Respiratory failure & ventilation

Repair of Acute Respiratory Distress Syndrome in Coronavirus Disease (COVID-19) by Stromal Cells (REALIST-COVID Trial): A Multicenter, Randomized, Controlled Clinical Trial

Am J Respir Crit Care MedPublished Randomised controlled trial

Authors' conclusion

ORBCEL-C MSCs were safe in subjects with moderate to severe COVID-19-related ARDS but did not improve surrogates of pulmonary organ dysfunction.

Study context

Population
Patients with moderate to severe COVID-19-related acute respiratory distress syndrome (ARDS)
Participants
30 vs 29
Comparison
ORBCEL-C vs placebo
  • ORBCEL-Cn = 30
  • Placebon = 29reference
Methodological detailsmulticentre, double-blind, allocation-concealed, placebo-controlled, 1 participant in the placebo group withdrew consent
  • Multicentre
  • Double-blind
  • Allocation-concealed
  • Placebo-controlled
  • 1 participant in the placebo group withdrew consent

Primary result

As reported in the abstract

Oxygenation index (cm H2O/kPa) · Day 7

Secondary outcomes

Secondary surrogate outcomes (respiratory compliance, driving pressure, PaO2:FiO2, SOFA) and mortality at Day 28, Day 90, 1 year, 2 years

No differences

Interstitial lung disease at 1 year and significant medical events up to 2 years

No difference

Peripheral blood transcriptome

ORBCEL-C modulated the peripheral blood transcriptome

Safety

Events

OutcomeORBCEL-CPlaceboRR (95% CI)P value
Serious adverse events (primary safety outcome)632.9 (0.6–13.2)P = 0.25

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Repair of Acute Respiratory Distress Syndrome in COVID-19 by Stromal Cells (REALIST-COVID Trial): A Multicenter, Randomized, Controlled Clinical Trial. Am J Respir Crit Care Med. Published 1 August 2023. doi:10.1164/rccm.202302-0297oc

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