This is a phase 2 multi-center, double-blind, randomized, placebo-control clinical trial with 200 subjects who have never been infected by COVID-19 (SARS-Cov-2 virus screen test negative, no blood SARS-Cov-2 IgM and IgG antibodies detected during enrollment) followed by a pilot study of 5 subjects to demonstrate the safety of proposed three-dose regimen of autologous AdMSCs infusions. The 100 study subjects who have previously banked their AdMSCs with Celltex, will receive three doses of autologous AdMSCs (approximately 200 million cells) intravenous infusion every three days. The 100 subjects in the control group who have previously banked their AdMSCs with Celltex will not receive any Celltex's AdMSC therapy but placebo treatments. All subjects are monitored for safety (adverse events/severe adverse events), COVID-19 symptoms, SARS-Cov-2 virus test, blood SARS-Cov-2 IgM and IgG antibodies tests, blood cytokine and inflammatory (CRP, IL_6, IL-10, TNFα) tests and disease severity evaluation for 6 months after the last dose of AdMSC infusion for the study group and 6 months after the enrollment for the control group.
Biological: autologous adipose-derived stem cells
Culture expanded mesenchymal stem cells isolated from a patient's own abdominal fat tissue
Other Name: Celltex-AdMSCs
Inclusion Criteria:
- Age above 18 years.
- Male or female
- Subjects should have banked AdMSCs in Celltex (already passed communicable disease
screen tests for HIV, syphilis, Hepatitis B and C during banking stage)
- Must understand and voluntarily sign an Informed Consent for study participation
obtained prior to undergoing any study-specific procedures
- Highly susceptible to SARS-Cov-2 infections, such as obesity (BMI ≥ 40), early to
middle stage of hypertension (systolic pressure ranging above 140 Hg or a diastolic
pressure ranging from 90 mm Hg), diabetic mellitus hemoglobin A1c >8%), chronic heart
disease (one or more conditions including previously diagnosed as coronary artery
disease, chronic heart arrhythmia, cardiomyopathy…) chronic pulmonary disease (COPD,
fibrosis), chronic liver disease (Hepatic impairment, defined as any of ALT, AST, LDH
or bilirubin > 2 x the upper limit of normal (ULN) range according to local laboratory
standards) and kidney diseases (serum creatinine > 133 mmol/L (1.5 mg/dL). No terminal
stages of the above medical conditions.
- No previous COVID-19 history
- SARS-CoV-2 RT-PCR or equivalent tests negative in respiratory tract specimen
- Blood test for SARS-Cov-2 IgM and IgG negative
Exclusion Criteria:
- Participation in another clinical study (with use of another Investigational Medical
Product) within 3 months prior to study treatment start
- Unwillingness or inability to comply with study procedures
- Blood test for SARS-Cov-2 antibodies IgM and IgG positive
- Patients with serious basic diseases that affect survival, including blood diseases,
cachexia, active bleeding, severe malnutrition, etc.
- Clinically active malignant disease
- Previous thrombotic disorder
- History of known pulmonary embolism or known secondary anti-phospholipid syndrome
- Known or suspected hypersensitivity to any components used to culture the AdMSCs, e.g.
BSA and sulfur-containing products (e.g., DMSO)
- Major trauma or surgery within 14 days of study treatment start
- Mental condition rendering the subject (or the subject's legally acceptable
representative[s]) unable to understand the nature, scope and possible consequences of
the study
- Alcohol, drug, or medication abuse within one year prior to study treatment start
- Any condition in the Investigator's opinion that is likely to interfere with
evaluation of the AdMSC therapy or satisfactory conduct of the study
- Irreversible severe end-organ failures, such as heart failure/attack, stroke, liver
and renal failure due to other disease conditions
- Patients or family history with hypercoagulable states, such as protein C/protein S
deficiency, factor V Leiden, prothrombin gene mutation, dysfibrinogenemia, etc.
- History of long-term use of immunosuppressive agents
- Organ transplant in the past 6 months
- Pregnant, breastfeeding, or desire to become pregnant or unwilling to practice birth
control during participation in the study duration, unless surgically sterilized or
postmenopausal during the study
- Patients with severe pulmonary obstructive pneumonia, severe pulmonary interstitial
fibrosis, alveolar proteinosis, allergic alveolitis, and other known viral pneumonia
or bacterial pneumonia. This includes patients with pulmonary imaging that reveals
interstitial lung damage before contracting COVID-19.
- QT interval shows greater than 450 ms in males and 470 ms in females in the medical
histories or during screen EKG test.
Jane Young
7135901000
jyoung@celltexbank.com
Derek W Guillory, MD., Principal Investigator
Root Causes Medicine