NCT03047772

Brief Summary

The benefit of current stem cell transplantation therapy for myocardial infarction is limited by low survival rate for stem cell. The purpose of this study is to test whether intensive Atorvastatin therapy can improve the outcome of patients with impaired left ventricle function after acute myocardial infarction who underwent intracoronary transfer of autologous bone marrow mesenchymal stem cells.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
124

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Mar 2018

Shorter than P25 for phase_2

Status
unknown

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

February 7, 2017

Completed
2 days until next milestone

First Posted

Study publicly available on registry

February 9, 2017

Completed
1.1 years until next milestone

Study Start

First participant enrolled

March 6, 2018

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2018

Completed
Last Updated

January 25, 2018

Status Verified

January 1, 2018

Enrollment Period

10 months

First QC Date

February 7, 2017

Last Update Submit

January 23, 2018

Conditions

Outcome Measures

Primary Outcomes (1)

  • Changes in left ventricular ejection fraction from baseline to 12 months'

    Changes in left ventricular ejection fraction from baseline to 12 months' by MRI

    12 months

Study Arms (8)

Phase A: Atorvastatin

PLACEBO COMPARATOR

Atorvastatin routine dose + placebo transplantation

Drug: Atorvastatin

Phase A: Low dose BMMSC

EXPERIMENTAL

Atorvastatin routine dose + low dose BMMSC Transplantation

Drug: AtorvastatinDrug: Low dose BMMSC

Phase A: Middle dose BMMSC

EXPERIMENTAL

Atorvastatin routine dose + middle dose BMMSC Transplantation

Drug: AtorvastatinDrug: Middle dose BMMSC

Phase A: High dose BMMSC

EXPERIMENTAL

Atorvastatin routine dose + high dose BMMSC Transplantation

Drug: AtorvastatinDrug: High dose BMMSC

Phase B: Atorvastatin

PLACEBO COMPARATOR

Atorvastatin routine dose + placebo transplantation

Drug: Atorvastatin

Phase B: Atorvastatin+Transplantation

ACTIVE COMPARATOR

Atorvastatin routine dose+ Optimal dose BMMSC Transplantation

Drug: AtorvastatinDrug: Transplantation

Phase B: Intensive Atorvastatin

PLACEBO COMPARATOR

Atorvastatin Intensive dose + placebo transplantation

Drug: Intensive Atorvastatin

Phase B: Intensive Atorvastatin+Transplantation

EXPERIMENTAL

Atorvastatin Intensive dose + Optimal dose BMMSC Transplantation

Drug: Intensive AtorvastatinDrug: Transplantation

Interventions

Routine dose of Atorvastatin therapy

Also known as: Statin
Phase A: AtorvastatinPhase A: High dose BMMSCPhase A: Low dose BMMSCPhase A: Middle dose BMMSCPhase B: AtorvastatinPhase B: Atorvastatin+Transplantation

Intensive dose of Atorvastatin therapy

Phase B: Intensive AtorvastatinPhase B: Intensive Atorvastatin+Transplantation

Low dose autologous Bone Marrow Mesenchymal Stem Cells transplantation

Phase A: Low dose BMMSC

Middle dose autologous Bone Marrow Mesenchymal Stem Cells transplantation

Phase A: Middle dose BMMSC

High dose autologous Bone Marrow Mesenchymal Stem Cells transplantation

Phase A: High dose BMMSC

Optimal dose autologous Bone Marrow Mesenchymal Stem Cells transplantation

Phase B: Atorvastatin+TransplantationPhase B: Intensive Atorvastatin+Transplantation

Eligibility Criteria

Age30 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients with the first time ST-elevation myocardial infarction (STEMI).
  • Patients after undergoing PCI 2 to 5 days.
  • Patients without PCI but emergency coronary angiography shows the criminal coronary artery recanalized.
  • Left ventricular infarction area seriously hypokinesis or no movement
  • Left ventricular ejection fraction \<=45% based on coronary angiography or echocardiography.

You may not qualify if:

  • Patients without emergency PCI and the criminal coronary artery fail to be recanalized.
  • Patients with non-ST-elevation myocardial infarction.
  • Patients with normal left ventricular function.
  • Patients with mechanical complications of myocardial infarction.
  • Patients with a malignant tumor.
  • Patients with infection disease.
  • Less than 6 months since last episode of stroke.
  • Patients with hematological disease (leukemia, myeloproliferative disease, or myelodysplastic syndromes).
  • ALT (GPT) exceeding 100 IU/L.
  • Leukocytes less than 4,000/µL or exceeding 10,000/µL.
  • Platelets less than 100,000/µL.
  • Hemoglobin less than 10 g/dL.
  • Pregnant or nursing patients, those who may be pregnant, or those who plan on becoming pregnant before the end of the study period.
  • Any other reason that the Clinical Supervisors or Clinical Researchers may have for considering a case unsuitable for the study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (1)

  • Xu JY, Qian HY, Huang PS, Xu J, Xiong YY, Jiang WY, Xu Y, Leng WX, Li XD, Chen GH, Tang RJ, Huang CR, Hu MJ, Jin C, Wu Y, Zhang J, Qian J, Xu B, Zhao SH, Lu MJ, Shen R, Fang W, Wu WC, Chen X, Wang Y, Li W, Lu XF, Jiang XF, Ma CC, Li JW, Geng YJ, Qiao SB, Gao RL, Yang YJ. Transplantation efficacy of autologous bone marrow mesenchymal stem cells combined with atorvastatin for acute myocardial infarction (TEAM-AMI): rationale and design of a randomized, double-blind, placebo-controlled, multi-center, Phase II TEAM-AMI trial. Regen Med. 2019 Dec;14(12):1077-1087. doi: 10.2217/rme-2019-0024. Epub 2019 Dec 12.

MeSH Terms

Conditions

Myocardial Infarction

Interventions

AtorvastatinHydroxymethylglutaryl-CoA Reductase InhibitorsTransplantation

Condition Hierarchy (Ancestors)

Myocardial IschemiaHeart DiseasesCardiovascular DiseasesVascular DiseasesInfarctionIschemiaPathologic ProcessesPathological Conditions, Signs and SymptomsNecrosis

Intervention Hierarchy (Ancestors)

PyrrolesAzolesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsHeptanoic AcidsFatty AcidsLipidsAnticholesteremic AgentsHypolipidemic AgentsAntimetabolitesMolecular Mechanisms of Pharmacological ActionPharmacologic ActionsChemical Actions and UsesEnzyme InhibitorsLipid Regulating AgentsTherapeutic UsesSurgical Procedures, Operative

Central Study Contacts

Haiyan Qian, Doctor

CONTACT

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
FACTORIAL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Vice Dean of Fuwai hospital

Study Record Dates

First Submitted

February 7, 2017

First Posted

February 9, 2017

Study Start

March 6, 2018

Primary Completion

December 31, 2018

Study Completion

December 31, 2018

Last Updated

January 25, 2018

Record last verified: 2018-01