Covid19
Conditions
Keywords
covid19, long haul, post-acute covid
Brief summary
This is a Phase 2a randomized, placebo-controlled study designed to investigate the efficacy, safety and tolerability of COVI-MSC in treating post COVID-19 long haul pulmonary compromise.
Detailed description
This is a Phase 2a randomized, placebo-controlled multicenter study designed to investigate the efficacy, safety and tolerability of COVI-MSC in treating post COVID-19 long haul pulmonary compromise. COVI-MSC will be administered intravenously on Day 0, Day 2, and Day 4.
Interventions
2, 4 or 6 MSC vials (approximately 15 million cells/vial) will be intravenously infused on Day 0, Day 2, or Day 4 depending on assignment to treatment group. Group A: 2 MSC vials infused on D0 and 2 vials of placebo on D2 and D4 Group B: 2 MSC vials infused on D0 and D2 and 2 vials of placebo on D4 Group C: 2 MSC vials infused on D0 and D4 and 2 vials of placebo on D2 Group D: 2 MSC vials infused on D0, D2 and D4
6 vials of placebo will be intravenously infused on Day 0, Day 2, or Day 4.
Sponsors
Study design
Eligibility
Inclusion criteria
* Has had prior laboratory-confirmed SARS-CoV-2 infection as determined by an approved polymerase chain reaction (PCR) or an approved antigen test of any specimen * Has had a recent (within a week) negative SARS-CoV-2 test (an approved PCR or antigen test) * Has had at least moderate or severe post-COVID-19 pulmonary symptoms for at least 3 months which have resulted in reduced physical functioning compared to pre-COVID-19 status * Willing to follow contraception guidelines
Exclusion criteria
* Clinically improving pulmonary status over the month prior to screening * Undergone 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 * Any significant medical condition, laboratory value or other illness that in the investigator's opinion would interfere or prevent safe participation in the study * History of a splenectomy, lung transplant or lung lobectomy * Concurrent participation in another clinical trial involving therapeutic interventions (observational study participation is acceptable)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in 6-Minute Walk Distance (6MWD) at Day 60 | Baseline to Day 60 | Change in 6MWD at Day 60 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in 6MWD at Day 30 | Baseline to Day 30 | Change in 6MWD at Day 30 |
| Relief of symptoms on Day 30 and Day 60 | Baseline to Day 30 and Day 60 | Relief of symptoms on Day 30 and Day 60 based on a categorical Symptom Relief Scale, where 0 = no benefit and 4 = nearly complete benefit |
| Change in Pulmonary Function | Baseline to Day 30 and Day 60 | Change in pulmonary function at Days 30 and 60, as measured by the single-breath test |
| Change in oxygenation | Baseline to Day 30 and Day 60 | Change in oxygenation at Days 30 and 60, as measured by the SpO2/FiO2 ratio |
| Change in biomarker levels | Baseline to Day 60 | Change in biomarker levels: plasma lipocalcin-2, matrix metalloproteinase-7, hepatocyte growth factor |