A Phase I/II Clinical Trial of Intramyocardial Injection of HucMSCs for the Treatment of Chronic Heart Failure

NCT ID: NCT07265349

Last Updated: 2026-01-09

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

RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

51 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-26

Study Completion Date

2027-08-01

Brief Summary

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B2278 is a human umbilical cord mesenchymal stem cell (HucMSCs) injection derived from the umbilical cord. It has the advantages of stronger immune regulation, stronger expansion capacity, lower immunogenicity, and greater accessibility. The preliminary research results indicated that the B2278 injection promote the polarization of macrophages towards a reparative state through paracrine action, directly promote angiogenesis and inhibited inflammatory responses, thereby exerting effects on myocardial repair and treatment of heart failure, and it is also safe and well-tolerated.

This trial is a multi-center I/II phase clinical trial of the human umbilical cord mesenchymal stem cell injection solution, aiming to explore the dosage and regimen for the intramyocardial injection of B2278 in combination with coronary artery bypass grafting surgery for the treatment of chronic heart failure caused by chronic ischemic cardiomyopathy, and to evaluate the safety, tolerance and efficacy of allogeneic intramyocardial injection of the human umbilical cord mesenchymal stem cell injection solution in patients with chronic ischemic heart failure.

Detailed Description

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Conditions

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Coronary Artery Bypass Grafting (CABG) Chronic Heart Failure Chronic Ischemic Cardiomyopathy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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CABG combined with low-dose B2278

CABG combined with B2278 at a dose of 1.0×10\^7 cells per patient, intramyocardial injection into the epicardium

Group Type EXPERIMENTAL

Mesenchymal stem cells(HucMSCs)

Intervention Type DRUG

B2278 is mesenchymal stem cells derived from human umbilical cord.

CABG combined with midium-dose B2278

CABG combined with B2278 at a dose of 5.0×10\^7 cells per patient, intramyocardial injection into the epicardium

Group Type EXPERIMENTAL

Mesenchymal stem cells(HucMSCs)

Intervention Type DRUG

B2278 is mesenchymal stem cells derived from human umbilical cord.

CABG combined with high-dose B2278

CABG combined with B2278 at a dose of 2.0×10\^8 cells per patient, intramyocardial injection into the epicardium

Group Type EXPERIMENTAL

Mesenchymal stem cells(HucMSCs)

Intervention Type DRUG

B2278 is mesenchymal stem cells derived from human umbilical cord.

Only CABG

Only CABG surgery

Group Type EXPERIMENTAL

CABG

Intervention Type PROCEDURE

only CABG

Interventions

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Mesenchymal stem cells(HucMSCs)

B2278 is mesenchymal stem cells derived from human umbilical cord.

Intervention Type DRUG

CABG

only CABG

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* 1\) Age from 18 to 80 years, both genders are eligible ;
* 2\) Clinically judged to be suitable for CABG treatment due to chronic ischemic cardiomyopathy;
* 3\) LVEF (left ventricular ejection fraction) is ≤ 40% as indicated by echocardiography (modified Simpson method) or cardiac magnetic resonance (CMR);
* 4\) NYHA (New York Heart Association) cardiac function classification of grade II-IV;
* 5\) Patients or their legal guardians agreed to participate in this trial and signed the informed consent form.

Exclusion Criteria

* 1\) Severe left ventricular dysfunction, with LVEF ≤ 20% (based on the UCG or CMR examination results during the screening period);
* 2\) Non-ischemic chronic left heart dysfunction, including but not limited to acute left heart dysfunction, dilated cardiomyopathy, severe right heart dysfunction (such as bilateral lower extremity edema accompanied by jugular vein distension, liver enlargement, etc.) or severe pulmonary hypertension (PASP \> 70 mmHg);
* 3\) Clinically determined that other surgical procedures need to be performed simultaneously during CABG surgery, including but not limited to congenital heart disease requiring concurrent surgical intervention, heart valve disease, ventricular aneurysm, ventricular septal perforation, papillary muscle dysfunction, aortic dissection, intracardiac mass, thrombus or neoplasm;
* 4\) Acute ST-segment elevation myocardial infarction or stroke event within 1 month before enrollment;
* 5\) Uncontrolled malignant arrhythmia;
* 6)have undergone or are awaiting heart transplantation or implantation of a left ventricular assist device (LVAD).
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai Jiao Tong University School of Medicine, Ruijin Hospital

UNKNOWN

Sponsor Role collaborator

Tasly Pharmaceutical Group Co., Ltd

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Changhai Hospital

Shanghai, Shanghai Municipality, China

Site Status NOT_YET_RECRUITING

Shanghai Chest Hospital

Shanghai, Shanghai Municipality, China

Site Status NOT_YET_RECRUITING

Shanghai General Hospital

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Qiang Zhao

Role: CONTACT

86+13701695256

Facility Contacts

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Qiang Zhao

Role: primary

86+13701695256

Lin Han

Role: primary

86+13601914266

Dan Zhu

Role: primary

86+13671573807

Fanglin Lu

Role: primary

86+13901649602

Other Identifiers

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TASLY-BM-B2278-HF-I/Ⅱ

Identifier Type: -

Identifier Source: org_study_id

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