Endocardial Delivery for Myocardial Regeneration Using Allogeneic iPSC-derived Cardiomyocyte Spheroids for HF With Systolic Dysfunction (EMERALD Study)
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: HS-005.
- Who it may be relevant to
- Registry conditions: Heart Failure, Ischemic Heart Failure, Ischemic Heart Disease, Dilated Cardiomyopathy (DCM). Basic parameters: 20 years — 80 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Center list to be confirmed — check the primary protocol.
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
A Phase I/II Study of Endocardial Delivery for Myocardial Regeneration Using Human Induced Pluripotent Stem (iPS) Cell-derived Cardiomyocyte Spheroids for Heart Failure Reduced Ejection Fraction
Overview
The purpose of this clinical study is to evaluate the safety and efficacy of endocardial delivery of HS-001 CS into severe heart failure patients with reduced ejection fraction for 26 weeks after transplantation.
Detailed description
This is a multicenter, open-label, phase I/II study in 14 severe heart failure patients with reduced ejection fraction.
After screening period is completed, subjects undergo HS-001 CS transplantation by endocardial delivery. After transplantation, subjects take immunosuppressant and have efficacy/safety assessments.
Interventions
- Combination product HS-005
Human (allogeneic) iPS-cell-derived cardiomyocyte spheroids (HS-001CS) transplantation with endocardial delivery systems
Primary outcome measures
- Safety and Tolerability [Time frame: 26 weeks post-transplant]
Secondary outcome measures (12)
- Left Ventricular Ejection Fraction in Cardiac MRI scan [Time frame: 26 weeks and 52 weeks post-transplant]
- Left Ventricular Ejection Fraction in Echocardiography [Time frame: 26 weeks and 52 weeks post-transplant]
- Left Ventricular volume in Cardiac MRI scan [Time frame: 26 weeks and 52 weeks post-transplant]
- Left Ventricular volume in Echocardiography [Time frame: 26 weeks and 52 weeks post-transplant]
- Myocardial wall motion evaluation in MRI [Time frame: 26 weeks and 52 weeks post-transplant]
- Myocardial wall motion evaluation in Echocardiography [Time frame: 26 weeks and 52 weeks post-transplant]
- Myocardial blood flow in SPECT [Time frame: 26 weeks and 52 weeks post-transplant]
- Myocardial viability in SPECT [Time frame: 26 weeks and 52 weeks post-transplant]
- 6-minute walk distance [Time frame: 26 weeks and 52 weeks post-transplant]
- N-terminal Pro-brain Natriuretic Peptide (NT-proBNP) [Time frame: 26 weeks and 52 weeks post-transplant]
- QoL questioner (Kansas City Cardiomyopathy Questionnaire) [Time frame: 26 weeks and 52 weeks post-transplant]
- QoL questioner (EuroQol 5 dimensions 5-level) [Time frame: 26 weeks and 52 weeks post-transplant]
Eligibility criteria
Inclusion criteria
- Patients with resting left ventricular ejection fraction (LVEF) ≦40% based on institutional assessment on screening echocardiographic assessment
- New York Heart Association (NYHA) cardiac function classification of grade II or III at screening
- Other Criteria apply, please contact the investigator
Exclusion criteria
- Patients with cardiac devices such as pacemakers, implantable cardioverter defibrillators (ICDs), or cardiac resuscitation-enabled implantable cardioverter defibrillators (CRT-Ds)
- Patients with heart failure due to the primary disease hypertrophic cardiomyopathy (including the dilated phase), restrictive cardiomyopathy, amyloidosis, takotsubo cardiomyopathy, congenital heart disease, cardiac sarcoidosis, or constrictive pericarditis
- Other Criteria apply, please contact the investigator
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
Center list to be confirmed — check the primary protocol.
Identifiers
NCT: NCT07347197 · HS-005-01