Critical Limb Ischemia, Peripheral Artery Disease
Conditions
Keywords
Critical Limb Ischemia, Peripheral Arterial Occlusive Disease, Peripheral Artery Disease, Peripheral Vascular Disease, Stem Cell Therapy, Mesenchymal Stem Cells
Brief summary
MSC\_Apceth are GMP-manufactured, autologous ex-vivo expanded non-hemapoietic bone-marrow derived stem cells for the treatment of Critical Limb Ischemia
Interventions
percutaneous transluminal angioplasty followed by infusion of MSC\_Apceth
percutaneous transluminal angioplasty only
Sponsors
Study design
Eligibility
Inclusion criteria
1. 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, 2. Patients with staging of ≥III according to Fontaine and ≥4 according to Rutherford categories, 3. Patients fulfilling the criteria for an invasive re-vascularisation procedure (PTA) at the discretion of the investigator, 4. Patients without major amputation of the lower extremities within the period of 6 months after inclusion in the opinion of the investigator,
Exclusion criteria
1. Patients with wounds of a severity of greater than grade 2 on the Wagner Scale, 2. Patients with life-threatening ventricular arrhythmia, 3. Patients with unstable angina pectoris, 4. Patients with severe congestive heart failure (i.e. NYHA Stage IV), 5. Patients with uncontrolled hypertension (defined as diastolic blood pressure \>110 mmHg or systolic blood pressure \>180 mmHg during screening), 6. Patients with an uncontrolled diabetes mellitus (HbA1c \> 9%), 7. Patients having any history of malignant tumour in the anamnesis or are currently on tumour treatment, 8. Patients who are unsuitable for a MSC stem cell therapy in the opinion of the investigator,
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Collection of adverse events | one year |
| Safety laboratory values | 1 year |
| ECG findings | 1 year |
| Analysis of inflammation markers | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| Comparison of course of haemodynamic and vascular processes | 1 year |
Countries
Germany