RecruitingPhase 1

Autologous Induced Pluripotent Stem Cells of Cardiac Lineage for Congenital Heart Disease

Safety and Feasibility of Autologous Induced Pluripotent Stem Cells of Cardiac Lineage in Subjects With Congenital Heart Disease

Who can join

As published by the study on ClinicalTrials.gov. "Not stated" means the study hasn't said — ask the study team.

Age
18 Years to 40 Years
Sex
All sexes
Healthy volunteers
Not accepted
Compensation
Not stated

Other requirements are listed under Eligibility below. Only the study team can confirm whether you can join.

What to expect

No one can promise a trial will help you personally — that is what the research is trying to find out.

What participation involves

Not stated in the study description — ask the study team about visits and procedures.

Compensation
Not stated
  • Study-related exams and procedures are typically provided at no cost. This is how many trials work in general — confirm the details for this study with the study team.
  • Participants are monitored closely by the research team throughout the study.
  • Some participants may receive access to an investigational treatment, which is still being studied.
  • Your participation helps researchers learn whether this approach could help future patients.

About this study

In plain language

This study tests the safety of lab-grown heart cells made from a person's own stem cells. It is for adults ages 18 to 40 who were born with a heart that has only one working pumping chamber and now have severe heart failure. The study will compare treated and untreated people, check whether the trial can be carried out, and require lifelong follow-up.

The goal of this clinical trial is to test the safety of lab-grown heart cells made from stem cells in subjects with congenital heart disease. The main questions it aims to answer are: * Is this product safe to deliver to humans * Is the conduct of this trial feasible Participants will be asked to: * Agree to testing and monitoring before and after product administration * Receive investigational product * Agree to lifelong follow-up Researchers will compare subjects from the same pool to see if there is a difference between treated and untreated subjects.

Compensation is read from the study's own description and may be missing — always confirm with the study team.

Eligibility

Who can join

  • Be 18 to 40 years old and able to understand and agree to join the study.
  • Have been born with a heart that has only one working pumping chamber.
  • Have end-stage heart failure with symptoms at rest and a heart pumping level below 40%.
  • Be expected to live 1 to 1.5 years at the time a small skin sample is taken.
  • Be on a U.S. heart transplant list but likely to outlive neither the wait; have been denied a transplant at a U.S. center; or use or plan to use a heart support machine as long-term treatment.
  • Have received the fullest recommended heart failure treatment available to you for at least 3 months.
  • Have enough support from others to complete study tests, procedures, and long-term follow-up.
  • At the skin sample visit, the study doctor must expect you to meet these rules when the cells are ready, about 9 months later.

Who can't join

  • For the treatment group only: no suitable study cells made from your own cells, or you cannot safely take amiodarone, a heart rhythm drug, for up to 3 months.
  • Past heart rhythm problems with symptoms that needed an electric shock or stronger medicine; a QTc heart rhythm test result over 500 milliseconds; heart failure with a normal pumping level; or heart failure caused by another illness.
  • Stage 3 or worse long-term kidney disease; liver scarring called cirrhosis; disease in the heart's blood vessels; uncontrolled diabetes; any past cancer; or a previous heart transplant.
  • Positive tests for HIV, hepatitis B, hepatitis C, or syphilis; an infection needing ongoing treatment; or a body mass index (BMI), a weight-to-height measure, over 30.
  • Cannot safely have anesthesia, a heart monitor placed under the skin, or a LifeVest wearable device that can shock the heart.
  • Current alcohol or drug abuse that prevents a heart transplant; uncontrolled depression; or denial of a heart transplant for social reasons.
  • Cannot or will not give written consent or follow study rules; a history of not following treatment instructions; or no one can stay with you around the clock for the first 3 weeks after treatment.
  • Another medical problem or test finding that the doctor believes could make participation unsafe or affect study results; or participation in another heart treatment trial that could affect this study's results.

Simplified for readability. The official criteria below are what the study team uses.

Official eligibility criteria

Individuals may be considered eligible for enrollment for Part I of this study (Skin Punch Biopsy) if in the best judgment of the Principal Investigator they will meet eligibility criteria outlined below at the time it is determined acceptable investigational product is available for administration (approximately 9 months post skin punch biopsy). Inclusion and exclusion criteria apply to both the treatment and control arms of the study unless otherwise specified. Inclusion Criteria Individuals who meet all the following criteria are eligible for enrollment as study participants: * Age 18 to 40 years old * Subject must be able to understand and provide informed consent. * Univentricular congenital heart disease. * End-stage systolic heart failure, defined as Class IV according to New York Heart Association (NYHA) with abnormal visually estimated ejection fraction below 40%. * Prognosis of 1 to 1.5 years survival at time of skin biopsy. * The patient falls into one of the following categories: * Currently listed for heart transplantation at an accredited program in the US but has an expected waiting time for a suitable organ that is likely longer than anticipated life-expectancy. * Has been denied access to a heart transplantation at an accredited US institution. * Is currently on or planning to be on mechanical support as destination therapy. * All guideline directed therapy available to the subject has been maximized, for a minimum of 3 months prior to enrollment. * Adequate social support system that facilitates subject participation in all study required tests and procedures and supports the subject's ability to comply with long-term study requirements. Exclusion Criteria Individuals who meet any of the following criteria are not eligible for enrollment as study participants: * No available autologous iPSC-CL as defined by the manufacturer's release criteria. (This applies to Part II of the study and applies to the treatment arm only.) * History of symptomatic episodes of cardiac arrythmia requiring cardiac defibrillation or escalation of medications. * Heart failure with preserved ejection fraction. * Heart failure due to co-morbid conditions (e.g., amyloidosis, valvular heart disease, refractory anemia). * QTc greater than 500 ms. * Stage III or higher chronic kidney disease. * History of liver cirrhosis. * History of coronary artery disease. * Uncontrolled diabetes mellitus. * Any history of cancer. * Contraindication for use of amiodarone for up to 3 months (treatment arm only). * Contraindication for insertion of Insertable Cardiac Monitor. * Contraindication for placement of LifeVest cardioverter defibrillator. * Positive serology testing for HIV, Hepatitis B, Hepatitis C or Syphilis. * Obesity with BMI greater than 30. * Current alcohol or drug abuse precluding heart transplantation. * Active infection requiring ongoing treatment. * Contraindication to anesthesia. * Past or current medical problems or findings from physical examination or laboratory testing that are not listed above, which, in the opinion of the investigator, may pose additional risks from participation in the study, may interfere with the participant's ability to comply with study requirements or that may impact the quality of the data obtained from the study. * Inability or unwillingness of a participant to give written informed consent or comply with study protocol. * History of non-compliance. * Inability to be accompanied around the clock for any part of the first 3 weeks post product administration. * Uncontrolled depression. * Denied heart transplant due to social determinants. * Current participation in another cardiac interventional clinical trial that could confound the results of this study. * Previous heart transplant.

Study sites (1)

MN