Injection of Autologous CD34-Positive Cells for Critical Limb Ischemia (ACT34-CLI)
Injection of Autologous CD34-Positive Cells for Improved Symptomatic Relief and Ischemic Wound Healing in Subjects With Moderate or High-Risk Critical Limb Ischemia
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Locations
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-
Alabama
-
Birmingham, Alabama, United States, 35211
- Cardiology, PC
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-
Florida
-
Gainsville, Florida, United States, 32605
- Florida Research Network LLC
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Orlando, Florida, United States, 32806
- Orlando Regional Medical Center
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Illinois
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Chicago, Illinois, United States, 60611
- Northwestern University
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Iowa
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Iowa City, Iowa, United States, 52242
- University of Iowa Hospitals and Clinics
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-
Massachusetts
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Boston, Massachusetts, United States, 02114
- Massachusetts General Hospital
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-
New York
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New York, New York, United States, 10029
- Mount Sinai School of Medicine Division of Vascular Surgery
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North Carolina
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Chapel Hill, North Carolina, United States, 27514
- University of North Carolina at Chapel Hill
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Ohio
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Cleveland, Ohio, United States, 44106
- University Hospitals of Cleveland, Case Medical Center
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Utah
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Salt Lake City, Utah, United States, 84132
- University of Utah-Vascular Surgery Division
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Washington
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Seattle, Washington, United States, 98122
- Swedish Medical Center
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Wisconsin
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Milwaukee, Wisconsin, United States, 53215
- Comprehensive Cardiovascular Care St. Luke's Medical Center
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- 21-80 years of age
- moderate or high-risk Critical Limb Ischemia (Rutherford Clinical Severity Score 4 or 5)
- unsuitable for conventional revascularization
Exclusion Criteria:
- advanced CLI (Rutherford Clinical Severity Score 6) characterized by extensive tissue loss or gangrene
- advance AV block or NYHA Class III or Class IV heart failure
- myocardial infarction within 3 months of treatment
- successful coronary or lower extremity revascularization within 3 months of study enrollment
- arterial insufficiency in the lower extremity is the result of a non-atherosclerotic disorder with the exception of thromboangitis obliterans (Buerger's Disease)
- co-morbidity associated with life expectancy of less than 1 year
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Saline
|
|
|
Active Comparator: Low Dose
|
|
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Active Comparator: High Dose
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Safety of Intramuscular Injection of CD34-positive cells
Time Frame: 6 months and 1 year
|
6 months and 1 year
|
|
Change in Rest Pain
Time Frame: 6 months
|
6 months
|
|
Ulcer Healing
Time Frame: 6 months
|
6 months
|
|
Functional Improvement
Time Frame: 6 months
|
6 months
|
|
Limb Salvage
Time Frame: 6 months
|
6 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Disease Severity
Time Frame: 6 months
|
6 months
|
|
Assessment of Co-morbidity
Time Frame: 6 months
|
6 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Publications and helpful links
General Publications
- Moazzami B, Mohammadpour Z, Zabala ZE, Farokhi E, Roohi A, Dolmatova E, Moazzami K. Local intramuscular transplantation of autologous bone marrow mononuclear cells for critical lower limb ischaemia. Cochrane Database Syst Rev. 2022 Jul 8;7(7):CD008347. doi: 10.1002/14651858.CD008347.pub4.
- Losordo DW, Kibbe MR, Mendelsohn F, Marston W, Driver VR, Sharafuddin M, Teodorescu V, Wiechmann BN, Thompson C, Kraiss L, Carman T, Dohad S, Huang P, Junge CE, Story K, Weistroffer T, Thorne TM, Millay M, Runyon JP, Schainfeld R; Autologous CD34+ Cell Therapy for Critical Limb Ischemia Investigators. A randomized, controlled pilot study of autologous CD34+ cell therapy for critical limb ischemia. Circ Cardiovasc Interv. 2012 Dec;5(6):821-30. doi: 10.1161/CIRCINTERVENTIONS.112.968321. Epub 2012 Nov 27.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- STU00009937/STU00001469
- 11931-02 (Other Identifier: Sponsor protocol number)
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