Arterial Occlusive Diseases
Conditions
Keywords
critical limb ischemia, peripheral arterial occlusive disease, [C14.907.137]
Brief summary
Patients with peripheral artery disease, stage III or IV who are not candidates for interventional or operative therapy should be treated with intraarterial progenitor cell therapy (autologous bone marrow cells) in a randomized, placebo controlled trial.
Detailed description
Main goal: Improvement of limb perfusion (Ankle brachial index). Secondary aims: Reduction of pain Reduction of Ulcer size Walking distance Improvement in tissue oxygenation (TCO2) Minor or major amputation
Interventions
catheter delivery of stem cells
intraarterial application of bone marrow mononuclear cells versus placebo
Sponsors
Study design
Intervention model description
Intraarterial administration of BM-MNC or placebo
Eligibility
Inclusion criteria
* Patients with PAOD (Stage III or IV) * Distal arterial occlusions * Patients with Buergers Disease * Signed informed consent
Exclusion criteria
* Successful bypass operation or intervention within the last 3 months * Active infection, feber, chronic inflammatory disease * HIV, Hepatitis * Tumor within the last 5 years, complete remission required * Stroke or myocardial infarction within last 3 months * Renal insufficiency (creatinine \> 2 mg/dl) * Liver disease (GOT \> 2x upper limit oder spontaneous INR \> 1,5). * Anemia (hemoglobin \< \<10 mg/dl) * Thrombocytopenia \< 100.000/µl * Allergies to Aspirin, Clopidogrel, Heparin * Bleeding disorder * Gastrointestinal bleeding within last 3 months * Surgery or trauma within the last 2 months * Pregnancy * Mental retardation * Inclusion in other clinical study within last 30 days
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Ankle brachial index | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Ulcer size | 6 months |
| Pain | 6 months |
| Walking distance | 6 months |
| TCO2 | 6 months |
Countries
Germany