Review Article

Mechanisms and Optimization Strategies of Paracrine Exosomes from Mesenchymal Stem Cells in Ischemic Heart Disease

Table 1

Mesenchymal stem cell-derived exosomes in clinical trials.

NCT numberCondition or diseaseStatusPhaseBrief summarySponsor

NCT03384433Cerebrovascular disordersUnknown statusPhase 1, Phase 2Allogenic mesenchymal stem cell-derived exosome in patients with acute ischemic strokeIsfahan University of Medical Sciences

NCT05813379AntiagingRecruitingPhase 1, Phase 2Mesenchymal stem cells derived exosomes in skin rejuvenationIsfahan University of Medical Sciences

NCT04544215Drug-resistantUnknown statusPhase 1, Phase 2A clinical study of mesenchymal progenitor cell exosomes nebulizer for the treatment of pulmonary infectionRuijin Hospital

NCT05871463Decompensated liver cirrhosisRecruitingPhase 2Effect of mesenchymal stem cells-derived exosomes in decompensated liver cirrhosisResearch Institute for Gastroenterology and Liver Diseases (RIGLD)

NCT05523011PsoriasisCompletedPhase 1Safety and tolerability study of MSC exosome ointmentParacrine Therapeutics Dermatology Pte. Ltd

NCT04356300Multiple organ failureNot yet recruitingNot applicableExosome of mesenchymal stem cells for multiple organ dysfunction syndrome after surgical repair of acute type A aortic dissectionFujian Medical University

NCT05261360Knee; injury, meniscus (lateral) (medial)/meniscus tear/meniscus lesion/6 moreRecruitingPhase 2Clinical efficacy of exosome in degenerative meniscal injuryEskisehir Osmangazi University

NCT05499156Perianal fistula in patients with Crohn’s diseaseUnknown statusPhase 1, Phase 2Safety of injection of placental mesenchymal stem cell-derived exosomes for treatment of resistant perianal fistula in Crohn’s patientsTehran University of Medical Sciences

NCT04276987CoronavirusCompletedPhase 1A pilot clinical study on inhalation of mesenchymal stem cells exosomes treating severe novel coronavirus pneumoniaRuijin Hospital

NCT05808400Long COVID-19 syndromeRecruitingEarly Phase 1Safety and efficacy of umbilical cord mesenchymal stem cell exosomes in treating chronic cough after COVID-19Huazhong University of Science and Technology

NCT05402748Fistula perianalRecruitingPhase 1, Phase 2Safety and efficacy of injection of human placenta mesenchymal stem cells derived  exosomes for treatment of complex anal fistulaTehran University of Medical Sciences

NCT04313647HealthyCompletedPhase 1A tolerance clinical study on aerosol inhalation of mesenchymal stem cells exosomes in healthy volunteersRuijin Hospital

NCT05413148Retinitis pigmentosaRecruitingPhase 2, Phase 3The effect of stem cells and stem cell exosomes on visual functions in patients with retinitis pigmentosaTC Erciyes University

NCT05216562SARS-CoV2 infectionRecruitingPhase 2, Phase 3Efficacy and safety of EXOSOME-MSC therapy to reduce hyperinflammation in moderate COVID-19 patients (EXOMSC-COV19)Dermama Bioteknologi Laboratorium

NCT03437759Macular holesUnknown statusEarly Phase 1MSC-Exos promote healing of MHs (MSCs)Tianjin Medical University

NCT04602104Acute respiratory distress syndromeUnknown statusPhase 1, Phase 2A clinical study of mesenchymal stem cell exosomes nebulizer for the treatment of ARDSRuijin Hospital

NCT04213248Dry eyeRecruitingPhase 1, Phase 2Effect of UMSCs derived exosomes on dry eye in patients With cGVHDZhongshan Ophthalmic Center, Sun Yat-sen University

NCT05669144Myocardial infarction/myocardial ischemia/myocardial stunningRecruitingPhase 1, Phase 2Cotransplantation of mesenchymal stem cell-derived exosomes and autologous mitochondria for patients candidate for CABG surgeryTehran University of Medical Sciences

NCT05787288COVID-19 pneumoniaRecruitingEarly Phase 1A clinical study on the safety and effectiveness of mesenchymal stem cell exosomes for the treatment of COVID-19First Affiliated Hospital of Wenzhou Medical University

NCT02138331Diabetes mellitus type 1Unknown statusPhase 2, Phase 3Effect of microvesicles and exosomes therapy on β-cell mass in type I diabetes mellitus (T1DM)General Committee of Teaching Hospitals and Institutes, Egypt

NCT04173650Dystrophic epidermolysis bullosaNot yet recruitingPhase 1, Phase 2MSC EVs in dystrophic epidermolysis bullosaAegle Therapeutics

NCT05354141Acute respiratory distress syndrome/ARDSRecruitingPhase 3Extracellular vesicle treatment for acute respiratory distress syndrome (ARDS) (EXTINGUISH ARDS)Direct Biologics, LLC

NCT04493242COVID-19 ARDSCompletedPhase 2Extracellular vesicle infusion treatment for COVID-19-associated ARDSDirect Biologics, LLC

NCT04998058Bone loss, osteoclastic/bone loss, alveolar/alveolar bone loss/2 moreNot yet recruitingPhase 1, Phase 2Autogenous mesenchymal stem cell culture-derived signaling molecules as enhancers of bone formation in bone graftingPontificia Universidade Católica do Rio Grande do Sul

NCT05387278COVID-19 acute respiratory distress syndrome/respiratory distress syndromeRecruitingPhase 1Safety and effectiveness of placental derived exosomes and umbilical cord mesenchymal stem cells in moderate to severe acute respiratory distress syndrome (ARDS) associated with the novel coronavirus infection (COVID-19)Vitti Labs, LLC

NCT04388982Alzheimer diseaseUnknown statusPhase 1, Phase 2The safety and the efficacy evaluation of allogenic adipose MSC-Exos in patients with Alzheimer’s diseaseRuijin Hospital

Note. Searched by ClinicalTrials.gov (https://clinicaltrials.gov/, accessed on 1 October 2023).