Table 1.
Clinical experience of LVAD combined with cell therapy.
Study type (Reference) | n | Etiology CMP | Cell type (and timing) | Clinical outcome | Measured effect |
---|---|---|---|---|---|
Phase I (111) | 20 | Ischemic and non-ischemic | Allogeneic MPCs (concomitant) | Increased weaning frequency and duration | Safe/efficacy |
Case report (105) | 1 | Dilated | Autologous skeletal myoblasts (+16 months) | LVAD explantation | LVEF increased |
Phase I (110) | 4 | Ischemic | Autologous skeletal myoblasts (concomitant) | 1 LVAD explantation, 3 non-cardiac deaths | n = 2 LVEF increased |
Case series (108) | 2 | Ischemic | Autologous BMMNCs (concomitant) | 1 Improved perfusion, 1 unknown | Perfusion improved |
Case report (107) | 1 | Ischemic | Autologous skeletal myoblasts (+3 months) | Death + 466 days (sepsis) | Increased EF |
Case series (109) | 10 | Ischemic | Autologous BMMNCs (concomitant) | 1 LVAD explantation, 3 HTx, 2 deaths | n = 1 increased EF |
Case report (106) | 1 | Ischemic | Autologous BMMNCs (+99 days) | LVAD explantation | Increased EF and perfusion |
Phase I (40) | 6 | Ischemic | Autologous skeletal myoblasts (concomitant) | 4 HTx, 3 deaths | Safe/feasible |
Phase I (39) | 5 | Ischemic | Autologous skeletal myoblasts (concomitant) | 3 HTx, 1 DT, 1 death | Safe/feasible |
CMP, cardiomyopathy; MPCs, mesenchymal progenitor cells; BMMNCs, bone marrow-derived mononuclear cells; HTx, heart transplantation; DT, destination therapy.
Systematic search LVAD/SCT: search detail: “heart-assist devices” [MeSH Terms] OR (“heart-assist devices” [MeSH Terms] OR (“heart-assist” [All Fields] AND “devices” [All Fields]) OR “heart-assist devices” [All Fields] OR (“heart” [All Fields] AND “assist” [All Fields] AND “device”[All Fields]) OR “heart-assist device” [All Fields]) AND (“cell- and tissue-based therapy” [MeSH Terms] OR (“cell-” [All Fields] AND “tissue-based” [All Fields] AND “therapy” [All Fields]) OR “cell- and tissue-based therapy” [All Fields] OR (“cell” [All Fields] AND “therapy” [All Fields]) OR “cell therapy” [All Fields]).
In total: 195 hits, excluding review/animal/Japanese/no combination → 9 included articles.