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. Author manuscript; available in PMC: 2011 Jun 27.
Published in final edited form as: J Am Coll Cardiol. 2010 Oct 12;56(16):1287–1297. doi: 10.1016/j.jacc.2010.05.039

Table 4. Randomized Controlled GCSF Trials* in Patients With Acute MI.

Valgimigli
et al. (58)
Ince et al. (56)
FIRSTLINE-AMI
Ripa et al. (60)
 STEMMI
Zohlnhöfer et al. (61)
 REVIVAL-2
Engelmann et al. (59)
 G-CSF-STEMI

Treatment Group GCSF Control GCSF Control GCSF Control GCSF Control GCSF Control
GCSF dosage 5 /μg/kg/day for
 4 days beginning
37 ± 66 h after
symptom onset
10 /μg/kg/day for
 6 days beginning
85 ± 30 min after
reperfusion
10 /μg/kg/day for
 6 days beginning
1–2 days after AMI
10 /μg/kg/day for
 5 days beginning
5 days after AMI
10 /μg/kg/day for
 5 days beginning
6 h to 7 days after
symptom onset
Duration of follow-up 6 months 4 months 6 months 4–6 months 3 months
n 10 10 25 25 39 39 56 58 23 21
LVEF Increased Increased Increased Unchanged Increased Increased Increased Increased Increased Increased
Perfusion Increased Increased NR NR NR NR Increased Increased Unchanged Unchanged
LVEDV Unchanged Unchanged Unchanged Declined Increased Increased Decreased Decreased Increased Increased
LVESV NR NR NR NR Decreased Decreased Decreased Decreased Decreased Decreased
Wall thickening NR NR Increased Increased Increased Increased NR NR Increased Increased

Parameters displaying significantly better performance than was observed in the alternative treatment group are identified with bold italicized text. Within-group changes from baseline to follow-up were either insignificant (p > 0.05) or the significance was not reported.

*

Double-blind: Ripa et al. (60), Zohlnhöfer et al. (61), and Engelmann et al. (59); single-blind: Valgimigli et al. (58); open-label: Ince et al. (56).

No placebo treatment.

Decreased infarct size.

AMI = acute myocardial infarction; GCSF = granulocyte colony-stimulating factor; LVEDV = left ventricular end-diastolic volume; LVEF = left ventricular ejection fraction; LVESV = left ventricular end-systolic volume; NR = not reported.