A Phase II Randomized, double-blind, Placebo-controlled Study to Evaluate the safety and efficacy of exosomes overexpressing CD24 to prevent clinical deterioration .The study population will include patients with moderate or severe COVID-19 infection and laboratory markers predictive of the cytokine storm from the Corona department of each site, who have provided an informed consent. 155 patients will be randomized in a 2:1 ratio to receive either 1010 exosome particles (103 patients) or placebo (52 patients).The exosomes will be diluted in 4ml normal saline for inhalation, administered once daily (QD) for 5 days. Placebo (saline) will be prepared for inhalation and administered in the same manner as the exosomes.
The exosomes will be diluted in 4ml normal saline for inhalation, administered once daily (QD) for 5 days. Placebo (saline) will be prepared for inhalation and administered in the same manner as the exosomes. Study treatments will be given as add-on to standard of care. Following the 5 days of treatment, patients will remain in follow-up for 23 additional days. Patients who will be discharged before the end of the 5-day treatment period will continue to receive treatment at home. Treatment administration and the study assessments will be carried out by the research personnel at the home of the patient, implementing the required protective measures. On Day 28, when the isolation period is completed, these patients will arrive at the study site for the follow-up visit.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
155
The suggested therapeutic agent here is based on an existing therapeutic platform that uses exosomes that were engineered to overexpress CD24 that can directly suppress the cytokine storm. The exosomes will be isolated and purified from human embryonic kidney T-REx™-293 cells that constitutively express high levels of human CD24.
Tel-Aviv Sourasky Medical Center
Tel Aviv, Israel
To evaluate the safety of EXO-CD24 in the treatment of patients with moderate or severe COVID-19 disease
Time frame: One year
To assess the efficacy of EXO-CD24 in the clinical improvement of COVID-19 disease
Time frame: One year
To evaluate respiratory failure (defined as the need for mechanical ventilation, ECMO, non-invasive ventilation, or high-flow oxygen devices) rate.
Time frame: One year
To evaluate the death rate.
Time frame: One year
To evaluate time to improvement and recovery (COVID-19 clinical severity score of 3 or lower).
Time frame: One year
To evaluate time from hospitalization to hospital discharge.
Time frame: One year
To assess the COVID-19-related symptoms using patient-reported outcome measure (PRO) score.
Time frame: One year
To evaluate the effect of EXO-CD24 on the respiratory rate.
Time frame: One year
To evaluate the effect of EXO-CD24 on the change in blood oxygen saturation (SpO2).
Time frame: One year
To evaluate the effect of EXO-CD24 on the proportion of patients requiring ventilation.
Time frame: One year
To evaluate the effect of EXO-CD24 on the level of inflammatory markers (eg, CRP, ferritin, fibrinogen, di-dimers, IL-6, LDH, lymphocytes count.
Time frame: One year
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