- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00113243
Safety Study of Using Stem Cells to Stimulate Development of New Blood Vessels in Peripheral Vascular Disease
Phase I Study of Stem Cell Mediated Angiogenesis for Limb Threatening Ischemia
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Presently there are no effective medical therapies to enhance blood flow in the legs of patients with peripheral vascular disease. For patients with limb threatening ischemia the only option for relief of rest pain or gangrene is amputation.
There is evidence in animal and clinical studies that adult stem cells in the bone marrow, called endothelial progenitor cells, participate in the development of new blood vessels, a process called angiogenesis. In this investigation, patients with limb threatening ischemia will have their bone marrow harvested and the stem cells will then be removed and injected directly into the muscle of the diseased leg. The procedure will require about 4 hours and the subjects will be admitted to the Indiana University Medical Center overnight. The follow-up period is 12 weeks and the analysis will consist of examinations at 1, 2, 4, 6, 8, and 12 weeks. Adverse and serious adverse events will be recorded during this time period. Diagnostic studies will be obtained to measure blood flow in the treated leg during the follow up period and include transcutaneous (skin) oxygen measurements, pressure recordings in the leg, arteriography, magnetic resonance imaging, and wound healing.
Study Type
Enrollment
Phase
- Phase 1
Contacts and Locations
Study Contact
- Name: Michael P Murphy, MD
- Phone Number: (317) 630-8288
- Email: mipmurph@iupui.edu
Study Contact Backup
- Name: Julie Lacy, RN
- Phone Number: (317)962-0138
- Email: julacy@iupui.edu
Study Locations
-
-
Indiana
-
Indianapolis, Indiana, United States, 46202
- Recruiting
- Indiana University School of Medicine
-
Sub-Investigator:
- Keith L March, MD,PhD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Severe peripheral vascular disease not amenable to bypass or angioplasty
- Age >21 years old
- Normal renal function (creatinine < 1.6)
Exclusion Criteria:
- Congestive heart failure (ejection fraction [EF]<30%)
- History of cancer or myeloproliferative disorders
- Proliferative retinopathy
- Pregnancy
- Cognitively disabled
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NON_RANDOMIZED
- Interventional Model: SINGLE_GROUP
- Masking: NONE
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
---|
Adverse events recorded in the 12 week study period
|
Serious Adverse events recorded for one year
|
Secondary Outcome Measures
Outcome Measure |
---|
Changes in limb perfusion after treatment with stem cells will be assessed with arteriography, blood pressure recordings, oxygen measurements, and wound healing
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Michael P Murphy, MD, Indiana University School of Medicine
Publications and helpful links
General Publications
- Rehman J, Li J, Parvathaneni L, Karlsson G, Panchal VR, Temm CJ, Mahenthiran J, March KL. Exercise acutely increases circulating endothelial progenitor cells and monocyte-/macrophage-derived angiogenic cells. J Am Coll Cardiol. 2004 Jun 16;43(12):2314-8. doi: 10.1016/j.jacc.2004.02.049.
- March KL, Johnstone BH. Cellular approaches to tissue repair in cardiovascular disease: the more we know, the more there is to learn. Am J Physiol Heart Circ Physiol. 2004 Aug;287(2):H458-63. doi: 10.1152/ajpheart.00343.2004. No abstract available.
- Rehman J, Li J, Orschell CM, March KL. Peripheral blood "endothelial progenitor cells" are derived from monocyte/macrophages and secrete angiogenic growth factors. Circulation. 2003 Mar 4;107(8):1164-9. doi: 10.1161/01.cir.0000058702.69484.a0.
- Liang TW, Jester A, Motaganahalli RL, Wilson MG, G'Sell P, Akingba GA, Fajardo A, Murphy MP. Autologous bone marrow mononuclear cell therapy for critical limb ischemia is effective and durable. J Vasc Surg. 2016 Jun;63(6):1541-5. doi: 10.1016/j.jvs.2016.01.022. Epub 2016 Mar 23.
Study record dates
Study Major Dates
Study Start
Study Completion
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- IUPUI 0503-14
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Peripheral Vascular Diseases
-
C. R. BardCromsourceCompletedVascular Diseases, PeripheralGermany, Poland
-
Stanford UniversityTerminatedPAD - Peripheral Arterial Disease | PVD- Peripheral Vascular DiseaseUnited States
-
Alucent BiomedicalCompletedPeripheral Arterial Disease | Peripheral Vascular Diseases | Catheterization, PeripheralUnited States
-
SensomeRecruitingPeripheral Vascular DiseaseBelgium
-
Biotronik, Inc.CompletedPeripheral Vascular Disease | Peripheral Artery DiseaseCanada, United States
-
Biotronik AGBiotronik, Inc.UnknownPeripheral Vascular Disease | Peripheral Artery DiseaseGermany, Belgium, Austria, Switzerland
-
Acotec Scientific Co., LtdRecruitingPeripheral Arterial Disease (PAD) | Peripheral Vascular Disease (PVD)China
-
Alucent BiomedicalCompletedPeripheral Arterial Disease | Peripheral Vascular Diseases | Catheterization, PeripheralUnited States
-
Baylor UniversityNational Institute on Aging (NIA)RecruitingArterial Occlusive Diseases | Peripheral Arterial Disease | Atherosclerosis | Vascular Diseases, PeripheralUnited States
-
Stanford UniversityNational Heart, Lung, and Blood Institute (NHLBI)Not yet recruitingPeripheral Vascular Disease | Peripheral Artery DiseaseUnited States
Clinical Trials on adult stem cells
-
The University of Texas Health Science Center,...National Heart, Lung, and Blood Institute (NHLBI)CompletedLeft Ventricular DysfunctionUnited States
-
The University of Texas Health Science Center,...National Heart, Lung, and Blood Institute (NHLBI); Cardiovascular Cell Therapy...CompletedIschemic Cardiomyopathy | Left Ventricular Dysfunction | Angina | Chronic Ischemic Heart DiseaseUnited States
-
UPECLIN HC FM Botucatu UnespLaboratório de Genética Humana e Terapia Celular, Unesp - Assis; Instituto...CompletedChronic Obstructive Pulmonary Disease | Pulmonary EmphysemaBrazil
-
Stemedica Cell Technologies, Inc.University of California, San Diego; Mercy Gilbert Medical Center at AZ; Chandler... and other collaboratorsCompletedIschemic StrokeUnited States
-
The University of Texas Health Science Center,...National Heart, Lung, and Blood Institute (NHLBI)CompletedLeft Ventricular DysfunctionUnited States
-
National Yang Ming UniversityCompleted
-
Clinica Universidad de Navarra, Universidad de...CompletedIdiopathic Pulmonary FibrosisSpain
-
EHL Bio Co., Ltd.CompletedAtopic DermatitisKorea, Republic of
-
Joshua M HareThe Emmes Company, LLCCompletedMyocardial Infarction | Chronic Ischemic Left Ventricular DysfunctionUnited States
-
Fundacion para la Investigacion Biomedica del Hospital...CompletedCrohn Disease | Rectovaginal FistulaSpain