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临床试验/NL-OMON47824
NL-OMON47824招募中3 期

Stem Cell therapy in IschEmic Non-treatable Cardiac disease - SCIENCE - SCIENCE

Rigshospitalet Copenhagen University Hospital, Capital Region of Denmark0 个研究点目标入组 20 人开始时间: 待定最近更新:
适应症

试验速览

阶段
3 期
状态
招募中
发起方
入组人数
20

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 99(—)

入选标准

  • 1. 30 to 80 years of age
  • 2. Signed informed consent
  • 3. Chronic stable ischemic heart disease
  • 4. Symptomatic Heart failure (NYHA II-III)
  • 5. LVEF <=45% on echocardiography, CT or MRI scan.
  • 6. Plasma NT-pro-BNP > 300 pg/ml (> 35 pmol/L)
  • 7. Maximal tolerable heart failure medication
  • 8. Medication unchanged two months prior to inclusion/signature of informed
  • consent. Changes in diuretics accepted.
  • 9. No option for percutaneous coronary intervention (PCI) or coronary artery
  • bypass graft (CABG)
  • 10. Patients who have had PCI or CABG within six months of inclusion
  • must have a new angiography less than one month before inclusion or at
  • least four months after the intervention to rule out early restenosis
  • 11. Patients cannot be included until three months after implantation of
  • a cardiac resynchronisation therapy device (CRTD) and 1 month after an ICD unit

排除标准

  • Exclusion criteria
  • 1. Heart Failure (NYHA I or IV)
  • 2. Acute coronary syndrome with elevation of CKMB or troponins, stroke or
  • transitory cerebral ischemia within six weeks of inclusion. Constant elevated
  • troponin due to renal failure, heart failure etc. do not exclude the patient.
  • 3. Other revascularisation treatment within four months of treatment
  • 4. If clinically indicated the patient should have a coronary angiography
  • before inclusion
  • 5. Moderate to severe aortic stenosis (valve area < 1.3 cm2) or
  • valvular disease with option for surgery or interventional therapy.
  • 6. Aortic valve replacement with an artificial heart valve. However, a
  • trans-septal treatment approach can be considered in these patients.
  • 7. If the patient is expected to be candidate for MitraClip therapy of mitral
  • regurgitation in the 12 months follow-up period.
  • 8.. Diminished functional capacity for other reasons such as: obstructive
  • pulmonary disease (COPD) with forced expiratory volume (FEV) <1
  • L/min, moderate to severe claudication or morbid obesity
  • 9. Clinical significant anaemia (haemoglobin < 6 mmol/L), leukopenia
  • (leucocytes < 2 109/L), leucocytosis (leucocytes >14 109/L) or
  • thrombocytopenia (thrombocytes < 50 109/L)
  • 10. Reduced kidney function (eGFR < 30 ml/min)
  • 11. Left ventricular thrombus
  • 12. Anticoagulation treatment that cannot be paused during cell injections.
  • Patients can continue with platelet inhibitor treatment
  • 13. Patients with reduced immune response
  • 14. History with malignant disease within five years of inclusion or
  • suspected malignity - except treated skin cancer other than melanoma
  • 15. Pregnant women
  • 16. Other experimental treatment within four weeks of baseline tests
  • 17. Participation in another intervention trial
  • 18. Life expectancy less than one year
  • 19. Known hypersensitivity to DMSO, penicillin and streptomycin

研究者

发起方
Rigshospitalet Copenhagen University Hospital, Capital Region of Denmark

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