Title
Bone Marrow Stem Cell Mobilisation Therapy for Acute Myocardial Infarction (AMI)(REVIVAL-2)
A Randomized Clinical Trial of Stem Cell Mobilization by Granulocyte-Colony-Stimulating Factor in Patients With Acute Myocardial Infarction. Regenerate Vital Myocardium by Vigorous Activation of Bone Marrow Stem Cells (REVIVAL-2) Trial
Phase
Phase 4Lead Sponsor
Technical University of MunichStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Myocardial InfarctionIntervention/Treatment
sargramostim ...Study Participants
114The purpose of this study is to determine whether stem cell mobilization by granulocyte colony-stimulating factor (G-CSF) therapy in patients with acute myocardial infarction after successful mechanical reperfusion reduces infarct size.
Experimental studies and early-phase clinical trials suggest that transplantation of blood-derived or bone marrow-derived progenitor cells may improve cardiac regeneration after acute myocardial infarction. Granulocyte colony-stimulating factor (G-CSF) induces mobilization of bone marrow stem cells and, thereby, increases the number of circulating stem cells that are available cells for myocardial regeneration.
Patients were randomly assigned to receive subcutaneously a daily dose of 10 microg/kg of G-CSF for 5 days.
Patients were randomly assigned to receive subcutaneously either a daily dose of 10 microg/kg of G-CSF or placebo for 5 days.
Patients were randomly assigned to receive subcutaneously a daily dose of 10 microg/kg of G-CSF for 5 days.
Patients were randomly assigned to receive subcutaneously a daily dose of placebo for 5 days.
Inclusion Criteria: ST-elevation acute myocardial infarction (5 days before randomization) Successful percutaneous coronary intervention [PCI] (performed within 12 hours from symptom onset) Scintigraphic infarct size >5% of left ventricle Written informed consent Exclusion Criteria: Age <18 years or >80 years Congestive heart failure defined as Killip class >2 A history of myocardial infarction Electrical or hemodynamic instability Autoimmune diseases Fructose intolerance Malignancies Incompatibility of filgrastim Known or suspected pregnancy