Intracoronary Injection of Autologous Bone Marrow Mononuclear Cells for Severe Myocardial Infarction
Overview
- Phase
- Phase 2
- Intervention
- Not specified
- Conditions
- Acute and Severe Myocardial Infarction
- Sponsor
- Nantes University Hospital
- Enrollment
- 101
- Locations
- 1
- Primary Endpoint
- Change in Myocardial viability evaluated by thallium scintigraphy (3 months and 1 year)
- Status
- Completed
- Last Updated
- 12 years ago
Overview
Brief Summary
Emerging evidence suggests that stem cells and progenitor cells derived from bone marrow can be used to improve cardiac function in patients after acute myocardial infarction. In this randomised trial, we aim to assess whether intracoronary transfer of autologous bone-marrow cells could improve myocardial viability at 3 and 12 months' follow-up.
Detailed Description
After successful percutaneous coronary intervention (PCI) for acute myocardial infarction, 100 patients are randomly assigned to either a control group (n=50) who receives an optimal medical treatment, or a bone-marrow-cell group (n=50) who receives an optimal medical treatment and intracoronary transfer of autologous bone-marrow cells 7•10 days after PCI.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Men or women between 18-75 years.
- •Acute myocardial infarction
- •Absence of viability in the infarcted zone and LVEF \<45%.
Exclusion Criteria
- •History of prior myocardial infarction
- •Significant stenosis in another coronary territory than the acutely treated vessel
Outcomes
Primary Outcomes
Change in Myocardial viability evaluated by thallium scintigraphy (3 months and 1 year)
Time Frame: after 3 months and 1 year of treatment
Secondary Outcomes
- Correlation with biological parameters (hematopoietic stem cell number, etc.) at the time of cell injection
- Left ventricle ejection fraction (LVEF) evaluated by radionuclide ventriculography, (3 and 12 months) and by echography (1, 3, 6, and 12 months). Segmental EF and myocardial viability evaluated by MRI (3 months)(after 1,3,6 ,12 months of treatment)