New Stem Cell Treatment Reduces Amputations in Critical Limb Ischemia (CLI): Data presented at "4th International Symposium on Perioperative
Blood Management", Catharina Hospital, Eindhoven, The Netherlands
PLYMOUTH, Mass. (Business Wire EON) October 22, 2007 --
Harvest Technologies Corp. (www.harvesttech.com)
announced today that Berthold Amann, MD, a specialist in vascular
medicine, presented data (“Autologous Bone
Marrow Transplantation for the Induction of Arteriogenesis: A New
Treatment for Critical Limb Ischemia”) from a
clinical trial under his supervision at the Berlin (Germany) Vascular
Center of Franziskus Hospital. He showed the results of 51 patients with
end-stage Peripheral Arterial Disease (PAD), so-called Critical
Limb Ischemia (CLI). Nearly all of these patients had severe
pain at rest and were already scheduled for leg amputation. All surgical
and endovascular options for these patients had been previously
exhausted. After the injection of a concentrate of the patients’
own bone marrow stem cells, leg amputation could be avoided in more than
half of these patients. This is a major success because under normal
circumstances, the amputation rate in CLI is 90-100% in this patient
population within a year. Injected autologous adult stem cell concentrates from bone marrow have
been shown in international clinical studies to be significantly
effective in achieving tissue regeneration in vascular, orthopedic and
cardiac disease. Until now, however, it has been difficult to process and concentrate a
clinically significant dose of adult stem cells from a patient’s
bone marrow at the patient’s hospital bedside
in a simple, automated, 15-minute procedure. The BMAC
System
from Harvest Technologies is the world’s first
and only technique that produces
clinically significant amounts of adult stem and precursor cells from a
small aspirate of autologous bone marrow in just 15 minutes. For Dr. Amann’s study, he treated the first 12
patients using standard Ficoll separation that required 450-500
mls of bone marrow aspirate which yielded a concentrate of 1.08 billion
cells. Patients had to undergo general anesthesia, and procedure time
was long at 385 minutes per patient. He then treated 39 patients with the Harvest BMAC™
System. With this rapid method, total procedure time per patient
(i.e., anesthesia, aspiration, stem cell concentration and re-injection)
was just 58 minutes per patient. Less than half the amount of bone
marrow aspirate (220 mls) was needed, and the Harvest BMAC™
stem cell concentrate had higher cell numbers than the Ficoll
concentrate (3.36 billion bone marrow cells). Even more important for
the patient, there was no need for general anesthesia. At Dr. Amann’s follow-up of these
study-patients at periods ranging from six months to three years, 30 of
51 patients demonstrated sufficient improvement in perfusion to avoid
amputation. Patients with limb salvage demonstrated an increase of
critical physiological measurements: blood pressure at the ankle (ABI)
and oxygen available to the foot tissue (transcutaneous oxygen).
Additionally, 16 of the 30 patients whose limbs were salvaged had
complete healing of their ischemic wounds. From a patient’s view, it is even more
important that several patients were able to walk again; walking
distance was increased tenfold among
the 30 patients whose limbs were salvaged. Based upon these positive results, Dr. Amann has undertaken a further
study to establish stem-cell therapy in the treatment of patients with
severe Peripheral Arterial Disease with Critical Limb Ischemia. This
study will include 90 patients in a randomized, placebo-controlled,
double-blind study using Harvest BMAC™. (Note: The FDA has granted Investigational Device Exemption (IDE)
approval to Harvest to commence a 48-patient ‘feasibility’
clinical trial in the U.S. using the company’s
BMAC System to treat patients with CLI. The BMAC System is a
point-of-care device for concentrating bone marrow stem cells in
approximately 15 minutes. The study’s design
provides for injecting a patient’s own bone
marrow stem cells into the affected limb to reduce the potential for
limb amputation. It is believed that the injection of stem cells will
induce the growth of new arteries and so arrest and possibly improve the
effects of CLI. Patients who are being enrolled in this study have
exhausted all other surgical options and are at extreme risk for major
amputation. This U.S. clinical study is being led by Principal
Investigator Mark D. Iafrati, M.D., Chief of Vascular Surgery at
Tufts-New England Medical Center, Boston. Five additional major
university-based medical centers are participating.) Harvest
Technologies is a privately held company based in Plymouth, Mass.
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