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10.1136/bmjopen-2020-045162

http://scihub22266oqcxt.onion/10.1136/bmjopen-2020-045162
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33574155!7880092!33574155
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suck abstract from ncbi


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pmid33574155      BMJ+Open 2021 ; 11 (2): e045162
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  • Safety and feasibility of using acellular sterile filtered amniotic fluid as a treatment for patients with COVID-19: protocol for a randomised, double-blinded, placebo-controlled clinical trial #MMPMID33574155
  • Tonna JE; Pierce J; Hatton N; Lewis G; Phillips JD; Messina A; Skidmore CR; Taylor K; Selzman CH
  • BMJ Open 2021[Feb]; 11 (2): e045162 PMID33574155show ga
  • INTRODUCTION: Human amniotic fluid (hAF) has been shown to reduce inflammation in multiple experimental models. hAF has previously been approved by the US Food and Drug Administration (FDA) as a human cellular and tissue product for tissue injury for human administration, and used safely in thousands of patients as a therapeutic treatment for diverse conditions. Given the profound inflammatory response observed in patients with COVID-19, and the successful completion of 10-patient pilot study of intravenous hAF, we present a trial design for a larger clinical trial of intravenous hAF for the treatment of COVID-19. METHODS AND ANALYSIS: This paper describes the methodology of a phase I/II randomised, double-blinded, placebo-controlled clinical trial to determine the safety and feasibility of using acellular sterile filtered amniotic fluid as a treatment for patients with COVID-19. Primary outcome will be the change in C-reactive protein. Secondary outcomes include safety, biomarker inflammatory levels and clinically relevant outcomes at 30 days, including mortality, ventilator-free days and hospital and intensive care unit length of stay. Exploratory outcomes of health-related quality-of-life patient-reported outcomes will be collected. Hospitalised patients with laboratory-confirmed COVID-19 will be recruited. ETHICS AND DISSEMINATION: This study was approved by the University of Utah Institutional Review Board (IRB_0013292), approved by the US FDA under Investigational New Drug (No 23369) and is registered on ClinicalTrials.gov. Results will be disseminated via peer-reviewed publications and conference presentations. TRIAL REGISTRATION NUMBER: NCT04497389; Pre-results.
  • |*Amniotic Fluid[MESH]
  • |Biological Products/*therapeutic use[MESH]
  • |C-Reactive Protein/analysis[MESH]
  • |COVID-19/*therapy[MESH]
  • |Double-Blind Method[MESH]
  • |Feasibility Studies[MESH]
  • |Humans[MESH]
  • |Inflammation/therapy[MESH]
  • |Pilot Projects[MESH]
  • |Randomized Controlled Trials as Topic[MESH]


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