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Umbilical Cord Derived Mesenchymal Stem Cells Therapy in Ischemic Cardiomyopathy

Phase 1
Conditions
Ischemic Cardiomyopathy
Interventions
Biological: mesenchymal stem cells
Registration Number
NCT01946048
Lead Sponsor
Hebei Medical University
Brief Summary

The aim of the present study is to investigate safety and efficacy of intramyocardial implantation of allogeneic mesenchymal stem cells in patients with ischemic cardiomyopathy .

Detailed Description

Coronary artery disease (CAD) is a common disorder that can lead to heart failure. Not all people with CAD are eligible for today's standard treatments. One new treatment approach uses umbilical cord blood derived mesenchymal stem cells-specialized cells capable of developing into other types of cells-to stimulate growth of new blood vessels for the heart. The aim of the present study is to investigate safety and efficacy of intramyocardial implantation of allogeneic mesenchymal stem cells in patients with ischemic cardiomyopathy .

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
10
Inclusion Criteria
  1. Age from 30 to 80 years
  2. ischemic cardiomyopathy
  3. Left ventricular infarction area seriously low movement to no movement
  4. The low whole left ventricular systolic function (LVEF 45% or less)
  5. Have line or quasi coronary interventional treatment
  6. Willing to accept patients with follow-up evaluation
  7. Have signed informed consent form approved by the ethics committee
Exclusion Criteria
  1. Non elevation between S-wave and T-wave in patients with acute myocardial infarction
  2. No function damage in patients with acute myocardial infarction
  3. Acute myocardial infarction complicated with left ventricular aneurysm intends to do surgery
  4. Complications of acute myocardial infarction with other machines (including: ventricular septal perforation, papillary muscle rupture, etc.)
  5. Acute infectious diseases
  6. Blood system diseases, such as thrombocytopenia, severe anemia, leukemia, etc
  7. Severe renal disease, creatinine clearance < 36 ml/min, serum creatinine > 265 umol/L
  8. Laboratory tests suggest abnormal liver function, glutamate-pyruvate transaminase (ALT) > 4 times the upper limit of normal
  9. Unstable cerebral lesions
  10. malignant tumor
  11. Cognitive dysfunction and dementia patients, patients with severe mental illness
  12. Patients with severe physical disabilities can't regular follow-up
  13. Other serious uncontrolled system disease
  14. To prepare or have the pregnancy women patients
  15. Have a percutaneous coronary intervention contraindications: high-risk patients, such as the digestive tract, and intracranial hemorrhage or contrast allergy
  16. Cannot use the test dose atorvastatin
  17. Is not completed in accordance with the requirements for test the timing of the magnetic resonance imaging (MRI), PET, SPECT, follow-up testing (e.g., patients with implanted pacemakers or artificial joint)
  18. Patients unable or unwilling to sign a consent form

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
mesenchymal stem cellsmesenchymal stem cellsStem cells implantation Patients with severe coronary artery disease with ischemic cardiomyopathy managed with intramyocardial administration of allogeneic mesenchymal stem cells.
Primary Outcome Measures
NameTimeMethod
The examination of heart functionPost cell transplantation: 1, 3, 6 months

Left ventricular ejection fraction: Change in left ventricular ejection fraction assessed with echocardiography after intramyocardial implantation of allogeneic mesenchymal stem cells.

Secondary Outcome Measures
NameTimeMethod
major adverse cardiac and cerebrovascular eventsPost cell transplantation: one year
all-cause mortalityPost cell transplantation: one year
all-cause morbidityPost cell transplantation: one year

Trial Locations

Locations (1)

the First Hospital of Hebei Medical University

🇨🇳

Shijiazhuang, Hebei, China

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