Inhaled Mesenchymal Stem Cell-Derived Exosomes in the Treatment of Post-Infectious Cough: A Single-Center Randomized Controlled Clinical Trial

Trial statusRecruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age18-60
SponsorShanghai Changzheng Hospital

About this trial

This study is an exploratory clinical trial. It is intended to investigate the efficacy of mesenchymal stem cell-derived exosome nebulization in the treatment of postinfectious cough through a randomized controlled clinical study, with a view to providing better treatment options for patients with postinfectious cough, improving their quality of life, and providing reference data for the subsequent multi-center clinical trials.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients aged 18-60 years.

Diagnosis of post-infectious cough, which is defined as: after the symptoms of acute respiratory infection have disappeared, chest radiographs are normal, irritating dry cough or cough with small amounts of mucoid phlegm occurs, cough persists for 3 to 8 weeks, and other causes of cough are ruled out.

Baseline cough visual analog scale>=60mm.

Disqualifiers

patients with any other disease that causes coughing (eg, Upper airway cough syndrome, eosinophilic bronchitis, gastroesophageal reflux cough, bronchial asthma, chronic obstructive pulmonary disease and bronchiectasis).

Patients with serious lung diseases (eg, lung cancer, tuberculosis or pulmonary fibrosis).

Patients with serious comorbidities, (eg, cardiovascular, cerebrovascular, liver, kidney or hematopoietic system diseases or other serious primary diseases)

Current or ex-smokers quitting smoking for less than 6 months.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Mesenchymal stem cell derived exosome nebulization combined with compound methoxyphenamine capsule

    Drug

    Mesenchymal stem cell derived exosome nebulization (FITCELL 5ml nebulization QD) was combined with compound methoxyphenamine capsule ( "Asmei" 2 capsules oral TID) for cough treatment.

  • Normal saline nebulization combined with the compound methoxyphenamine capsule

    Drug

    Normal saline nebulization (0.9% sodium chloride 5ml nebulization QD) was combined with the compound methoxyphenamine capsule ("Asmei" 2 capsules oral TID) for cough treatment.

Treatment groups

40 Participants
are divided into 2 treatment groups
Group A: Mesenchymal stem cell-derived exosomes and conventional treatment groupExperimental treatment 1 intervention
Group B: Placebo and conventional treatment groupPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

The change value of Leicester cough questionnaire

The primary endpoint of the study is the statistical difference in the absolute value of changes in the Leicester Cough Questionnaire (LCQ) score from baseline to Day 7 of treatment between the two groups of patients.

Time frame
Day 7 of treatment initiation

Secondary outcomes

1

The change value of Leicester cough questionnaire

The secondary endpoint of the study is the statistical difference in the absolute value of changes in the Leicester Cough Questionnaire (LCQ) score from baseline to Day 14 of treatment between the two groups of patients.

Time frame
Day 14 of treatment initiation
2

The change value of cough symptom score

The secondary endpoints of the study include the statistical differences in the absolute values of changes in the Cough Severity Score (CSS) from baseline to Day 7 and Day 14 of treatment between the two groups of patients.

Time frame
Day 7 and day 14 of treatment initiation
3

The change value of visual analog scale

The secondary endpoints of the study include the statistical differences in the absolute values of changes in the Visual Analog Scale (VAS) score from baseline to Day 7 and Day 14 of treatment between the two groups of patients.

Time frame
Day 7 and day 14 of treatment initiation
4

The change value of Athens Insomnia Scale

The secondary endpoints of the study include the statistical differences in the absolute values of changes in the Airway Inflammation Score (AIS) from baseline to Day 7 and Day 14 of treatment between the two groups of patients.

Time frame
Day 7 and day 14 of treatment initiation

Other outcomes

Sponsors and contacts

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