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| Name | Class |
|---|---|
| Karolinska Institutet | OTHER |
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This is a multi-center, open-label, non-randomized controlled trial. Patients with viral-induced acute respiratory distress syndrome (ARDS) on extracorporeal membrane oxygenation (ECMO) will be eligible. Ten patients will be enrolled and receive allogeneic bone marrow-derived mesenchymal stromal cells (BM-MSC). Ventilator parameters as well as preoperative clinical characteristics and postoperative clinical outcomes will be registered. Routine blood sampling, radiography, and bronchioalveolar lavage will be performed pre- and postoperatively. Spirometry, quality of life assessment, and 6 minute walk test will be performed postoperatively. All available data will be collected prospectively. Follow-up is 12 months. Informed consent will be obtained from relatives to patients meeting the inclusion criteria before the initiation of any study-specific procedures.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mesenchymal stromal cells | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mesenchymal stromal cells | Biological |
|
| Measure | Description | Time Frame |
|---|---|---|
| In-hospital mortality | During hospital stay, an expected average 2 months |
| Measure | Description | Time Frame |
|---|---|---|
| Pulmonary compliance | During ventilator treatment, an expected average of 1 month | |
| Pulmonary tidal volume | During ventilator treatment, an expected average of 1 month | |
| Measure | Description | Time Frame |
|---|---|---|
| Immune modulation | Change in T-cell, mononuclear cell, cytokine ans microRNA response towards an immunomodulatory phenotype | 3 months |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Karl-Henrik Grinnemo, MD, PhD | Contact | +46 70 886 89 68 | karl-henrik.grinnemo@karolinska.se |
| Name | Affiliation | Role |
|---|---|---|
| Karl-Henrik Grinnemo | Karolinska Institutet | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Karolinska University Hospital | Recruiting | Stockholm | Sweden |
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| ID | Term |
|---|---|
| D012128 | Respiratory Distress Syndrome |
| ID | Term |
|---|---|
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D012120 | Respiration Disorders |
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| Adverse events |
I.e infection, fever, effect on end-organ function |
| 6 months |
| All-cause mortality | 12 months |
| Recovery of organ functions | kidney, liver, heart functions | 12 months |
| Uppsala University Hospital | Recruiting | Uppsala | Sweden |
|