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ixmyelocel-T

Phase 3

Critical Limb Ischemia | Cell therapy | Cardiovascular |Vericel Corporation|Trials Updated: May 27, 2021

ixmyelocel-T development status

Highest phase Phase 3
Registered trials 6 across 1 sponsor since May 2007

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials6
Total Enrollment314

FDA Designations

No designations recorded

ixmyelocel-T clinical trials

ixmyelocel-T · 6 trials · 5 indications

Phase 3 2Phase 2 4
NCT01483898An Efficacy and Safety Study of Ixmyelocel-T in Patients With Critical Limb Ischemia (CLI)Critical Limb Ischemia
COMPLETED41 Analytics
NCT00505219Ixmyelocel-T Treatment of Patients With Osteonecrosis of the Femoral HeadOsteonecrosis
COMPLETED11 Analytics
PHASE3COMPLETED
An Efficacy and Safety Study of Ixmyelocel-T in Patients With Critical Limb Ischemia (CLI)
Critical Limb IschemiaUnlock trial analytics
PHASE3COMPLETED
Ixmyelocel-T Treatment of Patients With Osteonecrosis of the Femoral Head
OsteonecrosisUnlock trial analytics

Study Endpoints

Primary Endpoints

Amputation free survival (AFS) at 12 months post-injection
12 months

The primary objective will be to assess the efficacy of ixmyelocel-T compared to placebo (vehicle control) on AFS at 12 months post-injection in CLI patients with no options for revascularization. Amputation free survival is defined as time to the first occurrence of either major amputation (above the talus) in the index leg or all-cause mortality (death).

The progression of patients with UPenn Stage IIB or IIC disease to a more severe stage based on all available x-ray and MRI imaging. Patients who have a definitive procedure but do not have a valid assessment will be considered to have progressed.
24 months
Average number of clinical events over 12 months post-treatment.
12 Months

The primary endpoint will assess the efficacy of ixmyelocel-T compared to placebo (vehicle control) on the average number of events per patient over 12 months post-treatment in each treatment arm (total number events in each arm/total number of patients in each arm). The events include: all-cause deaths, cardiovascular hospitalizations, and unplanned outpatient or emergency department visits to treat acute decompensated heart failure. The clinical events used in this endpoint will be adjudicated by an independent clinical endpoint committee who are blinded to treatment.

Incidence of major adverse cardiac event (MACE) (MACE defined as: cardiac death, cardiac arrest, myocardial infarction, sustained ventricular arrhythmias, pulmonary edema, acute heart failure, unstable angina and major bleeding)
Outcome measures will generally be assessed at Baseline, Month 3, Month 6 and Month 12
Safety will be assessed by: post-procedure assessments, physical exam, vital signs, laboratory tests, and adverse events including MACE (Major Adverse Cardiac Event) occurrences.
Outcome measures will generally be assessed at baseline, Month 1, Month 3, Month 6 and Month 12
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)
throughout trial

Secondary Endpoints

Percent of patients with adverse events
18 months
Percent of patients with complete wound closure by Month 12
12 months
Percent of patients experiencing a major cardiac event (MACE) by Months 6, 12, and 18
6, 12 and 18 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ixmyelocel-TEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
Standard of Care OnlyACTIVE_COMPARATORCore decompression, demineralized bone matrix bound in autologous plasma, without any TRCs.
Vehicle ControlPLACEBO_COMPARATORwill receive approximately 12-20 intramyocardial injections of 0.4 mL each of vehicle control.
Standard of CareOTHERStandard of care therapy only.

Interventions

NameTypeDescription
Ixmyelocel-TBIOLOGICALOn Day 14, 20 intramuscular injections of ixmyelocel-T on pre-identified index leg.
PlaceboOTHEROn Day 14, 20 intramuscular injections of vehicle control on pre-identified index leg.
Standard of Care OnlyOTHERCore decompression of the femoral head to remove necrotic tissue
Vehicle ControlOTHERwill receive approximately 12-20 intramyocardial injections of 0.4 mL each of vehicle control into the left ventricle.
Standard of CareOTHERBecause the eligible patients had no other cardiac surgery or percutaneous cardiac interventions that were likely to produce clinical improvement, SOC was limited to pharmacologic therapy, heart transplant, or ventricular assist device therapy.
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Eligibility Criteria

Age Range35 Years to 90 Years
SexALL
Healthy VolunteersNo
Study Sites86

Inclusion Criteria: * Males and nonpregnant, nonlactating females * Ages 35 to 90 years of age * Diagnosis of CLI with tissue loss (corresponding to Rutherford Category 5; see Appendix B) having an ulcer size of at least 0.5 cm2, a smaller sized ulcer penetrating into the subcutaneous tissue, and/o...

Countries:United StatesCanada
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Frequently asked questions about ixmyelocel-T

What is ixmyelocel-T?

Ixmyelocel-T is an investigational cell therapy developed by Vericel Corporation. It has been studied in cardiovascular and related conditions including critical limb ischemia, dilated cardiomyopathy, ischemic dilated cardiomyopathy, osteonecrosis, and peripheral arterial disease. It is not an approved medicine and remains in clinical development.

What is ixmyelocel-T used for?

Ixmyelocel-T has been studied for critical limb ischemia, dilated cardiomyopathy, ischemic dilated cardiomyopathy, osteonecrosis, and peripheral arterial disease. It is an investigational cell therapy, so it is not an approved treatment for any of these conditions. All clinical programs to date have been completed.

Who makes ixmyelocel-T?

Ixmyelocel-T is developed by Vericel Corporation, which trades on the Nasdaq under the ticker VCEL. Vericel is the sponsor of the clinical trials evaluating the therapy in critical limb ischemia and dilated cardiomyopathy.

What phase is ixmyelocel-T in?

Ixmyelocel-T has reached Phase 3 in critical limb ischemia, while its heart failure programs in dilated cardiomyopathy and ischemic dilated cardiomyopathy were Phase 2. The drug is investigational and has not been approved by the FDA. All listed trials are completed, and no trials are currently active.

What clinical trials is ixmyelocel-T in?

Ixmyelocel-T has been evaluated in completed trials including NCT01483898 in critical limb ischemia, NCT01670981 in ischemic dilated cardiomyopathy, NCT01020968 in dilated cardiomyopathy, and NCT00765518, also known as IMPACT-DCM, in dilated cardiomyopathy. These studies enrolled a combined total of 114 participants across the United States and Canada.

Is ixmyelocel-T the same as Catheter-based Cardiac Repair Cell?

Yes. Ixmyelocel-T was formerly called Catheter-based Cardiac Repair Cell, or CRC. The earlier name appears in the titles of the dilated cardiomyopathy trials NCT01020968 and NCT00765518, which studied the same cell therapy before the current name was adopted.