Title
Safety and Efficacy of Autologous Endothelial Progenitor Cell CD 133 for Therapeutic Angiogenesis
Safety and Efficacy of Transendocardial Injection of Autologous Endothelial Progenitor Cell CD 133 for Therapeutics Angiogenesis
Phase
Phase 1/Phase 2Lead Sponsor
Universidad Autonoma de MadridStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Coronary Artery Disease Refractory AnginaIntervention/Treatment
selected cd 133+ cells ...Study Participants
28The purpose of this study is to determine whether transendocardial injections of autologous endothelial progenitor cells CD 133 is safe and feasible in patients with refractory angina.
The PROGENITOR trial is a randomized, double-blinded, multicenter controlled trial including patients with Canadian cardiovascular society angina classification (CCS): II-IV and ischemic zones by SPECT but without any option for revascularization. Primary endpoint was to assess the safety and feasibility of transendocardial injection of selected CD133+cells. All patients were treated for 4-days with granulocyte colony-stimulating factor and underwent apheresis. CD133+ cells were selected with CliniMacs system and were injected transendocardially guided by the NOGA XP system.
Endothelial progenitor cell CD 133
Transendocardial injection of selected CD133+cells
Boths groups were treated with G-CSF, underwent an apheresis and NOGA mapping
Inclusion Criteria: Functional class II- IV angina on maximal medical therapy Myocardial Ischemia/viability demonstrated by a reversible perfusion defect by means imaging techniques Patients should not be amenable to any type of revascularization procedure (percutaneous or surgical) Signed informed consent Exclusion Criteria: Age <18 years or >75 years. Atrial fibrillation. LV thrombus Acute myocardial infarction in the last 3 months An LV wall thickness of <8 mm at the target site for cell injection A history of malignancy in the last 5 years