The safety and efficacy of human umbilical cord mesenchymal stem cell for acute respiratory distress syndrome: an open-label and multicenter phase 1 clinical trial - Summary - MDSpire

The safety and efficacy of human umbilical cord mesenchymal stem cell for acute respiratory distress syndrome: an open-label and multicenter phase 1 clinical trial

  • By

  • Qinggang Ge

  • Libo Zheng

  • Man Zhao

  • Chao Li

  • Zhiling Zhao

  • Zongyu Wang

  • Qiang Zhang

  • Mai Shi

  • Yuxuan Li

  • Jianan Zhang

  • Yixian Qiao

  • Senhao Wei

  • Ning Shen

  • Haomiao Long

  • Yongjun Liu

  • Jie Qiao

  • June 10, 2026

  • 0 min

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Objective:

To evaluate the safety, tolerability, and preliminary efficacy of allogeneic human umbilical cord mesenchymal stem cells (hUC-MSCs) in patients with mild-to-moderate Acute Respiratory Distress Syndrome (ARDS).

Key Findings:
  • No dose-limiting toxicity or treatment-related severe adverse events were observed.
  • The overall 28-day all-cause mortality rate was 8.3%, with 0% mortality among COVID-19-related ARDS patients.
  • Significant improvements in the middle dose group included an increase in PaO2/FiO2 (+100.07 mmHg, P < 0.001) and PaO2 (+21.88 mmHg, P = 0.002).
  • Significant reductions in Lung Injury Score, Sequential Organ Failure Assessment, and Acute Physiology and Chronic Health Evaluation II scores were noted.
Interpretation:

Limitations:
  • Small sample size of 12 patients limits generalizability.
  • Short follow-up period of 28 days may not capture long-term effects.
Conclusion:

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