Level B· Emerging clinical evidence with positive signalsClinical TrialPubMed

The Effect of Mesenchymal Stromal Cells on the Mortality of Patients with Sepsis and Septic Shock: A Promising Therapy.

Alp E., Gonen ZB., Gundogan K., Esmaoglu A., Kaynar L., Cetin A.

Clinical Trial with a reported sample of 20, published in Emerg Med Int (2022) — summary generated from the PubMed abstract.

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Level B· Emerging clinical evidence with positive signalsEvidence level of this study

Several human studies show positive signals, while research methods and sample sizes continue to develop.

  • Level A · Stronger Clinical Evidence
  • Level B · Emerging clinical evidence with positive signals
  • Level C · Early human research exploring benefits
  • Level D · Scientific groundwork from lab and animal studies
  • Emerging · Emerging topic under active research
Read the A–D evidence level guide

This page is generated from the PubMed record. The Thai description is an automated summary of bibliographic fields and the abstract, not a full translation, and is not medical advice.

Study type
Clinical Trial
Journal
Emerg Med Int (2022)
Country
United States
Reported sample size
20
Source database
PubMed
PMID
35784641
DOI
10.1155/2022/9222379
NCT
NCT05283317

Abstract (original English)

Sepsis and septic shock are the major causes of death in intensive care units. This study aimed to evaluate the clinical safety and efficacy of mesenchymal stem cells (MSCs) in sepsis and septic shock patients. Ten patients were enrolled in the study. Adipose-derived MSC infusions were given (1 × 10 6 /kg, on the 1 st , 3 rd , 5 th , 7 th , and 9 th days of therapy) together with standard therapy. Before the MSC applications, blood samples were collected for cytokine assessment (TNF- α , IFN- γ , IL-2, IL-4, IL-6, IL-10). The clinical and laboratory improvements were recorded and compared with control groups selected retrospectively. The clinical trial was registered on 16.03.2022 with the registration number NCT05283317. In the study group, the ages of patients ranged from 22 to 68 years, and APACHE II scores ranged from 14 to 42. In the control group, ages ranged from 22 to 80 years and their APACHE II scores were between 14-35. The survival rate in the study group was 100% on the 14 th day whereas it was 70% on the 28 th day. A significant decrease in the SOFA score (adjusted), clinical, and laboratory improvements were observed during the MSC administration. However, no significant cytokine level changes were observed. In the control group, the survival rate of 20 patients was 70% on the 14 th day, whereas 60% was on the 28 th day. While deaths were observed in the control

What this study does not prove

  • • This study does not prove SVF is an approved treatment or a replacement for standard care.

Evidence level

Several human studies show positive signals, while research methods and sample sizes continue to develop.

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