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C-Cure Clinical Trial

Primary Purpose

Heart Failure Class II or III

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
C-Cure
Sponsored by
Celyad Oncology SA
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Heart Failure Class II or III focused on measuring Heart failure, Cell therapy

Eligibility Criteria

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

Inclusion Criteria:

  • Subject is ≥ 18 and < 75 years old;
  • Subject has Heart Failure, New York Heart Association (NYHA) class II or class III with LVEF > 15% and ≤ 40% as assessed by transthoracic echocardiography;
  • Subject has ischemic heart disease;
  • Subject has an identifiable (by transthoracic echocardiography) area of transmural scar within the left ventricle;
  • Subject is on optimal and stable medical therapy for more than 2 months;
  • Subject is willing and able to undergo an ICD implantation, prior to receiving C-Cure™ or already has an ICD implanted;
  • Subject agrees to comply with all follow-up evaluations;
  • Subject has been informed of the nature of the clinical trial and agrees to its provision and has provided written informed consent.

Exclusion Criteria:

  • Subject has been treated with cell-based therapy;
  • Subject has myocardial revascularization by PCI or CABG within 2 months prior to enrolment;
  • Subject has had an MI within 2 months prior to enrolment;
  • Subject is planned for PCI, CABG or any cardiac surgery;
  • Subject has received a biventricular pacemaker within 6 month prior to enrolment;
  • Subject has moderate to severe aortic valve heart disease, aortic or mitral prosthetic valve;
  • Subject has a significant mitral valve insufficiency (Effective Regurgitant Orifice (ERO) > 0.2 cm²) with possibility of mitral valve surgery;
  • Subject has left ventricular thrombus;
  • Subject has LV aneurysma or is a candidate for surgical aneurysmectomy;
  • Subject LV ventricular wall thickness is < 5 mm in the target territory;
  • Subject has proven high grade atrioventricular block or sustained ventricular tachyarrhythmias;
  • Subject has an hemodynamically significant congenital heart disorder;
  • Subject has clinical evidence for infection or active malignancy;
  • Subject has known stable chronic kidney dysfunction with serum creatinine > 2.5 mg/dL at two occasions during the screening period;
  • Subject has experienced severe adverse reaction/allergies to contrast agents;
  • Subject has atherosclerosis and/or tortuosity of the aorta, iliac or femoral arteries of a degree, that could impede or preclude the safe retrograde passage of the delivery catheter, in the judgment of the investigator;
  • Subject is on chronic immunosuppressive transplant therapy;
  • Subject had an autologous or allogenic bone marrow or peripheral stem cell transplant or prior solid organ transplantation;
  • Subject has a multisystem disease;
  • Subject has been tested positive for Human Immunodeficiency Virus (HIV 1 or HIV 2), Hepatitis B Virus (HBV), Hepatitis C (HCV) and/or syphilis;
  • Women of child bearing potential;
  • Subject has life expectancy < 1 year from non heart failure related causes;
  • Subject suffers from morbid obesity (Body Mass Index (BMI) > 40);
  • Subject has a recent history of alcohol or drug abuse;
  • Subject has any other surgical or medical condition that, in the judgment of the investigator might warrant exclusion or be contraindicated for safety reasons;
  • Subject is currently participating in another trial.

Sites / Locations

  • CardioVascular Center
  • Université Catholique de Louvain, Saint-Luc
  • Centre Hospitalier Universitaire
  • Universitair Ziekenhuis Antwerpen
  • Ziekenhuis Oost Limburg
  • Virga Jesse Ziekenhuis
  • Centre Hospitalier Universitaire
  • Clinical Center of Serbia

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

1

2

Arm Description

Optimal standard of care + C-Cure

Optimal standard of care

Outcomes

Primary Outcome Measures

Change in left ventricular ejection fraction

Secondary Outcome Measures

6-min walking distance
Quality of Life
All cause mortality
Cardiovascular events

Full Information

First Posted
December 17, 2008
Last Updated
September 3, 2012
Sponsor
Celyad Oncology SA
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1. Study Identification

Unique Protocol Identification Number
NCT00810238
Brief Title
C-Cure Clinical Trial
Official Title
C-Cure - Safety, Feasibility and Efficacy of Guided Bone Marrow-derived Mesenchymal Cardiopoietic Cells for the Treatment of Heart Failure Secondary to Ischemic Cardiomyopathy
Study Type
Interventional

2. Study Status

Record Verification Date
September 2012
Overall Recruitment Status
Completed
Study Start Date
December 2008 (undefined)
Primary Completion Date
July 2010 (Actual)
Study Completion Date
January 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Celyad Oncology SA

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this clinical trial is to evaluate the feasibility, safety and efficacy of left ventricular endocardial injection of guided bone marrow-derived cardiopoietic cells (C-Cure) in the setting of chronic heart failure secondary to ischemic cardiomyopathy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Heart Failure Class II or III
Keywords
Heart failure, Cell therapy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
240 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
Optimal standard of care + C-Cure
Arm Title
2
Arm Type
No Intervention
Arm Description
Optimal standard of care
Intervention Type
Biological
Intervention Name(s)
C-Cure
Intervention Description
Intraventricular injection
Primary Outcome Measure Information:
Title
Change in left ventricular ejection fraction
Time Frame
6 months
Secondary Outcome Measure Information:
Title
6-min walking distance
Time Frame
6 months, 1 and 2 years
Title
Quality of Life
Time Frame
6 months, 1 and 2 years
Title
All cause mortality
Time Frame
Each follow-up
Title
Cardiovascular events
Time Frame
Each follow-up

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: Subject is ≥ 18 and < 75 years old; Subject has Heart Failure, New York Heart Association (NYHA) class II or class III with LVEF > 15% and ≤ 40% as assessed by transthoracic echocardiography; Subject has ischemic heart disease; Subject has an identifiable (by transthoracic echocardiography) area of transmural scar within the left ventricle; Subject is on optimal and stable medical therapy for more than 2 months; Subject is willing and able to undergo an ICD implantation, prior to receiving C-Cure™ or already has an ICD implanted; Subject agrees to comply with all follow-up evaluations; Subject has been informed of the nature of the clinical trial and agrees to its provision and has provided written informed consent. Exclusion Criteria: Subject has been treated with cell-based therapy; Subject has myocardial revascularization by PCI or CABG within 2 months prior to enrolment; Subject has had an MI within 2 months prior to enrolment; Subject is planned for PCI, CABG or any cardiac surgery; Subject has received a biventricular pacemaker within 6 month prior to enrolment; Subject has moderate to severe aortic valve heart disease, aortic or mitral prosthetic valve; Subject has a significant mitral valve insufficiency (Effective Regurgitant Orifice (ERO) > 0.2 cm²) with possibility of mitral valve surgery; Subject has left ventricular thrombus; Subject has LV aneurysma or is a candidate for surgical aneurysmectomy; Subject LV ventricular wall thickness is < 5 mm in the target territory; Subject has proven high grade atrioventricular block or sustained ventricular tachyarrhythmias; Subject has an hemodynamically significant congenital heart disorder; Subject has clinical evidence for infection or active malignancy; Subject has known stable chronic kidney dysfunction with serum creatinine > 2.5 mg/dL at two occasions during the screening period; Subject has experienced severe adverse reaction/allergies to contrast agents; Subject has atherosclerosis and/or tortuosity of the aorta, iliac or femoral arteries of a degree, that could impede or preclude the safe retrograde passage of the delivery catheter, in the judgment of the investigator; Subject is on chronic immunosuppressive transplant therapy; Subject had an autologous or allogenic bone marrow or peripheral stem cell transplant or prior solid organ transplantation; Subject has a multisystem disease; Subject has been tested positive for Human Immunodeficiency Virus (HIV 1 or HIV 2), Hepatitis B Virus (HBV), Hepatitis C (HCV) and/or syphilis; Women of child bearing potential; Subject has life expectancy < 1 year from non heart failure related causes; Subject suffers from morbid obesity (Body Mass Index (BMI) > 40); Subject has a recent history of alcohol or drug abuse; Subject has any other surgical or medical condition that, in the judgment of the investigator might warrant exclusion or be contraindicated for safety reasons; Subject is currently participating in another trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jozef Bartunek, MD, PhD
Organizational Affiliation
VZW Cardiovascular Research Center Aalst
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
André Terzic, MD, PhD
Organizational Affiliation
Mayo Clinic, Rochester, USA
Official's Role
Principal Investigator
Facility Information:
Facility Name
CardioVascular Center
City
Aalst
ZIP/Postal Code
9300
Country
Belgium
Facility Name
Université Catholique de Louvain, Saint-Luc
City
Brussels
ZIP/Postal Code
1200
Country
Belgium
Facility Name
Centre Hospitalier Universitaire
City
Charleroi
ZIP/Postal Code
6000
Country
Belgium
Facility Name
Universitair Ziekenhuis Antwerpen
City
Edegem
ZIP/Postal Code
2650
Country
Belgium
Facility Name
Ziekenhuis Oost Limburg
City
Genk
ZIP/Postal Code
3600
Country
Belgium
Facility Name
Virga Jesse Ziekenhuis
City
Hasselt
ZIP/Postal Code
3500
Country
Belgium
Facility Name
Centre Hospitalier Universitaire
City
Liège
ZIP/Postal Code
4000
Country
Belgium
Facility Name
Clinical Center of Serbia
City
Belgrade
ZIP/Postal Code
11000
Country
Serbia

12. IPD Sharing Statement

Citations:
PubMed Identifier
23583246
Citation
Bartunek J, Behfar A, Dolatabadi D, Vanderheyden M, Ostojic M, Dens J, El Nakadi B, Banovic M, Beleslin B, Vrolix M, Legrand V, Vrints C, Vanoverschelde JL, Crespo-Diaz R, Homsy C, Tendera M, Waldman S, Wijns W, Terzic A. Cardiopoietic stem cell therapy in heart failure: the C-CURE (Cardiopoietic stem Cell therapy in heart failURE) multicenter randomized trial with lineage-specified biologics. J Am Coll Cardiol. 2013 Jun 11;61(23):2329-38. doi: 10.1016/j.jacc.2013.02.071. Epub 2013 Apr 10. Erratum In: J Am Coll Cardiol. 2013 Dec 24;62(25):2457-8.
Results Reference
derived

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C-Cure Clinical Trial

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