RENEW: Efficacy and Safety of Targeted Intramyocardial Delivery of Auto CD34+ Stem Cells for Improving Exercise Capacity in Subjects With Refractory Angina

Sponsor
Caladrius Biosciences, Inc. (Industry)
Overall Status
Completed
CT.gov ID
NCT01508910
Collaborator
(none)
291
41
3
43
7.1
0.2

Study Details

Study Description

Brief Summary

The purpose of the study is to assess the safety and efficacy of targeted intramyocardial delivery of Auto-CD34+ cells for increasing exercise time and amelioration of anginal symptoms in subjects with refractory angina and chronic myocardial ischemia.

Condition or Disease Intervention/Treatment Phase
  • Biological: Auto-CD34+ cells
  • Biological: Placebo: Diluent used to suspend Auto-CD34+ cells
  • Other: Standard of care
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
291 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Primary Purpose:
Treatment
Official Title:
A Prospective, Randomized, Double-blinded, Active-control and Unblinded Standard of Care (SOC) Controlled Study to Determine the Efficacy and Safety of Targeted Intramyocardial Delivery of Autologous CD34+ Cells (Auto-CD34+ Cells) for Increasing Exercise Capacity During Standardized Exercise Testing in Subjects With Refractory Angina Pectoris and Chronic Myocardial Ischemia
Study Start Date :
Apr 1, 2012
Actual Primary Completion Date :
Nov 1, 2015
Actual Study Completion Date :
Nov 1, 2015

Arms and Interventions

Arm Intervention/Treatment
Experimental: Treatment Arm

Targeted intramyocardial delivery of 1 x 10^5 Auto-CD34+ cells after granulocyte-colony stimulating factor (G-CSF) mobilization and apheresis

Biological: Auto-CD34+ cells
10 intramyocardial injections of 0.2 mL per injection site of Auto-CD34+ cells

Placebo Comparator: Active Control Arm

Targeted intramyocardial delivery of placebo after G-CSF mobilization and apheresis

Biological: Placebo: Diluent used to suspend Auto-CD34+ cells
10 intramyocardial injections of 0.2 mL per injection site of placebo

Other: Unblinded Standard of Care (SOC) Arm

No study-related procedures will be performed.

Other: Standard of care
Standard of care for refractory angina

Outcome Measures

Primary Outcome Measures

  1. Change From Baseline in Total Exercise Time on Exercise Tolerance Test (ETT) Using the Modified Bruce Protocol [Baseline and 12 month visit]

    Baseline (BL) is the average of the two total exercise times measured during the screening period.

Secondary Outcome Measures

  1. Angina Frequency (Episodes Per Week) at the 12 Month Follow-up Visit [Baseline and 12 month visit]

    Participants self-reported angina episodes utilizing an electronic diary for 4 weeks at baseline (screening period) and in the 4 weeks before the 3, 6 and 12 month follow-up visits.

  2. Change From Baseline in Total Exercise Time on Exercise Tolerance Test (ETT) at the 6 Month Follow-up Visit [Baseline and 6 month visit]

    Baseline (BL) is the average of the two total exercise times measured during the screening period.

  3. Angina Frequency (Episodes Per Week) at the 6 Month Follow-up Visit [6 month visit]

  4. Percentage of Participants With Incidences of MACE From Randomization Until the End of the 24 Month Follow-up Period [From randomization until the end of the 24 month follow-up period]

    Major adverse cardiac events (MACE) defined as death, cardiac hospitalization, non-fatal myocardial infarction and stroke, as adjudicated by an independent clinical endpoint classification (CEC) committee. The category Total MACE includes death, cardiovascular hospitalization, myocardial infarction or stroke.

  5. Percentage of Participants With at Least One Serious Adverse Event (SAE) From Randomization Until the End of the 24 Month Follow-up Period [From randomization until the end of the 24 month follow-up period]

Eligibility Criteria

Criteria

Ages Eligible for Study:
21 Years to 80 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Main Inclusion Criteria:
  • Male or female participants who are 21 to 80 years of age at the time of signing the informed consent.

  • Participants with Canadian Cardiovascular Society (CCS) class III or IV chronic refractory angina.

  • Participants without control of their angina symptoms in spite of maximal tolerated doses of anti-angina drugs. Participants must be on optimal therapy for their angina and must have been on a stable anti-anginal medication regimen for at least 4 weeks before signing the informed consent form.

  • Participants with obstructive coronary disease unsuitable for conventional revascularization due to unsuitable anatomy or comorbidity as determined at the site and confirmed by an independent adjudication committee.

  • Participants must have evidence of inducible myocardial ischemia.

  • Participants must experience angina episodes.

  • Participants must be able to complete 2 exercise tolerance tests on the treadmill within 3 weeks of randomization.

  • If female of childbearing potential, subject must not be pregnant and agree to employ adequate birth control measures for the duration of the study.

Main Exclusion Criteria:
  • Cardiovascular hospitalization within 60 days prior to potential study enrollment. Participant has had a successful or partially successful coronary artery bypass graft (CABG) within 6 months or PCTA within 60 days of potential study enrollment.

  • Participant has had a placement of a bi-ventricular pacemaker for cardiac resynchronization therapy (CRT) for heart failure within 180 days of potential study enrollment.

  • Participant has documented stroke or transient ischemic attacks (TIAs) within 60 days of potential study enrollment.

  • Participant has a history of moderate to severe aortic stenosis; or severe aortic insufficiency; or severe mitral stenosis; or severe mitral insufficiency.

  • Participant has a prosthetic aortic valve or a mechanical mitral valve replacement.

  • Participant has severe co-morbidity associated with a reduction in life expectancy to less than 3 years as a result of chronic medical illnesses.

  • Participants with cancer are excluded with the following exceptions:

  • Subjects with in-situ non-melanoma skin cancer or in-situ cervical cancer are not excluded.

  • Participants that have been cancer free for >= 5 years as determined by their oncologist are not excluded. Subjects with a prior history of stem cell transplant for cancer are excluded no matter how long they have been cancer-free.

  • Participants with a history of leukemia or other bone marrow disease.

  • Participant has sickle cell disease or sickle cell trait.

  • Participants with proliferative retinopathy.

  • Participants with Hb A1c > 9%.

  • Participant has platelet counts >10% above the upper limit of normal (ULN) or platelet counts < 70,000.

  • Participant has a hematocrit < 30% prior to potential study enrollment.

  • Participant has a serum creatinine > 2.5 mg/dL prior to potential study enrollment.

  • Participant tests positive for HIV, hepatitis B, or hepatitis C, or is on chronic immunosuppressive medications, or has had a previous stem cell transplant.

  • Participant has a known contraindication to Neupogen (filgrastim) or G-CSF.

  • Participant was previously enrolled in an active treatment group of cell therapy trials for cardiovascular disease including any phase of CD34+ stem cell trials.

  • Left ventricular (LV) thickness of < 7 mm in the target areas of injection as measured by during a 2-D echocardiogram (ECHO).

  • Atrial fibrillation, atrial flutter, or other uncontrolled arrhythmias that would prohibit accurate electromechanical mapping and NOGA-guided intramyocardial injection.

  • Bleeding diathesis with an INR > 1.8 when not receiving anti-thrombotic therapy.

  • Hepatic dysfunction as evidenced by elevated AST or ALT levels > 2.5 x ULN.

  • Any previous transplant requiring immunosuppression.

  • Disease state requiring chronic immunosuppression.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Birmingham Alabama United States
2 Gilbert Arizona United States
3 Phoenix Arizona United States
4 La Jolla California United States
5 Los Angeles California United States
6 Oxnard California United States
7 San Diego California United States
8 Stanford California United States
9 Boynton Beach Florida United States
10 Daytona Beach Florida United States
11 Gainesville Florida United States
12 Jacksonville Florida United States
13 Miami Florida United States
14 Orlando Florida United States
15 Tampa Florida United States
16 Atlanta Georgia United States
17 Augusta Georgia United States
18 Chicago Illinois United States
19 Iowa City Iowa United States
20 Louisville Kentucky United States
21 New Orleans Louisiana United States
22 Boston Massachusetts United States
23 Saginaw Michigan United States
24 Minneapolis Minnesota United States
25 Rochester Minnesota United States
26 Haddon Heights New Jersey United States
27 Newark New Jersey United States
28 New York New York United States
29 Charlotte North Carolina United States
30 Durham North Carolina United States
31 Cincinnati Ohio United States
32 Cleveland Ohio United States
33 Philadelphia Pennsylvania United States
34 Pittsburgh Pennsylvania United States
35 Germantown Tennessee United States
36 Dallas Texas United States
37 Houston Texas United States
38 Salt Lake City Utah United States
39 Seattle Washington United States
40 Madison Wisconsin United States
41 Milwaukee Wisconsin United States

Sponsors and Collaborators

  • Caladrius Biosciences, Inc.

Investigators

  • Study Director: Caladrius Study Director, Caladrius Biosciences

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Caladrius Biosciences, Inc.
ClinicalTrials.gov Identifier:
NCT01508910
Other Study ID Numbers:
  • 901001
  • RENEW Study
First Posted:
Jan 12, 2012
Last Update Posted:
Dec 19, 2018
Last Verified:
Nov 1, 2018

Study Results

Participant Flow

Recruitment Details The study started in May 2012 and completed in November 2015.
Pre-assignment Detail 291 participants provided informed consent and were screened. There were 179 screen failures. 112 participants were randomized and treated. Note that during treatment the number of arms increased from 3 to 4 to include "Not Injected" arm as 6 participants in Treatment and Active Control Arms did not have intramyocardial injections.
Arm/Group Title Treatment Arm Active Control Arm Unblinded Standard of Care (SOC) Arm Not Injected Arm
Arm/Group Description Targeted intramyocardial delivery of 1 x 10^5 Auto-CD34+ cells after granulocyte-colony stimulating factor (G-CSF) mobilization and apheresis. Targeted intramyocardial delivery of placebo after granulocyte-colony stimulating factor (G-CSF) mobilization and apheresis. No study-related procedures were performed. Participants randomized into the Treatment Arm or Active Control Arm who did not undergo targeted intramyocardial delivery of 1 x 10^5 Auto-CD34+ cells or placebo, respectively.
Period Title: Randomization
STARTED 57 27 28 0
COMPLETED 57 27 28 0
NOT COMPLETED 0 0 0 0
Period Title: Randomization
STARTED 50 28 28 6
COMPLETED 48 24 18 3
NOT COMPLETED 2 4 10 3

Baseline Characteristics

Arm/Group Title Treatment Arm Active Control Arm Unblinded Standard of Care (SOC) Arm Total
Arm/Group Description Targeted intramyocardial delivery of 1 x 10^5 Auto-CD34+ cells after granulocyte-colony stimulating factor (G-CSF) mobilization and apheresis. Targeted intramyocardial delivery of placebo after granulocyte-colony stimulating factor (G-CSF) mobilization and apheresis. No study-related procedures will be performed. Total of all reporting groups
Overall Participants 57 27 28 112
Age (Years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [Years]
64
(8)
64
(8)
63
(10)
64
(8)
Sex: Female, Male (Count of Participants)
Female
10
17.5%
4
14.8%
4
14.3%
18
16.1%
Male
47
82.5%
23
85.2%
24
85.7%
94
83.9%

Outcome Measures

1. Primary Outcome
Title Change From Baseline in Total Exercise Time on Exercise Tolerance Test (ETT) Using the Modified Bruce Protocol
Description Baseline (BL) is the average of the two total exercise times measured during the screening period.
Time Frame Baseline and 12 month visit

Outcome Measure Data

Analysis Population Description
Participants in the Intent to Treat population defined as participants randomized to Treatment or Active Control arms. For participants not receiving intramyocardial injections, the missing values were imputed i.e. replaced with substituted values from the baseline.
Arm/Group Title Treatment Arm Active Control Arm
Arm/Group Description Targeted intramyocardial delivery of 1 x 10^5 Auto-CD34+ cells after granulocyte-colony stimulating factor (G-CSF) mobilization and apheresis Targeted intramyocardial delivery of placebo after G-CSF mobilization and apheresis
Measure Participants 57 27
Mean (Standard Deviation) [seconds]
108.7
(194.3)
90.0
(184.7)
2. Secondary Outcome
Title Angina Frequency (Episodes Per Week) at the 12 Month Follow-up Visit
Description Participants self-reported angina episodes utilizing an electronic diary for 4 weeks at baseline (screening period) and in the 4 weeks before the 3, 6 and 12 month follow-up visits.
Time Frame Baseline and 12 month visit

Outcome Measure Data

Analysis Population Description
Participants in the Intent to Treat population defined as participants randomized to Treatment or Active Control arms. For participants not receiving intramyocardial injections, the missing values were imputed i.e. replaced with substituted values from the baseline.
Arm/Group Title Treatment Arm Active Control Arm
Arm/Group Description Targeted intramyocardial delivery of 1 x 10^5 Auto-CD34+ cells after granulocyte-colony stimulating factor (G-CSF) mobilization and apheresis Targeted intramyocardial delivery of placebo after G-CSF mobilization and apheresis
Measure Participants 57 27
Number of weekly angina episodes at baseline
20.1
(13.0)
16.5
(9.4)
Number of weekly angina episodes at Month 12 visit
7.7
(9.5)
5.4
(7.4)
3. Secondary Outcome
Title Change From Baseline in Total Exercise Time on Exercise Tolerance Test (ETT) at the 6 Month Follow-up Visit
Description Baseline (BL) is the average of the two total exercise times measured during the screening period.
Time Frame Baseline and 6 month visit

Outcome Measure Data

Analysis Population Description
Participants in the Intent to Treat population defined as participants randomized to Treatment or Active Control arms. For participants not receiving intramyocardial injections, the missing values were imputed i.e. replaced with substituted values from the baseline.
Arm/Group Title Treatment Arm Active Control Arm
Arm/Group Description Targeted intramyocardial delivery of 1 x 10^5 Auto-CD34+ cells after granulocyte-colony stimulating factor (G-CSF) mobilization and apheresis Targeted intramyocardial delivery of placebo after G-CSF mobilization and apheresis
Measure Participants 57 27
Mean (Standard Deviation) [seconds]
126.5
(161.1)
93.5
(138.6)
4. Secondary Outcome
Title Angina Frequency (Episodes Per Week) at the 6 Month Follow-up Visit
Description
Time Frame 6 month visit

Outcome Measure Data

Analysis Population Description
Participants in the Intent to Treat population defined as participants randomized to Treatment or Active Control arms. For participants not receiving intramyocardial injections, the missing values were imputed i.e. replaced with substituted values from the baseline.
Arm/Group Title Treatment Arm Active Control Arm
Arm/Group Description Targeted intramyocardial delivery of 1 x 10^5 Auto-CD34+ cells after granulocyte-colony stimulating factor (G-CSF) mobilization and apheresis Targeted intramyocardial delivery of placebo after G-CSF mobilization and apheresis
Measure Participants 57 27
Mean (Standard Deviation) [angina episodes per week]
8.0
(9.6)
8.4
(9.8)
5. Secondary Outcome
Title Percentage of Participants With Incidences of MACE From Randomization Until the End of the 24 Month Follow-up Period
Description Major adverse cardiac events (MACE) defined as death, cardiac hospitalization, non-fatal myocardial infarction and stroke, as adjudicated by an independent clinical endpoint classification (CEC) committee. The category Total MACE includes death, cardiovascular hospitalization, myocardial infarction or stroke.
Time Frame From randomization until the end of the 24 month follow-up period

Outcome Measure Data

Analysis Population Description
Participants in the safety population as Treated.
Arm/Group Title Treatment Arm Active Control Arm Unblinded Standard of Care (SOC) Arm Not Injected Arm
Arm/Group Description Targeted intramyocardial delivery of 1 x 10^5 Auto-CD34+ cells after granulocyte-colony stimulating factor (G-CSF) mobilization and apheresis. Targeted intramyocardial delivery of placebo after G-CSF mobilization and apheresis. No study-related procedures will be performed. Participants randomized into the Treatment Arm or Active Control Arm who did not undergo targeted intramyocardial delivery of 1 x 10^5 Auto-CD34+ cells or placebo, respectively.
Measure Participants 50 28 28 6
Cardiovascular Hospitalization
42.0
32.1
64.3
33.3
Death
4.0
10.7
7.1
0
Myocardial Infarction
10.0
10.7
7.1
33.3
Stroke
0
0
0
0
Total MACE (see outcome measure description)
46.0
42.9
67.9
33.3
Myocardial Perforation
4.0
0
0
16.7
Ventricular Arrhythmia
2.0
7.1
3.6
0
6. Secondary Outcome
Title Percentage of Participants With at Least One Serious Adverse Event (SAE) From Randomization Until the End of the 24 Month Follow-up Period
Description
Time Frame From randomization until the end of the 24 month follow-up period

Outcome Measure Data

Analysis Population Description
Safety Population as Treated.
Arm/Group Title Treatment Arm Active Control Arm Unblinded Standard of Care (SOC) Arm Not Injected Arm
Arm/Group Description Targeted intramyocardial delivery of 1 x 10^5 Auto-CD34+ cells after granulocyte-colony stimulating factor (G-CSF) mobilization and apheresis Targeted intramyocardial delivery of placebo after G-CSF mobilization and apheresis No study-related procedures will be performed. Participants randomized into the Treatment Arm or Active Control Arm who did not undergo targeted intramyocardial delivery of 1 x 10^5 Auto-CD34+ cells or placebo, respectively.
Measure Participants 50 28 28 6
Number [percent]
62.0
60.7
78.6
50.0

Adverse Events

Time Frame From randomization until the end of the 24 month follow-up period
Adverse Event Reporting Description
Arm/Group Title Treatment Arm Active Control Arm Unblinded Standard of Care (SOC) Arm Not Treated Arm
Arm/Group Description Targeted intramyocardial delivery of 1 x 10^5 Auto-CD34+ cells after granulocyte-colony stimulating factor (G-CSF) mobilization and apheresis Targeted intramyocardial delivery of placebo after G-CSF mobilization and apheresis No study-related procedures will be performed. Participants randomized into the Treatment Arm or Active Control Arm who did not undergo targeted intramyocardial delivery of 1 x 10^5 Auto-CD34+ cells or placebo, respectively.
All Cause Mortality
Treatment Arm Active Control Arm Unblinded Standard of Care (SOC) Arm Not Treated Arm
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
Treatment Arm Active Control Arm Unblinded Standard of Care (SOC) Arm Not Treated Arm
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 31/50 (62%) 17/28 (60.7%) 22/28 (78.6%) 3/6 (50%)
Blood and lymphatic system disorders
Anaemia 1/50 (2%) 1 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Cardiac disorders
Angina pectoris 7/50 (14%) 9 2/28 (7.1%) 3 11/28 (39.3%) 18 0/6 (0%) 0
Angina unstable 4/50 (8%) 7 2/28 (7.1%) 2 3/28 (10.7%) 3 1/6 (16.7%) 1
Acute myocardial infarction 3/50 (6%) 3 3/28 (10.7%) 3 1/28 (3.6%) 1 1/6 (16.7%) 2
Cardiac failure congestive 3/50 (6%) 4 2/28 (7.1%) 3 2/28 (7.1%) 2 0/6 (0%) 0
Coronary artery disease 0/50 (0%) 0 1/28 (3.6%) 1 3/28 (10.7%) 3 0/6 (0%) 0
Myocardial infarction 2/50 (4%) 2 0/28 (0%) 0 1/28 (3.6%) 1 0/6 (0%) 0
Ventricular tachycardia 2/50 (4%) 2 1/28 (3.6%) 2 0/28 (0%) 0 0/6 (0%) 0
Cardiac failure 2/50 (4%) 3 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Cardiac failure acute 0/50 (0%) 0 1/28 (3.6%) 1 1/28 (3.6%) 1 0/6 (0%) 0
Pericardial effusion 1/50 (2%) 1 0/28 (0%) 0 0/28 (0%) 0 1/6 (16.7%) 1
Acute coronary syndrome 0/50 (0%) 0 0/28 (0%) 0 1/28 (3.6%) 1 0/6 (0%) 0
Arrhythmia 1/50 (2%) 1 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Atrial fibrillation 0/50 (0%) 0 1/28 (3.6%) 2 0/28 (0%) 0 0/6 (0%) 0
atrioventricular block first degree 1/50 (2%) 1 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Cardiac tamponade 1/50 (2%) 1 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Cardiogenic shock 0/50 (0%) 0 1/28 (3.6%) 1 0/28 (0%) 0 0/6 (0%) 0
Chronotropic incompetence 0/50 (0%) 0 0/28 (0%) 0 1/28 (3.6%) 1 0/6 (0%) 0
Coronary artery perforation 1/50 (2%) 1 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Ischaemic cardiomyopathy 0/50 (0%) 0 1/28 (3.6%) 1 0/28 (0%) 0 0/6 (0%) 0
Left ventricular dysfunction 0/50 (0%) 0 0/28 (0%) 0 1/28 (3.6%) 1 0/6 (0%) 0
Myocardial ischaemia 0/50 (0%) 0 0/28 (0%) 0 1/28 (3.6%) 1 0/6 (0%) 0
Eye disorders
Retinal infarction 0/50 (0%) 0 0/28 (0%) 0 1/28 (3.6%) 1 0/6 (0%) 0
Gastrointestinal disorders
Small intestinal obstruction 2/50 (4%) 2 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Abdominal pain 1/50 (2%) 1 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Diabetic gastroparesis 1/50 (2%) 1 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Diverticulum intestinal haemorrhagic 0/50 (0%) 0 0/28 (0%) 0 1/28 (3.6%) 1 0/6 (0%) 0
Gastric ulcer 0/50 (0%) 0 0/28 (0%) 0 1/28 (3.6%) 1 0/6 (0%) 0
Gastrooesophageal reflux disease 0/50 (0%) 0 1/28 (3.6%) 1 0/28 (0%) 0 0/6 (0%) 0
Ileus 1/50 (2%) 1 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Oesophagitis ulcerative 0/50 (0%) 0 0/28 (0%) 0 1/28 (3.6%) 1 0/6 (0%) 0
Pancreatitis acute 0/50 (0%) 0 0/28 (0%) 0 1/28 (3.6%) 1 0/6 (0%) 0
General disorders
Chest pain 2/50 (4%) 2 1/28 (3.6%) 1 2/28 (7.1%) 2 0/6 (0%) 0
Non-cardiac chest pain 1/50 (2%) 2 0/28 (0%) 0 1/28 (3.6%) 1 0/6 (0%) 0
Sudden cardiac death 0/50 (0%) 0 1/28 (3.6%) 1 1/28 (3.6%) 1 0/6 (0%) 0
Asthenia 1/50 (2%) 1 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Device electrical impedance issue 1/50 (2%) 1 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Disease progression 1/50 (2%) 1 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Electrocution 1/50 (2%) 1 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Vascular complication associated with device 1/50 (2%) 1 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Hepatobiliary disorders
Non-alcoholic steatohepatitis 0/50 (0%) 0 1/28 (3.6%) 1 0/28 (0%) 0 0/6 (0%) 0
Infections and infestations
Cellulitis 2/50 (4%) 2 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Pneumonia 0/50 (0%) 0 0/28 (0%) 0 2/28 (7.1%) 2 0/6 (0%) 0
Appendicitis 1/50 (2%) 1 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Cholecystitis infective 0/50 (0%) 0 1/28 (3.6%) 1 0/28 (0%) 0 0/6 (0%) 0
Endocarditis bacterial 1/50 (2%) 1 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Urinary Tract Infection 1/50 (2%) 1 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Injury, poisoning and procedural complications
Fall 1/50 (2%) 1 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Humerus fracture 0/50 (0%) 0 1/28 (3.6%) 1 0/28 (0%) 0 0/6 (0%) 0
Injury 0/50 (0%) 0 0/28 (0%) 0 1/28 (3.6%) 1 0/6 (0%) 0
Meniscus lesion 1/50 (2%) 1 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Spinal compression fracture 1/50 (2%) 1 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Subdural haematoma 0/50 (0%) 0 0/28 (0%) 0 1/28 (3.6%) 1 0/6 (0%) 0
Investigations
Ejection fraction decreased 0/50 (0%) 0 0/28 (0%) 0 0/28 (0%) 0 1/6 (16.7%) 1
Metabolism and nutrition disorders
Hypokalaemia 1/50 (2%) 1 0/28 (0%) 0 1/28 (3.6%) 1 0/6 (0%) 0
Dehydration 0/50 (0%) 0 1/28 (3.6%) 1 0/28 (0%) 0 0/6 (0%) 0
Diabetes mellitus inadequate control 0/50 (0%) 0 0/28 (0%) 0 1/28 (3.6%) 1 0/6 (0%) 0
Diabetic ketoacidosis 0/50 (0%) 0 1/28 (3.6%) 1 0/28 (0%) 0 0/6 (0%) 0
Obesity 0/50 (0%) 0 0/28 (0%) 0 1/28 (3.6%) 1 0/6 (0%) 0
Musculoskeletal and connective tissue disorders
Arthritis 0/50 (0%) 0 1/28 (3.6%) 1 0/28 (0%) 0 0/6 (0%) 0
Arthropathy 1/50 (2%) 1 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Back pain 1/50 (2%) 1 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Lumbar spinal stenosis 0/50 (0%) 0 1/28 (3.6%) 1 0/28 (0%) 0 0/6 (0%) 0
Musculoskeletal chest pain 0/50 (0%) 0 0/28 (0%) 0 1/28 (3.6%) 1 0/6 (0%) 0
Osteoarthritis 0/50 (0%) 0 1/28 (3.6%) 1 0/28 (0%) 0 0/6 (0%) 0
Rhabdomyolysis 1/50 (2%) 1 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Rotator cuff syndrome 0/50 (0%) 0 1/28 (3.6%) 1 0/28 (0%) 0 0/6 (0%) 0
Spinal column stenosis 1/50 (2%) 1 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Spinal osteoarthritis 1/50 (2%) 1 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Brain neoplasm benign 0/50 (0%) 0 0/28 (0%) 0 1/28 (3.6%) 1 0/6 (0%) 0
Meningioma malignant 0/50 (0%) 0 0/28 (0%) 0 1/28 (3.6%) 1 0/6 (0%) 0
Nervous system disorders
Syncope 0/50 (0%) 0 2/28 (7.1%) 2 2/28 (7.1%) 2 0/6 (0%) 0
Carotid sinus syndrome 0/50 (0%) 0 0/28 (0%) 0 1/28 (3.6%) 1 0/6 (0%) 0
Epilepsy 0/50 (0%) 0 1/28 (3.6%) 2 0/28 (0%) 0 0/6 (0%) 0
Transient ischaemic attack 0/50 (0%) 0 1/28 (3.6%) 1 0/28 (0%) 0 0/6 (0%) 0
Psychiatric disorders
Mental status changes 0/50 (0%) 0 0/28 (0%) 0 1/28 (3.6%) 1 0/6 (0%) 0
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease 0/50 (0%) 0 1/28 (3.6%) 1 3/28 (10.7%) 3 0/6 (0%) 0
Dyspnoea 1/50 (2%) 1 0/28 (0%) 0 2/28 (7.1%) 2 0/6 (0%) 0
Dyspnoea exertional 0/50 (0%) 0 0/28 (0%) 0 1/28 (3.6%) 1 0/6 (0%) 0
Epistaxis 1/50 (2%) 1 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Haemoptysis 1/50 (2%) 1 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Pleural effusion 0/50 (0%) 0 0/28 (0%) 0 0/28 (0%) 0 1/6 (16.7%) 1
Vascular disorders
Hypotension 0/50 (0%) 0 0/28 (0%) 0 1/28 (3.6%) 1 1/6 (16.7%) 1
Intermittent claudication 1/50 (2%) 1 1/28 (3.6%) 1 0/28 (0%) 0 0/6 (0%) 0
Peripheral vascular disorder 1/50 (2%) 1 1/28 (3.6%) 1 0/28 (0%) 0 0/6 (0%) 0
Hypertensive crisis 1/50 (2%) 1 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Peripheral artery aneurysm 1/50 (2%) 1 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Other (Not Including Serious) Adverse Events
Treatment Arm Active Control Arm Unblinded Standard of Care (SOC) Arm Not Treated Arm
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 48/50 (96%) 26/28 (92.9%) 23/28 (82.1%) 5/6 (83.3%)
Blood and lymphatic system disorders
Anaemia 5/50 (10%) 5 3/28 (10.7%) 3 0/28 (0%) 0 1/6 (16.7%) 1
Thrombocytopenia 3/50 (6%) 3 2/28 (7.1%) 2 0/28 (0%) 0 0/6 (0%) 0
Cardiac disorders
Angina pectoris 17/50 (34%) 26 11/28 (39.3%) 15 4/28 (14.3%) 4 2/6 (33.3%) 4
Atrial fibrillation 0/50 (0%) 0 0/28 (0%) 0 0/28 (0%) 0 1/6 (16.7%) 1
Cardiac failure 3/50 (6%) 3 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Cardiac failure congestive 4/50 (8%) 5 2/28 (7.1%) 2 0/28 (0%) 0 0/6 (0%) 0
Myocardial ischaemia 0/50 (0%) 0 0/28 (0%) 0 2/28 (7.1%) 2 0/6 (0%) 0
Palpitations 0/50 (0%) 0 3/28 (10.7%) 3 0/28 (0%) 0 1/6 (16.7%) 1
Ventricular extrasystoles 0/50 (0%) 0 3/28 (10.7%) 3 0/28 (0%) 0 0/6 (0%) 0
Ventricular tachycardia 0/50 (0%) 0 2/28 (7.1%) 2 0/28 (0%) 0 1/6 (16.7%) 1
Eye disorders
Cataract 0/50 (0%) 0 3/28 (10.7%) 3 0/28 (0%) 0 0/6 (0%) 0
Conjunctivitis 0/50 (0%) 0 0/28 (0%) 0 2/28 (7.1%) 2 0/6 (0%) 0
Macular degeneration 0/50 (0%) 0 0/28 (0%) 0 0/28 (0%) 0 1/6 (16.7%) 1
Gastrointestinal disorders
Abdominal pain 0/50 (0%) 0 3/28 (10.7%) 3 0/28 (0%) 0 0/6 (0%) 0
Abdominal pain lower 0/50 (0%) 0 2/28 (7.1%) 2 0/28 (0%) 0 1/6 (16.7%) 1
Constipation 8/50 (16%) 8 0/28 (0%) 0 3/28 (10.7%) 3 0/6 (0%) 0
Diarrhoea 3/50 (6%) 3 3/28 (10.7%) 4 2/28 (7.1%) 2 2/6 (33.3%) 3
Diverticulum 0/50 (0%) 0 0/28 (0%) 0 2/28 (7.1%) 2 0/6 (0%) 0
Gastric polyps 0/50 (0%) 0 0/28 (0%) 0 2/28 (7.1%) 2 0/6 (0%) 0
Gastric ulcer 0/50 (0%) 0 0/28 (0%) 0 0/28 (0%) 0 1/6 (16.7%) 1
Gastrooesophageal reflux disease 0/50 (0%) 0 2/28 (7.1%) 3 0/28 (0%) 0 0/6 (0%) 0
Nausea 7/50 (14%) 7 5/28 (17.9%) 6 2/28 (7.1%) 2 1/6 (16.7%) 1
Vomiting 0/50 (0%) 0 0/28 (0%) 0 2/28 (7.1%) 2 0/6 (0%) 0
General disorders
Chest discomfort 0/50 (0%) 0 2/28 (7.1%) 2 0/28 (0%) 0 0/6 (0%) 0
Chest pain 0/50 (0%) 0 2/28 (7.1%) 3 0/28 (0%) 0 0/6 (0%) 0
Chills 3/50 (6%) 3 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Fatigue 9/50 (18%) 9 8/28 (28.6%) 9 3/28 (10.7%) 3 2/6 (33.3%) 2
Influenza like illness 0/50 (0%) 0 0/28 (0%) 0 0/28 (0%) 0 1/6 (16.7%) 1
Malaise 0/50 (0%) 0 2/28 (7.1%) 2 0/28 (0%) 0 0/6 (0%) 0
Oedema peripheral 5/50 (10%) 6 2/28 (7.1%) 4 6/28 (21.4%) 6 0/6 (0%) 0
Pain 0/50 (0%) 0 2/28 (7.1%) 2 0/28 (0%) 0 1/6 (16.7%) 1
Vessel puncture site haematoma 0/50 (0%) 0 3/28 (10.7%) 3 0/28 (0%) 0 1/6 (16.7%) 1
Immune system disorders
Drug hypersensitivity 0/50 (0%) 0 0/28 (0%) 0 0/28 (0%) 0 1/6 (16.7%) 1
Infections and infestations
Breast infection 0/50 (0%) 0 0/28 (0%) 0 0/28 (0%) 0 1/6 (16.7%) 1
Bronchitis 5/50 (10%) 6 4/28 (14.3%) 5 5/28 (17.9%) 7 0/6 (0%) 0
Ear infection 0/50 (0%) 0 0/28 (0%) 0 0/28 (0%) 0 1/6 (16.7%) 1
Herpes zoster 0/50 (0%) 0 0/28 (0%) 0 2/28 (7.1%) 2 0/6 (0%) 0
Influenza 3/50 (6%) 3 3/28 (10.7%) 3 3/28 (10.7%) 3 0/6 (0%) 0
Nasopharyngitis 3/50 (6%) 3 2/28 (7.1%) 2 0/28 (0%) 0 0/6 (0%) 0
Oral herpes 0/50 (0%) 0 0/28 (0%) 0 0/28 (0%) 0 1/6 (16.7%) 1
Sinusitis 9/50 (18%) 10 2/28 (7.1%) 2 0/28 (0%) 0 0/6 (0%) 0
Tooth infection 3/50 (6%) 3 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Upper respiratory tract infection 13/50 (26%) 14 8/28 (28.6%) 13 2/28 (7.1%) 3 0/6 (0%) 0
Urinary tract infection 5/50 (10%) 16 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Injury, poisoning and procedural complications
Contusion 0/50 (0%) 0 0/28 (0%) 0 2/28 (7.1%) 2 0/6 (0%) 0
Procedural pain 0/50 (0%) 0 2/28 (7.1%) 2 2/28 (7.1%) 2 0/6 (0%) 0
Investigations
Blood creatine phosphokinase MB increased 4/50 (8%) 4 6/28 (21.4%) 6 0/28 (0%) 0 0/6 (0%) 0
Blood creatinine increased 5/50 (10%) 9 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Blood glucose increased 3/50 (6%) 3 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Blood urea increased 3/50 (6%) 3 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
C-reactive protein increased 5/50 (10%) 5 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Haematology test abnormal 0/50 (0%) 0 0/28 (0%) 0 0/28 (0%) 0 1/6 (16.7%) 1
Neutrophil count increased 5/50 (10%) 5 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Platelet count decreased 4/50 (8%) 4 5/28 (17.9%) 5 0/28 (0%) 0 0/6 (0%) 0
Prostatic specific antigen increased 0/50 (0%) 0 2/28 (7.1%) 2 0/28 (0%) 0 0/6 (0%) 0
Troponin increased 0/50 (0%) 0 3/28 (10.7%) 3 0/28 (0%) 0 0/6 (0%) 0
White blood cell count increased 3/50 (6%) 4 2/28 (7.1%) 2 0/28 (0%) 0 0/6 (0%) 0
Metabolism and nutrition disorders
Hypocalcaemia 0/50 (0%) 0 2/28 (7.1%) 2 0/28 (0%) 0 0/6 (0%) 0
Hypokalaemia 3/50 (6%) 3 2/28 (7.1%) 2 0/28 (0%) 0 0/6 (0%) 0
Vitamin D deficiency 0/50 (0%) 0 3/28 (10.7%) 3 0/28 (0%) 0 0/6 (0%) 0
Musculoskeletal and connective tissue disorders
Arthralgia 9/50 (18%) 12 11/28 (39.3%) 16 3/28 (10.7%) 3 0/6 (0%) 0
Back pain 9/50 (18%) 12 12/28 (42.9%) 14 5/28 (17.9%) 7 1/6 (16.7%) 2
Bone pain 6/50 (12%) 8 2/28 (7.1%) 2 0/28 (0%) 0 1/6 (16.7%) 1
Bursitis 0/50 (0%) 0 0/28 (0%) 0 2/28 (7.1%) 2 0/6 (0%) 0
Muscle spasms 0/50 (0%) 0 2/28 (7.1%) 2 0/28 (0%) 0 0/6 (0%) 0
Muscular weakness 0/50 (0%) 0 0/28 (0%) 0 2/28 (7.1%) 2 0/6 (0%) 0
Musculoskeletal chest pain 3/50 (6%) 3 7/28 (25%) 7 2/28 (7.1%) 2 0/6 (0%) 0
Musculoskeletal discomfort 5/50 (10%) 6 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Musculoskeletal pain 3/50 (6%) 4 6/28 (21.4%) 6 0/28 (0%) 0 0/6 (0%) 0
Myalgia 7/50 (14%) 7 5/28 (17.9%) 6 0/28 (0%) 0 1/6 (16.7%) 1
Neck pain 3/50 (6%) 4 2/28 (7.1%) 2 2/28 (7.1%) 2 1/6 (16.7%) 1
Pain in extremity 3/50 (6%) 4 0/28 (0%) 0 5/28 (17.9%) 6 1/6 (16.7%) 1
Nervous system disorders
Dizziness 7/50 (14%) 8 7/28 (25%) 7 2/28 (7.1%) 2 2/6 (33.3%) 2
Headache 9/50 (18%) 10 5/28 (17.9%) 9 0/28 (0%) 0 1/6 (16.7%) 1
Hypoaesthesia 3/50 (6%) 3 2/28 (7.1%) 2 0/28 (0%) 0 2/6 (33.3%) 2
Memory impairment 0/50 (0%) 0 3/28 (10.7%) 3 0/28 (0%) 0 0/6 (0%) 0
Paraesthesia 0/50 (0%) 0 0/28 (0%) 0 0/28 (0%) 0 2/6 (33.3%) 2
Restless legs syndrome 0/50 (0%) 0 0/28 (0%) 0 2/28 (7.1%) 2 0/6 (0%) 0
Syncope 0/50 (0%) 0 0/28 (0%) 0 0/28 (0%) 0 1/6 (16.7%) 2
Psychiatric disorders
Anxiety 3/50 (6%) 3 6/28 (21.4%) 6 0/28 (0%) 0 0/6 (0%) 0
Depression 3/50 (6%) 3 2/28 (7.1%) 2 0/28 (0%) 0 0/6 (0%) 0
Insomnia 3/50 (6%) 3 0/28 (0%) 0 2/28 (7.1%) 2 0/6 (0%) 0
Renal and urinary disorders
Haematuria 0/50 (0%) 0 3/28 (10.7%) 3 0/28 (0%) 0 0/6 (0%) 0
Renal failure acute 0/50 (0%) 0 3/28 (10.7%) 4 0/28 (0%) 0 1/6 (16.7%) 1
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease 0/50 (0%) 0 0/28 (0%) 0 2/28 (7.1%) 7 0/6 (0%) 0
Cough 4/50 (8%) 6 0/28 (0%) 0 2/28 (7.1%) 2 0/6 (0%) 0
Dyspnoea 7/50 (14%) 8 3/28 (10.7%) 3 2/28 (7.1%) 2 1/6 (16.7%) 1
Epistaxis 3/50 (6%) 4 0/28 (0%) 0 0/28 (0%) 0 0/6 (0%) 0
Skin and subcutaneous tissue disorders
Dermal cyst 0/50 (0%) 0 0/28 (0%) 0 0/28 (0%) 0 1/6 (16.7%) 1
Nail discolouration 0/50 (0%) 0 0/28 (0%) 0 0/28 (0%) 0 1/6 (16.7%) 1
Vascular disorders
Hypertension 0/50 (0%) 0 2/28 (7.1%) 2 2/28 (7.1%) 2 0/6 (0%) 0
Hypotension 5/50 (10%) 6 3/28 (10.7%) 3 0/28 (0%) 0 1/6 (16.7%) 1
Peripheral arterial occlusive disease 0/50 (0%) 0 2/28 (7.1%) 2 0/28 (0%) 0 0/6 (0%) 0

Limitations/Caveats

Study terminated early due to business considerations. Participants in Treatment or Active Control arms who did not have injection of target cells/placebo assigned to Not Injected Arm. Not included in efficacy analysis but in safety follow-up.

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

Baxalta's agreements with PIs may vary per requirements of individual PI, but contain common elements. For this study, results may not be published without prior written approval of Sponsor.

Results Point of Contact

Name/Title Clinical Trial Registries and Results Disclosure
Organization Baxalta US Inc.
Phone
Email ClinicalTrialsDisclosure@baxalta.com
Responsible Party:
Caladrius Biosciences, Inc.
ClinicalTrials.gov Identifier:
NCT01508910
Other Study ID Numbers:
  • 901001
  • RENEW Study
First Posted:
Jan 12, 2012
Last Update Posted:
Dec 19, 2018
Last Verified:
Nov 1, 2018