Refractory Angina Clinical Trial
Official title:
Intramyocardial Delivery of Autologous Bone Marrow
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.
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.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
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