Multi-intravenous Infusion of Umbilical Cord Mesenchymal Stem Cells for Treatment in Heart Failure Patients With Reduced Ejection Fraction: A Randomized, Double Blind, Placebo-Controlled, Prospective Clinical Study
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 发起方
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Left ventricular ejection fraction
研究概览
简要总结
This study is an exploratory clinical study to observe the safety and efficacy of the Intravenous Infusion of Umbilical Cord Mesenchymal Stem Cells in the heart failure patients with reduced ejection fraction. The study was a 12 months single center, randomized, double-blind, placebo-controlled trial that included 12 weeks of treatment, and 9 months of follow-up.
详细描述
The study was a 12-month single center, randomized, double-blind, placebo-controlled trial that included 12 weeks of treatment, and 9 months of follow-up.We plan to recruit 40 subjects,which were divided into experimental group and control group. The volunteers of the experimental group will be given peripheral intravenously infusion a dose of 1.0*10^6/kg human umbilical cord mesenchymal stem cell (HUC-MSC) respectively at 0,6,12 week. The control group will be given the same dose of 1 percent human serum albumin injection. Then centralization visit was conducted at 0,7 day, 6,12 week, 6 and 12 month. The primary safety end point is the incidence of any treatment emergent serious adverse events within12 months after intravenous MSC infusion, including death, nonfatal MI, stroke, sustained ventricular arrhythmias (>15 seconds or causing hemodynamic compromise), and other adverse events such as infection, tumor formation and clinical abnormal, which will be evaluated by monitoring for serial troponin, hematology, chemistry, urinalysis, 24-hour Holter, CTscans and ultrasound of abdomen.There are independent data and safety monitoring committees to monitor patient safety throughout the duration the trial.The primary efficacy endpoint is a change in Left Ventricular Ejection Fractions (LVEF) measured by left ventricular opacification (LVO) with contrast echocardiography and magnetic resonance imaging (MRI) at 12th month.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 80 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •NYHA II-IV;
- •Received maximally tolerated guideline-directed medical therapy ( GDMT) for at least 3 months before enrollment;
- •Angiography or coronary CT within 6 months shows that there is no indication for PCI / CABG; Or PCI / CABG indications, but refused.
排除标准
- •Severe valvular heart disease, congenital heart disease, acute viral myocarditis and acute coronary syndrome.
- •PCI / CABG, ICD / permanent pacemaker / CRT implantation within 3 months.
- •Recent cerebrovascular disease (<6 months).
- •eGFR<30ml/min, or ALT/AST>120U/L.
- •Hematologic disease: anemia (hemoglobin ≤9.0 g/dL); leukopenia (<3500/μL); thrombocytopenia (<70000/μL); myeloproliferative disorders, myelodysplastic syndrome, acute or chronic leukemia, and plasma cell dyscrasias (multiple myeloma, amyloidosis) .
- •Malignant tumor within 5 years.
- •Life expectancy <1 year according any disease.
- •Uncontrolled acute infectious diseases.
- •Known or suspected of being sensitive to the study drugs or its ingredients.
- •Not suitable for inclusion according to the evaluation of the sponsors or unwilling to comply with the study protocol.
结局指标
主要结局
Left ventricular ejection fraction
时间窗: Day 360
The change in Left ventricular ejection fraction (LVEF) % after the infusion.
The safety of treatment
时间窗: Day 360
The incidence of treatment related adverse events
次要结局
- A composite of cardiac death and rehospitalization caused by heart failure within 12 months(12 month after treatment)
- 6 minutes walking distance(Day 360)
- Left ventricular end systolic volume(Day 43, Day 85, Day 180, Day 360)
- Tricuspid annular plane systolic excursion(Day 360)
- The SUV in PET-MR(Day 180)
- NT-proBNP(Day 360)
- ST2(Day 360)
- Right ventricular end systolic volume(Day 360)
