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. 2009 Feb 20;13(4):660–663. doi: 10.1111/j.1582-4934.2009.00710.x

1.

Therapeutic efficacy and the time point of transplantation of bone marrow-derived cells

Randomized controlled trials
Study Publication Sample size Cell type injected Time to cell transfer (days) Follow-up (months) Primary endpoints (control/treatment)
Within 24 hrs after AMI
Janssens S et al.[9] Lancet 2006 67 BMMNC <1.0 4 LVEF: Δ2.2%/Δ3.4%; P= 0.36
At day 4–7 after AMI
REPAIR-AMI [7] N Engl J Med 2006 204 BMMNC 4.3 4 LVEF: Δ3.0%/Δ5.5%; P= 0.01
BOOST [8] Lancet 2004 65 BMMNC 4.8 6 LVEF: Δ3.0%/Δ5.5%; P= 0.01
Suarez de Lezo J et al.[26] Rev Esp Cardiol 2007 20 BMMNC 7.0 3 LVEF: Δ0.7%/Δ6.7%; P= 0.0026
More than 2 months after AMI
Yao K et al.[27] Heart 2008 47 BMMNC 390 6 LVEF: Δ1.6%/Δ2.4%, P= 0.52; Infarct area: Δ-1.6%/Δ-2.3%, P= 0.35
Subgroup analysis in RCTs
LVEF: Δ3.9%/Δ4.5%; P= 0.62 (within 4 days post-AMI);
REPAIR-AMI7 N Engl J Med 2006 204 BMMNC 4.3 4 LVEF: Δ1.9%/Δ7.0%; P= 0.004 (at day 5–7 post-AMI) P value for interaction = 0.03
Experimental studies
Study Publication Animal model Cell type Transfer timing Follow-up (weeks) Main results*
LVEF: 1 hr/1 week/2 weeks:
Hu X et al.[10] Eur J Cardiothorac Surg 2007 SD rats BMMSC 1 hr, 1 week and 2 weeks 2 41.4%/48.1%/44.4%, P < 0.05; Infarct area: 1 hr/1 week/2 weeks: 41.4%/32.8%/37.1%, P < 0.05
*

Comparison of each treatment group with the control group. Δ Changes from the baseline values.

AMI, acute myocardial infarction; BMMNC, bone marrow mononuclear cell; BMMSC, bone marrow mesenchymal stem cell; LVEF, left ventricular ejection fraction; RCTs, randomized controlled trials.