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Clinical Trial Summary

A randomized study to assess the safety, feasibility and effectiveness of direct intramyocardial percutaneous delivery of autologous bone marrow-derived total mononuclear cells or selected CD34+ cells in patients with refractory angina pectoris.


Clinical Trial Description

Primary Endpoint: Incidence of major adverse cardiac events (MACE) at 30 days. MACE is defined as a combined endpoint of death, acute MI (Q-wave and non-Q wave), revascularization procedures (percutaneous or surgical), and peri-procedural complications (that is, left ventricular perforation with hemodynamic consequences requiring pericardiocentesis, and stroke).

Incidence of MACE at 3, 6 and 12 months

Secondary Endpoints:

- Change in Canadian Cardiovascular Society (CCS) angina classification score from baseline to 12 months

- Changes in the quality of life, as assessed according to the Seattle Angina Questionnaire

- Change in exercise duration and exercise tolerance using standardized treadmill exercise testing from baseline, to 6 months and to 12 months

- Cumulative number of hospitalizations for coronary ischemia and congestive heart failure at 12 months following treatment.

- SPECT-chances in global and regional radionuclide perfusion at rest, peak stress, and redistribution for baseline to 1, 6 and 12 months

- Change in angiographic collateral score at 6 months

- Change in global and regional myocardial contractility (assessed by echocardiography) at baseline, 6 and 12 months. ;


Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment


Related Conditions & MeSH terms


NCT number NCT00820586
Study type Interventional
Source IRCCS San Raffaele
Contact
Status Suspended
Phase Phase 2
Start date May 2007
Completion date December 2018

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