Evidence map›Paper›PMID 35365239›Full record

Trial reportStem cell research & therapy2022

Safety of DW-MSC infusion in patients with low clinical risk COVID-19 infection: a randomized, double-blind, placebo-controlled trial.

Muhammad Karyana, Irawaty Djaharuddin, Lutfah Rif'ati, Mansyur Arif, Mi Kyung Choi, Nova Angginy, Aeri Yoon, Jumi Han, Fonny Josh, Dona Arlinda and 4 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in Stem cell research & therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04535856 (Therapeutic Study to Evaluate the Safety and Efficacy of DW-MSC in COVID-19 Patients), which is not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04535856 phase1completednot on this map

Therapeutic Study to Evaluate the Safety and Efficacy of DW-MSC in COVID-19 Patients: Randomized, Double-blind, and Placebo-controlled

TypeinterventionalSponsorIna-RespondRan2020 to 2021Enrolled9ConditionsCovid19, Corona Virus Infection, SARArmsallogeneic mesenchymal stem cell, Placebo
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Observational
  4. Increasing robustness ofRegenerative therapy · 2025
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  15. Mesenchymal Stem Cells in the Treatment of COVID-19.International journal of molecular sciences · 2023
    Review
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  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 2 countries.

Muhammad Karyana *National Institute of Health and Research Development, Ministry of Health, Republic of Indonesia (NIHRD, MoH RI), Jakarta, Indonesia. mkaryana@ina-respond.net.ORCID 0000-0002-7785-5731
Irawaty Djaharuddin *RSUP Dr. Wahidin Sudirohusodo, Pulmonology and Respiratory Medicine, Medical Faculty, Hasanuddin University, Makassar, Indonesia.
Lutfah Rif'atiNational Institute of Health and Research Development, Ministry of Health, Republic of Indonesia (NIHRD, MoH RI), Jakarta, Indonesia.
Mansyur ArifRSUP Dr. Wahidin Sudirohusodo, Makassar, Indonesia.
Mi Kyung ChoiDaewoong Pharmaceutical Co Ltd., Seoul, Republic of Korea.
Nova AngginyDaewoong Infion, Jakarta, Indonesia.
Aeri YoonDaewoong Pharmaceutical Co Ltd., Seoul, Republic of Korea.
Jumi HanDaewoong Pharmaceutical Co Ltd., Seoul, Republic of Korea.
Fonny JoshRSUP Dr. Wahidin Sudirohusodo, Makassar, Indonesia.
Dona ArlindaNational Institute of Health and Research Development, Ministry of Health, Republic of Indonesia (NIHRD, MoH RI), Jakarta, Indonesia.
Asvin NarulitaRSUP Dr. Wahidin Sudirohusodo, Makassar, Indonesia.
Faisal MuchtarRSUP Dr. Wahidin Sudirohusodo, Makassar, Indonesia.
Rizki Auliah BakriRSUP Dr. Wahidin Sudirohusodo, Makassar, Indonesia.
S IrmansyahNational Institute of Health and Research Development, Ministry of Health, Republic of Indonesia (NIHRD, MoH RI), Jakarta, Indonesia.
Ministry of Health · IDDaewoong Pharmaceutical (South Korea) · KRHasanuddin University · ID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDue to their immunomodulatory properties, mesenchymal stem cells (MSCs) have been proposed to have therapeutic potential to improve clinical outcomes in COVID-19. However, the safety and efficacy profile of MSC infusion therapy in patients with non-severe COVID-19 infection has not been completely established; there is, in particular, a substantial void in the literature on dose-dependent studies of MSC infusion in patients with low clinical risk COVID-19 infection.

methodsThis phase 1 double-blind, placebo-controlled, randomized clinical trial examines the safety, feasibility, and tolerability of 2 doses (high and low) of DW-MSC in patients with low clinical risk COVID-19. A total of 9 patients were enrolled in this study and randomized into low-dose (TL), high-dose (TH), and placebo (C) groups. Subjects in the TL and TH groups received single intravenous infusions of 5.0 × 10

resultsThere were no apparent differences in clinical characteristics between study groups (TL, TH, and C) at baseline. All patients did not show the progression of severity during the study period. During the course of the study, 6 episodes of TEAE were observed in 5 subjects; however, none of the TEAEs were severe. During the follow-up period, 8 subjects recovered and were discharged from the hospital without complications. A subject exhibited abnormal liver function biomarkers at the end of the study period. Changes in inflammatory markers throughout the clinical course were not vastly different across study groups.

conclusionsOur clinical trial has provided reliable results regarding the safety of MSCs in low clinical risk COVID-19 subjects treated with MSCs. However, further confirmation of the therapeutic efficacy aspects of MSC will require large-scale randomized controlled trials in subjects with varying severity profiles for COVID-19.

trial registrationClinicalTrials.gov, NCT04535856. Registered 2 September 2020, https://clinicaltrials.gov/ct2/show/NCT04535856.

Indexed as

COVID-19Mesenchymal Stem CellsMesenchymal Stem Cell TransplantationDouble-Blind MethodHumansInfusions, IntravenousAdverse eventsCOVID-19CytokinesMesenchymal stem cellsSafetySARS-CoV-2

Identifiers

PMID35365239
PMCPMC8972711
OpenAlexW4220771000

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.