A Clinical Trial to Study the Efficacy and Safety of Different Doses of Bone Marrow Derived Mesenchymal Stem Cells in Patients With Critical Limb Ischemia Due to Buergers Disease

NCT ID: NCT01484574

Last Updated: 2016-09-13

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

PHASE2

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-01-31

Study Completion Date

2016-03-31

Brief Summary

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This is an open label, non-randomized, dose ranging study to evaluate the safety and efficacy of different doses of Stempeucel in critical limb ischemia patients.

Detailed Description

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Conditions

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Critical Limb Ischemia Buerger's Disease

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Low dose

Stempeucel - CLI will be administered at the lowest dose

Group Type EXPERIMENTAL

Allogeneic Mesenchymal Stem Cells

Intervention Type BIOLOGICAL

Single intramuscular administration of low dose of stem cells

Intermediate dose

Stempeucel - CLI will be administered at intermediate dose

Group Type EXPERIMENTAL

Allogeneic Mesenchymal Stem Cells

Intervention Type BIOLOGICAL

Single intramuscular administration of intermediate dose of stem cells

Control arm

Standard protocol of care alone

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Allogeneic Mesenchymal Stem Cells

Single intramuscular administration of low dose of stem cells

Intervention Type BIOLOGICAL

Allogeneic Mesenchymal Stem Cells

Single intramuscular administration of intermediate dose of stem cells

Intervention Type BIOLOGICAL

Other Intervention Names

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Stempeucel - CLI Stempeucel - CLI

Eligibility Criteria

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Inclusion Criteria

* Buerger's disease as diagnosed by Shionoya criteria
* Males or females (willing to use accepted methods of contraception during the course of the study) in the age group of 18-65 yrs
* Established CLI in the study limb, clinically and hemodynamically confirmed as per Rutherford- III-5
* Patients in Rutherford- III-6 if gangrene extending maximally up to the head of metatarsal but limited to toes (Patients with wet gangrene must undergo wound debridement / amputation before screening)
* Patients having infrapopliteal occlusive disease with rest pain and ischemic ulcer/necrosis, who are not eligible for or have failed traditional revascularization treatment as per the investigators judgment (No option patients)
* Ankle Brachial Pressure Index (ABPI) ≤ 0.6 or ankle pressure ≤ 50 mm Hg or TcPO2 ≤ 40 mmHg in the foot of the study limb
* Patients who are able to understand the requirements of the study, and willing to provide voluntary written informed consent and video consent, abide by the study requirements, and agree to return for required follow-up visits

Exclusion Criteria

* Patients with CLI indicated for major amputation during screening
* Atherosclerotic PAD
* Ulcers with exposure of tendon and/bone in the shin region
* Previous above transmetatarsal amputation in study limb
* Any Lumbar sympathectomy procedure performed less than 90 days prior to the screening
* Patients with gait disturbance for reasons other than CLI
* Diagnosis of diabetes mellitus (type 1 or type 2)
* Patients having left ventricular ejection fraction \< 35%
* Patients suffering from clinically relevant peripheral neuropathy
* History of Stroke or myocardial infarction
* Patients who are contraindicated for MRA
* Patients with deep vein thrombosis in any limb
* Patients who have clinically serious and/or unstable inter-current infection, medical illnesses or conditions that are uncontrolled or whose control, in the opinion of the Investigator, may be jeopardized by participation in this study or by the complications of this therapy
* Documented terminal illness or cancer or any concomitant disease process with a life expectancy of \<1 year
* Patients already enrolled in another investigational drug trial or completed within 3 months or those who have participated in any stem cell clinical trial
* Patient with known hypersensitivity to the constituents of the IMP - dimethyl sulfoxide (DMSO) or human serum albumin (HSA)
* History of severe alcohol or drug abuse within 3 months of screening
* Hb% \< 10 gm% for males, Hb% \< 9 gm% for females, serum creatinine ≥ 2mg%, serum Total Bilirubin ≥2mg%
* Pregnant and lactating women
* Patients tested positive for HIV 1, HCV, HBV, CMV, RPR
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Stempeutics Research Pvt Ltd

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dr Anirban Chatterjee

Role: PRINCIPAL_INVESTIGATOR

AMRI Hospital

Dr Anita Dhar

Role: PRINCIPAL_INVESTIGATOR

All India Institute of Medical Sciences

Dr Rajkumar M

Role: PRINCIPAL_INVESTIGATOR

Stanley Medical College

Dr Radhakrishnan R

Role: PRINCIPAL_INVESTIGATOR

Sri Ramchandra Medical College

Dr Vidyasagaran T

Role: PRINCIPAL_INVESTIGATOR

Madras Medical College

Dr Alfred Augustine

Role: PRINCIPAL_INVESTIGATOR

KMC, Mangalore

Dr Sanjay Desai

Role: PRINCIPAL_INVESTIGATOR

M. S. Ramaiah Medical College

Dr Rajiv Parakh

Role: PRINCIPAL_INVESTIGATOR

Medanta - The Medicity

Dr Santanu Dutta

Role: PRINCIPAL_INVESTIGATOR

Nightingale Hospital

Dr Murali Krishna

Role: PRINCIPAL_INVESTIGATOR

Sri Jayadeva Institute of Cardiovascular Sciences & Research

Locations

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Division of Peripheral Vascular and Endovascular Sciences, Medanta - The Medicity

Gurgaon, Haryana, India

Site Status

Department of Vascular and Endovascular Surgery, M. S. Ramaiah Medical College and Hospitals

Bangalore, Karnataka, India

Site Status

Peripheral Vascular Surgery, Sri Jayadeva Institute of Cardiovascular Sciences & Research

Bangalore, Karnataka, India

Site Status

Department of Surgery, KMC, Mangalore

Mangalore, Karnataka, India

Site Status

Department of Surgical Disciplines, All India Institute of Medical Sciences

New Delhi, National Capital Territory of Delhi, India

Site Status

Department of Vascular Surgery, Madras Medical College

Chennai, Tamil Nadu, India

Site Status

Department of Vascular Surgery, Sri Ramchandra Medical College

Chennai, Tamil Nadu, India

Site Status

Department of Vascular Surgery, Stanley Medical College

Chennai, Tamil Nadu, India

Site Status

Department of Vascular Surgery, AMRI Hospital

Kolkata, West Bengal, India

Site Status

Nightingale Hospital

Kolkata, West Bengal, India

Site Status

Countries

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India

Other Identifiers

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SRPL/CLI/10-11/001

Identifier Type: -

Identifier Source: org_study_id

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