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CTRI Number  CTRI/2010/091/000565 [Registered on: 24/11/2010]
Last Modified On: 09/09/2014
Post Graduate Thesis   
Type of Trial  Interventional 
Type of Study
Modification(s)  
Stem Cell Therapy 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study
Modification(s)  
A clinical trial to evaluate the effect of bone marrow derived stem cell in diseases Limb Ischemia 
Scientific Title of Study
Modification(s)  
Induction of therapeutic Angiogenesis in Limb Ischemia by Intra-arterial delivery of Autologous bone marrow derived stem cells 
Trial Acronym   
Secondary IDs if Any
Modification(s)  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Dr Sanjiv Sharma 
Designation  Professor & Head 
Affiliation   
Address  Dept.of Cardiac Radiology
All India Institute of Medical Sciences, Ansari Nagar
New Delhi
DELHI
110029
India 
Phone  011-26594759  
Fax  26588641  
Email  meetisv@yahoo.com  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Dr Sanjiv Sharma 
Designation  Professor & Head 
Affiliation  All India Institute of Medical Sciences 
Address  Dept.of Cardiac Radiology
All India Institute of Medical Sciences, Ansari Nagar
New Delhi
DELHI
110029
India 
Phone  011-26594759  
Fax  011-26588641  
Email  meetisv@yahoo.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Dr Sanjiv Sharma 
Designation  Professor & Head 
Affiliation   
Address  Dept.of Cardiac Radiology
All India Institute of Medical Sciences, Ansari Nagar
New Delhi
DELHI
110029
India 
Phone  011-26594759  
Fax  011-26588641  
Email  meetisv@yahoo.com  
 
Source of Monetary or Material Support
Modification(s)  
Department of Biotechnology, New Delhi India. 
 
Primary Sponsor
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Name  Department of Biotechnology New Delhi 
Address  Government of India Ministry of Science & Technology block-2 7th floor CGO complex Lodhi Road, New Delhi 110003 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor
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Name  Address 
NIL  nil 
 
Countries of Recruitment
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  India  
Sites of Study
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No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Sanjiv Sharma  All India Institute of Medical Sciences  Dept. of Cardiac Radiology,All India Institute of Medical Sciences, Ansari Nagar-110029
New Delhi
DELHI 
01126594759
0112688641
meetisv@yahoo.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTE ETHICS COMMITTEE AIIMS  Approved 
 
Regulatory Clearance Status from DCGI
Modification(s)  
Status 
Not Applicable 
 
Health Condition / Problems Studied
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Health Type  Condition 
Patients  Limb Ischemia,  
 
Intervention / Comparator Agent
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Type  Name  Details 
Comparator Agent  Standard Treatment   
Intervention  stem cell Therapy  40- 50 million cells 
 
Inclusion Criteria
Modification(s)  
Age From  20.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  1)Clinical

a)Rest pain requiring analgesia for > 2 weeks, and/or non healing ischemic ulcers
b)Absent /weak peripheral pulses
c)No response to smoking cessation for at least 3 months prior to evaluation
d)Not suited for surgical/ endovascular revascularization
d)Unilateral or bilateral involvement
e) Claudication distance of <200 meters.

2) Hemodynamic

a) Doppler study showing an occluded superficial femoral, popliteal, or infra-popliteal artery, with no or poor distal flow as evidenced by a monophasic, low velocity, collateralized flow pattern.
b) Contrast-enhanced magnetic resonance and digital subtraction angiography demonstrating the site of occlusion, status of distal run-off and the extent of collateralization
c) Ankle systolic pressure < 50 mm Hg
d) A resting ankle brachial pressure index <0.5 in the affected limb on 2 consecutive examinations done at least 2 days apart (normal range, 0.9-1.1).
 
 
ExclusionCriteria 
Details  a)Poorly controlled diabetes mellitus
b)Evidence of a malignancy during the last 5 year
c)Renal dysfunction or other contraindication to injection of contrast media
d)Continued smoking
e)Limitation to exercise due to any reason other than claudication
 
 
Method of Generating Random Sequence
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Computer generated randomization 
Method of Concealment
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Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking
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Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome
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Outcome  TimePoints 
Changes in the composite of clinical status and improvement in TcO2 and improvement in ABI  1, 3 and 6 month 
 
Secondary Outcome
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Outcome  TimePoints 
Improvement in the grade of collaterals or Improvement in the visualization of distal run-off vessels  1, 3 and 6 month 
 
Target Sample Size
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Total Sample Size="80"
Sample Size from India="80" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial
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Phase 1/ Phase 2 
Date of First Enrollment (India)
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15/01/2010 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  15/01/2010 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial
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Years="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary
Modification(s)  
This is randomised controlled clinical trial to evaluate the feasibility, safety and therapeutic efficacy of angiogenesis induced by intra-arterial delivery of stem cells derived from autologous bone marrow in patients with critical limb ischemia. 
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