Safety and Efficacy of Adipose Derived Stem Cells for Congestive Heart Failure
An Open-label, Non-Randomized, Multi-Center Study to Assess the Safety and Cardiovascular Effects of Intramyocardial and Intravenous Implantation of Autologous Adipose-Derived Stem Cells in Ischemic Congestive Heart Failure Patients
The intent of this clinical study is to answer the questions:
- Is the proposed treatment safe
- Is treatment effective in improving the disease pathology of patients with Heart Disease as assessed by a series of measurements indicating improvement, stability, or degradation of a patient's cardiovascular function and exercise capacity?
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
-
-
Baja California
-
Tijuana, Baja California, Mexico, 22010
- Instituto de Medicina Regenerativa
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Willing and able to sign informed consent
- Age >18 years and < 80 years
- New York Heart Association (NYHA) Class II-IV
- Ischemic cardiomyopathy without an acute coronary syndrome during the prior 6 months
Left Ventricular Ejection Fraction (LVEF) less than or equal to 40% measured by echocardiography at both local and investigative sites, AND:
- Well-demarcated region of LV systolic dysfunction.
- Left ventricular wall without mural thrombus and of thickness greater than 0.5 cm
- No significant valvular disease including: Moderate-to-severe mitral regurgitation (3-4+), aorticstenosis (valve area <1.5 cm2), aortic insufficiency (3-4+)
- Up to date on all age and gender appropriate cancer screening per American Cancer Society
Exclusion Criteria:
- Limiting symptoms due to non-CHF causes, such as lung disease, peripheral vascular disease, arthritis or other musculoskeletal disorders
- Inability to complete a 6-minute walk test for any reason
- Need for intravenous CHF medications, chronic continuous oxygen therapyor oral steroids,
- Coronary Artery Bypass Graft (CABG) surgery within 60 days prior to screening
- Planned revascularization within 4 months following enrollment
- Aortic aneurysm or dilatation (>3.8 cm by echocardiography or other imaging modality)
- Peripheral vascular disease at or below the distal aorta that may interfere with catheter use
- Hemodynamically significant pericardial disease
- Prior aortic or mitral valve replacement
- Biventricular pacing device implant within the last 3 months OR whose device is scheduled to be revised following enrollment in this trial
- Scheduled to receive or history of cardiac transplant, surgical remodeling procedure, left ventricular assist device
- Stroke within 180 days of screening
- Positive pregnancy test in women of child bearing potential or who are unwilling to use an acceptable method of contraception.
- Drug or alcohol dependence
- Life expectancy of less than 1 year
- History of cancer (other than non-melanoma skin cancer or in situ cervical cancer) in the last five years
- Exposure to angiogenic therapy (including myocardial laser) or another investigational drug within 60 days of screening, or enrollment in any concurrent study that may confound the results of this study
- Any factors in the opinion of the Investigator which render the patient unsuitable for participation that will interfere with conduct of the study or interpretation of the results.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Improvement in 6 Minute Walk Test
Time Frame: 3 months
|
3 months
|
|
Improvement in the Minnesota Living with Heart Failure Quality of Life Questionnaire
Time Frame: 3 months
|
3 months
|
|
Improvement in 6 Minute Walk Test
Time Frame: 6 months
|
6 months
|
|
Improvement in the Minnesota Living with Heart Failure Quality of Life Questionnaire
Time Frame: 6 months
|
6 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Improvement in the Left Ventricular Ejection Fraction (LVEF)
Time Frame: 6 months
|
6 months
|
|
|
Improvement in New York Heart Association classification
Time Frame: 3 months
|
3 months
|
|
|
Improvement in the Left Ventricular Ejection Fraction (LVEF)
Time Frame: 3 months
|
Determined by an echo
|
3 months
|
|
Improvement inn the Left Ventricular Volume
Time Frame: 3 months
|
3 months
|
|
|
Improvement in New York Heart Association classification
Time Frame: 6 months
|
6 months
|
|
|
Improvement in the Left Ventricular Volume
Time Frame: 6 months
|
6 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Juan J Parcero, MD, Instituto de Medicina Regenerativa
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
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 (Actual)
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
- ADI-ME-CHF-002
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