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Meta-Analysis of Cell-based CaRdiac stUdiEs: ACCRUE (ACCRUE)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT01098591
Recruitment Status : Completed
First Posted : April 5, 2010
Last Update Posted : July 13, 2021
Sponsor:
Collaborators:
Nantes University Hospital
Oslo University Hospital
Medical University of Silesia
Hannover Medical School
VZW Cardiovascular Research Center Aalst
Cedars-Sinai Medical Center
Johann Wolfgang Goethe University Hospital
University of Ulm
Military Medical Academy, Belgrade, Serbia
Novosibirsk Scientific Research Institute for Circulatory Pathology
Rigshospitalet, Denmark
Asklepios Kliniken Hamburg GmbH
Leiden University Medical Center
University of Debrecen
University of Targu Mures, Romania
University Clinic for Cardiology, Skopje, Republic of Macedonia
State Health Center, Hungary
Karolinska Institutet
University of Zurich
University of Oulu
Odense University Hospital
Minneapolis Heart Institute
The University of Texas Health Science Center, Houston
Klinik Hirslanden, Zurich
University Hospital, Toulouse
Heinrich-Heine University, Duesseldorf
Information provided by (Responsible Party):
Mariann Gyongyosi, Medical University of Vienna

Study Description
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Brief Summary:
Numerous human cardiac stem cell studies have been published, including relatively small number of patients. Meta-analysis of randomized trials have reported safety and a 3-6% increase in global left ventricular performance after intracoronary stem cell therapy in patients with acute myocardial infarction. Since most of the studies used different type of stem cells, delivery modes, and patient population, the results are heterogenous, therefore the comparison of the results is biased regarding generalizable conclusions about the effect of treatment. The present comparative meta-analysis is based on individual patient data, and gathers and pools the raw data, and analyzes the clinical outcome, safety and efficacy of the cardiac stem cell therapy.

Condition or disease Intervention/treatment
Ischemic Heart Disease Other: cell therapy

Detailed Description:
  • Background: Many clinical trials and meta-analyses presented moderate but significant improvement of the left ventricular ejection fraction (LVEF) after intracoronary autologous bone-marrow (BM) or peripheral blood origin stem cells transfer. However, it remains controversial, whether this beneficial effects is comparable with the intramyocardial delivery of the stem cells, or could be maintained during moderate and long term follow-up. The BOOST trial suggested that cardiac stem cell therapy did not improve LVEF at 5-year follow-up. By contrast, BALANCE study showed a long sustained benefit of BM-stem cells treatment. Due to these divergent outcomes of the presented trials, the aim of the present meta-analysis is to compare the safety and effectiveness of the cardiac stem cell therapy in different patient population, delivery mode and cell type, to find out, which patients with which therapy mode can have the greatest benefit from cardiac stem cell therapy.
  • Study design: individual patient data meta-analysis
  • Data sources: European Centre performing human cardiac stem cell therapy have been contacted calling for participation.
  • Methods: Individual data gathering and entering into the database for a pooled analysis. The meta-analysis will be done in line with recommendation from the Cochrane Collaboration and the Quality of Reporting of Meta-analyses guidelines with Review Manager 5.0. Fixed-effect model will be used.
Study Design
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Study Type : Observational
Actual Enrollment : 3500 participants
Observational Model: Case-Only
Time Perspective: Retrospective
Official Title: Meta-Analysis of Cell-based CaRdiac stUdiEs: ACCRUE
Actual Study Start Date : November 2007
Actual Primary Completion Date : December 2020
Actual Study Completion Date : December 2020
Groups and Cohorts
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Group/Cohort Intervention/treatment
Myocardial infarction
Patients with post-myocardial infarction receiving cell therapy either intracoronarily or intramyocardial
 Other: cell therapy
Ischemic cardiomyopathy
Patients with ischemic cardiomyopathy treated with cell therapy either intracoronarily or intramyocardial
 Other: cell therapy


Outcome Measures
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Primary Outcome Measures :
  1. Freedom from occurrence of major adverse cardiac and cerebrovascular events (MACCE), including all-cause death, re-infarction, revascularization and stroke [ Time Frame: 12 months ]
    MACCE is defined as all-cause death, re-infarction, revascularization and stroke


Secondary Outcome Measures :
  1. Hard clinical end point [ Time Frame: 12 months ]
    all-cause death, re-infarction and stroke

  2. Changes in end-diastolic volume [ Time Frame: 12 months ]
    End-diastolic volume is an index of ventricular remodeling

  3. Changes in end-systolic volume [ Time Frame: 12 months ]
    Index of ventricular systolic performance

  4. Changes in ejection fraction [ Time Frame: 12 months ]
    Improvement of systolic cardiac function after cell therapy


Eligibility Criteria
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Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 80 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Patients treated with cell-based cardiac therapy at one of the participating centers
Criteria

Inclusion Criteria:

  • patient included in one of the registered cell-based cardiac therapy of the participating center

Exclusion Criteria:

  • none
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01098591


Locations
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Austria
Medical University of Vienna
Vienna, Austria, 1090
Sponsors and Collaborators
Medical University of Vienna
Nantes University Hospital
Oslo University Hospital
Medical University of Silesia
Hannover Medical School
VZW Cardiovascular Research Center Aalst
Cedars-Sinai Medical Center
Johann Wolfgang Goethe University Hospital
University of Ulm
Military Medical Academy, Belgrade, Serbia
Novosibirsk Scientific Research Institute for Circulatory Pathology
Rigshospitalet, Denmark
Asklepios Kliniken Hamburg GmbH
Leiden University Medical Center
University of Debrecen
University of Targu Mures, Romania
University Clinic for Cardiology, Skopje, Republic of Macedonia
State Health Center, Hungary
Karolinska Institutet
University of Zurich
University of Oulu
Odense University Hospital
Minneapolis Heart Institute
The University of Texas Health Science Center, Houston
Klinik Hirslanden, Zurich
University Hospital, Toulouse
Heinrich-Heine University, Duesseldorf
Investigators
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Principal Investigator: Mariann Gyongyosi, MD Medical University of Vienna
More Information
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Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

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Responsible Party: Mariann Gyongyosi, MD PhD, Medical University of Vienna
ClinicalTrials.gov Identifier: NCT01098591    
Other Study ID Numbers: MUW - Meta
First Posted: April 5, 2010    Key Record Dates
Last Update Posted: July 13, 2021
Last Verified: July 2021
Keywords provided by Mariann Gyongyosi, Medical University of Vienna:
meta-analysis
stem cell
cardiac
remodeling
ACCRUE
Additional relevant MeSH terms:
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Heart Diseases
Myocardial Ischemia
Coronary Artery Disease
Cardiovascular Diseases
 Vascular Diseases
Coronary Disease
Arteriosclerosis
Arterial Occlusive Diseases