Date: Nov 18, 2013 Author: press release Source: Company Data (
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DALLAS, TX — BioCardia®, Inc., a leader in cardiovascular regenerative medicine, today announced positive 12-month results for the randomized Transendocardial Autologous Cells (MSC or BMC) in Ischemic Heart Failure Trial (TAC-HFT). The Phase II trial demonstrated the safety of transendocardial stem cell injection (TESI) of autologous culture-expanded mesenchymal cells (MSCs) and autologous minimally-processed whole bone marrow mononuclear cells (BMCs) delivered by the company's Helical Infusion Catheter System™ in the treatment of chronic ischemic cardiomyopathy (ICM). The trial results were concurrently reported today in the Journal of the American Medical Association (JAMA) and presented by lead investigator Joshua Hare, MD from the University of Miami as a late-breaking presentation at the American Heart Association's 2013 Scientific Sessions. The JAMA article is located at: http://jama.jamanetwork.com/article.aspx?doi=10.1001/jama.2013.282909.
In the JAMA paper the authors concluded, "In this preliminary study, TESI with autologous MSCs or BMCs appeared to be safe in patients with chronic ischemic cardiomyopathy and LV dysfunction. Although the sample size and multiple comparisons preclude a definitive statement about safety and clinical effect, these results provide the basis for larger studies to provide definitive evidence about safety and to assess efficacy of this new therapeutic approach."
"Safety and efficacy outcomes for both combination therapies were encouraging in this Phase II trial," said Dr. Hare. "We believe a high dosage of 200 million cells delivered in a stable and precise way with the Helical Infusion Catheter System is contributing to these positive results."
The TAC-HFT Trial is a Phase I/II randomized, double-blind, placebo-controlled study of 65 patients with chronic ischemic left ventricular (LV) dysfunction due to ischemic cardiomyopathy (ICM), co-sponsored by the University of Miami and BioCardia. Patients were randomized to receive a dose of 200 million stem cells of either MSCs or BMCs delivered to 10 LV sites in the myocardium via TESI using the Helical Infusion Catheter System. This precise approach to infusion combines an ultra-flexible distal catheter, a helix-shaped needle to fixate to the myocardial tissue, and contrast delivered from the needle base to confirm engagement with the tissue.
Both therapies met the primary endpoint of the trial by demonstrating no incidence of treatment-emergent serious adverse events (TE-SAEs) at 30 days. TE-SAEs were defined as the composite of death, non-fatal MI, stroke, hospitalization for worsening heart failure, cardiac perforation, pericardial tamponade or sustained ventricular arrhythmias (>15 seconds or causing hemodynamic compromise). No significant post-procedural pericardial effusion was evident, and the technical success of transendocardial infusion with the Helical Infusion Catheter was 100 percent.
At 12 months, the BMC therapy group had no incidence of major adverse cardiac events (MACE), while one MACE occurred in the MSC therapy group and the placebo group experienced two incidents of MACE. The rehospitalization rate across groups was similar. No incidence of ectopic tissue formation was evident with either therapy. Two deaths occurred during the trial, one each in the MSC therapy group and placebo group.
The JAMA paper also cites 12 month outcomes for this Phase II trial designed for safety that showed functional and quality of life improvements for both the MSC and BMC therapies in pre-specified secondary endpoints. Compared to baseline measures, Minnesota Living with Heart Failure (MLHF) scores were statistically significant for both therapies. Only MSC patients showed statistically significant improvement when assessed with a repeated measures statistical analysis for the 6-Minute Walk Test and regional myocardial function. There was no statistical difference between either therapy when compared to placebo in NYHA class, LV chamber volume or LVEF.
More detail on the trial can be found at: http://clinicaltrials.gov/ct2/show/NCT00768066.
"In our second head-to-head trial of two fundamentally different bone marrow cell therapies, both the minimally-processed and culture-expanded therapies showed clinical benefit to patients in positive, placebo-controlled data sets," said BioCardia Chief Executive Officer Peter Altman. "With these results, we look forward to approval of a pivotal trial where we, working in partnership with the University of Miami and others, will join the ranks of the three already-approved pivotal trials studying the promising potential of intramyocardial delivery of bone marrow-derived cell formulations in the treatment of cardiovascular disease."
University of Miami Miller School of Medicine interventional cardiologist co-authors who performed procedures in the trial included Alan W. Heldman, M.D. and Juan Pablo Zambrano, M.D. Darcy DiFede, RN, coordinated these efforts.
About the Helical Infusion Catheter System™
The Helical Infusion Catheter System is a steerable, two-catheter system that enables delivery of biologic therapies to the heart muscle from within the chamber of the heart. The system's unique performance advantages include crossing the aortic valve over a wire to prevent damage; enhanced navigation using the company's super-thin walled, steerable Morph® guiding catheter; a helical needle which screws into the myocardium for stable delivery; and the use of contrast in the needle to confirm tissue engagement. Further, the system requires no external capital equipment and has an excellent clinical safety profile.
The BioCardia Helical Infusion Catheter System has received CE Mark and is commercially available in the European Union. The system is currently being used for investigational biotherapeutic programs in the United States and is not approved for sale in the U.S.
About BioCardia®
BioCardia, Inc., headquartered in San Carlos, CA is a privately held company developing regenerative biologic therapies to treat cardiovascular disease. The Company's current products include the Helical Infusion Catheter System and the Morph steerable guide and sheath catheter portfolio. BioCardia partners with other biotherapeutic companies to provide its Helical Infusion Catheter System and clinical support to their programs studying therapies for the treatment of heart failure, chronic myocardial ischemia and acute myocardial infarction.
