Peripheral Artery Disease Clinical Trial
Official title:
Clinical and MR Imaging Assessments in Patients With Intermittent Claudication Following Injection of Bone Marrow Derived ALDH Bright Cells
The purpose of this study is to find out if aldehyde dehydrogenase bright (ALDHbr) cells taken from a patient's bone marrow can be placed safely, via intramuscular injections, into their affected calf and lower thigh muscles and improve blood flow and/or peak walking time in patients experiencing pain associated with blocked blood vessels in the leg.
Peripheral Artery Disease (PAD) occurs when arteries in the arms and legs (most often the
legs) become narrowed by plaque. Because of this plaque, patients with PAD are also at
increased risk for heart attacks and strokes. Those with PAD often have intermittent
claudication (blockage of blood vessels in the leg). This blockage decreases blood flow to
the leg muscles, which can cause pain in one or both legs during exercise (such as during
walking). Intermittent means the pain comes and goes. Because PAD interferes with
circulation, worsening of this condition can increase pain in the leg; sometimes even during
periods of rest.
Bone marrow contains special stem cells that may promote blood vessel growth, prevent cell
death, and transform themselves into a number of tissues including new muscle. There is a
small subpopulation of bone marrow mononuclear cells, called aldehyde dehydrogenase-bright
(ALDHbr) cells, that is highly enriched in these types of stem cells. The enzyme in ALDHbr
cells responds to damage signals and may play an important role in tissue repair.
In this study we investigate the safety and efficacy of bone marrow derived stem cells with
particular characteristics in PAD patients with intermittent claudication and explore new
end-points to evaluate therapeutic effects using novel MRI imaging modalities as well as
traditional endpoints.
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Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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