Title
Pulmonary Hypertension: Assessment of Cell Therapy
Phase I Trial to Establish Safety of Autologous Progenitor Cell-based Gene Therapy Delivery of heNOS in Patients With Severe Pulmonary Arterial Hypertension(PAH)Refractory to Conventional Treatment
Phase
Phase 1Lead Sponsor
Northern TherapeuticsStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Hypertension, PulmonaryIntervention/Treatment
enos transfected epcs ...Study Participants
7The primary objective is to establish the safety of autologous progenitor cell-based gene therapy of heNOS in patients with severe Pulmonary Arterial Hypertension(PAH) refractory to conventional treatment.
This is a two centre, phase I clinical trial. A total of 18 patients will be studied using an open-label, dose escaling protocol; three patients will be entered into each of the five dosing panels. An additional three patients will be entered into the final dose panel to establish safety at the maximum tolerated dose.
incremental dosing over 3 days
eNOS transfected EPCs will be delivered by injection via a PA line, incremental doses over three days
Inclusion Criteria: Clinical diagnosis of idiopathic Pulmonary Arterial Hypertension Familial PAH or anorexigen induced PAH Specified 6-minute walk distance Exclusion Criteria: Intra or extra cardiac communication between the right and left sided circulations Hemodynamic instability Left ventricular ejection fraction < 40% Thromboembolic event or recent hospitalization for worsening right sided heart failure in past 3 months CVP>20mmHg at time of research heart catheterization Pregnancy Concurrent hepatitis or HIV