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Human Adipose Derived Mesenchymal Stem Cells for Critical Limb Ischemia (CLI) in Diabetic Patients

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ClinicalTrials.gov Identifier: NCT01257776
Recruitment Status : Completed
First Posted : December 10, 2010
Last Update Posted : August 5, 2015
Sponsor:
Collaborator:
Iniciativa Andaluza en Terapias Avanzadas
Information provided by (Responsible Party):
Andalusian Network for Design and Translation of Advanced Therapies ( Andalusian Initiative for Advanced Therapies - Fundación Pública Andaluza Progreso y Salud )

Study Description
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Brief Summary:

A prospective, multicenter, open, randomized, parallel-group controlled study for two levels of dose.

The study population will consist of 30 non-diabetic patients with critical chronic ischemia in at least one of the lower limbs (CLI) and without possibility of revascularization, from whom results can clinically be evaluable, of whom, 20 patients will be included in the experimental group (10 for each dose level) and 10 in the control group.

In each of the two dose levels to be used in the study, 15 patients will be included, who will be randomized to the experimental group or the control group according to a distribution 2:1 (2 patients in the experimental group and 1 in control group), thus at each dose level, we will have 10 patients in the experimental group (treated with mesenchymal cells of adipose tissue) and 5 patients in the control group (conventional treatment)


Condition or disease Intervention/treatment Phase
Critical Limb Ischemia (CLI) Diabetes Drug: Autologous adipose derived mesenchymal stem cells Phase 1 Phase 2

Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 33 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Using Mesenchymal Stem Cells From Adipose Tissue (CeTMAd) as Cell Regeneration Therapy in Chronic Ischemic Syndrome of Lower Limbs in Diabetic Patients
Study Start Date : December 2010
Actual Primary Completion Date : February 2013
Actual Study Completion Date : July 2015
Arms and Interventions
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Arm Intervention/treatment
Active Comparator: Mesenchymal stem cells 0,5 million * weight (kg)
Group of low dose of Mesenchymal stem cells.
 Drug: Autologous adipose derived mesenchymal stem cells
Intra-arterial administration through a selective cannulation of target common femoral artery
Active Comparator: Mesenchymal stem cells 1 million * weight (kg)
Group of mid dose of mesenchymal stem cells
 Drug: Autologous adipose derived mesenchymal stem cells
Intra-arterial administration through a selective cannulation of target common femoral artery
No Intervention: Controlled group
Controlled group with no intervention


Outcome Measures
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Primary Outcome Measures :
  1. Angiographic assessment of neovasculogenesis (angiogenesis plus arteriogenesis) [ Time Frame: 6 months ]
    Target limb vascularization would be quantified by a dedicated software, MetaMorph® v.6.3, by using Angiogenesis Tube Formation application module. Neovasculogenesis would be the difference between vascularization at baseline and 6 months follow-up.

  2. Major adverse event (death, target limb amputation) [ Time Frame: 1 month, 6 months, 12 months ]

Secondary Outcome Measures :
  1. Ankle Brachial Index [ Time Frame: 1 month, 6 months, 12 months ]
  2. University of Texas Classification at target limb [ Time Frame: 1 month, 6 months, 12 months ]

Eligibility Criteria
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Ages Eligible for Study:   18 Years to 85 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Diabetes, type 1 or 2
  • Critical Limb Ischemia (Rutherford Becker Class II,III or IV)of at least one limb.
  • No options for target limb revascularization.

Exclusion Criteria:

  • Cancer antecedent in the last two years
  • Current limb infection or limb gangrene
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01257776


Locations
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Spain
University Hospital Virgen Macarena
Seville, Spain, 41007
CABIMER (Andalusian Center for Molecular Biology and Regenerative Medicine)
Seville, Spain, 41092
Sponsors and Collaborators
Andalusian Initiative for Advanced Therapies - Fundación Pública Andaluza Progreso y Salud
Iniciativa Andaluza en Terapias Avanzadas
Investigators
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Principal Investigator: Rafael J Ruiz-Salmeron, MD, PhD University Hospital Virgen Macarena. Seville.Spain
Principal Investigator: Antonio De la Cuesta, MD University Hospital Virgen Macarena. Seville.Spain
More Information
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Responsible Party: Andalusian Initiative for Advanced Therapies - Fundación Pública Andaluza Progreso y Salud
ClinicalTrials.gov Identifier: NCT01257776    
Obsolete Identifiers: NCT01079403
Other Study ID Numbers: CeTMAd/ICPD/2008
First Posted: December 10, 2010    Key Record Dates
Last Update Posted: August 5, 2015
Last Verified: November 2014
Keywords provided by Andalusian Network for Design and Translation of Advanced Therapies ( Andalusian Initiative for Advanced Therapies - Fundación Pública Andaluza Progreso y Salud ):
Critical Limb Ischemia (CLI)
Diabetes
Mesenchymal Stem Cells
Regenerative Therapy
Additional relevant MeSH terms:
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Ischemia
Pathologic Processes