About this trial
This clinical trial investigates the safety, feasibility, and therapeutic potential of a combined approach using HiCM-188 cardiomyocyte injection delivered intramyocardially alongside either LVAD implantation or CABG surgery in patients with advanced ischemic heart failure.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male or female aged 35-75 years (inclusive) at the time of signing the informed consent form.
Capable of understanding the informed consent form, voluntarily agreeing to participate in the trial, and signing the informed consent form.
Diagnosed with end-stage heart failure.
Receiving optimized medical therapy for heart failure, with New York Heart Association (NYHA) functional class III-IV.
Disqualifiers
History of pacemaker, implantable cardioverter-defibrillator (ICD), or cardiac resynchronization therapy (CRT).
Severe valvular heart disease.
Acute myocardial infarction or history of percutaneous coronary intervention (PCI) within 1 month prior to screening.
Non-ischemic cardiomyopathy or acute viral myocarditis.
Trial design
Parallel
Treatments tested in this trial
low dose CABG+iPSC-CMs
Biological/VaccineCABG+0.5×10\^8 iPSC-CMs
High dose CABG/LVAD+iPSC-CMs
Biological/VaccineCABG+1.5×10\^8 iPSC-CMs or LVAD+1.5×10\^8 iPSC-CMs
CABG/LVAD+Saline
Other interventionCABG/LVAD+Saline
Treatment groups
Trial outcomes
Primary outcomes
6-minute walk test
Major Adverse Cardiovascular Events
The composite endpoint events occurring during the prescribed postoperative follow-up period included cardiac death, non-fatal myocardial infarction, non-fatal stroke, and emergency target vessel revascularization (e.g., PCI or CABG), which was expressed as the percentage of subjects experiencing at least one of these events (%).
Survival rate
Secondary outcomes
Left ventricular ejection fraction
Improvement of left ventricular ejection fraction assessed by ECHO
Cardiac magnetic resonance detection index
Myocardial infarction size and Myocardial fibrosis assessed by MRI
BNP
BNP levels are measured by venous blood samples
SF-36
life quality assessed by SF-36 (The Short-Form-36 Health Survey). The SF-36 scale is a tool used to assess health-related quality of life, including eight dimensions: Physical Functioning (PF), Role-Physical (RP), Bodily Pain (BP), General Health (GH), Vitality (VT), Social Functioning (SF), Role-Emotional (RE), and Mental Health (MH). Each dimension has its unique scoring criteria, and the score range for each dimension is from 0 to 100 points. Higher scores indicate better health outcomes
Sponsors and contacts
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