A study of the effect on heart function of direct myocardial injection of autologous bone marrow for treatment of patients with end-stage ischaemic heart failure.
- Conditions
- Heart failureCoronary artery diseaseCardiovascular - Coronary heart disease
- Registration Number
- ACTRN12611000219987
- Lead Sponsor
- John Hunter Hospital
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Withdrawn
- Sex
- All
- Target Recruitment
- 20
Age 18 -80 years.
CCS classification II-IV angina and/or NYHA classification II-III heart failure symptoms.
Received stable and best” cardiac medical therapy including diuretics, long-acting nitrates, beta-blocker, and angiotensin-converting enzyme inhibitors without control of symptoms.
Not suitable for conventional revascularization (due to diffuse disease, chronic total occlusion, lack of graftable vessels or any combination thereof).
LVEF <40% by echocardiography.
Recent coronary angiogram (within the last 6 months) to document the coronary anatomy and insure the presence of Coronary Artery Disease (CAD) that is not amenable to standard revascularization procedures.
Serum creatinine less than 250mmol/L, normal liver function, and normal blood count: white blood cell (WBC) count, granulocytes; platelet count, haemolglobin (Hb).
Reversible perfusion defect on SPECT.
Hemodynamically stable.
Subject is willing to comply with specified follow-up evaluations.
Atrial fibrillation.
History of syncope or major ventricular arrhythmias such as sustained ventricular tachycardia or ventricular fibrillation.
Severe valve disease.
Aortic or mitral valve prosthesis.
History of cancer in last 5 years.
Acute or chronic active sepsis, including human immunodeficiency virus (HIV) positive; hepatitis B or C positive.
Left ventricular (LV) wall thickness less than 8 mm in the target territory (by echocardiography or MRI).
LV thrombus and/or spontaneous echo-contrast in the LV detected by echocardiography or LV aneurysm.
Severe aorto-femoral-iliac disease.
Recent heart attack within the last 30 days.
Hypertrophic or restrictive cardiomyopathy.
Severe co-morbidity associated with a reduction in life expectancy of less than 1 year.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method