Respiratory Medicine Case Reports (Jan 2021)

Treatment of a COVID-19 long hauler with an amniotic fluid-derived extracellular vesicle biologic

  • Maria Ines Mitrani,
  • Michael A. Bellio,
  • Allen Meglin,
  • Aisha Khan,
  • Xiumin Xu,
  • Gwendolyn Haskell,
  • Alissa Arango,
  • George C. Shapiro

Journal volume & issue
Vol. 34
p. 101502

Abstract

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Post-COVID-19 infection symptoms such as mental fog, tachycardia, and extreme fatigue are just a few of the symptoms wreaking havoc on patients’ lives. Patients with long-term symptoms following COVID-19 are being called long haulers. To date, long haulers are receiving little to no guidance from physicians on their lingering COVID-19 symptoms with limited treatment options available. Zofin is an acellular biologic that contains the extracellular vesicle (EV) fraction of human amniotic fluid and is under investigation for use as a COVID-19 therapeutic. We obtained FDA and IRB approval to investigate the therapeutic use of Zofin in a single long hauler patient case experiencing prolonged shortness of breath and respiratory impairment. Administration of the EV product was shown to be safe. Furthermore, demonstrated respiratory improvements through chest X ray images and oxygen saturation measurement. The single patient IND studies were completed without any reported adverse events or safety concerns. Furthermore, these completed studies demonstrate the feasibility and a therapeutic potential of amniotic fluid-derived EVs for COVID-19 long hauler intervention.

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