Left Ventricular Assist Device Combined With Allogeneic Mesenchymal Stem Cells Implantation in Patients With End-stage Heart Failure.

NCT ID: NCT01759212

Last Updated: 2022-07-25

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

TERMINATED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

1 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-10-31

Study Completion Date

2022-07-31

Brief Summary

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The aim of the study is to investigate safety and efficacy of intramyocardial implantation of allogeneic mesenchymal stem cells in patients with end-stage ischemic cardiomyopathy undergoing left ventricular assist device implantation.

Detailed Description

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End-stage ischemic cardiomyopathy (ICM) with non-graftable coronary arteries is a common and debilitating problem. The ultimate therapeutic goal in such cases is cardiac transplantation which is restricted by donor availability. Alternatively, left ventricular assist devices (LVAD) are increasingly used as bridge to transplantation or more recently as destination therapy in non-transplant candidates. Widely used second- and third-generation continuous-flow LVAD offer symptomatic relief and prolong life. However, LV unloading rarely improves native heart function in ischemic hearts. We aim to increase myocardial viability and improve native cardiac function in patients with end-stage ICM by injecting allogeneic bone marrow stem cells at the time of LVAD implantation.

Conditions

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Heart Failure Ischemic Cardiomyopathy

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Stem cells implantation

Patients with end-stage heart failure due to ischemic cardiomyopathy will undergo combined cellular and mechanical support with implantation of off-the-shelf allogeneic mesenchymal stem cells and left ventricular assist device.

Group Type EXPERIMENTAL

Allogeneic stem cells implantation

Intervention Type BIOLOGICAL

Interventions

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Allogeneic stem cells implantation

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Age 18 to 75 years
* End-stage heart failure due to ischemic cardiomyopathy that requires mechanical support according to current indications
* Ability to provide informed consent

Exclusion Criteria

* Not willing to provide informed consent
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AHEPA University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Kyriakos Anastasiadis

Professor Kyriakos Anastasiadis

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kyriakos Anastasiadis, MD, PhD, FETCS

Role: PRINCIPAL_INVESTIGATOR

AHEPA University Hospital

Locations

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AHEPA University Hospital

Thessaloniki, , Greece

Site Status

Countries

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Greece

References

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Anastasiadis K, Antonitsis P, Doumas A, Koliakos G, Argiriadou H, Vaitsopoulou C, Tossios P, Papakonstantinou C, Westaby S. Stem cells transplantation combined with long-term mechanical circulatory support enhances myocardial viability in end-stage ischemic cardiomyopathy. Int J Cardiol. 2012 Mar 22;155(3):e51-3. doi: 10.1016/j.ijcard.2011.07.062. Epub 2011 Aug 17. No abstract available.

Reference Type BACKGROUND
PMID: 21852003 (View on PubMed)

Anastasiadis K, Antonitsis P, Argiriadou H, Koliakos G, Doumas A, Khayat A, Papakonstantinou C, Westaby S. Hybrid approach of ventricular assist device and autologous bone marrow stem cells implantation in end-stage ischemic heart failure enhances myocardial reperfusion. J Transl Med. 2011 Jan 19;9:12. doi: 10.1186/1479-5876-9-12.

Reference Type BACKGROUND
PMID: 21247486 (View on PubMed)

Ibrahim M, Rao C, Athanasiou T, Yacoub MH, Terracciano CM. Mechanical unloading and cell therapy have a synergistic role in the recovery and regeneration of the failing heart. Eur J Cardiothorac Surg. 2012 Aug;42(2):312-8. doi: 10.1093/ejcts/ezs067. Epub 2012 Feb 29.

Reference Type BACKGROUND
PMID: 22378852 (View on PubMed)

Other Identifiers

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AHEPA_CTL_02

Identifier Type: -

Identifier Source: org_study_id

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