NCT02438306

Brief Summary

This is a prospective, multi-center, randomized, controlled, patient- and evaluator-blinded study comparing treatment with the CardiAMP cell therapy to a sham control treatment. A roll-in phase with a maximum of 10 subjects may occur.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
125

participants targeted

Target at P25-P50 for phase_3

Timeline
Completed

Started Dec 2016

Longer than P75 for phase_3

Geographic Reach
2 countries

24 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 5, 2015

Completed
3 days until next milestone

First Posted

Study publicly available on registry

May 8, 2015

Completed
1.6 years until next milestone

Study Start

First participant enrolled

December 1, 2016

Completed
8.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2025

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2025

Completed
Last Updated

September 19, 2025

Status Verified

September 1, 2025

Enrollment Period

8.2 years

First QC Date

May 5, 2015

Last Update Submit

September 16, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • A composite endpoint based on a 3-tiered Finkelstein-Schoenfeld (FS) hierarchical analysis.

    The tiers include (1) all-cause death, (2) non-fatal MACCE events, and (3) change for 6MWD from baseline to month 12.

    12 Months

Secondary Outcomes (3)

  • Minnesota Living with Heart Failure Questionnaire (MLHFQ)

    12 months

  • Survival

    12 Months

  • Time to first Major Adverse Cardiac Events (MACE)

    12 months

Study Arms (2)

CardiAMP cell therapy

EXPERIMENTAL

Placement of an introducer guidewire, performance of a left ventriculogram, and treatment with autologous cell therapy.

Biological: Autologous cell therapy

Sham Comparator

SHAM COMPARATOR

Placement of an introducer guidewire and performance of a left ventriculogram with no autologous cell therapy treatment.

Other: Sham

Interventions

Autologous cell therapy delivered into the heart muscle using the CardiAMP Cell Therapy System. The CardiAMP Cell Therapy System consists of the CardiAMP Cell Separator, a cardiac delivery catheter, and flexible tip guide catheter.

CardiAMP cell therapy
ShamOTHER

An introducer guidewire is placed into the heart and left ventriculography is performed just like it is in the Experimental Arm but no autologous cell therapy is delivered.

Sham Comparator

Eligibility Criteria

Age21 Years - 90 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • New York Heart Association (NYHA) Class II or III
  • A diagnosis of chronic ischemic left ventricular dysfunction secondary to myocardial infarction (MI) as defined by selected criteria.
  • On stable evidence-based medical and device therapy for ischemic etiology heart failure, per the ACC/AHA Heart Failure guidelines, for at least three (3) months prior to randomization.
  • Left ventricular ejection fraction between 20% and 40%.
  • Qualification of a pre-procedure screening of the patient's bone-marrow characteristics

You may not qualify if:

  • Other cardiac or vascular system or other health-related criteria which may be seen in a patient's history and physical examination.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (24)

Mayo Clinic

Phoenix, Arizona, 85054, United States

Location

Cedars Sinai Medical Center

Los Angeles, California, 90048, United States

Location

Stanford Medical Center, Stanford Health Care

Palo Alto, California, 94305, United States

Location

California Pacific Medical Center

San Francisco, California, 94115, United States

Location

University of Colorado, Denver

Aurora, Colorado, 80045, United States

Location

Morton Plant Mease Health Care

Clearwater, Florida, 33756, United States

Location

University of Florida - College of Medicine/ div of Cardiovascular Medicine

Gainesville, Florida, 32606, United States

Location

Iowa Heart

Des Moines, Iowa, 50266, United States

Location

John Hopkins University School of Medicine - Dept of Cardiology

Baltimore, Maryland, 21287, United States

Location

Suburban Hospital

Bethesda, Maryland, 20814, United States

Location

Henry Ford Hospital

Detroit, Michigan, 48202, United States

Location

Michigan Cardiovascular Institute

Saginaw, Michigan, 48601, United States

Location

Michigan Heart - St.Joseph Mercy Health System (Trinity Health)

Ypsilanti, Michigan, 48197, United States

Location

Atlantic Health System

Morristown, New Jersey, 07960, United States

Location

New York University School of Medicine

New York, New York, 10010, United States

Location

Cleveland Clinic

Cleveland, Ohio, 44195, United States

Location

Oklahoma Heart

Tulsa, Oklahoma, 74104, United States

Location

Stern Cardiovascular Foundation

Memphis, Tennessee, 38103, United States

Location

Virginia Commonwealth University (VCU) Medical Center

Richmond, Virginia, 23298, United States

Location

Division of Cardiovascular Medicine, University of Wisconsin Hospital and Clinics

Madison, Wisconsin, 53792-0001, United States

Location

St. Paul's Hospital

Vancouver, British Columbia, Canada

Location

London Health Sciences Center

London, Ontario, Canada

Location

Ottawa Heart Institute

Ottawa, Ontario, KIY 4W7, Canada

Location

Unity Health Toronto

Toronto, Ontario, Canada

Location

Related Publications (2)

  • Raval AN, Johnston PV, Duckers HJ, Cook TD, Traverse JH, Altman PA, Dhingra R, Hematti P, Borrello I, Anderson RD, Pepine CJ. Point of care, bone marrow mononuclear cell therapy in ischemic heart failure patients personalized for cell potency: 12-month feasibility results from CardiAMP heart failure roll-in cohort. Int J Cardiol. 2021 Mar 1;326:131-138. doi: 10.1016/j.ijcard.2020.10.043. Epub 2020 Oct 20.

  • Raval AN, Cook TD, Duckers HJ, Johnston PV, Traverse JH, Abraham WT, Altman PA, Pepine CJ. The CardiAMP Heart Failure trial: A randomized controlled pivotal trial of high-dose autologous bone marrow mononuclear cells using the CardiAMP cell therapy system in patients with post-myocardial infarction heart failure: Trial rationale and study design. Am Heart J. 2018 Jul;201:141-148. doi: 10.1016/j.ahj.2018.03.016. Epub 2018 Apr 3.

Related Links

MeSH Terms

Conditions

Heart Failure, Systolic

Interventions

salicylhydroxamic acid

Condition Hierarchy (Ancestors)

Heart FailureHeart DiseasesCardiovascular Diseases

Study Officials

  • Carl Pepine, MD

    University of Florida

    PRINCIPAL INVESTIGATOR
  • Amish Raval, MD

    University of Wisconsin, Madison

    PRINCIPAL INVESTIGATOR
  • Duncan Stewart, MD

    Ottawa Heart Institute Research Corporation

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 5, 2015

First Posted

May 8, 2015

Study Start

December 1, 2016

Primary Completion

February 1, 2025

Study Completion

June 1, 2025

Last Updated

September 19, 2025

Record last verified: 2025-09

Data Sharing

IPD Sharing
Will not share

Locations