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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

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00694642
Acronym
PROGENITOR
Enrollment
28
Registered
2008-06-10
Start date
2008-05-31
Completion date
2012-02-29
Last updated
2013-08-06

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

Conditions

Coronary Artery Disease, Refractory Angina

Keywords

Refractory angina

Brief summary

The 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.

Detailed description

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.

Interventions

BIOLOGICALSelected CD 133+ cells

Endothelial progenitor cell CD 133

Sponsors

Fundación Mutua Madrileña
CollaboratorOTHER
Pilar Jimenez Quevedo
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

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

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

Design outcomes

Primary

MeasureTime frameDescription
major adverse cardiac and cerebrovascular event6, 12 and 24 monthscardiovascular death, non-fatal myocardial infarction (MI), ischemic stroke, need for revascularization or , procedure-related complications (: pericardial effusion/cardiac tamponade, vascular complications and sustained ventricular arrhythmias).

Secondary

MeasureTime frameDescription
Efficacy6 monthsThe change in the myocardial perfusion defect at baseline versus follow-up measured by Single Photon Emission Computed Tomography (SPECT). Treadmill test, and clinical evaluation (CCS, nº angina episodes/month, nº nitroglycerin /month, Quality of life by seattle questionnaire)

Countries

Spain

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026