Title
Tolerability and Efficacy of Intravenous Infusion of Autologous MSC_Apceth for the Treatment of Critical Limb Ischemia
Open, Randomized, Mono-Centre, Two-Parallel Group Clinical Phase I/II Trial on the Evaluation of Tolerability and Efficacy of an Intravenous Infusion of Human Bone Marrow Derived Autologous, CD34-Negative Mesenchymal Stem Cells for the Treatment of Critical Limb Ischemia in Patients With Advanced Peripheral Arterial Occlusive Disease Subsequent to Percutaneous Transluminal Angioplasty
Phase
Phase 1/Phase 2Lead Sponsor
Apceth GmbH & Co. KGStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Critical Limb Ischemia Peripheral Artery DiseaseIntervention/Treatment
bone marrow derived mesenchymal stem cells ...Study Participants
25MSC_Apceth are GMP-manufactured, autologous ex-vivo expanded non-hemapoietic bone-marrow derived stem cells for the treatment of Critical Limb Ischemia
percutaneous transluminal angioplasty followed by infusion of MSC_Apceth
percutaneous transluminal angioplasty only
Inclusion Criteria: Patients with peripheral arterial occlusive disease (symptomatic PAOD), diagnosis of CLI defined as persistent, recurring ischemic rest pain for at least 2 weeks, and/or ulceration or gangrene of the foot or toe, with an ABPI </= 0.5, Patients with staging of ≥III according to Fontaine and ≥4 according to Rutherford categories, Patients fulfilling the criteria for an invasive re-vascularisation procedure (PTA) at the discretion of the investigator, Patients without major amputation of the lower extremities within the period of 6 months after inclusion in the opinion of the investigator, Exclusion Criteria: Patients with wounds of a severity of greater than grade 2 on the Wagner Scale, Patients with life-threatening ventricular arrhythmia, Patients with unstable angina pectoris, Patients with severe congestive heart failure (i.e. NYHA Stage IV), Patients with uncontrolled hypertension (defined as diastolic blood pressure >110 mmHg or systolic blood pressure >180 mmHg during screening), Patients with an uncontrolled diabetes mellitus (HbA1c > 9%), Patients having any history of malignant tumour in the anamnesis or are currently on tumour treatment, Patients who are unsuitable for a MSC stem cell therapy in the opinion of the investigator,