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Progenitor Cell Therapy in Dilative Cardiomyopathy

Transplantation Of Progenitor Cells And Recovery Of Left Ventricular Function In Patients With Nonischemic Dilatative Cardiomyopathy

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00284713
Enrollment
30
Registered
2006-02-01
Start date
2004-05-31
Completion date
2009-01-31
Last updated
2009-02-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cardiomyopathy, Dilated, Heart Failure, Congestive, Stem Cell Transplantation

Brief summary

Intracoronary infusion of bone marrow derived progenitor cells into the LAD in patients with non ischemic dilated cardiomyopathy.

Detailed description

Initial clinical pilot trials suggested that intracoronary infusion of bone marrow-derived progenitor cells (BMC) may enhance left ventricular functional recovery in patients with acute myocardial infarction. It is unknown, however, whether such a strategy might also be applicable to patients with non-ischemic dilated cardiomyopathy (DCM). Therefore, we initiated the TOPCARE-DCM - trial (Transplantation Of Progenitor Cells And Recovery of Left Ventricular Function in Patients with non ischemic Dilatative CardioMyopathy) aiming to regionally improve left ventricular contractility by selective infusion of BMC into the left anterior descending coronary artery. Patients will be randomized 2:1 (20/10) BMC Infusion versus standard medical therapy

Interventions

PROCEDUREintracoronary infusion of BMC

catheter delivery of stem cells

Sponsors

Johann Wolfgang Goethe University Hospital
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* Age 8-80 * Dilated Cardiomyopathy, Ejection fraction \< 40% * LVEDD \> 60mm * Stable clinical condition within last 6 months * Written informed consent

Exclusion criteria

* Myocardial infarction or coronary intervention in the past * Change of medical therapy within the last 6 weeks prior to cell therapy * Tumor within last 5 years or incomplete remission * Active infection * Active bleeding * Stroke within last 2 years * Surgery or trauma within last 2 months * Uncontrolled hypertension * HIV infection * Chronic inflammatory disease * Liver disease (GOT \> 2x upper normal limit) * Renal dysfunction (creatinin \> 2.0mg/dl) * Thrombopenia \< 100.000 * Anemia (hemoglobin \< 8.5 g/dl) * Mental retardation

Design outcomes

Primary

MeasureTime frame
LV function (Ejection fraction within 3 months) Simpson4 months

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 24, 2026