Combined CABG and Stem-Cell Transplantation for Heart Failure

Sponsor: 
Helsinki University
Location: 

Department of Cardiothoracic Surgery, Meilahti Hospital

Country: 
Finland

This is a prospective double blind trial of intraoperative transmyocardial bone marrow−derived mesenchymal cell transplantation vs placebo in patients with low left ventricular ejection fraction scheduled to coronary bypass operation.

Eligible Ages for Trial: 
18 - 75
Eligible Genders for Trial: 
Both
Illness: 
Heart Disease

Inclusion Criteria:

General (patients must have all)

  • Symptomatic heart failure.
  • Scheduled to CABG
  • Be 18 to 75 years of age
  • Informed Consent obtained
  • Heart Failure Presentation

    • Patients of either gender, who has evaluated in cardiovascular laboratory and scheduled to CABG with moderate heart failure, will be eligible
    • NYHA II-IV symptoms
    • Left ventricular ejection fraction in screening echocardiography 15 to 45%.
    • Optimal heart failure medication and coronary medication before operation, containing at least two heart failure drugs: must have ACE-inhibitor, or AT II blocker, and/or b-blocker together with diuretics, digitalis or aldosterone antagonist, and coronary medication: a statin and anticoagulation, either aspirin or clopidogrel.

Exclusion Criteria:

  • Heart failure due to left ventricular outflow track obstruction (valve problem or HOCM)
  • History of life-threatening ventricular arrhythmias or resuscitation, condition which may be repeatable or implanted ICD.
  • Stroke or other disabling condition with in 3 months before screening
  • Contraindications to coronary angiogram or MRI
  • Other serious disease limiting life expectancy
  • Participation in an other clinical trial
  • Severe valve disease: mitral, aortic, tricuspid or pulmonic stenosis / insufficiency
  • Scheduled valve operation
October 1, 2006 - December 1, 2010
Trial Status: 
Recruiting
Contact: 
Ari Harjula, MD,PhD, +3585064814, ari.harjula@hus.fi

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