This study is an exploratory clinical study to observe the safety and efficacy of the Intravenous Infusion of Umbilical Cord Mesenchymal Stem Cells in the heart failure patients with reduced ejection fraction. The study was a 12 months single center, randomized, double-blind, placebo-controlled trial that included 12 weeks of treatment, and 9 months of follow-up.
The study was a 12-month single center, randomized, double-blind, placebo-controlled trial that included 12 weeks of treatment, and 9 months of follow-up.We plan to recruit 40 subjects,which were divided into experimental group and control group. The volunteers of the experimental group will be given peripheral intravenously infusion a dose of 1.0\*10\^6/kg human umbilical cord mesenchymal stem cell (HUC-MSC) respectively at 0,6,12 week. The control group will be given the same dose of 1 percent human serum albumin injection. Then centralization visit was conducted at 0,7 day, 6,12 week, 6 and 12 month. The primary safety end point is the incidence of any treatment emergent serious adverse events within12 months after intravenous MSC infusion, including death, nonfatal MI, stroke, sustained ventricular arrhythmias (\>15 seconds or causing hemodynamic compromise), and other adverse events such as infection, tumor formation and clinical abnormal, which will be evaluated by monitoring for serial troponin, hematology, chemistry, urinalysis, 24-hour Holter, CTscans and ultrasound of abdomen.There are independent data and safety monitoring committees to monitor patient safety throughout the duration the trial.The primary efficacy endpoint is a change in Left Ventricular Ejection Fractions (LVEF) measured by left ventricular opacification (LVO) with contrast echocardiography and magnetic resonance imaging (MRI) at 12th month.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
40
Human umbilical cord mesenchymal stem cells were peripheral intravenous infused to experimental group.
Saline solution containing 1 percent human serum albumin will be infused to the control group.
Heart Failure Department, East Hospital Affiliated to Tongji University
Shanghai, Shanghai Municipality, China
The safety of treatment
The incidence of treatment related adverse events
Time frame: Day 360
Left ventricular ejection fraction
The change in Left ventricular ejection fraction (LVEF) % after the infusion.
Time frame: Day 360
A composite of cardiac death and rehospitalization caused by heart failure within 12 months
The comparison of the mortality and the incidence of rehospitalization caused by heart failure between the two groups.
Time frame: 12 month after treatment
NT-proBNP
The change in NT-proBNP after the infusion.
Time frame: Day 360
ST2
The change in ST2 after the infusion.
Time frame: Day 360
Left ventricular end systolic volume
The change in Left ventricular end systolic volume(LVESV) after the infusion
Time frame: Day 43, Day 85, Day 180, Day 360
6 minutes walking distance
The change in 6 minutes walking distance after the infusion.
Time frame: Day 360
The SUV in PET-MR
The change of standard uptake value in PET-MR after the infusion
Time frame: Day 180
Right ventricular end systolic volume
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The change in Right ventricular end systolic volume(RVESV) after the infusion
Time frame: Day 360
Tricuspid annular plane systolic excursion
Changes of Right ventricular tricuspid annular plane systolic excursion (TAPSE) detected by echocardiography
Time frame: Day 360