A clinical trial to evaluate the effect of bone marrow derived stem cell in diseases Limb Ischemia
Phase 1/2
Completed
- Conditions
- Limb Ischemia
- Registration Number
- CTRI/2010/091/000565
- Lead Sponsor
- Department of Biotechnology New Delhi
- Brief Summary
This is randomised controlled clinical trial to evaluate the feasibility, safety and therapeutic efficacy of angiogenesis induced by intra-arterial delivery of stem cells derived from autologous bone marrow in patients with critical limb ischemia.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 80
Inclusion Criteria
- 1)Clinical a)Rest pain requiring analgesia for > 2 weeks, and/or non healing ischemic ulcers b)Absent /weak peripheral pulses c)No response to smoking cessation for at least 3 months prior to evaluation d)Not suited for surgical/ endovascular revascularization d)Unilateral or bilateral involvement e) Claudication distance of <200 meters.
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- Hemodynamic a) Doppler study showing an occluded superficial femoral, popliteal, or infra-popliteal artery, with no or poor distal flow as evidenced by a monophasic, low velocity, collateralized flow pattern.
- b) Contrast-enhanced magnetic resonance and digital subtraction angiography demonstrating the site of occlusion, status of distal run-off and the extent of collateralization c) Ankle systolic pressure < 50 mm Hg d) A resting ankle brachial pressure index <0.5 in the affected limb on 2 consecutive examinations done at least 2 days apart (normal range, 0.9-1.1).
Exclusion Criteria
a)Poorly controlled diabetes mellitus b)Evidence of a malignancy during the last 5 year c)Renal dysfunction or other contraindication to injection of contrast media d)Continued smoking e)Limitation to exercise due to any reason other than claudication.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Changes in the composite of clinical status and improvement in TcO2 and improvement in ABI 1, 3 and 6 month
- Secondary Outcome Measures
Name Time Method Improvement in the grade of collaterals or Improvement in the visualization of distal run-off vessels 1, 3 and 6 month
Trial Locations
- Locations (1)
All India Institute of Medical Sciences
🇮🇳Delhi, DELHI, India
All India Institute of Medical Sciences🇮🇳Delhi, DELHI, IndiaDr Sanjiv SharmaPrincipal investigator01126594759meetisv@yahoo.com