Rapid Delivery of Autologous Bone Marrow Derived Stem Cells in Acute Myocardial Infarction Patients.

NCT ID: NCT01536106

Last Updated: 2013-09-04

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/PHASE2

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-12-31

Study Completion Date

2015-03-31

Brief Summary

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The primary objective of the study is to determine the feasibility and safety of intracoronary administration of autologous bone marrow derived mononuclear cell product in patients at risk for clinically significant cardiac dysfunction following AMI.

The secondary objective of the study is to assess the effect on cardiac function and infarct region perfusion. A concurrent placebo control patient group meeting eligibility but not receiving autologous bone marrow derived stem cells will be evaluated similar to the treated group to assess the rate of significant spontaneous improvement in cardiac function.

Detailed Description

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Emerging evidence indicate that progenitor stem cells derived from bone marrow can be used to improve cardiac function in acute myocardial infarction patients. There is a great potential for stem cell therapy, using a variety of cell precursors to contribute to new blood vessel formation and muscle preservation in the myocardial infarct zone. The administration of cells via an infusion through the infarct related artery appears to be feasible and result in a clinical effect in some studies. Across the globe AMI is the leading cause of morbidity and mortality. This cannot be prevented by optimal standard therapies i.e. balloon or stent dilation of the infarct vessels.

The study is a double blind, placebo controlled, randomized, multicenter trial. Male or female patients between 18-75 years with first incidence of Acute Myocardial Infarction(AMI) and LVEF less than or equal to 40% are included in the study. Patients who have undergone successful percutaneous intervention (PCI) within ≤ 24 hours after onset of symptoms (PTCA/stent) or / and Thrombolysed patients having TIMI-3 flow are eligible to take part in the study.

A total of 30 subjects will be recruited and randomly assigned to receive concentrated BMMNC or placebo. All patients will undergo bone marrow aspiration within 3-10 days from the index event(infarction). Bone Marrow(BM) will be processed utilizing point of care technology. Following cell processing, the concentrated BMMNC or placebo control is infused directly into the infarct related artery using the stop flow method. Clinical follow up for all the subjects at 1,30, 60, 90, 180 and 360 days will be performed from the day of the procedure, with primary and secondary end points evaluated for both study arms.

Conditions

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Acute Myocardial Infarction

Keywords

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Cell therapy, Bone marrow stem cells, cardiac cell therapy

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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Treatment

Implantation of bone marrow derived mononuclear cells

Group Type EXPERIMENTAL

Autologous Bone marrow mononuclear cells

Intervention Type OTHER

Intracoronary administration of concentrated BMMNC on the same day of BM aspiration using point of care technology.

Placebo Control

Infusion of autologous peripheral blood

Group Type PLACEBO_COMPARATOR

Placebo control

Intervention Type OTHER

Intracoronary infusion of autologous peripheral blood.

Interventions

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Autologous Bone marrow mononuclear cells

Intracoronary administration of concentrated BMMNC on the same day of BM aspiration using point of care technology.

Intervention Type OTHER

Placebo control

Intracoronary infusion of autologous peripheral blood.

Intervention Type OTHER

Other Intervention Names

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BMMNC treatment group Placebo control group

Eligibility Criteria

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Inclusion Criteria

* Male or Female of age 18 - 75 years
* Incidence of first myocardial infarction
* Acute STEMI with LV hypokinesia involving anteroseptal, lateral or inferior walls
* LVEF \< 40% pre-intervention
* Successful percutaneous intervention (PCI) within ≤ 24 hours after onset of symptoms (PTCA/stent) or / and Thrombolysed patients having TIMI-3 flow.
* Written informed consent

Exclusion Criteria

* Multi-vessel coronary disease requiring surgical intervention (CABG) or left main coronary artery disease \> 50% blockage
* Previous history of CABG
* Pulmonary edema
* Cardiogenic shock
* Myocarditis
* Renal or hepatic dysfunction
* Hematologic disease


* Alcohol or drug dependency, active or uncontrolled acute myocarditis
* HIV, HBV, or HCV infections
* Evidence of malignant or hematological diseases
* Metal implants of any kind
* Claustrophobia
* Renal insufficiency
* History of bleeding disorder
* Anemia (haemoglobin \<8.5mg/dl)
* Platelet count \<100,000/ml
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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TotipotentRX Corporation

UNKNOWN

Sponsor Role collaborator

TotipotentRX Cell Therapy Pvt. Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Venkatesh Ponemone, PhD

Role: STUDY_DIRECTOR

TotipotentRX Cell Therapy Pvt. Ltd.

Kenneth Harris, MS

Role: STUDY_CHAIR

TotipotentRX Cell Therapy Pvt. Ltd.

Ashok Seth, FRCP, FACC

Role: PRINCIPAL_INVESTIGATOR

Fortis Escorts Heart Institute and Research Centre

Upendra Kaul, MD,DM, FACC

Role: PRINCIPAL_INVESTIGATOR

Fortis Flt. Lt. Rajan Dhall Hospital

Sreenivas A Kumar, MD, DM, FACC

Role: PRINCIPAL_INVESTIGATOR

CARE Hospitals Hyderabad, India

Locations

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CARE Hospitals, Banjara Hills

Hyderabad, Hyderabad, India

Site Status

Fortis Escorts Heart Institute and Research Centre

New Delhi, New Delhi, India

Site Status

Fortis Flt. Lt. Rajan Dhall Hospital

New Delhi, New Delhi, India

Site Status

Countries

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India

Central Contacts

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Kenneth Harris, MS

Role: CONTACT

Phone: 13234207766

Email: [email protected]

Venkatesh Ponemone, PhD

Role: CONTACT

Phone: 911244976860

Email: [email protected]

Facility Contacts

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Sreenivas A Kumar

Role: primary

Ashok Seth, FRCS, FSCAI

Role: primary

Vinay Sanghi, MD

Role: backup

Upendra Kaul, MD

Role: primary

Tapan Ghose, MD

Role: backup

References

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Roncalli J, Mouquet F, Piot C, Trochu JN, Le Corvoisier P, Neuder Y, Le Tourneau T, Agostini D, Gaxotte V, Sportouch C, Galinier M, Crochet D, Teiger E, Richard MJ, Polge AS, Beregi JP, Manrique A, Carrie D, Susen S, Klein B, Parini A, Lamirault G, Croisille P, Rouard H, Bourin P, Nguyen JM, Delasalle B, Vanzetto G, Van Belle E, Lemarchand P. Intracoronary autologous mononucleated bone marrow cell infusion for acute myocardial infarction: results of the randomized multicenter BONAMI trial. Eur Heart J. 2011 Jul;32(14):1748-57. doi: 10.1093/eurheartj/ehq455. Epub 2010 Dec 2.

Reference Type RESULT
PMID: 21127322 (View on PubMed)

Strauer BE, Yousef M, Schannwell CM. The acute and long-term effects of intracoronary Stem cell Transplantation in 191 patients with chronic heARt failure: the STAR-heart study. Eur J Heart Fail. 2010 Jul;12(7):721-9. doi: 10.1093/eurjhf/hfq095.

Reference Type RESULT
PMID: 20576835 (View on PubMed)

Dohmann HF, Silva SA, Sousa AL, Braga AM, Branco RV, Haddad AF, Oliveira MA, Moreira RC, Tuche FA, Peixoto CM, Tura BR, Borojevic R, Ribeiro JP, Nicolau JC, Nobrega AC, Carvalho AC. Multicenter double blind trial of autologous bone marrow mononuclear cell transplantation through intracoronary injection post acute myocardium infarction - MiHeart/AMI study. Trials. 2008 Jul 3;9:41. doi: 10.1186/1745-6215-9-41.

Reference Type RESULT
PMID: 18598362 (View on PubMed)

Other Identifiers

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TPRX/POC/BMSC/AMIRST/1.0

Identifier Type: -

Identifier Source: org_study_id