Ignite Creation Date:
2024-05-05 @ 11:26 AM
Last Modification Date:
2024-10-26 @ 9:07 AM
Study NCT ID:
NCT00043628
Status:
COMPLETED
Last Update Posted:
2008-03-04
First Post:
2002-08-09
Brief Title:
Stem Cell Mobilization to Treat Chest Pain and Shortness of Breath in Patients With Coronary Artery Disease
Sponsor:
National Heart Lung and Blood Institute NHLBI
Organization:
National Institutes of Health Clinical Center CC
Study Overview
Official Title:
Stem Cell Mobilization as Therapy for Chronic Myocardial Ischemia in Patients With Coronary Artery Disease
Status:
COMPLETED
Status Verified Date:
2005-02
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
This two-part study will determine whether stem cells primitive cells produced by the bone marrow that can develop into blood cells or other types of cells can be pushed out into the bloodstream relocate in the heart and grow new heart muscle and blood vessels in patients with chest pain caused by narrowing of their coronary heart arteries The new blood vessels may enable patients to do more activities before experiencing chest pain Part 1 of the study will evaluate in a small number of patients whether an increase in white blood cells following administration of G-CSF a drug used to move stem cells from the bone marrow to the bloodstream is safe in people with coronary heart disease Part 2 will evaluate the effects of the circulating stem cells on heart function
Patients 21 years of age and older with coronary artery blockage that limits blood flow to the heart as shown by coronary angiography within 6 months of entering the study and causes chest pain that interferes with the ability to carry out daily living activities may be eligible for this study Candidates will be screened with blood tests an exercise test magnetic resonance imaging MRI and 24-hour Holter monitoring of heart rate and rhythm Participants will undergo the following tests and procedures
Part 1 Patients will be hospitalized at the NIH Clinical Center for 5 days On the first day after admission an indwelling catheter short plastic tube will be placed in an arm vein to avoid multiple needle sticks for blood sampling Patients will then exercise on a treadmill Blood samples will be drawn before the exercise test and 2 hours after the test The next 2 days patients will receive a daily injection of G-CSF under the skin Blood samples will be drawn every day for 5 days to monitor the effect of G-CSF on moving cells into the bloodstream Additional samples will be drawn to determine the effects of G-CSF on the number of stem cells that become heart cells as well as any effects on blood clotting ability After discharge for the hospital patients will return to the clinic 2 weeks after the initiation of G-CSF treatment for a physical examination blood tests and a treadmill exercise test One month after the initiation of treatment patients will return to the clinic for a physical examination blood tests treadmill exercise test an MRI study and fitting with a Holter monitor for 24-hour heart monitoring
Part 2 Patients will be hospitalized at the NIH Clinical Center for 5 days undergoing the same procedures as in Part 1 except they will receive G-CSF for 5 days instead of 2 They will also undergo the same procedures detailed for the 2-week and 1-month follow-up visits Then at 3 months they will again return to the clinic for a physical examination routine blood tests and a treadmill exercise test This concludes formal participation in the study However patients are requested to return to the outpatient clinic once a year for follow-up
Patients 21 years of age and older with coronary artery blockage that limits blood flow to the heart as shown by coronary angiography within 6 months of entering the study and causes chest pain that interferes with the ability to carry out daily living activities may be eligible for this study Candidates will be screened with blood tests an exercise test magnetic resonance imaging MRI and 24-hour Holter monitoring of heart rate and rhythm Participants will undergo the following tests and procedures
Part 1 Patients will be hospitalized at the NIH Clinical Center for 5 days On the first day after admission an indwelling catheter short plastic tube will be placed in an arm vein to avoid multiple needle sticks for blood sampling Patients will then exercise on a treadmill Blood samples will be drawn before the exercise test and 2 hours after the test The next 2 days patients will receive a daily injection of G-CSF under the skin Blood samples will be drawn every day for 5 days to monitor the effect of G-CSF on moving cells into the bloodstream Additional samples will be drawn to determine the effects of G-CSF on the number of stem cells that become heart cells as well as any effects on blood clotting ability After discharge for the hospital patients will return to the clinic 2 weeks after the initiation of G-CSF treatment for a physical examination blood tests and a treadmill exercise test One month after the initiation of treatment patients will return to the clinic for a physical examination blood tests treadmill exercise test an MRI study and fitting with a Holter monitor for 24-hour heart monitoring
Part 2 Patients will be hospitalized at the NIH Clinical Center for 5 days undergoing the same procedures as in Part 1 except they will receive G-CSF for 5 days instead of 2 They will also undergo the same procedures detailed for the 2-week and 1-month follow-up visits Then at 3 months they will again return to the clinic for a physical examination routine blood tests and a treadmill exercise test This concludes formal participation in the study However patients are requested to return to the outpatient clinic once a year for follow-up
Detailed Description:
Percutaneous transluminal coronary angioplasty or stenting and coronary artery bypass surgery are effective therapies for relief of angina caused by coronary artery disease CAD However many patients with CAD have failed attempts at conventional revascularization or remain symptomatic despite optimized anti-ischemic medical therapy For this growing number of patients there is a need for novel therapeutic approaches Experimental studies in animal models indicate that primitive pluripotential cells or stem cells from bone marrow may localize to ischemic myocardium differentiate along endothelial smooth muscle and cardiomyocyte lineages and improve cardiac performance A recent report has suggested that granulocyte-macrophage colony stimulating factor which mobilizes stem cells from bone marrow into the circulation may improve collateral blood flow to ischemic myocardium in patients with CAD The purpose of this protocol is to test the effectiveness of a related cytokine granulocyte colony stimulating factor G-CSF that more potently mobilizes stem cells from bone marrow for the relief of myocardial ischemia and improvement in myocardial contractility during stress in patients with CAD who are not good candidates for conventional revascularization or who do not want further attempts at conventional revascularization and who remain symptomatic on medical therapy
Our hypothesis is that G-CSF will improve blood flow to the myocardium and the left ventricular contractile response to stress by mobilizing pluripotential cells from bone marrow with localization to ischemic regions of the heart resulting in development of new arteries and regeneration of contractile cardiomyocytes The primary end-point of the Phase I safety component of this study is absence of cardiovascular adverse events associated with increased white blood cell counts following G-CSF administration in patients with CAD The secondary end-point for Phase I is determination of platelet aggregation and coagulation activation before and during G-CSF administration The primary endpoint of the Phase II efficacy component of this study is improvement in magnetic resonance imaging MRI-determined regional left ventricular contractility and gadolinium distribution as an index of blood flow during stress at 1 month following G-CSF administration compared with pretreatment baseline measurements Secondary Phase II end-points will include determinations of 1 efficacy of stem and endothelial progenitor cell EPC mobilization by G-CSF and 2 changes in treadmill exercise duration associated with G-CSF treatment Demonstration of safe and effective cytokine-induced mobilization of stem cells with cardiac benefit could result in an important therapeutic option for CAD patients who have few alternatives for the relief of myocardial ischemia and angina pectoris
Our hypothesis is that G-CSF will improve blood flow to the myocardium and the left ventricular contractile response to stress by mobilizing pluripotential cells from bone marrow with localization to ischemic regions of the heart resulting in development of new arteries and regeneration of contractile cardiomyocytes The primary end-point of the Phase I safety component of this study is absence of cardiovascular adverse events associated with increased white blood cell counts following G-CSF administration in patients with CAD The secondary end-point for Phase I is determination of platelet aggregation and coagulation activation before and during G-CSF administration The primary endpoint of the Phase II efficacy component of this study is improvement in magnetic resonance imaging MRI-determined regional left ventricular contractility and gadolinium distribution as an index of blood flow during stress at 1 month following G-CSF administration compared with pretreatment baseline measurements Secondary Phase II end-points will include determinations of 1 efficacy of stem and endothelial progenitor cell EPC mobilization by G-CSF and 2 changes in treadmill exercise duration associated with G-CSF treatment Demonstration of safe and effective cytokine-induced mobilization of stem cells with cardiac benefit could result in an important therapeutic option for CAD patients who have few alternatives for the relief of myocardial ischemia and angina pectoris
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| 02-H-0264 | None | None | None |