Review Article

The Potential Use of Mesenchymal Stem Cells and Their Derived Exosomes as Immunomodulatory Agents for COVID-19 Patients

Table 1

The available clinical trials (https://clinicaltrials.gov/) using MSCs and/or MSCs-Exo to treat COVID-19 patients (last accessed on July 21, 2020).

StatusStudy titleInterventionsCountryRegistered no.

RecruitingTreatment of COVID-19 patients using Wharton’s jelly-mesenchymal stem cellsWJ-MSCsJordanNCT04313322
CompletedStudy evaluating the safety and efficacy of autologous non-hematopoietic peripheral blood stem cells in COVID-19Autologous nonhematopoietic peripheral blood stem cells (NHPBSC)United Arab EmiratesNCT04473170
Not yet recruitingAutologous adipose-derived stem cells (AdMSCs) for COVID-19Autologous adipose-derived stem cellsUnited StatesNCT04428801
RecruitingMesenchymal stem cell infusion for COVID-19 infectionMesenchymal stem cellsPakistanNCT04444271
RecruitingSafety and efficacy study of allogeneic human dental pulp mesenchymal stem cells to treat severe COVID-19 patientsAllogeneic human dental pulp stem cells (BSH BTC & Utooth BTC)ChinaNCT04336254
Not yet recruitingSafety and efficacy of mesenchymal stem cells in the management of severe COVID-19 pneumoniaUmbilical cord-derived mesenchymal stem cellsSpainNCT04429763
RecruitingMSCs in COVID-19 ARDSMesenchymal stromal cellsUnited StatesNCT04371393
RecruitingHuman umbilical cord mesenchymal stem cells (MSCs) therapy in ARDS (ARDS)Umbilical cord-derived mesenchymal stem cell (UCMSCs) suspensionChinaNCT03608592
RecruitingMesenchymal stem cell for acute respiratory distress syndrome due for COVID-19Infusion IV of mesenchymal stem cellsMexicoNCT04416139
Not yet recruitingNestaCell® mesenchymal stem cell to treat patients with severe COVID-19 pneumoniaNestaCell®BrazilNCT04315987
Enrolling by invitationA randomized, double-blind, placebo-controlled clinical trial to determine the safety and efficacy of Hope Biosciences Allogeneic Mesenchymal Stem Cell Therapy (HB-adMSCs) to provide protection against COVID-19HB-adMSCsUnited StatesNCT04348435
Active, not recruitingUse of mesenchymal stem cells in acute respiratory distress syndrome caused by COVID-19Mesenchymal stem cells derived from Wharton jelly of umbilical cordsMexicoNCT04456361
RecruitingClinical trial to assess the safety and efficacy of intravenous administration of allogeneic adult mesenchymal stem cells of expanded adipose tissue in patients with severe pneumonia due to COVID-19Allogeneic and expanded adipose tissue-derived mesenchymal stem cellsSpainNCT04366323
Enrolling by invitationA clinical trial to determine the safety and efficacy of Hope Biosciences Autologous Mesenchymal Stem Cell Therapy (HB-adMSCs) to provide protection against COVID-19HB-adMSCsUnited StatesNCT04349631
Not yet recruitingNovel coronavirus induced severe pneumonia treated by dental pulp mesenchymal stem cellsDental pulp mesenchymal stem cellsChinaNCT04302519
RecruitingMesenchymal stem cell treatment for pneumonia patients infected with COVID-19MSCsChinaNCT04252118
Not yet recruitingBone marrow-derived mesenchymal stem cell treatment for severe patients with coronavirus disease 2019 (COVID-19)BM-MSCsChinaNCT04346368
Active, not recruitingTreatment with human umbilical cord-derived mesenchymal stem cells for severe corona virus disease 2019 (COVID-19)UC-MSCsChinaNCT04288102
Not yet recruitingStudy of human umbilical cord mesenchymal stem cells in the treatment of severe COVID-19UC-MSCsChinaNCT04273646
RecruitingEfficacy of intravenous infusions of stem cells in the treatment of COVID-19 patientsIntravenous infusions of stem cellsPakistanNCT04437823
Enrolling by invitationTreatment of Covid-19 associated pneumonia with allogenic pooled olfactory mucosa-derived Mesenchymal stem cellsAllogenic pooled olfactory mucosa-derivedmesenchymal stem cellsBelarusNCT04382547
RecruitingClinical research of human mesenchymal stem cells in the treatment of COVID-19 pneumoniaUC-MSCsChinaNCT04339660
Active, not recruitingSafety and effectiveness of mesenchymal stem cells in the treatment of pneumonia of coronavirus disease 2019Mesenchymal stem cellsChinaNCT04371601
RecruitingMesenchymal stem cell therapy for SARS-CoV-2-related acute respiratory distress syndromeCell therapy protocol 1
Cell therapy protocol 2
IranNCT04366063
Active, not recruitingRole of immune and inflammatory response in recipients of allogeneic haematopoietic stem cell transplantation (SCT) affected by severe COVID19United KingdomNCT04349540
RecruitingAdministration of allogenic UC-MSCs as adjuvant therapy for critically-ill COVID-19 patientsUmbilical cord mesenchymal stem cellsIndonesiaNCT04457609
RecruitingUse of UC-MSCs for COVID-19 patientsUmbilical cord mesenchymal stem cellsUnited StatesNCT04355728
RecruitingEfficacy and safety study of allogeneic HB-adMSCs for the treatment of COVID-19HB-adMSCUnited StatesNCT04362189
RecruitingClinical use of stem cells for the treatment of Covid-19MSC treatmentTurkeyNCT04392778
Not yet recruitingStem cell educator therapy treat the viral inflammation in COVID-19Combination product: stem cell educator-treated mononuclear cells apheresisUnited StatesNCT04299152
RecruitingTreatment of coronavirus COVID-19 pneumonia (pathogen SARS-CoV-2) with cryopreserved allogeneic P_MMSCs and UC-MMSCsPlacenta-derived MMSCs; cryopreserved placenta-derived multipotent mesenchymal stromal cellsUkraineNCT04461925
Not yet recruitingBAttLe against COVID-19 using mesenchYmal stromal cellsAllogeneic and expanded adipose tissue-derived mesenchymal stromal cellsUnited StatesNCT04348461
Not yet recruitingSafety and efficacy of intravenous Wharton’s jelly derived mesenchymal stem cells in acute respiratory distress syndrome due to COVID 19Wharton’s jelly-derived mesenchymal stem cellsColombiaNCT04390152
Not yet recruitingUse of hUC-MSC product (BX-U001) for the treatment of COVID-19 with ARDSHuman umbilical cord mesenchymal stem cellsUnited StatesNCT04452097
RecruitingPediatrics HOT COVID-19 database in NY tristateUnited StatesNCT04445402
Not yet recruitingUsing PRP and cord blood in treatment of Covid -19Stem cellsEgyptNCT04393415
Not yet recruitingStudy of the safety of therapeutic Tx with Immunomodulatory MSC in adults with COVID-19 infection requiring mechanical ventilationBM-Allo.MSCUnited StatesNCT04397796
RecruitingSafety and efficacy of CAStem for severe COVID-19 associated with/without ARDSCAStemChinaNCT04331613
RecruitingMesenchymal stromal cell therapy for the treatment of acute respiratory distress syndromeMesenchymal stromal stem cells—KI-MSC-PL-205SwedenNCT04447833
Not yet recruitingMesenchymal stem cells (MSCs) in inflammation-resolution programs of coronavirus disease 2019 (COVID-19) induced acute respiratory distress syndrome (ARDS)MSCGermanyNCT04377334
RecruitingEfficacy and safety evaluation of mesenchymal stem cells for the treatment of patients with respiratory distress due to COVID-19XCEL-UMC-BETASpainNCT04390139
Not yet recruitingCellular immuno-therapy for COVID-19 acute respiratory distress syndrome—vanguardMesenchymal stromal cellsCanadaNCT04400032
Not yet recruitingACT-20 in patients with severe COVID-19 pneumoniaACT-20-MSCUnited StatesNCT04398303
Not yet recruitingSafety and feasibility of allogenic MSC in the treatment of COVID-19Mesenchymal stromal cell infusionBrazilNCT04467047
RecruitingRepair of acute respiratory distress syndrome by stromal cell administration (REALIST) (COVID-19)Human umbilical cord-derived CD362 enriched MSCsUnited KingdomNCT03042143
Not yet recruitingMesenchymal stromal cells for the treatment of SARS-CoV-2 induced acute respiratory failure (COVID-19 disease)Mesenchymal stromal cellsUnited StatesNCT04345601
RecruitingTreatment of severe COVID-19 pneumonia with allogeneic mesenchymal stromal cells (COVID_MSV)Mesenchymal stromal cellsSpainNCT04361942
RecruitingDouble-blind, multicenter, study to evaluate the efficacy of PLX PAD for the treatment of COVID-19PLX-PADUnited StatesNCT04389450
RecruitingUmbilical cord(UC)-derived Mesenchymal stem cells(MSCs) treatment for the 2019-novel coronavirus (nCOV) pneumoniaUC-MSCsChinaNCT04269525
RecruitingCell therapy using umbilical cord-derived mesenchymal stromal cells in SARS-CoV-2-related ARDSUmbilical cord Wharton’s jelly-derived humanFranceNCT04333368
RecruitingMultiStem administration for COVID-19 induced ARDS (MACoVIA)MultiStemUnited StatesNCT04367077
Not yet recruitingMultiple dosing of mesenchymal stromal cells in patients with ARDS (COVID-19)Mesenchymal stromal cellsUnited StatesNCT04466098
Not yet recruitingA pilot clinical study on inhalation of mesenchymal stem cells exosomes treating severe novel coronavirus pneumoniaMSCs-derived exosomesChinaNCT04276987
Not yet recruitingA study to collect bone marrow for process development and production of BM-MSC to treat severe COVID19 pneumonitisBone marrow harvestUnited KingdomNCT04397471
Not yet recruitingOrganicell flow for patients with COVID-19Organicell flow (human amniotic fluid contain growth factors, cytokines, and chemokines as well as other extracellular vesicles/nanoparticles derived from amniotic stem and epithelial cellsUnited StatesNCT04384445