Impact of Intracoronary Injection of Autologous BMMC for LV Contractility and Remodeling in Patients With STEMI (RACE-STEMI)

American Heart of Poland

Status and phase

Unknown

Phase 3

Conditions

Myocardial Infarction

Heart Failure

Treatments

Procedure: Intracoronary infusion of BM-MC

Study type

Interventional

Funder types

Other

Identifiers

NCT02323620

AHP-001

Details and patient eligibility

About

This is multicentre, randomised open-label, controlled, parallel-group phase III study. Its aim is to demonstrate that a triple intracoronary infusion of autologous bone marrow-derived mononuclear cells in addition to state of the art treatment is safe and reduces all-cause mortality in patients with reduced left ventricular ejection fraction (≤45%) after successful reperfusion for acute myocardial infarction when compared to a control group of patients undergoing best medical care.

Full description

The study is divided into 3 parts:

Screening phase: Patients will be recruited at the investigational clinical centers. Alternatively, patients who had primary PCI performed at institutions different from the investigational sites can also be enrolled. Interested patients may be referred for screening to any of the participating study sites after acute reperfusion therapy. Informed consent and assessment of eligibility of patients with respect to in- and exclusion criteria will be done at the investigational site. If all other eligibility criteria are met, echocardiography will be performed 3 to 6 days after the acute PCI, and ejection fraction will be quantified by a central Echo Core Lab after web based transmission. CT examination will be performed 1 month after acute PCI in all screened patients with LVEF ≤ 45%. If LVEF will not improve ≥5% in the CT the patient may be qualified into the Study.
Treatment phase: Bone marrow aspiration will be performed for the patients assigned to the treatment group (II). Bone marrow will be collected from the patient and MNC isolated using point-of-care system (Harvest) at a Site. Intracoronary infusion of BM-MNCs will be performed up to 2 hours after isolation via radial approach. Same procedure will be performed 3 and 6 months after first application.
Follow-up phase: After hospital discharge, patients will be followed up per telephone 30 days and 3, 6, 9 months after randomisation and with a site visit with CT examination 12 months after randomisation. Afterwards, telephone follow up will be performed every 3 months. Once the required number of clinical events has been observed, all patients will attend a final study visit, but minimum follow up period for each patient is 2 years. Endpoints will be reported as occurring throughout the follow up.

Enrollment

200 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Men and women of any ethnic origin aged ≥ 18 years.
Patients with acute ST-elevation myocardial infarction as defined by the universal definition of AMI.
Successful acute reperfusion therapy (residual stenosis visually <50% and TIMI flow ≥2) within 24 hours of symptom onset or thrombolysis within 12 hours of symptom onset followed by successful percutaneous coronary intervention (PCI) within 24 hours after thrombolysis.
Left ventricular ejection fraction ≤ 45% with significant regional wall motion abnormality assessed by quantitative echocardiography (central, independent core lab analysis) 3 to 6 days after reperfusion therapy
Open coronary artery suitable for cell infusion supplying the target area of abnormal wall motion
LVEF≤45% with significant regional wall motion abnormality assessed by computed tomography (CT) 30 days after reperfusion therapy with no LVEF improvement ≥5%.

Exclusion criteria

Participation in another clinical trial within 30 days prior to randomisation
Previously received stem/progenitor cell therapy
Pregnant or nursing women
Mental condition rendering the patient unable to understand the nature, scope and possible consequences of the study or to follow the protocol
Necessity to revascularise additional vessels, outside the target coronary artery at the time of BM-MNC infusion (additional revascularisations after primary PCI and before BM-MNC cell infusion are allowed)
Cardiogenic shock requiring mechanical support
Platelet count <100,000/μl, or hemoglobin <8.5 g/dl
Impaired renal function, i.e. serum creatinine >2.5 mg/dl
Persistent fever or diarrhea not responsive to treatment within 4 weeks prior screening
Clinically significant bleeding within 3 months prior screening
Uncontrolled hypertension (systolic >180 mmHg and diastolic >120 mmHg)
Life expectancy of less than 2 years from any non-cardiac cause or neoplastic disease