ClinicalTrials.gg
CompletedNCT02052427ATHENA IIUpdated Oct 28, 2016

Safety & Efficacy of Adipose-Derived Regenerative Cells in the Treatment of Chronic Myocardial Ischemia (ATHENA II)

A Phase 2 interventional study of Celution System and Placebo in Myocardial Ischemia, sponsored by Cytori Therapeutics. Completed at 1 site in United States. Open to participants aged 20 Years to 80 Years. Per ClinicalTrials.gov, last updated 2016-10-28.

Sponsored by Cytori Therapeutics · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
3
Allocation
Randomized
Ages
20 Years to 80 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 218 studies in Myocardial Ischemia with a site in United States — 23 open to participants now, 26 under way, none of them phase 3. Myocardial Ischemia · United States.

Enrollment
140th of 150
3 · median 87
Started
2014
with 9 others
Phase 2
27 of 218
2 open now
Registered
127th of 218
by date

Among the 218 studies in Myocardial Ischemia with a site in United States, this one is the 140th largest by enrollment of the 150 interventional ones that give a count, is one of 10 that started in 2014, is one of 27 in phase 2, and was the 127th registered.

Myocardial Ischemia

1,123 studies on the registry are indexed under Myocardial Ischemia; 177 are open to participants now.

Browse Myocardial Ischemia studies →

Open to participants now

23 of the 218 studies in Myocardial Ischemia with a site in United States are open now. Recruiting first, the newest first:

18 more — sign in →

All 23 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 135 Myocardial Ischemia studies recruiting now, 92 (68%) set no upper age limit and 6 (4%) stop at 75 or younger; 14 take children under 18; 20 take healthy volunteers.

This study: 20 Years to 80 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 218 studies in Myocardial Ischemia with a site in United States, or all of them as a file.
02

Study summary

This is a prospective, randomized, placebo-controlled, double blind safety and efficacy clinical trial.

Read the detailed description

To assess the safety and efficacy of Adipose-Derived Regenerative Cells (ADRCs) delivered via an intramyocardial route in the treatment of chronic ischemic heart disease in patients who are not eligible for percutaneous or surgical revascularization.

03

Conditions studied

  • Myocardial Ischemia

Keywords

  • Ischemic heart disease
  • Coronary artery disease
  • Chronic Heart Failure
  • Cardiovascular disease
  • adult stem cells
  • adipose derived regenerative cells
04

Who can participate

Ages eligible
20 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Males or females > 20 and \< 80 years of age
  2. Significant multi-vessel coronary artery disease not amenable to percutaneous or surgical revascularization
  3. CCS Angina Functional Class II-IV and/or Stages of Heart Failure Class II or III
  4. On maximal medical therapy for anginal symptoms and/or heart failure symptoms
  5. Hemodynamic stability (SBP ≥ 90 mm/Hg, HR \<110)
  6. ≥ 20% and ≤ 45%
  7. Inducible ischemia using an objective assessment of ischemia within 1 year of screening (i.e. exercise changes, SPECT)
  8. Left ventricular wall thickness ≥ 8 mm at the target site for cell injection

Exclusion criteria

Exclusion Criteria:

  1. Atrial fibrillation or flutter without a pace maker that guarantees a stable heart rate
  2. Unstable angina
  3. LV thrombus, as documented by echocardiography
  4. Planned staged treatment of CAD or other intervention on the heart
  5. count \< 100,000/mm3
  6. WBC \< 2,000/mm3
  7. or stroke within 90 days prior to randomization
  8. ICD shock within 30 days prior to randomization
  9. Any condition requiring medication
  10. A high-risk acute coronary syndrome (ACS) or a myocardial infarction in the 60 days prior to randomization
  11. Revascularization within 60 days prior to randomization
  12. Inability to walk on a treadmill except for class IV angina patients who will be evaluated separately
  13. Hepatic dysfunction, as defined as (AST) and/or alanine aminotransferase (ALT) > 1.5 times the (x ULN)
  14. ≤ 10.0 g/dL
Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
3 participants (actual)

Study arms

  • Experimental
    ADRCs

    Adipose-Derived Regenerative Cells (ADRCs) processed by the Celution System: * 0.8 x 10\^6 cells/kg body weight (not to exceed 80.0 x 10\^6 cells) * Delivered via the MYOSTAR™ Injection Catheter in 15 intramyocardial injections

    Device: Celution System

  • Placebo comparator
    Placebo

    Placebo - Physiological Solution * Inactive substance (Lactated Ringers + autologous blood) * Delivered via the MYOSTAR™ Injection Catheter in 15 intramyocardial injections

    Device: Placebo

Interventions

  • DeviceCelution System

    ADRCs processed by the Celution System for reintroduction into the myocardium

  • DevicePlacebo

    Physiological solution made of Lactated Ringers solution and a small amount (\<1mL) of autologous blood

06

What researchers measure

Primary outcomes

  1. Primary Efficacy - Change in Minnesota Living with Heart Failure Questionnaire

    Change in Minnesota Living with Heart Failure Questionnaire prior to treatment and at 6 months post treatment.

    Time frame: 6 months post treatment

Secondary outcomes

  1. Secondary Efficacy - Change in mVO2

    Change in mVO2 at 6 months as assessed by Exercise Tolerance Test

    Time frame: 6 months post treatment

  2. Secondary Efficacy - Change in LVESV/LVEDV

    Change in LVESV/LVEDV at 6 months as assessed by Echocardiography

    Time frame: 6 months post treatment

  3. Secondary Efficacy - Change in Ejection Fraction

    Change in Ejection Fraction (%) at 6 months assessed by 2D Contrast Echocardiography

    Time frame: 6 months post treatment

  4. Secondary Efficacy - Change in perfusion defect

    Change in perfusion defect at 6 months assessed by Rest/Pharmacologic Stress SPECT

    Time frame: 6 months post treatment

  5. Secondary Efficacy - Resource Utilization

    Resource utilization - hospital length of stay, re-hospitalization for cardiac related events

    Time frame: through 12 months post treatment

  6. Secondary Efficacy - Change in heart failure symptoms, angina, and quality of life

    Change in heart failure symptoms, angina, and quality of life assessed by - NYHA classification, CCS classification, MLHFQ (other than 6 months)

    Time frame: through 12 months post treatment

Other outcomes

  1. Safety - Number of Patients Experiencing Treatment Emergent SAEs

    Time frame: Treatment through 12 months

  2. Safety - Number of Patients Experiencing Arrhythmias Assessed via Holter monitor

    Time frame: Screening through 3 months post treatment

  3. Safety - Number of patients that experience a MACE

    Number of patients that experience a Major Adverse Cardiac Event (MACE)

    Time frame: Treatment through 12 months

07

Study locations

1 site
  • University Hospital Case Medical Center
    Cleveland, Ohio 11100, United States
08

References and documents

Publications

  • Henry TD, Pepine CJ, Lambert CR, Traverse JH, Schatz R, Costa M, Povsic TJ, David Anderson R, Willerson JT, Kesten S, Perin EC. The Athena trials: Autologous adipose-derived regenerative cells for refractory chronic myocardial ischemia with left ventricular dysfunction. Catheter Cardiovasc Interv. 2017 Feb 1;89(2):169-177. doi: 10.1002/ccd.26601. Epub 2016 Sep 23. PubMed 27148802 ↗
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jan 2014, a primary completion of Aug 2015 and a completion of Oct 2016. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 30, 2014
First posted
Feb 3, 2014
Start
Jan 2014
Primary completionActual
Aug 2015
CompletionActual
Oct 2016
Last update
Oct 28, 2016
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 28, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02052427
Lead sponsor
Cytori Therapeutics
Responsible party
Sponsor
First posted
Feb 3, 2014
Start date
Jan 2014
Primary completion
Aug 2015
Completion
Oct 2016
Last update
Oct 28, 2016

Study contacts

Emerson C. Perin, MD, PhD
principal investigator · The Stem Cell Center at Texas Heart Institute
Timothy Henry, MD
principal investigator · Cedars-Sinai Medical Center

Oversight

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

Not currently enrolling

This study is completed, as verified in Oct 2016. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion