Peripheral Blood Autologous CD34+ Cell Transplantation Promotes Angiogenesis With Atherosclerotic Ischemia for Elderly
1 other identifier
interventional
20
0 countries
N/A
Brief Summary
To verify angiogenesis in elderly patients with atherosclerotic ischemia after peripheral blood autologous CD34+ cell transplantation.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jan 2018
Typical duration for not_applicable
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 22, 2017
CompletedFirst Posted
Study publicly available on registry
April 4, 2017
CompletedStudy Start
First participant enrolled
January 1, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2020
CompletedApril 4, 2017
March 1, 2017
11 months
March 22, 2017
March 27, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
ankle-brachial index (ABI)
To assess lower limb ischemia. Ankle-brachial index (ABI) is the ratio of the blood pressure at the ankle to the blood pressure in the upper arm (brachium; Appendix 1). The range of ABI of normal persons at resting is between 0.9 and 1.3. Abnormal results: less than 0.8 represents moderate disease; less than 0.5 represents severe disease. The ABI of intermittent claudication patients is mainly between 0.35 and 0.9. The ABI of rest pain patients is often less than 0.4, and the patient will be at risk of amputation. ABI of more than 1.3 indicates vascular wall calcification and loss of vascular contraction.
Change from baseline ankle-brachial index (ABI) at 6 months
Secondary Outcomes (1)
Number of microvessels in the lower limb muscles
Change from baseline ankle-brachial index (ABI) at 6 months
Study Arms (2)
the cell transplantation group
EXPERIMENTALPatients with atherosclerotic lower limb ischemia will be randomly assigned to the cell transplantation group, which peripheral blood CD34+ cells transfected with ActiveMax® recombinant human vascular endothelial growth factor 165 (VEGF165) gene will be transplanted into the muscles of ischemic limbs in elderly patients with atherosclerotic lower limb ischemia.
the control group
EXPERIMENTALPatients with atherosclerotic lower limb ischemia will be randomly assigned to the control group, which 9% physiological saline will be injected into the muscles of ischemic limbs.
Interventions
Patients with atherosclerotic lower limb ischemia will be randomly assigned to the cell transplantation group, which peripheral blood CD34+ cells transfected with ActiveMax® recombinant human vascular endothelial growth factor 165 (VEGF165) gene will be transplanted into the muscles of ischemic limbs in elderly patients with atherosclerotic lower limb ischemia.
Patients with atherosclerotic lower limb ischemia will be randomly assigned to the control group, which 9% physiological saline will be injected into the muscles of ischemic limbs.
Eligibility Criteria
You may qualify if:
- Elderly patients with arteriosclerosis obliterans (Rutherford classification of class 5: slight tissue defect; class 6: tissue ulceration, gangrene)
- Diabetic foot, Wagnar classification of class 315: deep ulcer, often affecting bone tissue, with deep abscess or osteomyelitis
- Age range: 50-60 years
- Irrespective of gender
- Unilateral limb lesions
- Total occlusion of main blood vessels
- No outflow tract in distal arteries
- Cannot perform open surgery and endovascular surgery
- Signed informed consent
You may not qualify if:
- Moderate to severe liver and kidney dysfunction
- Malignant tumor
- Hematological system diseases
- Rheumatic immune system diseases
- Poor stimulating effect on colony stimulating factor
- Thromboangiitis obliterans
- Severe hyperthyroidism
- Endocrine and metabolic diseases such as severe hypothyroidism
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Officials
- PRINCIPAL INVESTIGATOR
Lili Xu, Ph.D
The Affiliated Hospital of Qingdao University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
March 22, 2017
First Posted
April 4, 2017
Study Start
January 1, 2018
Primary Completion
December 1, 2018
Study Completion
January 1, 2020
Last Updated
April 4, 2017
Record last verified: 2017-03