Name (Synonyms) | Correlation | |
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D055371 | Acute Lung Injury NIH | 0.10 |
D012127 | Respiratory Distress Syndrome, Newborn NIH | 0.10 |
D012128 | Respiratory Distress Syndrome, Adult NIH | 0.09 |
Name (Synonyms) | Correlation |
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There is one clinical trial.
This is an open label, dose escalating safety study of the advanced therapy investigational medicinal product (ATIMP) KI-MSC-PL-205, where patients diagnosed with SARS-CoV-2-induced severe acute respiratory distress syndrome (ARDS), according to the Berlin Definition, and who are on respirator/ventilator (used synonymously in this protocol) support due to respiratory insufficiency with or without concomitant circulatory problems, will be included and treated with a single dose of KI-MSC-PL-205.
Description: The incidence of pre-specified treatment related adverse events of interest (TRAEIs) occurring during the 10 days interval beginning with the start of the ATIMP infusion: New ventricular tachycardia, ventricular fibrillation or asystole within 10 days after infusion New cardiac arrhythmia requiring cardioversion within 10 days after infusion Clinical scenario consistent with transfusion incompatibility or transfusion-related infection within 10 days after infusion Thromboembolic events (e.g. Pulmonary embolism) within 10 days after infusion Cardiac arrest or death within 10 days after infusion
Measure: The incidence of pre-specified treatment related adverse events of interest (TRAEIs). Time: From drug administration to day 10 post-infusionDescription: All-cause mortality at 60 days and then annually
Measure: Safety; All-cause mortality Time: 60 days post-infusion, 6 months, 1, 2, 3, 4 and 5 years post-infusionDescription: Changes from baseline (Day 1; prior to administration of ATIMP) in the leucocyte Count (number/L)
Measure: Changes in Leucocytes Time: Baseline (pre-infusion), day 1, 2, 3, 4, 7 and 10 post-infusion, 6 months, 1, 2, 3, 4 and 5 years post-infusionDescription: Changes from baseline (Day 1; prior to administration of ATIMP) in the trombocyte Count (number/L)
Measure: Changes in Trombocytes Time: Baseline (pre-infusion), day 1, 2, 3, 4, 7 and 10 post-infusion, 6 months, 1, 2, 3, 4 and 5 years post-infusionDescription: Changes from baseline (Day 1; prior to administration of ATIMP) in the plasma concentration of CRP (mg/L)
Measure: Changes in plasma concentration of C-reactive protein (CRP) Time: Baseline (pre-infusion), day 1, 2, 3, 4, 7 and 10 post-infusion, 6 months, 1, 2, 3, 4 and 5 years post-infusionDescription: Changes from baseline (Day 1; prior to administration of ATIMP) in the plasma concentration of PK (INR)
Measure: Changes in plasma concentration of Prothrombin complex (PK) Time: Baseline (pre-infusion), day 1, 2, 3, 4, 7 and 10 post-infusion, 6 months, 1, 2, 3, 4 and 5 years post-infusionDescription: Changes from baseline (Day 1; prior to administration of ATIMP) in the plasma concentration of creatinine (μmol/L)
Measure: Changes in plasma concentration of Creatinine Time: Baseline (pre-infusion), day 1, 2, 3, 4, 7 and 10 post-infusion, 6 months, 1, 2, 3, 4 and 5 years post-infusionDescription: Changes from baseline (Day 1; prior to administration of ATIMP) in the plasma concentration of ASAT (μkat/L)
Measure: Changes in plasma concentration of Aspartate amino transferase (ASAT) Time: Baseline (pre-infusion), day 1, 2, 3, 4, 7 and 10 post-infusion, 6 months, 1, 2, 3, 4 and 5 years post-infusionDescription: Changes from baseline (Day 1; prior to administration of ATIMP) in the plasma concentration of ALAT (μkat/L)
Measure: Changes in plasma concentration of Alanine amino transferase (ALAT) Time: Baseline (pre-infusion), day 1, 2, 3, 4, 7 and 10 post-infusion, 6 months, 1, 2, 3, 4 and 5 years post-infusionDescription: Changes from baseline (Day 1; prior to administration of ATIMP) in the plasma concentration of NT-proBNP (ng/L)
Measure: Changes in plasma concentration of N-terminal pro-brain natriuretic peptide (NT-proBNP) Time: Baseline (pre-infusion), day 1, 2, 3, 4, 7 and 10 post-infusion, 6 months, 1, 2, 3, 4 and 5 years post-infusionDescription: Changes from baseline (Day 1; prior to administration of ATIMP) in blood pressure (mmHg)
Measure: Changes in Blood pressure Time: Baseline (pre-infusion), day 1, 2, 3, 4, 7 and 10 post-infusion, 6 months, 1, 2, 3, 4 and 5 years post-infusionDescription: Changes from baseline (Day 1; prior to administration of ATIMP) in body temperature (°C)
Measure: Changes in Body temperature Time: Baseline (pre-infusion), day 1, 2, 3, 4, 7 and 10 post-infusion, 6 months, 1, 2, 3, 4 and 5 years post-infusionDescription: Changes from baseline (Day 1; prior to administration of ATIMP) in pulmonary compliance (dynamic and static) until day 10 post-infusion
Measure: Efficacy; Changes in pulmonary compliance Time: Baseline (pre-infusion), day 1, 2, 3, 4, 7 and 10 post-infusionDescription: Changes from baseline (Day 1; prior to administration of ATIMP) in driving pressure (Plateau pressure- PEEP) until day 10 post-infusion
Measure: Efficacy; Changes in driving pressure (Plateau pressure- PEEP) Time: Baseline (pre-infusion), day 1, 2, 3, 4, 7 and 10 post-infusionDescription: Changes from baseline (Day 1; prior to administration of ATIMP) in oxygenation (PaO2/FiO2) until day 10 post-infusion
Measure: Efficacy; Changes in oxygenation (PaO2/FiO2) Time: Baseline (pre-infusion), day 1, 2, 3, 4, 7 and 10 post-infusionDescription: Number of days with ventilator support
Measure: Efficacy; Duration of ventilator support Time: Baseline (pre-infusion),day 1, 2, 3, 4, 7, 10 and 60 post-infusionDescription: Changes in amount of pulmonary bilateral infiltrates assessed by pulmonary X-ray from baseline (Day 1; prior to administration of ATIMP) until day 60
Measure: Efficacy; Pulmonary bilateral infiltrates Time: Baseline (pre-infusion), day 1, 2, 3, 4, 7 and 10 post-infusion, 6 months, 1, 2, 3, 4 and 5 years post-infusionDescription: Changes in Sequential Organ Failure Assessment (SOFA) score from baseline (Day 1; prior to administration of ATIMP) and during the ICU-period
Measure: Efficacy; Sequential Organ Failure Assessment (SOFA) score Time: Baseline (pre-infusion), day 1, 2, 3, 4, 7 and 10 post-infusion, end of ICUDescription: Duration of ICU stay and hospital stay (number of days; whole hospital period + calculated from Day 1)
Measure: Efficacy; Hospital stay Time: Day 60 post-infusionDescription: Recovery of lung function assessed by Spirometry (FEV1, Vital Capacity) at day 60 and then annually
Measure: Lung function Time: Day 60 post-infusion, 6 months, 1, 2, 3, 4 and 5 years post-infusionDescription: To assess development of lung fibrosis using the HRCT Fibrosis Score using Computed tomography (CT) at baseline and on day 1, 3, 7, 10, end of ICU-residence, end of hospital stay, day 60, 6 month and 12 month and end of study (if possible during the infectious stage depending on hospital safety regimen during the pandemic).
Measure: Lung fibrosis Time: Baseline (pre-infusion), day 1, 3, 7 and 10 post-infusion, 6 months, 1, 2, 3, 4 and 5 years post-infusionDescription: Assessment of the patient's physical capacity by 6-Minute-Walk-Test (6MWT), starting at 6 months post Day 1 and then annually
Measure: Six minutes walk test Time: 6 months, 1, 2, 3, 4 and 5 years post-infusionDescription: Changes in Quality of Life by assessing the Short Form Health Survey (SF-36) score (starting at 6 months post Day 1 and then annually; patient reported outcome)
Measure: Changes in Quality of life Time: 6 months, 1, 2, 3, 4 and 5 years post-infusionDescription: Change in blood biomarkers related to the proposed mechanisms of action of KI-MSC-PL-205 in ARDS
Measure: Blood biomarkers Time: Baseline (pre-infusion), day 1, 2, 3, 4, 7 and 10 post-infusion, 6 months, 1, 2, 3, 4 and 5 years post-infusionDescription: Sensitisation tests (test for donor-specific antibodies) against KI-MSC-PL-205 donor
Measure: Sensitisation test Time: Baseline (pre-infusion), day 60 post-infusion