COVID-19
Conditions
Keywords
Severe Covid-19, secretome, mesenchymal stem cell, cytokine
Brief summary
This study is a multi-centre randomized controlled trial involving severe covid-19 patients. The intervention group will receive mesenchymal stem cell secretomes and standard covid-19 therapy, while the control group receive placebo and standard covid-19 therapy. Clinical presentation, inflamatory marker, laboratory and radiological parameters, RT-PCR conversion, safety profile, and mortality rate will be monitored for a maximum of 14 days after intervention.
Interventions
Secretome will be given once at a dose of 15 ml per administration dissolved in 100 ml of normal saline. The administration is done intravenously for 60 minutes.
Normal saline
Standard treatment of Covid-19 based on national protocol.
Sponsors
Study design
Eligibility
Inclusion criteria
1. All individuals aged 18 to 65 years 2. It has been confirmed positive for COVID-19 by throat swab / sputum / brochoalveolar lavage (BAL) with real-time reverse transcription polymerase chain reaction (RT-PCR) 3. Categorized as a severe case of COVID-19 patient 4. Agree to participate and sign the informed consent
Exclusion criteria
1. History of allergy to penicillin, streptomycin, and amphotericin-B 2. Have any cancer conditions 3. Active in other intervention studies 4. Have had other intervention studies in the last 3 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of inflamation marker levels | Day 0 (before intervention), day 7, day 14 | The inflamatory marker assessed in this study is IL-6, IL-10, LIF, VEGF, and Ferritin. The inflamatory marker level will assess on day 0 (before intervention), day 7 after intervention, and day 14 after intervention. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of clinical outcome | before and after intervention (maximum 14 days after intervention) | Clinical outcome assessed in this study were body temperature, oxygen saturation, respiratory rate, shortness of breath, cough, and phlegm on cough. |
| Assessment of laboratory routine | before and after intervention (maximum 14 days after intervention) | Laboratory routine assessed in this study is NLR, lymphocyte count, thrombocytes count, CRP, blood gas analysis, bilirubin, albumin, SGOT, SGPT, ureum/creatinin, glomerular filtration rate (GFR), electrolyte, myoglobin, troponin, D-dimer. |
| Assessment of photo thorax | before and after intervention (maximum 14 days after intervention) | Photo thorax will assess before and after intervention |
| Assessment of RT-PCR conversion | before and after intervention (maximum 14 days after intervention) | RT-PCR conversion will assess before and after intervention |
| Mortality rate | maximum 14 days after intervention | — |
Countries
Indonesia