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CompletedNCT00468000RESTORE-CLIUpdated May 20, 2020

Use of Ixmyelocel-T (Formerly Vascular Repair Cells [VRC]) in Patients With Peripheral Arterial Disease to Treat Critical Limb Ischemia

A Phase 2 interventional study of Ixmyelocel-T and Placebo in Peripheral Arterial Disease, sponsored by Vericel Corporation. Completed at 20 sites in United States. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2020-05-20.

Sponsored by Vericel Corporation · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
86
Allocation
Randomized
Ages
18 Years to 90 Years
Sex
All
01

Study summary

This study is designed to evaluate the safety and efficacy of autologous Vascular Repair Cells (VRC) for patients with peripheral arterial disease as a treatment for critical limb ischemia.

The double-blind study is expected to enroll 150 patients, randomized into two patient groups. The treatment group will receive intramuscular (IM) injections of the VRCs into the affected limb; the control group will receive intramuscular injections with an electrolyte solution (without cells). Both groups will receive the standard of care appropriate for their medical condition.

Read the detailed description

The study will assess the safety and ability of Aastrom TRC autologous bone marrow cells to restore peripheral blood flow affected by critical limb ischemia.

Peripheral arterial disease (PAD), also known as Peripheral Vascular Disease (PVD), occurs when peripheral arteries are damaged by arterial hypertension and/or by the formation of atherosclerotic plaques. PAD is a chronic disease that progressively constricts arterial circulation of limbs. The term critical limb ischemia (CLI) is used for all patients with chronic ischemia rest pain, ulcers, or gangrene in limbs attributable to objectively proven PAD. These sequelae represent the end stage of PAD. PAD is associated with several other clinical conditions, i.e. hypertension, cardiovascular disease, hyperlipidemia, diabetes, tobacco use, obesity and stroke.

The double-blind study is expected to enroll 150 patients, randomized into two patient groups. The treatment group will receive intramuscular injections of the TRC product into the affected limb; the control group will receive intramuscular injections with an electrolyte solution (without cells). Both groups will receive the standard of care appropriate for their medical condition.

02

Conditions studied

  • Peripheral Arterial Disease

Keywords

  • Peripheral Arterial Disease
  • Critical Limb Ischemia
  • Ischemia
  • Peripheral Vascular Disease
  • ixmyelocel-T
03

In context

Peripheral Arterial Disease

1,542 studies on the registry are indexed under Peripheral Arterial Disease; 282 are open to participants now.

This study's enrollment of 86 is above the median of 74 across 1,066 interventional studies indexed under Peripheral Arterial Disease.

Browse Peripheral Arterial Disease studies →

Lead sponsor

Vericel Corporation is the lead sponsor of 14 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Males and females, 18-90 years of age
  • Diagnosis of CLI
  • Infrainguinal occlusive disease, without options for revascularization
  • No surgical interventions planned
  • Life expectancy of 2 years
  • Normal organ and marrow function
  • Patients with controlled blood pressure (≤ 180/110 mmHg) and established anti-hypertensive therapy
  • Established anti-platelet therapy

Exclusion criteria

Exclusion Criteria:

  • Poorly controlled diabetes mellitus (hemoglobin A1c [HbA1c] > 10%)
  • Aortoiliac disease with > 50% stenosis
  • Wounds with severity greater than Grade 3 on the Wagner Scale
  • Any known failed ipsilateral revascularization within 2 weeks of enrollment
  • Previous amputation of the talus, or above in the target limb
  • Life-threatening ventricular arrhythmia; unstable angina; or, myocardial infarction within 4 weeks of enrollment
  • Severe congestive heart failure (CHF) (i.e. New York Heart Association [NYHA] Stage IV)
  • Receiving treatment with hematopoietic growth factors
  • Infection of the involved extremity(ies)
  • Active wet gangrenous tissue
  • Require uninterruptible anticoagulation therapy
  • Blood clotting disorder
  • Cancer
  • End stage renal disease requiring dialysis for more than 6 months prior to enrollment
  • Pregnant or lactating
  • Having received medication for thrombolytic therapy (e.g. rTPA or other enzymatic clot busters) within 30 days prior to enrollment
  • Undergoing hyperbaric oxygen treatment within 2 weeks of enrollment
  • Concomitant wound treatments with growth factors or tissue engineered products
  • Receiving anti-angiogenic drugs
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
86 participants (actual)

Study arms

  • Experimental
    Ixmyelocel-T

    The treatment arm of the study will receive injections of the study cellular product.

    Biological: Ixmyelocel-T

  • Placebo comparator
    Placebo

    The control arm of the study will receive placebo injections.

    Biological: Placebo

Interventions

  • BiologicalIxmyelocel-T

    IM injection

  • BiologicalPlacebo

    IM Injection

06

What researchers measure

Primary outcomes

  1. Safety of TRCs in patients with CLI(key safety parameters include vital signs, physical exams, laboratory results, assessment of aspiration and injection sites, adverse events, major amputations, wounds presence(size and grading using the Wagner scale)

    Time frame: throughout trial

Secondary outcomes

  1. Composite efficacy endpoint assessing time to treatment failure(failure defined as major amputation, doubling of wound size, and new gangrene)

    Time frame: Day 7 and Months 3, 6, 9, 12

  2. Percentage of patients failing treatment

    Time frame: Day 7, and Months 3,6,9, and 12

  3. Time to major amputation

    Time frame: Day 7 and Month 3, 6, 9, and 12

  4. Percentage of patients undergoing major amputation

    Time frame: Day 7 and Months 3, 6, 9, 12

  5. Incidence of revascularization interventions throughout duration of study

    Time frame: Day 7 and Months 3,6,9,12

  6. Incidence of bypass surgery for patients throughout duration of study

    Time frame: Day 7 and Months 3,6,9,12

  7. Healing of all wounds in the target limb

    Time frame: Day 7 and Months 3,6,9,12

  8. Ankle and/or toe pressure and ankle brachial pressure index and/or toe brachial index

    Time frame: Day 7 and Months 3,6,9,12

  9. Pain, as measured by visual analog scale(VAS)

    Time frame: Day 7 and Months 3,6,9,12

  10. The King's College Vascular Quality of Life Questionnaire

    Time frame: Baseline and Months 6 and 12

  11. Walking distance as measured by six-minute walk test(with or without walking device)

    Time frame: Baseline and Month 12

  12. Concurrent Meds for trends

    Time frame: Day 7 and Months 3, 6, 9, 12

07

Study locations

20 sites
  • Cardiology, P.C.
    Birmingham, Alabama 35211, United States
  • Arizona Heart Institute
    Phoenix, Arizona 85006, United States
  • University of California, San Francisco
    San Francisco, California 94143, United States
  • Malcolm Randall Veterans Administration Medical Center, part of the North Florida/South Georgia Veterans Health System
    Gainesville, Florida 32608, United States
  • University of Miami/Miller School of Medicine
    Miami, Florida 33136, United States
  • Loyola University Stritch School of Medicine
    Maywood, Illinois 60153, United States
  • Southern Illinois University School of Medicine
    Springfield, Illinois 62702, United States
  • The Care Group, LLC
    Indianapolis, Indiana 46260, United States
  • VA Ann Arbor Healthcare System
    Ann Arbor, Michigan 48105, United States
  • St. Joseph Mercy Hospital
    Ann Arbor, Michigan 48106, United States
  • Michigan Vascular Research Center
    Flint, Michigan 48507, United States
  • Minneapolis Heart Institute Foundation
    Minneapolis, Minnesota 55407, United States
  • Dartmouth-Hitchcock Memorial Center
    Lebanon, New Hampshire 03756, United States
  • University of North Carolina Hospitals
    Chapel Hill, North Carolina 27514, United States
  • Jobst Vascular Center
    Toledo, Ohio 43606, United States
  • Oklahoma University
    Oklahoma City, Oklahoma 73104, United States
  • University of Pittsburgh Medical Center
    Pittsburgh, Pennsylvania 15213, United States
  • Vanderbilt University Medical Center
    Nashville, Tennessee 37232-2735, United States
  • Peripheral Vascular Associates
    San Antonio, Texas 78205, United States
  • Scott and White Hospital
    Temple, Texas 76508, United States
08

References and documents

Publications

  • Powell RJ, Marston WA, Berceli SA, Guzman R, Henry TD, Longcore AT, Stern TP, Watling S, Bartel RL. Cellular therapy with Ixmyelocel-T to treat critical limb ischemia: the randomized, double-blind, placebo-controlled RESTORE-CLI trial. Mol Ther. 2012 Jun;20(6):1280-6. doi: 10.1038/mt.2012.52. Epub 2012 Mar 27. PubMed 22453769 ↗
  • Powell RJ, Comerota AJ, Berceli SA, Guzman R, Henry TD, Tzeng E, Velazquez O, Marston WA, Bartel RL, Longcore A, Stern T, Watling S. Interim analysis results from the RESTORE-CLI, a randomized, double-blind multicenter phase II trial comparing expanded autologous bone marrow-derived tissue repair cells and placebo in patients with critical limb ischemia. J Vasc Surg. 2011 Oct;54(4):1032-41. doi: 10.1016/j.jvs.2011.04.006. Epub 2011 Jul 31. PubMed 21684715 ↗
  • Moazzami B, Mohammadpour Z, Zabala ZE, Farokhi E, Roohi A, Dolmatova E, Moazzami K. Local intramuscular transplantation of autologous bone marrow mononuclear cells for critical lower limb ischaemia. Cochrane Database Syst Rev. 2022 Jul 8;7(7):CD008347. doi: 10.1002/14651858.CD008347.pub4. PubMed 35802393 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 20, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00468000
Lead sponsor
Vericel Corporation
Responsible party
Sponsor
First posted
May 1, 2007
Start date
Apr 2007
Primary completion
Mar 2011
Completion
Mar 2011
Last update
May 20, 2020

Study contacts

Anthony J Comerota, MD
principal investigator · Jobst Vascular Center

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2020. You cannot join it, but the record below documents what was studied.

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