Study

Cell type

Delivery route

Timing of infusion post-MI

Follow-up period

Follow-up method

Outcome

TOPCARE-AMI [8] BM-MNCs Intracoronary 4.3 days 4 months
1 year
LV angiography
Dobutamine stress echocardiography
FDG-PET
Improvement in LV function
BOOST[11] BM-MNCs Intracoronary 4.8 days 6 months
5 years
Cardiac MRI Improvement in LVEF at 6 months but no appreciable increase in LVEF over 5 years
REPAIR-AMI[13] BM-MNCs Intracoronary 4.4 days 4 months
1 year
2 year
LV angiography
Cardiac MRI
Greater improvements in LVEF in cell therapy patients vs. control. Less adverse clinical outcomes* in cell therapy group at  4 months, 1 years and 2 years
ASTAMI[15] BM-MNCs Intracoronary 6 days 6 months
3 year
SPECT
Echocardiography
Cardiac MRI
Exercise capacity testing
6 month follow-up did not show statistically significant improvements in LVEF, EDSV or infarct size. However, 3 year follow-up revealed improvements in exercise time.
FINCELL[18] BM-MNCs Intracoronary 3 days 6 months LV angiography
Echocardiography
Statistically significant improvement in LVEF at 6 months.
REGENT[20] BM-MNCs vs. CD34+CXCR4+ vs. placebo Intracoronary 7 days 6 months LV angiography
Cardiac MRI
Modest increases in LVEF were realized in the cell therapy groups over placebo.
BALANCE[21] BM-MNCs Intracoronary 7 days 3 months
12 months
60 months
LV angiography Improved LV contractility and mortality reduction over 3, 12 and 60 months.
Cao et al.[22] BM-MNCs Intracoronary 7 days 6 months
4 years
Echocardiography
SPECT
LV angiography
Statistically significant improvement in LVEF and ESV at both time periods.
HEBE[23] BM-MNCs vs. PB-MNCs vs. control Intracoronary 6 days 4 months Cardiac MRI No statistically significant changes in LVEF though a post-hoc analysis found that patietnts with initial dilation of the LV benefited as cell therapy prevented further dilation.
Janssens et al.[25] BM-MNCs Intracoronary 4 days 4 months Cardiac MRI Greater reduction of infarct volumes in cell therapy patients particularly those with larger infarcts. No statistically significant increase in LVEF or LV volumes.
Table 1: Summary of studies employing cell therapy after AMI.
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