Epicardial Injection of hiPSC-CMs to Treat Severe Chronic Ischemic Heart Failure
HEAL-AHF
Epicardial Injection of Allogeneic Human Pluripotent Stem Cell-derived Cardiomyocytes to Treat Severe Chronic Ischemic Heart Failure
1 other identifier
interventional
36
1 country
1
Brief Summary
The purpose of this clinical study is to evaluate the feasibility, safety and efficacy of intramyocardial injection of human induce pluripotent stem cell-derived cardiomyocytes (HiCM-188) during coronary artery bypass grafting (CABG) surgery in patients with severe chronic ischemic heart failure.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_1 heart-failure
Started Sep 2023
Longer than P75 for phase_1 heart-failure
1 active site
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
Study Start
First participant enrolled
September 5, 2023
CompletedFirst Submitted
Initial submission to the registry
January 15, 2024
CompletedFirst Posted
Study publicly available on registry
April 1, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 10, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
May 10, 2027
February 10, 2026
December 1, 2025
3.2 years
January 15, 2024
February 6, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
The incidence of major Serious Adverse Events (SAE)
The incidence of major Serious Adverse Events (SAE) within the first month after surgery, including pericardial tamponade, nonfatal myocardial infarction, stroke, and all-cause death
Within the first month after surgery
Secondary Outcomes (22)
Grade 4 or above arrhythmias Related to HiCM-188 Cell Therapy
Within the first month after surgery
The incidence of tumor
12 months after surgery
Left ventricular geometry as assessed by cardiac magnetic resonance imaging (MRI)
Baseline, 6 and 12 months after surgery
Size of myocardial infarction as assessed by MRI
Baseline, 6 and 12 months after surgery
Ventricular wall motion as assessed by MRI
Baseline, 6 and 12 months after surgery
- +17 more secondary outcomes
Study Arms (3)
HiCM-188 Low dose therapy
EXPERIMENTALIntramyocardial injection of HiCM-188 (50 million) during CABG surgery.
HiCM-188 Medium dose therapy
EXPERIMENTALIntramyocardial injection of HiCM-188 (150 million) during CABG surgery.
HiCM-188 High dose therapy
EXPERIMENTALIntramyocardial injection of HiCM-188 (450 million) during CABG surgery.
Interventions
Epicardial Injection of Allogeneic Human Pluripotent Stem Cell-derived Cardiomyocytes (HiCM-188) during coronary artery bypass grafting surgery
Eligibility Criteria
You may qualify if:
- Age ≥18 years
- Willingness and ability to give written informed consent
- Nuclide-myocardial metabolic perfusion imaging or Magnetic Resonance Imaging (MRI) revealed infarcted myocardium in the left anterior descending branch (LAD) coronary artery supply area
- LVEF\<50% as assessed by Echocardiography or LVEF≤40% as assessed by MRI
- Patients have indications for Coronary Artery Bypass Grafting
You may not qualify if:
- Presence of a pacemaker, implantable cardioverter-defibrillator (ICD), or cardiac resynchronization therapy device (CRT)
- Diagnosed with malignancy within 5 years
- Autoimmune disease
- Recipients of organ transplant.
- Patients undergoing other surgical operations (excluding resection of ventricular aneurysm and left atrial appendage excision/occlusion).
- Severe ventricular arrhythmia
- Contraindication to CABG surgery
- Contraindication to cardiac MRI or PET/CT scan.
- Contraindication to immunosuppressants
- Participation in another clinical trial within 3 months prior to screening
- Pregnancy, lactation, or a positive serum pregnancy test
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
TEDA International Cardiovascular Hospital
Tianjin, Tianjin Municipality, 300457, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SEQUENTIAL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 15, 2024
First Posted
April 1, 2024
Study Start
September 5, 2023
Primary Completion (Estimated)
November 10, 2026
Study Completion (Estimated)
May 10, 2027
Last Updated
February 10, 2026
Record last verified: 2025-12