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Bone Marrow-derived Mesenchymal Stem Cells (MSC) Administration in Weaning From Left Ventricular Assist Device (MESAD)

Primary Purpose

Chronic Myocardial Ischemia

Status
Withdrawn
Phase
Phase 1
Locations
France
Study Type
Interventional
Intervention
Autologous mesenchymal stem cells
Sponsored by
University Hospital, Toulouse
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Myocardial Ischemia focused on measuring Left Ventricular Assist Device, stem cell therapy, ischemic heart failure

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

INCLUSION CRITERIA:

  • Postmenopausal female or female who may become pregnant but is using adequate contraceptive precautions with negative pregnancy test,
  • Severe Left Ventricular dysfunction with Ejection Fraction < 30% with ischemic cardiomyopathy,
  • New York Heart Association Class III or IV,
  • No revascularization options available,
  • Listed or not for cardiac transplantation,
  • Clinical indication and accepted candidate for Left Ventricular Assistance Device implantation as a destination therapy or as a bridge to transplantation,
  • Optimal medical therapy.

EXCLUSION CRITERIA:

  • Cardiothoracic surgery within 30 days prior to study entry,
  • Myocardial infarction within 3 months prior to study entry,
  • Prior cardiac transplantation,
  • Left Ventricular reduction surgery or cardiomyoplasty,
  • Acute reversible cause of heart failure (e.g. myocarditis, profound hypothyroidism),
  • Left ventricular aneurysm or wall thickness preventing cell injections,
  • Anticipated requirement for biventricular mechanical support,
  • Stroke within 30 days prior to study entry,
  • Received investigational intervention within 30 days of study entry,
  • Pregnant or breastfeeding at time of study entry,
  • Human Imune deficiency Virus, Human T-cell Lymphotrophic Virus, Hepatitis B Virus and Hepatitis C Virus positive within 30 days prior to study entry,
  • Active systemic infection within 48 hours prior to study entry,
  • History of cancer in the last 5 years,
  • Patient participant to other research,
  • Patient under treatment that may exert an inhibitory or stimulatory effect on the growth and multiplication of cells, or with immunosuppressive properties.

Sites / Locations

  • Cardiology Department of Rangueil Hospital - Rangueil Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

autologous mesenchymal stem cells

Arm Description

After bone-marrow aspiration by an authorized person, Mesenchymal Stem Cells were isolated and cultured during 17 days by the French Blood Establishment. Then, patients receive intramyocardial injections of Mesenchymal Stem Cells during Left Ventricular Assist Device surgery

Outcomes

Primary Outcome Measures

Feasibility of the full procedure
ability to perform bone marrow aspiration, cell culture and intramyocardial injections during left Ventricular Assist Device surgery Realization of a full injection procedure

Secondary Outcome Measures

Ejection Fraction
Global and regional contractile function during echocardiography
Maximal Oxygen consumption
Maximum rate of oxygen consumption as measured during incremental exercise, modification of the body mass (muscular lean mass, muscular strength), duration of the test and load,
Walking distance in 6 minutes
measure of walk distance during six minutes
weaning procedure
progressive reduction of the pump speed
Quality of life
assessment of quality of life by Minnesota Living with Heart Failure Questionnaire
Measure of heart pressures
measure of heart pressures and cardiac output
Brain natriuretic peptide
assessment of variation of brain natriuretic peptide
Troponin
assessment of variation of troponin
Major bleeding
Systemic embolism
Deaths

Full Information

First Posted
January 22, 2015
Last Updated
January 3, 2018
Sponsor
University Hospital, Toulouse
Collaborators
Thoratec Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT02460770
Brief Title
Bone Marrow-derived Mesenchymal Stem Cells (MSC) Administration in Weaning From Left Ventricular Assist Device
Acronym
MESAD
Official Title
Pilot Study of Investigation of Bone Marrow-derived Mesenchymal Stem Cells (MSC) Administration in Weaning From Left Ventricular Assist Device
Study Type
Interventional

2. Study Status

Record Verification Date
January 2018
Overall Recruitment Status
Withdrawn
Study Start Date
June 2015 (Anticipated)
Primary Completion Date
June 2017 (Actual)
Study Completion Date
June 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University Hospital, Toulouse
Collaborators
Thoratec Corporation

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Left Ventricular Assist Devices are commonly used to assist failing hearts as a bridge to transplantation or for long-term support. The purpose of the MESenchymal stem cell therapy and Left Ventricular Assist Device program is to improve heart function with stem cell therapy and attempt to wean patients from HeartMate Left Ventricular Assist Device.
Detailed Description
Currently Left Ventricular Assist Device-only patients are being implanted and followed. Feasibility of autologous mesenchymal stem cell grafting in patients receiving heart mate will be assessed in a 4 patient pilot trial. Mesenchymal stem cell are delivered during Left Ventricular Assist Device surgery by intramyocardial infusions. Recovery of contractile function of the heart is assessed during attempts to wean patients from Left Ventricular Assist Device

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Myocardial Ischemia
Keywords
Left Ventricular Assist Device, stem cell therapy, ischemic heart failure

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
autologous mesenchymal stem cells
Arm Type
Experimental
Arm Description
After bone-marrow aspiration by an authorized person, Mesenchymal Stem Cells were isolated and cultured during 17 days by the French Blood Establishment. Then, patients receive intramyocardial injections of Mesenchymal Stem Cells during Left Ventricular Assist Device surgery
Intervention Type
Drug
Intervention Name(s)
Autologous mesenchymal stem cells
Other Intervention Name(s)
MSC
Intervention Description
After bone-marrow aspiration by an authorized person, mesenchymal stem cells were isolated and cultured during 17 days by the French Blood Establishment. Then, patients receive intramyocardial injections of mesenchymal stem cells during device surgery.
Primary Outcome Measure Information:
Title
Feasibility of the full procedure
Description
ability to perform bone marrow aspiration, cell culture and intramyocardial injections during left Ventricular Assist Device surgery Realization of a full injection procedure
Time Frame
1 month
Secondary Outcome Measure Information:
Title
Ejection Fraction
Description
Global and regional contractile function during echocardiography
Time Frame
12 months
Title
Maximal Oxygen consumption
Description
Maximum rate of oxygen consumption as measured during incremental exercise, modification of the body mass (muscular lean mass, muscular strength), duration of the test and load,
Time Frame
12 months
Title
Walking distance in 6 minutes
Description
measure of walk distance during six minutes
Time Frame
12 months
Title
weaning procedure
Description
progressive reduction of the pump speed
Time Frame
12 months
Title
Quality of life
Description
assessment of quality of life by Minnesota Living with Heart Failure Questionnaire
Time Frame
12 months
Title
Measure of heart pressures
Description
measure of heart pressures and cardiac output
Time Frame
12 months
Title
Brain natriuretic peptide
Description
assessment of variation of brain natriuretic peptide
Time Frame
12 months
Title
Troponin
Description
assessment of variation of troponin
Time Frame
12 months
Title
Major bleeding
Time Frame
1 month
Title
Systemic embolism
Time Frame
1 month
Title
Deaths
Time Frame
1 month

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
INCLUSION CRITERIA: Postmenopausal female or female who may become pregnant but is using adequate contraceptive precautions with negative pregnancy test, Severe Left Ventricular dysfunction with Ejection Fraction < 30% with ischemic cardiomyopathy, New York Heart Association Class III or IV, No revascularization options available, Listed or not for cardiac transplantation, Clinical indication and accepted candidate for Left Ventricular Assistance Device implantation as a destination therapy or as a bridge to transplantation, Optimal medical therapy. EXCLUSION CRITERIA: Cardiothoracic surgery within 30 days prior to study entry, Myocardial infarction within 3 months prior to study entry, Prior cardiac transplantation, Left Ventricular reduction surgery or cardiomyoplasty, Acute reversible cause of heart failure (e.g. myocarditis, profound hypothyroidism), Left ventricular aneurysm or wall thickness preventing cell injections, Anticipated requirement for biventricular mechanical support, Stroke within 30 days prior to study entry, Received investigational intervention within 30 days of study entry, Pregnant or breastfeeding at time of study entry, Human Imune deficiency Virus, Human T-cell Lymphotrophic Virus, Hepatitis B Virus and Hepatitis C Virus positive within 30 days prior to study entry, Active systemic infection within 48 hours prior to study entry, History of cancer in the last 5 years, Patient participant to other research, Patient under treatment that may exert an inhibitory or stimulatory effect on the growth and multiplication of cells, or with immunosuppressive properties.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Roncalli Jérome, MD, PhD
Organizational Affiliation
Toulouse University Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Cardiology Department of Rangueil Hospital - Rangueil Hospital
City
Toulouse
ZIP/Postal Code
31059
Country
France

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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Bone Marrow-derived Mesenchymal Stem Cells (MSC) Administration in Weaning From Left Ventricular Assist Device

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