Cell Therapy In Dilated Cardiomyopathy

NCT ID: NCT00333827

Last Updated: 2017-03-13

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

PHASE3

Total Enrollment

115 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-01-31

Study Completion Date

2013-02-28

Brief Summary

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The purpose of this study is to determine effect of cell therapy in patients with severe dilated cardiomyopathy

Detailed Description

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This protocol describes a double-blind placebo controlled randomized clinical trial to evaluate the efficacy of bone marrow derived stem cell implants in 300 bazillion patients with dilated cardiomyopathy and heart failure in class III or IV of the New York Heart Association.

The primary endpoint of this study is to evaluate the effect of the autologous bone marrow stem cell implant in the increase of the ejection fraction of the left ventricle in comparison with a control group, under optimized therapy for dilated cardiomyopathy. Secondary endpoints will evaluate the alteration in NYHA functional class, mortality rate, physical capacity (by ergoespirometry), life quality (Minnesota questionnaire) and pulmonary congestion in dilated cardiomyopathy patients the received the autologous bone-marrow stem cell implant.

Hypothesis: The main hypothesis of this study is that the patients who received the autologous bone-marrow stem cell implant will have after a 6 month follow-up a mean 5% increase in absolute left ventricle ejection fraction in comparison with the control group.

Conditions

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Dilated Cardiomyopathy

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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Optimal Therapy

Optimal therapy for cardiac failure

Group Type ACTIVE_COMPARATOR

optimal therapy for cardiaca failure

Intervention Type DRUG

optimal therapy for cardiaca failure

cell therapy

stem cell

Group Type EXPERIMENTAL

cell

Intervention Type PROCEDURE

stem cell

Interventions

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optimal therapy for cardiaca failure

optimal therapy for cardiaca failure

Intervention Type DRUG

cell

stem cell

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of dilated cardiomyopathy according to WHO criteria
* Syndromic heart failure in functional class III or IV of the NYHA
* Enrollment and continuous follow-up in cardiac out-patient clinic
* Adequate medical therapy after optimization therapy
* Echocardiogram with an ejection fraction equal to or less than 35% by Simpson's rule

Exclusion Criteria

* Valvular diseases, except functional mitral or tricuspid reflow
* Coronariography showing a significant lesion (obstruction of at least 50% of the lumen in the troncus or the main arteries - LAD, CX, RC) in one or more arteries
* Serologic diagnosis for Chagas disease or at least two of the following criteria: epidemiology, right bundle branch block, anterior hemi-block, apical aneurism
* Sustained ventricular tachycardia
* Abusive use of alcohol or illicit drugs
* Pregnancy
* Use of cardio toxic drugs
* Any co-morbidity with impact in life expectancy in 2 years
* Renal function compromised (creatinine above 2 mg/dl)
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Financiadora de Estudos e Projetos

OTHER

Sponsor Role collaborator

Ministry of Health, Brazil

OTHER_GOV

Sponsor Role lead

Responsible Party

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Bernardo Rangel Tura

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Antonio Carlos C de Carvalho, MD,PhD

Role: STUDY_DIRECTOR

INCL

Bernardo R Tura, Md,MsC

Role: STUDY_CHAIR

INCL

Augusto Z Bozza, MD

Role: PRINCIPAL_INVESTIGATOR

INCL

Locations

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INCL - National Institute of Cardiology Laranjeiras

Rio de Janeiro, Rio de Janeiro, Brazil

Site Status

Countries

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Brazil

References

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Martino H, Brofman P, Greco O, Bueno R, Bodanese L, Clausell N, Maldonado JA, Mill J, Braile D, Moraes J Jr, Silva S, Bozza A, Santos B, Campos de Carvalho A; Dilated Cardiomyopathy Arm of the MiHeart Study Investigators. Multicentre, randomized, double-blind trial of intracoronary autologous mononuclear bone marrow cell injection in non-ischaemic dilated cardiomyopathy (the dilated cardiomyopathy arm of the MiHeart study). Eur Heart J. 2015 Nov 7;36(42):2898-904. doi: 10.1093/eurheartj/ehv477. Epub 2015 Sep 20.

Reference Type RESULT
PMID: 26392433 (View on PubMed)

Other Identifiers

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EMRTCC-MCD

Identifier Type: -

Identifier Source: org_study_id

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