Covid 19Phase 2/3UCMSCNCT05132972
Allogenic UCMSCs as Adjuvant Therapy for Severe COVID-19 Patients
A Phase 2/3 study testing Normoxic Allogenic UCMSC and Normal saline solution in people with Covid 19, run by Kementerian Riset dan Teknologi / Badan Riset dan Inovasi Nasional, Indonesia at 3 sites in Indonesia.
Trial summary
This study is conducted to assess the efficacy and safety of stem cells as adjunctive treatment for severe COVID-19 patients. Here, we want to study whether the administration of mesenchymal stem cells are safe and able to relieve some of the COVID-19 symptoms Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Covid 19
- What is being tested?
- Normoxic Allogenic UCMSC and Normal saline solution
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 42 participants
- Where
- 3 sitesIndonesia
- Study dates
- 17 Jan 2021to Nov 2021
- Phase
- Phase 2/3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Man or woman age 18-75 years
- SARS-CoV2 positive as confirmed by SARS-CoV2 RT-PCR Test
- Diagnosed with pnumonia as confirmed by chect radiography and history of fever, coug with one of the following symptoms: RR > 30x per minute, SaO2 93%, FaO2/FiO2 300 mmHg
- Voluntarily joined the clinical trial and has signed the informed consent form
Who cannot join
- Pregnant and lactating woman
- Patient who are diagnosed or have history of tumor and cancer
- Patient whose mother or sister are diagnosed with breast or ovarian cancer
- Level of SGPT/ALT is ≥ 5 times upper limit from normal value
- Level of eGFR is < 30 ml/min
- Reluctant to sign informed consent and unwilling to take the required tests
Show all 10Show fewer
- Require invasive ventilation
- Shock
- Organ failure
- Currently involve in other clinical trial, or join another clinical trial in the last 3 months
Trial locations and contacts
3 sites in 1 country.
Indonesia3 sites, 3 recruiting
- Recruiting
Dr. Hasan Sadikin
Bandung, West Java, 40161
Ahmad Faried, Prof. MD, +6281320230371
Ahmad Faried, Prof. MD
- Recruiting
Dr. Moewardi General Hospital
Surakarta, Central Java, 57126
Arief Nurudhin, MD, PhD, +6281393955596
Arief Nurudhin, MD, PhD
- Recruiting
Dr. Sardjito General Hospital
Yogyakarta, 55281
Samekto Wibowo, Prof. MD, +628122715617
Samekto Wibowo, Prof. MD
About this study
Official title: Efficacy and Safety of Normoxic Allogenic Umbilical Cord Mesenchymal Stem Cells Administered as Adjuntive Treatment to Standard Treatment in Severe Patients With COVID-19
This study is conducted to assess the efficacy and safety of stem cells as adjunctive treatment for severe COVID-19 patients. Here, we want to study whether the administration of mesenchymal stem cells are safe and able to relieve some of the COVID-19 symptoms
Read the detailed description
This is a randomized controlled trial. double-blind, multi-center clinical study conducted at three different hospitals, on 21 patients who received intervention and 21 patients who received control treatment. The purpose of this study is to evaluate the efficacy and safety of intravenous administration of normoxic allogeneic umbilical cord-derived mesenchymal stem cell (UCMSC) in the treatment group, compared to the control group who are only given standard COVID-19 treatments and normal saline infusion
- Conditions
- Covid 19
- Being tested
- Normoxic Allogenic UCMSC, Normal saline solution
- Keywords
- COVID19, Mesenchymal Stem Cells (MCSs), Adjuvant therapy, Indonesia
- Medical subject headings
- COVID-19
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Normoxic Allogenic UCMSCBiological
Allogenic umbilical cord-derived mesenchymal stem cell (UCMSC) from normoxic, culture condition, administered through intravenousinfusion at dose 1x10^6 cells MSC/kg body weight. The treatment will be administered three times, at three days intervals (day 0, day 3, and day 6)
Normal saline solutionOther
Sterile saline solution and adminastered through intravenous infusion three times, at three day intervals (day 0, day 3, and day 6)
| Study group | Role | What they receive |
|---|---|---|
| Treatment | Experimental | Group receiving standard COVID-19 treatment and UCMSC infusion Receives: Biological: Normoxic Allogenic UCMSC |
| Control | Sham comparator | Group receiving standard COVID-19 treatment and normal saline infusion Receives: Other: Normal saline solution |
What is being measured
The primary outcome is the main question the study is designed to answer.
Duration of hospital stay
Number of days since patient was administered until discharge in hospitals
Measured: 20 - 24 days
Secondary outcomes (2)
Post-administration clinical and radiological improvement
Chest X-ray evaluation; mMRC(Modified Medical Research Council) Dyspnea scale;
Measured: Baseline/day-1 (-2 days), day-15 (+/- 2 days), day-22 (+/1 2 days) post randomization day
Adverse Event and Serious Adverse Event Evaluation
Evaluation of all adverse event or serious adverse event that is observed or reported by
Measured: 20 - 24 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Nov 2021
- Study start17 Jan 2021
- Primary completionNov 2021 (estimated)
- Study completionNov 2021 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (6)Papers the sponsor has linked to this study.
- Other trials for Covid 19Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 42 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Kementerian Riset dan Teknologi / Badan Riset dan Inovasi Nasional, Indonesia
- Sponsor type
- Other government
- Collaborators
- Dr. Moewardi General Hospital, Surakarta, Indonesia, Dr. Sardjito General Hospital, Yogyakarta, Indonesia, Hasan Sadikin General Hospital, PT Bifarma Adiluhung
- Responsible party
- Principal investigator, Bintang Soetjahjo, SpOT (K), MD. PhD, Dr. Moewardi General Hospital, Surakarta, Indonesia
- Investigators
- Arief Nurudin, MD PhD, Principal investigator, Dr. Moewardi General Hospital, Surakarta, IndonesiaSamekto Wibowo, Prof. MD, Principal investigator, Dr. Sardjito General Hospital, Yogyakarta, IndonesiaAhmad Faried, Prof. MD, Principal investigator, Hasan Sadikin General Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05132972
- Sponsor's protocol ID
- BRIN20211118a
- Acronym
- UCMSC
- Status last verified
- Nov 2021
- First submitted
- 23 Nov 2021
- Last updated
- 24 Nov 2021
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Atluri S, Manchikanti L, Hirsch JA. Expanded Umbilical Cord Mesenchymal Stem Cells (UC-MSCs) as a Therapeutic Strategy in Managing Critically Ill COVID-19 Patients: The Case for Compassionate Use. Pain Physician. 2020 Mar;23(2):E71-E83.
PubMed 32214286Richardson JB. Urban forests near municipal solid waste incinerators do not show elevated trace metal or rare earth element concentrations across three cities in the northeast USA. Environ Sci Pollut Res Int. 2020 Jun;27(17):21790-21803. doi: 10.1007/s11356-020-08439-3. Epub 2020 Apr 12.
PubMed 32281062Liang B, Chen J, Li T, Wu H, Yang W, Li Y, Li J, Yu C, Nie F, Ma Z, Yang M, Xiao M, Nie P, Gao Y, Qian C, Hu M. Clinical remission of a critically ill COVID-19 patient treated by human umbilical cord mesenchymal stem cells: A case report. Medicine (Baltimore). 2020 Jul 31;99(31):e21429. doi: 10.1097/MD.0000000000021429.
PubMed 32756149Galipeau J, Sensebe L. Mesenchymal Stromal Cells: Clinical Challenges and Therapeutic Opportunities. Cell Stem Cell. 2018 Jun 1;22(6):824-833. doi: 10.1016/j.stem.2018.05.004.
PubMed 29859173Xu Z, Shi L, Wang Y, Zhang J, Huang L, Zhang C, Liu S, Zhao P, Liu H, Zhu L, Tai Y, Bai C, Gao T, Song J, Xia P, Dong J, Zhao J, Wang FS. Pathological findings of COVID-19 associated with acute respiratory distress syndrome. Lancet Respir Med. 2020 Apr;8(4):420-422. doi: 10.1016/S2213-2600(20)30076-X. Epub 2020 Feb 18. No abstract available.
PubMed 32085846Khoury M, Cuenca J, Cruz FF, Figueroa FE, Rocco PRM, Weiss DJ. Current status of cell-based therapies for respiratory virus infections: applicability to COVID-19. Eur Respir J. 2020 Jun 4;55(6):2000858. doi: 10.1183/13993003.00858-2020. Print 2020 Jun.
PubMed 32265310
Study at a glance
From the registry record, last updated by the sponsor on 24 Nov 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Efficacy and Safety of Normoxic Allogenic Umbilical Cord Mesenchymal Stem Cells Administered as Adjuntive Treatment to Standard Treatment in Severe Patients With COVID-19
- ClinicalTrials.gov ID
- NCT05132972
- Acronym / sponsor ID
- UCMSC / BRIN20211118a
- Conditions
- Covid 19
- Keywords
- COVID19, Mesenchymal Stem Cells (MCSs), Adjuvant therapy, Indonesia
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 42 participants (estimated)
- Lead sponsor
- Kementerian Riset dan Teknologi / Badan Riset dan Inovasi Nasional, IndonesiaOther government
- Collaborators
- Dr. Moewardi General Hospital, Surakarta, Indonesia, Dr. Sardjito General Hospital, Yogyakarta, Indonesia, Hasan Sadikin General Hospital, PT Bifarma Adiluhung
- Study start
- 17 Jan 2021 (actual)
- Primary completion
- Nov 2021 (estimated)
- Study completion
- Nov 2021 (estimated)
- First posted
- 24 Nov 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is conducted to assess the efficacy and safety of stem cells as adjunctive treatment for severe COVID-19 patients. Here, we want to study whether the administration of mesenchymal stem cells are safe and able to relieve some of the COVID-19 symptoms
Detailed description
This is a randomized controlled trial. double-blind, multi-center clinical study conducted at three different hospitals, on 21 patients who received intervention and 21 patients who received control treatment. The purpose of this study is to evaluate the efficacy and safety of intravenous administration of normoxic allogeneic umbilical cord-derived mesenchymal stem cell (UCMSC) in the treatment group, compared to the control group who are only given standard COVID-19 treatments and normal saline infusion
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Treatment | Experimental | Biological: Normoxic Allogenic UCMSCGroup receiving standard COVID-19 treatment and UCMSC infusion |
| Control | Sham comparator | Other: Normal saline solutionGroup receiving standard COVID-19 treatment and normal saline infusion |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Man or woman age 18-75 years
- SARS-CoV2 positive as confirmed by SARS-CoV2 RT-PCR Test
- Diagnosed with pnumonia as confirmed by chect radiography and history of fever, coug with one of the following symptoms: RR > 30x per minute, SaO2 93%, FaO2/FiO2 300 mmHg
- Voluntarily joined the clinical trial and has signed the informed consent form
Key exclusion criteria (10 listed)
- Pregnant and lactating woman
- Patient who are diagnosed or have history of tumor and cancer
- Patient whose mother or sister are diagnosed with breast or ovarian cancer
- Level of SGPT/ALT is ≥ 5 times upper limit from normal value
- Level of eGFR is < 30 ml/min
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Normoxic Allogenic UCMSCAllogenic umbilical cord-derived mesenchymal stem cell (UCMSC) from normoxic, culture condition, administered through intravenousinfusion at dose 1x10^6 cells MSC/kg body weight. The treatment will be administered three times, at three days intervals (day 0, day 3, and day 6) | Biological | Treatment |
| Normal saline solutionSterile saline solution and adminastered through intravenous infusion three times, at three day intervals (day 0, day 3, and day 6) | Other | Control |
Primary outcome
Duration of hospital stay
Time frame: 20 - 24 days
Number of days since patient was administered until discharge in hospitals
2 secondary outcomes
Post-administration clinical and radiological improvement
Time frame: Baseline/day-1 (-2 days), day-15 (+/- 2 days), day-22 (+/1 2 days) post randomization day
Adverse Event and Serious Adverse Event Evaluation
Time frame: 20 - 24 days
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Nov 2021.
- Results publication: PubMed 32214286Atluri S, Manchikanti L, Hirsch JA. Expanded Umbilical Cord Mesenchymal Stem Cells (UC-MSCs) as a Therapeutic Strategy in Managing Critically Ill COVID-19 Patients: The Case for Compassionate Use. Pain Physician. 2020 Mar;23(2):E71-E83.
- Results publication: PubMed 32281062Richardson JB. Urban forests near municipal solid waste incinerators do not show elevated trace metal or rare earth element concentrations across three cities in the northeast USA. Environ Sci Pollut Res Int. 2020 Jun;27(17):21790-21803. doi: 10.1007/s11356-020-08439-3. Epub 2020 Apr 12.
- Results publication: PubMed 32756149Liang B, Chen J, Li T, Wu H, Yang W, Li Y, Li J, Yu C, Nie F, Ma Z, Yang M, Xiao M, Nie P, Gao Y, Qian C, Hu M. Clinical remission of a critically ill COVID-19 patient treated by human umbilical cord mesenchymal stem cells: A case report. Medicine (Baltimore). 2020 Jul 31;99(31):e21429. doi: 10.1097/MD.0000000000021429.
- Results publication: PubMed 29859173Galipeau J, Sensebe L. Mesenchymal Stromal Cells: Clinical Challenges and Therapeutic Opportunities. Cell Stem Cell. 2018 Jun 1;22(6):824-833. doi: 10.1016/j.stem.2018.05.004.
- Results publication: PubMed 32085846Xu Z, Shi L, Wang Y, Zhang J, Huang L, Zhang C, Liu S, Zhao P, Liu H, Zhu L, Tai Y, Bai C, Gao T, Song J, Xia P, Dong J, Zhao J, Wang FS. Pathological findings of COVID-19 associated with acute respiratory distress syndrome. Lancet Respir Med. 2020 Apr;8(4):420-422. doi: 10.1016/S2213-2600(20)30076-X. Epub 2020 Feb 18. No abstract available.
- Results publication: PubMed 32265310Khoury M, Cuenca J, Cruz FF, Figueroa FE, Rocco PRM, Weiss DJ. Current status of cell-based therapies for respiratory virus infections: applicability to COVID-19. Eur Respir J. 2020 Jun 4;55(6):2000858. doi: 10.1183/13993003.00858-2020. Print 2020 Jun.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Arief Nurudin, MD PhD principal investigator
Dr. Moewardi General Hospital, Surakarta, Indonesia
Samekto Wibowo, Prof. MD principal investigator
Dr. Sardjito General Hospital, Yogyakarta, Indonesia
Ahmad Faried, Prof. MD principal investigator
Hasan Sadikin General Hospital
3 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing Normoxic Allogenic UCMSC and Normal saline solution in people with Covid 19, run by Kementerian Riset dan Teknologi / Badan Riset dan Inovasi Nasional, Indonesia at 3 sites in Indonesia.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 24 Nov 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 3 sites in Indonesia. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Bintang Soetjahjo, MD PhD (+628122987359, bjortho@yahoo.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Duration of hospital stay (time frame: 20 - 24 days). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05132972, which also lists 6 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Nov 2021; AzTrials last refreshed its copy on 7 Nov 2026.