Evidence map›Paper›PMID 40001244›Full record

Trial reportStem cell research & therapy2025

Long-term outcomes of mesenchymal stem cell therapy in severe COVID-19 patients: 3-year follow-up of a randomized, double-blind, placebo-controlled trial.

Meng-Qi Yuan, Le Song, Ze-Rui Wang, Zi-Ying Zhang, Ming Shi, Junli He, Qiong Mo, Ning Zheng, Wei-Qi Yao, Yu Zhang and 17 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Stem cell research & therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04288102 (A Phase II, Multicenter, Randomized, Double-blind, Placebo-controlled Trial to Evaluate the Efficacy and Safety of Human Umbilical Cord-derived Mesenchymal Stem Cells in the Treatment of Severe COVID-19 Patients), which is not on this map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04288102 phase2completednot on this map

A Phase II, Multicenter, Randomized, Double-blind, Placebo-controlled Trial to Evaluate the Efficacy and Safety of Human Umbilical Cord-derived Mesenchymal Stem Cells in the Treatment of Severe COVID-19 Patients

TypeinterventionalSponsorBeijing 302 HospitalRan2020 to 2020Enrolled100ConditionsCorona Virus Disease 2019(COVID-19)ArmsUC-MSCs, Saline containing 1% Human serum albumin(solution without UC-MSCs)
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Article
  6. Stem cells in organogenesis and regeneration.Stem cell research & therapy · 2026
    Review
  7. Review
  8. Review
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors.

Meng-Qi YuanSenior Department of Infectious Diseases, The Fifth Medical Center of Chinese PLA General Hospital, National Clinical Research Center for Infectious Diseases, No. 100 Western 4Th Ring Road, Beijing, 100039, China.
Le SongDepartment of Infectious Diseases, Chinese PLA General Hospital of Central Theater Command, Wuhan, 430070, Hubei, China.
Ze-Rui WangSenior Department of Infectious Diseases, The Fifth Medical Center of Chinese PLA General Hospital, National Clinical Research Center for Infectious Diseases, No. 100 Western 4Th Ring Road, Beijing, 100039, China.
Zi-Ying ZhangSenior Department of Infectious Diseases, The Fifth Medical Center of Chinese PLA General Hospital, National Clinical Research Center for Infectious Diseases, No. 100 Western 4Th Ring Road, Beijing, 100039, China.
Ming ShiSenior Department of Infectious Diseases, The Fifth Medical Center of Chinese PLA General Hospital, National Clinical Research Center for Infectious Diseases, No. 100 Western 4Th Ring Road, Beijing, 100039, China.
Junli HeDepartment of Infectious Diseases, Chinese PLA General Hospital of Central Theater Command, Wuhan, 430070, Hubei, China.
Qiong MoDepartment of Infectious Diseases, Chinese PLA General Hospital of Central Theater Command, Wuhan, 430070, Hubei, China.
Ning ZhengDepartment of Infectious Diseases, Chinese PLA General Hospital of Central Theater Command, Wuhan, 430070, Hubei, China.
Wei-Qi YaoWuhan Optics Valley Zhongyuan Pharmaceutical Co., Ltd, Hubei, 430030, China.
Yu ZhangWuhan Optics Valley Zhongyuan Pharmaceutical Co., Ltd, Hubei, 430030, China.
Tengyun DongWuhan Optics Valley Zhongyuan Pharmaceutical Co., Ltd, Hubei, 430030, China.
Yuanyuan LiSenior Department of Infectious Diseases, The Fifth Medical Center of Chinese PLA General Hospital, National Clinical Research Center for Infectious Diseases, No. 100 Western 4Th Ring Road, Beijing, 100039, China.
Chao ZhangSenior Department of Infectious Diseases, The Fifth Medical Center of Chinese PLA General Hospital, National Clinical Research Center for Infectious Diseases, No. 100 Western 4Th Ring Road, Beijing, 100039, China.
Jinwen SongSenior Department of Infectious Diseases, The Fifth Medical Center of Chinese PLA General Hospital, National Clinical Research Center for Infectious Diseases, No. 100 Western 4Th Ring Road, Beijing, 100039, China.
Lei HuangSenior Department of Infectious Diseases, The Fifth Medical Center of Chinese PLA General Hospital, National Clinical Research Center for Infectious Diseases, No. 100 Western 4Th Ring Road, Beijing, 100039, China.
Zhe XuSenior Department of Infectious Diseases, The Fifth Medical Center of Chinese PLA General Hospital, National Clinical Research Center for Infectious Diseases, No. 100 Western 4Th Ring Road, Beijing, 100039, China.
Xin YuanSenior Department of Infectious Diseases, The Fifth Medical Center of Chinese PLA General Hospital, National Clinical Research Center for Infectious Diseases, No. 100 Western 4Th Ring Road, Beijing, 100039, China.
Jun-Liang FuSenior Department of Infectious Diseases, The Fifth Medical Center of Chinese PLA General Hospital, National Clinical Research Center for Infectious Diseases, No. 100 Western 4Th Ring Road, Beijing, 100039, China.
Cheng ZhenSenior Department of Infectious Diseases, The Fifth Medical Center of Chinese PLA General Hospital, National Clinical Research Center for Infectious Diseases, No. 100 Western 4Th Ring Road, Beijing, 100039, China.
Jianming CaiDepartment of Radiology, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Jinghui DongDepartment of Radiology, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Jianzeng ZhangDepartment of Radiology, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100039, China.
Wei-Fen XieDepartment of Gastroenterology, Changzheng Hospital, Naval Medical University, 415 Fengyang Road, Shanghai, 200003, China.
Yonggang LiSenior Department of Infectious Diseases, The Fifth Medical Center of Chinese PLA General Hospital, National Clinical Research Center for Infectious Diseases, No. 100 Western 4Th Ring Road, Beijing, 100039, China.
Bo ZhangDepartment of Infectious Diseases, Chinese PLA General Hospital of Central Theater Command, Wuhan, 430070, Hubei, China. xiabobo@sohu.com.
Lei ShiSenior Department of Infectious Diseases, The Fifth Medical Center of Chinese PLA General Hospital, National Clinical Research Center for Infectious Diseases, No. 100 Western 4Th Ring Road, Beijing, 100039, China. shilei302@126.com.
Fu-Sheng WangSenior Department of Infectious Diseases, The Fifth Medical Center of Chinese PLA General Hospital, National Clinical Research Center for Infectious Diseases, No. 100 Western 4Th Ring Road, Beijing, 100039, China. fswang302@163.com.ORCID http://orcid.org/0000-0002-8043-6685

Funding

Key Technologies Research and Development Program 2022YFA1105604
6 · The paper itself

Abstract

backgroundThe long-term effects and outcomes of human mesenchymal stem cell (MSC) therapy in patients with severe coronavirus disease 2019 (COVID-19) remain poorly understood. This study aimed to evaluate the extended safety and efficacy of MSC treatment in severe patients with COVID-19 who participated in our earlier randomized, double-blind, placebo-controlled clinical trial, with follow-up conducted over 3 years.

methodsOne hundred patients with severe COVID-19 were randomized to receive either an MSC infusion (n = 65, 4 × 10

resultsThree years post-treatment, 46.94% (23/49) of patients in the MSC group and 34.48% (10/29) in the placebo group showed normal findings on computed tomography (CT) images (odds ratio [OR] = 1.68, 95% confidence interval [CI]: 0.65-4.34). The general health (GH) score from the SF-36 was higher in the MSC group (67.0) compared to the placebo group (50.0), with a difference of 12.86 (95% CI: 1.44-24.28). Both groups showed similar results for total lung severity scores (TSS), 6-MWD, pulmonary function tests, and Long COVID symptoms. No significant differences between groups were observed in new-onset complications (including tumorigenesis) or tumor marker levels. After adjusting for China's dynamic zero-COVID-19 strategy, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) reinfection rates were 53.06% (26/49) in the MSC group and 67.86% (19/28) in the placebo group (OR = 0.54, 95% CI: 0.20-1.41).

conclusionsThese findings support the long-term safety of MSC therapy in patients with severe COVID-19 over 3 years. MSC treatment may offer potential benefits for lung recovery and improved quality of life in patients experiencing Long COVID symptoms.

trial registrationClinicalTrials.gov, NCT04288102. Registered 28 February 2020, https://clinicaltrials.gov/study/NCT04288102 .

Indexed as

COVID-19Mesenchymal Stem Cell TransplantationAdultAgedDouble-Blind MethodFemaleFollow-Up StudiesHumansMaleMesenchymal Stem CellsMiddle AgedQuality of LifeSARS-CoV-2Treatment OutcomeCell TherapyCOVID-19Long COVIDLong-term Follow-upMesenchymal stem cell

Identifiers

PMID40001244
PMCPMC11863646

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.