Stem Cell Therapy in Chronic Ischemic Heart Failure
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Purpose
The purpose of this study is to determine whether intracoronary bone marrow transplantation can improve left ventricular ejection fraction in patients with severe ischemic heart failure and no other option for standard therapies (revascularization and drugs).
| Condition | Intervention | Phase |
|---|---|---|
|
Myocardial Ischemia Heart Failure, Congestive |
Procedure: Bone marrow transplantation |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
- Changes in left ventricular ejection fraction from baseline to 12 months' follow-up
| Estimated Enrollment: | 35 |
| Study Start Date: | October 2005 |
| Study Completion Date: | May 2007 |
Despite standard therapies (revascularization and drugs), patients with severe ischemic heart failure have a high morbidity and mortality.
The purpose of this study is to determine whether intracoronary transfer of autologous bone marrow cells can induce angiogenesis, subsequently improving regional myocardial perfusion, and finally resulting in improved systolic and diastolic left ventricular function in patients with severe ischemic heart failure.
35 patients with stable left ventricle function will - with four months interval - receive two treatments with bone marrow transplantation intracoronary in vessels supplying dysfunctional myocardial territories. Echocardiography is performed three times prior (four and two months and just before) and two times after (four and eight months after) therapy. It is a non-randomised trial, patients will enter as their own control.
Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Severe ischemic heart failure and no other other option for standard therapies (revascularization and drugs),
- Stable left ventricular ejection fraction < 40%,
- CCS class 2-3 and/or NYHA class 2-3, and
- Signed informed consent.
Exclusion Criteria:
- Implantation of pacemaker (including implantable cardioverter defibrillator [ICD] and biventricular pacing),
- Acute myocardial infarction within 3 months,
- Atrial fibrillation, or
- Severe comorbidity that could impact the patient's short-term survival (including primary hematologic disorders)
Contacts and Locations| Denmark | |
| Department of Cardiology, Odense University Hospital | |
| Odense, Odense C, Denmark, DK-5000 | |
| Study Director: | Per Thayssen, MDSci | Department of Cardiology, Odense University Hospital |
| Principal Investigator: | Axel CP Diederichsen, phd | Department of Cardiology, Odense University Hospital |
More Information
No publications provided by Odense University Hospital
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT00235417 History of Changes |
| Other Study ID Numbers: | Stem cell |
| Study First Received: | October 6, 2005 |
| Last Updated: | June 7, 2007 |
| Health Authority: | Denmark: National Board of Health |
Keywords provided by Odense University Hospital:
|
Bone Marrow Transplantation |
Additional relevant MeSH terms:
|
Myocardial Ischemia Coronary Artery Disease Heart Failure Ischemia Heart Diseases Cardiovascular Diseases |
Vascular Diseases Coronary Disease Arteriosclerosis Arterial Occlusive Diseases Pathologic Processes |
ClinicalTrials.gov processed this record on May 19, 2013