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Safety and Efficacy of Adipose Derived Stem Cells for Non-Ischemic Congestive Heart Failure

Primary Purpose

Non-Ischemic Congestive Heart Failure

Status
Withdrawn
Phase
Not Applicable
Locations
Mexico
Study Type
Interventional
Intervention
Harvesting and Implantation of Adipose-Derived Stem Cells (ASCs)
Sponsored by
Ageless Regenerative Institute
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non-Ischemic Congestive Heart Failure focused on measuring CHF, Heart Failure, Non-Ischemic, nonischemic, nonischemia

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Willing and able to sign informed consent
  2. Age >18 years and < 80 years
  3. NYHA Class II-IV
  4. Congestive Heart Failure without an acute coronary syndrome during the prior 6 months
  5. LVEF less than or equal to 40% measured by echocardiography at both local and investigative sites, AND

    • 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+)
  6. Up to date on all age and gender appropriate cancer screening per American Cancer Society

Exclusion Criteria:

  1. Limiting symptoms due to non-CHF causes, such as lung disease, peripheral vascular disease, arthritis or other musculoskeletal disorders
  2. Inability to complete a 6-minute walk test for any reason
  3. Need for intravenous CHF medications, chronic continuous oxygen therapy or oral steroids,
  4. Coronary Artery Bypass Surgery (CABG) surgery within 60 days prior to screening
  5. Planned revascularization within 4 months following enrollment
  6. Aortic aneurysm or dilatation (>3.8 cm by echocardiography or other imaging modality)
  7. Peripheral vascular disease at or below the distal aorta that may interfere with catheter use
  8. Hemodynamically significant pericardial disease
  9. Prior aortic or mitral valve replacement
  10. Biventricular pacing device implant within the last 3 months OR whose device is scheduled to be revised following enrollment in this trial
  11. Scheduled to receive or history of cardiac transplant, surgical remodeling procedure, left ventricular assist device
  12. Stroke within 180 days of screening
  13. Positive pregnancy test in women of child bearing potential or who are unwilling to use an acceptable method of contraception.
  14. Drug or alcohol dependence
  15. Life expectancy of less than 1 year
  16. History of cancer (other than non-melanoma skin cancer or in situ cervical cancer) in the last five years
  17. 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
  18. 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.

Sites / Locations

  • Instituto de Medicina Regenerativa

Outcomes

Primary Outcome Measures

Improvement in 6 minute walk test
compared to baseline
Minnesota Living with Heart Failure Quality of Life Questionnaire
Improvement in 6 minute walk test
Minnesota Living with Heart Failure Quality of Life Questionnaire
Number of Adverse Events

Secondary Outcome Measures

Improvement in New York Heart Association (NYHA) classification
Improvement in the Left Ventricular Ejection Fraction (LVEF)
Determined by and echo
Improvement in the Left Ventricular (LV) Volume
Determined by an echo
Improvement in New York Heart Association (NYHA) classification
Improvement in the Left Ventricular Ejection Fraction (LVEF)
Improvement in the Left Ventricular (LV) Volume

Full Information

First Posted
December 27, 2011
Last Updated
July 19, 2017
Sponsor
Ageless Regenerative Institute
Collaborators
Instituto de Medicina Regenerativa
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1. Study Identification

Unique Protocol Identification Number
NCT01502501
Brief Title
Safety and Efficacy of Adipose Derived Stem Cells for Non-Ischemic Congestive Heart Failure
Official Title
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 Non-Ischemic Congestive Heart Failure Patients
Study Type
Interventional

2. Study Status

Record Verification Date
July 2017
Overall Recruitment Status
Withdrawn
Why Stopped
no participants enrolled
Study Start Date
May 2011 (undefined)
Primary Completion Date
December 2014 (Anticipated)
Study Completion Date
June 2015 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ageless Regenerative Institute
Collaborators
Instituto de Medicina Regenerativa

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
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?
Detailed Description
This will be an open-label, non-randomized, multi-center patient-sponsored study designed to assess the safety and cardiovascular effects of Adipose-derived Stem Cell (ASC) implantation using a catheter delivery system in patients who have nonischemic congestive heart failure. A percutaneous transluminal endomyocardial injection catheter will be used for delivery of ASCs. The therapy is composed of cells isolated from a patient's own adipose tissue. Liposuction will be performed to collect the adipose tissue specimen for subsequent processing to isolate the stem cells.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-Ischemic Congestive Heart Failure
Keywords
CHF, Heart Failure, Non-Ischemic, nonischemic, nonischemia

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Procedure
Intervention Name(s)
Harvesting and Implantation of Adipose-Derived Stem Cells (ASCs)
Other Intervention Name(s)
Lipo, Liposuction, Catheter, IV, ADSC
Intervention Description
Local liposuction procedure to harvest the fat tissue. Adipose Derived Stem Cells are then implanted via intramyocardial and intravenous injection.
Primary Outcome Measure Information:
Title
Improvement in 6 minute walk test
Description
compared to baseline
Time Frame
3 months
Title
Minnesota Living with Heart Failure Quality of Life Questionnaire
Time Frame
3 months
Title
Improvement in 6 minute walk test
Time Frame
6 months
Title
Minnesota Living with Heart Failure Quality of Life Questionnaire
Time Frame
6 months
Title
Number of Adverse Events
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Improvement in New York Heart Association (NYHA) classification
Time Frame
3 months
Title
Improvement in the Left Ventricular Ejection Fraction (LVEF)
Description
Determined by and echo
Time Frame
3 months
Title
Improvement in the Left Ventricular (LV) Volume
Description
Determined by an echo
Time Frame
3 months
Title
Improvement in New York Heart Association (NYHA) classification
Time Frame
6 months
Title
Improvement in the Left Ventricular Ejection Fraction (LVEF)
Time Frame
6 months
Title
Improvement in the Left Ventricular (LV) Volume
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Willing and able to sign informed consent Age >18 years and < 80 years NYHA Class II-IV Congestive Heart Failure without an acute coronary syndrome during the prior 6 months LVEF less than or equal to 40% measured by echocardiography at both local and investigative sites, AND 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 therapy or oral steroids, Coronary Artery Bypass Surgery (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.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Juan J Parcero, MD
Organizational Affiliation
Instituto de Medicina Regenerativa
Official's Role
Principal Investigator
Facility Information:
Facility Name
Instituto de Medicina Regenerativa
City
Tijuana
State/Province
Baja California
ZIP/Postal Code
22010
Country
Mexico

12. IPD Sharing Statement

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Safety and Efficacy of Adipose Derived Stem Cells for Non-Ischemic Congestive Heart Failure

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