About this trial
* The Cardiomesh II clinical trial is a phase I open label study intended to enrol 10 patients to evaluate the safety and efficacy of surgical epicardial implantation of a membrane seeded with allogeneic adipose tissue derived stem cells in patients scheduled to undergo coronary revascularisation surgery and at high risk of developing heart failure. * The primary objective of the study is to evaluate the safety of surgical implantation of this membrane in patients with large ischaemic myocardial scars scheduled to undergo coronary revascularisation surgery. The secondary objective is to investigate the efficacy of the above treatment in terms of reduction of scar size and ventricular function parameters.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients planning to undergo coronary revascularisation surgery within one month of study entry.
LVEF ≤45% by CMRI.
History of myocardial infarction at least 3 months prior to inclusion.
Scar covering at least 15% of the total left ventricular myocardial mass defined by late enhancement on CMRI.
Disqualifiers
Participation in another clinical trial within 30 days prior to inclusion.
Prior treatment with cell or gene therapy.
Be a candidate for heart transplant at the time of study entry.
Diagnosis of acute myocardial infarction with 3 months prior to inclusion.
Trial design
Single group
Treatments tested in this trial
VB-C01 cellularised patch
Combination productsurgical epicardial implantation of a membrane seeded with allogeneic adipose tissue derived stem cells in patients scheduled to undergo coronary revascularisation surgery and at high risk of developing heart failure
Treatment groups
Trial outcomes
Primary outcomes
combination of MACCEs at all follow up visits during the first year after treatment
combination of MACCEs at all follow up visits during the first year after treatment (after surgery, at 1, 3, 6, 9 and 12 months). MACCEs are defined as all cause death, myocardial infarction requiring target vessel revascularisation, hospitalisation for heart failure, cardiac tamponade or pericardial constriction, sustained ventricular tachycardia, ventricular fibrillation, and stroke.
Secondary outcomes
Safety - Composite MACCE
Composite MACCE (all cause death, myocardial infarction requiring target vessel revascularisation, hospitalisation for heart failure, cardiac tamponade or pericardial constriction, sustained ventricular tachycardia, ventricular fibrillation, and stroke) at all follow up visits during the first year after treatment (after surgery, 1, 3, 6, 9 and 12 months),
Safety - Hematology parameters
Erythrocytes, Haemoglobin, Haematocrit, Leukocytes, Neutrophils, Lymphocytes, Monocytes, Eosinophils, Basophils, Platelets, Prothrombin time, APTT, INR. Measurement of the values and evaluation of their clinical significance in case they are outside of the normal range.
Safety - Adverse Events
Any cause adverse event at all follow up visits during the first year after treatment (after surgery, 1, 3, 6, 9 and 12 months)
Safety - Biochemical blood parameters
Measurement of biochemistry paramenters in blood including Glucose, Creatinine, Urea, GOT, GPT, GGT, Total bilirubin, Alkaline phosphatase, Total cholesterol, LDL-cholesterol, HDL-cholesterol, Triglycerides, Total proteins, Sodium, Potassium, Calcium, Chloride. Evaluation of clinical significance in case values are out of normal range.
Locations
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Sponsors and contacts
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Viscofan
Lead sponsor
KCRI Sp. z o.o.
Collaborator
Medical University of Silesia
Collaborator
Clinica Universidad de Navarra, Universidad de Navarra
Collaborator
Hospital General Universitario Gregorio Marañon
Collaborator
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