Safety Study of Adult Mesenchymal Stem Cells (MSC) to Treat Acute Myocardial Infarction

NCT ID: NCT00114452

Last Updated: 2020-03-10

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

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-03-22

Study Completion Date

2008-04-24

Brief Summary

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The purpose of the study is to determine whether adult stem cells \[Provacel™(PUMP1)\] are safe and possibly effective in the treatment of acute myocardial infarction (heart attack).

Detailed Description

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Cardiovascular disease is the single largest killer of males and females in the United States with an average of 335,000 deaths per year. This year an estimated 700,000 Americans will suffer an acute myocardial infarction. The standard of care treatment for acute myocardial infarction (MI) usually includes immediate perfusion, optimal pain relief, oxygen, aspirin or other anti-coagulants, Beta-Blockers, nitrates and Ace-inhibitors. Management of cardiac risk factors such as tobacco use, hypertension, lipid levels, diabetes, weight control and exercise all work to reduce further atherosclerotic events. Yet, many patients go on to develop Congestive Heart Failure (CHF). Medical management for CHF may improve symptoms and slow the progression to failure but does not restore a functioning myocardium. A therapy that could improve the myocardial remodeling process and reduce the incidence or severity of CHF following acute MI would provide a significant benefit in an area of unmet medical need.

Patients will receive standard of care in addition to stem cells or placebo.

Conditions

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Myocardial Infarction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Provacel: Cohort 1

ex vivo cultured adult mesenchymal stem cells

Group Type ACTIVE_COMPARATOR

Provacel

Intervention Type BIOLOGICAL

ex vivo cultured adult mesenchymal stem cells

Provacel: Cohort 2

ex vivo cultured adult mesenchymal stem cells

Group Type ACTIVE_COMPARATOR

Provacel

Intervention Type BIOLOGICAL

ex vivo cultured adult mesenchymal stem cells

Provacel: Cohort 3

ex vivo cultured adult mesenchymal stem cells

Group Type ACTIVE_COMPARATOR

Provacel

Intervention Type BIOLOGICAL

ex vivo cultured adult mesenchymal stem cells

Provacel: Cohort 4

ex vivo cultured adult mesenchymal stem cells

Group Type ACTIVE_COMPARATOR

Provacel

Intervention Type BIOLOGICAL

ex vivo cultured adult mesenchymal stem cells

Placebo

ex vivo cultured adult mesenchymal stem cells

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Placebo

Interventions

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Provacel

ex vivo cultured adult mesenchymal stem cells

Intervention Type BIOLOGICAL

Placebo

Placebo

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Male or female between 21 and 85 years old
* First heart attack within 1 to 10 days

Exclusion Criteria

* Positive for HIV 1 and 2
* Previous heart attack
* Pacemaker or other device
* Pregnant or breastfeeding
* Allergic to cow or pig derived products
* Previous bone marrow transplant
* Involved in another clinical trial within the past 30 days
* Alcohol or recreational drug abuse within the past 6 months
* Hepatitis Positive
* Major surgical procedure or major trauma within the past 14 days
* Body weight greater than 300 pounds
* Autoimmune disease ( e.g. Lupus, Multiple Sclerosis)
Minimum Eligible Age

21 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mesoblast, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ken Borow, MD

Role: STUDY_DIRECTOR

Mesoblast, Inc.

Locations

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Arizona Heart Institute

Phoenix, Arizona, United States

Site Status

University of California - San Diego; Thornton

San Diego, California, United States

Site Status

Washington Hospital Center

Washington D.C., District of Columbia, United States

Site Status

Rush University Medical Center

Chicago, Illinois, United States

Site Status

The Care Group

Indianapolis, Indiana, United States

Site Status

Jewish Hospital

Louisville, Kentucky, United States

Site Status

Johns Hopkins University

Baltimore, Maryland, United States

Site Status

Washington Adventist

Takoma Park, Maryland, United States

Site Status

Minneapolis Heart Institute

Minneapolis, Minnesota, United States

Site Status

Columbia Presbyterian Hospital

New York, New York, United States

Site Status

University of Rochester - Strong Memorial

Rochester, New York, United States

Site Status

University of Oklahoma Health Sciences Center

Oklahoma City, Oklahoma, United States

Site Status

University of Pennsylvania Medical Center

Philadelphia, Pennsylvania, United States

Site Status

Austin Heart Institute

Austin, Texas, United States

Site Status

Texas Medical School

Houston, Texas, United States

Site Status

Countries

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United States

References

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Orlic D, Hill JM, Arai AE. Stem cells for myocardial regeneration. Circ Res. 2002 Dec 13;91(12):1092-102. doi: 10.1161/01.res.0000046045.00846.b0.

Reference Type BACKGROUND
PMID: 12480809 (View on PubMed)

Pittenger MF, Martin BJ. Mesenchymal stem cells and their potential as cardiac therapeutics. Circ Res. 2004 Jul 9;95(1):9-20. doi: 10.1161/01.RES.0000135902.99383.6f.

Reference Type BACKGROUND
PMID: 15242981 (View on PubMed)

Shake JG, Gruber PJ, Baumgartner WA, Senechal G, Meyers J, Redmond JM, Pittenger MF, Martin BJ. Mesenchymal stem cell implantation in a swine myocardial infarct model: engraftment and functional effects. Ann Thorac Surg. 2002 Jun;73(6):1919-25; discussion 1926. doi: 10.1016/s0003-4975(02)03517-8.

Reference Type BACKGROUND
PMID: 12078791 (View on PubMed)

Hare JM, Traverse JH, Henry TD, Dib N, Strumpf RK, Schulman SP, Gerstenblith G, DeMaria AN, Denktas AE, Gammon RS, Hermiller JB Jr, Reisman MA, Schaer GL, Sherman W. A randomized, double-blind, placebo-controlled, dose-escalation study of intravenous adult human mesenchymal stem cells (prochymal) after acute myocardial infarction. J Am Coll Cardiol. 2009 Dec 8;54(24):2277-86. doi: 10.1016/j.jacc.2009.06.055.

Reference Type DERIVED
PMID: 19958962 (View on PubMed)

Related Links

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http://www.americanheart.org

Click here for more information about heart disease

http://www.osiris.com

Click here for more information about this study and adult mesenchymal stem cells.

Other Identifiers

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401-402

Identifier Type: -

Identifier Source: org_study_id

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