ 300 * Requires oxygen supplementation at Screening * Willing to follow contraception guidelines
Exclusion criteria
* Current standard of care treatments for ARDS appear to be working and the subject is clinically improving * A previous stem cell infusion unrelated to this trial * Pregnant or breast feeding or planning for either during the study * Suspected uncontrolled active bacterial, fungal, viral, or other infection * History of a splenectomy, lung transplant or lung lobectomy * Concurrent participation in another clinical trial involving therapeutic interventions (observational study participation is acceptable) * Expected survival or time to withdrawal of life-sustaining treatments expected to be \< 7 days
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| All-cause mortality rate at Day 28 | Baseline to Day 28 | All-cause mortality rate at Day 28 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| All-cause mortality rate at Days 60 and 90 | Baseline to Day 60 and Day 90 | All-cause mortality rate at Days 60 and 90 |
| Number of ventilator-free days through Day 28 | Baseline through Day 28 | Number of ventilator-free days through Day 28 |
| Number of ICU days through Day 28 | Baseline through Day 28 | Number of ICU days through Day 28 |
| Clinical status at Day 28 | Baseline to Day 28 | Clinical status as assessed using the Ordinal Scale for Clinical Improvement (0-8 scale, where lower score means better outcome) |
| Change in oxygenation | Baseline to Day 2, Day 4, Day 6, Day 14, Day 28 | Change in oxygenation at Days 2, 4, 6, 14, and 28 as measured using PaO2:FiO2 ratio. |