Safety and Efficacy Study of Autologous Bone Marrow Aspirate Concentrate for No-Option Critical Limb Ischemia
NCT01818310 · Status: COMPLETED · Phase: PHASE2/PHASE3 · Type: INTERVENTIONAL · Enrollment: 80
Last updated 2021-09-30
Summary
The aim of the presented clinical trial is to evaluate a hypothesis, that BMAC prepared from bone marrow aspirate and injected intramuscularly into ischemic areas of the lower extremity in patients with diabetes mellitus type II., intraarterially into the defect of the limb or with an intravenous application only, has a greater potential to improve the perfusion in the ischemic limbs than standard treatment of NO-CLI. Another aim of the study is to find out differences among three different therapeutic types of BMAC application, to define their effectiveness and safety and to compare the impact of different means of application to the speed of healing of the limb defects and the improvement of perfusion parameters.
Conditions
- Critical Lower Limb Ischemia
- Type-2 Diabetes Mellitus
Interventions
- BIOLOGICAL
-
Group A: Intramuscular
Intramuscular BMAC application The study subjects in the Group A will receive a treatment of 35ml BMAC administered intramuscularly into the affected limb, in individual punctures of 1 ml. The punctures will be applied into the crural muscle around the defect, the procedure takes approx. 60 minutes.
- BIOLOGICAL
-
Group B: Intraarterial
Intraarterial BMAC application The study subjects in the Group B will receive a treatment of 35ml BMAC administered intraarterially into the affected limb.
- BIOLOGICAL
-
Group C: Intravenous
Group C: Intravenous The study subjects in the Group C will receive a treatment of 35ml BMAC administered intravenously into the affected limb.
- PROCEDURE
-
Group D: Surgical endovascular treatment with maximum medicamentous treatment
Group D: Control Group Control Group - no experimental intervention, standard endovascular treatment or bypass surgery or maximum medicamentous treatment
Sponsors & Collaborators
-
Ministry of Health, Czech Republic
collaborator OTHER_GOV -
Regional Council of the Moravian-Silesian region, KU MSK
collaborator UNKNOWN -
University Hospital Ostrava
lead OTHER
Principal Investigators
-
Vaclav Prochazka, MD, PhD, MSc · University Hospital Ostrava
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2012-09-30
- Primary Completion
- 2018-09-30
- Completion
- 2018-10-31
Countries
- Czechia
Study Locations
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