Safety Study of Using Stem Cells to Stimulate Development of New Blood Vessels in Peripheral Vascular Disease

NCT ID: NCT00113243

Last Updated: 2005-06-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE1

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-12-31

Study Completion Date

2007-12-31

Brief Summary

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The purpose of this study is to determine if bone marrow derived adult stem cells are safe and effective in inducing development of new blood vessels (angiogenesis) in the legs of patients with severe peripheral vascular disease.

Detailed Description

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Presently there are no effective medical therapies to enhance blood flow in the legs of patients with peripheral vascular disease. For patients with limb threatening ischemia the only option for relief of rest pain or gangrene is amputation.

There is evidence in animal and clinical studies that adult stem cells in the bone marrow, called endothelial progenitor cells, participate in the development of new blood vessels, a process called angiogenesis. In this investigation, patients with limb threatening ischemia will have their bone marrow harvested and the stem cells will then be removed and injected directly into the muscle of the diseased leg. The procedure will require about 4 hours and the subjects will be admitted to the Indiana University Medical Center overnight. The follow-up period is 12 weeks and the analysis will consist of examinations at 1, 2, 4, 6, 8, and 12 weeks. Adverse and serious adverse events will be recorded during this time period. Diagnostic studies will be obtained to measure blood flow in the treated leg during the follow up period and include transcutaneous (skin) oxygen measurements, pressure recordings in the leg, arteriography, magnetic resonance imaging, and wound healing.

Conditions

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Peripheral Vascular Diseases

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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adult stem cells

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Severe peripheral vascular disease not amenable to bypass or angioplasty
* Age \>21 years old
* Normal renal function (creatinine \< 1.6)

Exclusion Criteria

* Congestive heart failure (ejection fraction \[EF\]\<30%)
* History of cancer or myeloproliferative disorders
* Proliferative retinopathy
* Pregnancy
* Cognitively disabled
Minimum Eligible Age

21 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Indiana University School of Medicine

OTHER

Sponsor Role collaborator

Murphy, Michael P., MD

INDIV

Sponsor Role lead

Principal Investigators

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Michael P Murphy, MD

Role: PRINCIPAL_INVESTIGATOR

Indiana University School of Medicine

Locations

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Indiana University School of Medicine

Indianapolis, Indiana, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Michael P Murphy, MD

Role: CONTACT

Phone: (317) 630-8288

Email: [email protected]

Julie Lacy, RN

Role: CONTACT

Phone: (317)962-0138

Email: [email protected]

Facility Contacts

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Michael P Murphy, MD

Role: primary

Janet Klein, RN

Role: backup

References

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Rehman J, Li J, Parvathaneni L, Karlsson G, Panchal VR, Temm CJ, Mahenthiran J, March KL. Exercise acutely increases circulating endothelial progenitor cells and monocyte-/macrophage-derived angiogenic cells. J Am Coll Cardiol. 2004 Jun 16;43(12):2314-8. doi: 10.1016/j.jacc.2004.02.049.

Reference Type BACKGROUND
PMID: 15193699 (View on PubMed)

March KL, Johnstone BH. Cellular approaches to tissue repair in cardiovascular disease: the more we know, the more there is to learn. Am J Physiol Heart Circ Physiol. 2004 Aug;287(2):H458-63. doi: 10.1152/ajpheart.00343.2004. No abstract available.

Reference Type BACKGROUND
PMID: 15277189 (View on PubMed)

Rehman J, Li J, Orschell CM, March KL. Peripheral blood "endothelial progenitor cells" are derived from monocyte/macrophages and secrete angiogenic growth factors. Circulation. 2003 Mar 4;107(8):1164-9. doi: 10.1161/01.cir.0000058702.69484.a0.

Reference Type BACKGROUND
PMID: 12615796 (View on PubMed)

Liang TW, Jester A, Motaganahalli RL, Wilson MG, G'Sell P, Akingba GA, Fajardo A, Murphy MP. Autologous bone marrow mononuclear cell therapy for critical limb ischemia is effective and durable. J Vasc Surg. 2016 Jun;63(6):1541-5. doi: 10.1016/j.jvs.2016.01.022. Epub 2016 Mar 23.

Reference Type DERIVED
PMID: 27021379 (View on PubMed)

Related Links

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http://www.gcrc.iupui.edu/

General Clinical Research Center at Indiana University School of Medicine

Other Identifiers

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IUPUI 0503-14

Identifier Type: -

Identifier Source: org_study_id