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Duchenne Muscular DystrophyPhase 2HOPENCT02485938

HOPE-Duchenne (Halt cardiomyOPathy progrEssion in Duchenne)

A Phase 2 study testing Allogeneic Cardiosphere-Derived Cells (CAP-1002) in people with Duchenne Muscular Dystrophy and Cardiomyopathy, run by Capricor Inc. at 3 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Male participants with cardiomyopathy secondary to Duchenne muscular dystrophy (DMD) meeting all inclusion and no exclusion criteria will be randomized. All participants will be at least 12 years of age. Read more about this study

Who is it for?
Ages 12 years and older, men only
Conditions the study is for
Duchenne Muscular Dystrophy, Cardiomyopathy
What is being tested?
Allogeneic Cardiosphere-Derived Cells (CAP-1002)
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
25 participants
Where
3 sitesUnited States
Study dates
7 Jan 2016to 14 Sep 2017
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 12 years and older
  • Men only
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Male participants 18 years of age or older must be able to provide informed consent and follow up with protocol procedures. Male participants at least 12 years of age but younger than 18 years of age must be able to provide assent with parent or guardian providing permission for study participation. Only male participants will be randomized into this study.
  • Documented diagnosis of Duchenne Muscular Dystrophy by genetic mutation analysis.
  • Cardiomyopathy with left ventricular scar by late gadolinium enhancement (LGE) in at least 4 segments as assessed by contrast-enhanced MRI and EF >35% at the time of screening.
  • Use of evidence based medical-therapy in accordance with the "DMD Care Considerations Working Group" guidelines for the management of DMD, for at least three months prior to signing the consent form (or, providing assent) or documented contraindication or intolerance or patient preference.
  • Participants must be taking systemic glucocorticoids for at least six months prior to screening.
  • Participants must be 12 years of age or older at time of screening
  • Participants must be appropriate candidates for cardiac catheterization and intracoronary infusion of CAP-1002, in the judgement of the site's interventional cardiologist.

Who cannot join

  • Therapy with intravenous inotropic or vasoactive medications at the time of screening.
  • Inability to undergo cardiac catheterization and/or MRI without general anesthesia.
  • Immunologic incompatibility with all available Master Cell Banks (MCBs) by single-antigen bead (SAB) serum antibody profiling.
  • Planned or likely major surgery in the next 12 months after planned randomization.
  • Left Ventricular Assist Devices (LVAD) or those subjects actively in the process of acquiring a LVAD.
  • Contraindication to cardiac MRI.
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  • Known hypersensitivity to contrast agents.
  • Estimated glomerular filtration rate (GFR) <60 mL/min, as calculated by the CKD-EPI cystatin C equation (Inker, Schmid et al. 2012).
  • Active infection not responsive to treatment.
  • Active systemic allergic reaction(s), connective tissue disease or autoimmune disorder(s).
  • History of cardiac tumor or cardiac tumor demonstrated on screening MRI.
  • History of previous stem cell therapy.
  • History of use of medications listed in Appendix 3 within 3 months prior to signing the Inform Consent Form / Assent through completion of the study infusion.
  • Known moderate-to-severe aortic stenosis/insufficiency or severe mitral stenosis/regurgitation.
  • Current active alcohol or drug abuse.
  • Known history of Human Immunodeficiency Virus (HIV) infection.
  • Known history of chronic viral hepatitis.
  • Abnormal liver function (alanine aminotransferase (ALT)/aspartate aminotransferase (AST) >10 times the upper reference range) and/or abnormal hematology (hematocrit <25%, White Blood Cells <3000 μl, platelets <100,000 μl) studies without a reversible, identifiable cause.
  • Known hypersensitivity to bovine products.
  • Known hypersensitivity to dimethyl sulfoxide (DMSO).
  • Uncontrolled diabetes (HbA1c >9.0).
  • Inability to comply with protocol-related procedures, including required study visits.
  • Any condition or other reason that, in the opinion of the Investigator or Medical Monitor, would render the subject unsuitable for the study.
  • Currently receiving investigational treatment on another clinical study or expanded access protocol, including any of the following:
  • Received investigational intervention within 30 days prior to randomization
  • Treatment and/or an incomplete follow-up to treatment with any investigational cell based therapy within 6 months prior to randomization
  • Active participation in other research therapy for cardiovascular repair/regeneration

Trial locations and contacts

3 sites in 1 country.

United States3 sites
  • Cincinnati Children's Hospital Medical Center

    Cincinnati, Ohio, 45229

  • University of Florida

    Gainesville, Florida, 32611

  • Cedars-Sinai Medical Center

    Los Angeles, California, 90048

Other trials in United States

About this study

Official title: A Randomized, Open-label Study of the Safety and Efficacy of Multi- Vessel Intracoronary Delivery of Allogeneic Cardiosphere-Derived Cells in Patients With Cardiomyopathy Secondary to Duchenne Muscular Dystrophy

Male participants with cardiomyopathy secondary to Duchenne muscular dystrophy (DMD) meeting all inclusion and no exclusion criteria will be randomized. All participants will be at least 12 years of age. They will be randomized in a 1:1 manner to either intracoronary infusion of CAP-1002 in three coronary arteries supplying the three major cardiac territories of the left ventricle of the heart (anterior, lateral, inferior/posterior) or usual care. In the active treatment arm, all three major cardiac territories will be treated (infused) during a single procedure in an open-label fashion.

Read the detailed description

Approximately 24, and not more than 30, participants will be randomized into the study, in two sequential enrollment groups. Safety data from Group 1 will undergo a Data Safety Monitoring Board (DSMB) review prior to initiation of enrollment for Group 2.

The first 6-8 randomized participants will comprise Group 1, and will include a minimum of 3 participants completing intracoronary infusion with CAP-1002. The DSMB will conduct a review of interim safety data through 72 hours post-Day 0 for at least 3 infused participants and for at least 6 participants overall.

Enrollment of Group 2 will begin per DSMB recommendations following their review of the 72 hour safety data from Group 1. Group 2 will include approximately 18 participants. Screening and randomization will continue until at total of 12 participants are infused with CAP 1002 or 30 participants are randomized into the study, whichever comes first.

All participants assigned to the active treatment arm will receive an intended total dose of up to 75 million (M) CAP-1002 cells infused as 25M cells into each of the three left ventricle cardiac territories (anterior, lateral, inferior/posterior).

Participants randomized to receive usual care will continue to be cared for and treated in whatever manner the investigator deems most appropriate for the participant on an ongoing basis, and will receive no infusion.

Randomization will take place within 30 days of the first screening procedure. After completion of the screening procedures, eligible participants randomized to active treatment arm will receive CAP-1002 administered via intracoronary infusion on Day 0. Day 0 for eligible participants randomized to the usual care arm will occur 7 days after the date of randomization. All randomized participants will have a follow-up telephone call on Study Day 3, and study visits at Weeks 2 and 6, and at Months 3, 6 and 12 post Day 0.

Being tested
Allogeneic Cardiosphere-Derived Cells (CAP-1002)
Keywords
Duchenne Muscular Dystrophy, Cardiomyopathy
Medical subject headings
Muscular Dystrophy, Duchenne, Cardiomyopathies

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Allogeneic Cardiosphere-Derived Cells (CAP-1002)Drug

    Also called CAP-1002

    Intracoronary delivery of Allogeneic Cardiosphere-Derived Cells (CAP-1002)

Study groups in NCT02485938
Study groupRoleWhat they receive
Allogeneic Cardiosphere-Derived Cells (CAP-1002)ExperimentalCAP-1002 is an investigational product consisting of allogeneic cardiosphere-derived cells (CDCs). All subjects assigned to the active treatment arm will receive an intended total dose of 75 million (M) CAP-1002 cells infused as 25M cells into each of the three left ventricle cardiac territories (anterior, lateral, inferior/posterior). If any of the three coronary arteries are deemed by the infusing Investigator to supply less than 30% of the left ventricular myocardium, the infusing Investigator may choose to infuse only 12.5M cells into that coronary artery or arteries. Therefore the full dose of CAP-1002 delivered may range from 50M cells to 75M cells provided that all three arteries are infused.
Receives: Drug: Allogeneic Cardiosphere-Derived Cells (CAP-1002)
Usual CareNo interventionSubjects randomized to receive usual care will continue to be cared for and treated in whatever manner the investigator deems most appropriate for the subject on an ongoing basis, and will receive no infusion.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants Experiencing Any of the Adjudicated Events

    Adjudicated Events reported included: New thrombolysis in myocardial infarction (TIMI) flow 0-2 or TIMI myocardial perfusion grade (TMPG) 0-2noted immediately following infusion and persisting greater than (>) 3 minutes, despite intracoronary vasodilator administration; sudden unexpected death within 72 hours of intracoronary infusion; and Major adverse cardiac event (MACE) within 72 hours of intracoronary infusion, including death, non-fatal myocardial infarction and hospitalization for cardiovascular event (including heart failure hospitalizations).

    Measured: Within 72 hours post-infusion

  2. Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

    An Adverse Event (AE) was any untoward medical occurrence in a participant administered a pharmaceutical product and which did not necessarily had to have causal relationship with treatment. TEAEs were defined as AEs that occurred or worsened in severity between the first dose of the investigational medicinal product (IMP) until the end of study. An SAE was any untoward medical occurrence that at any dose: resulted in death, was life-threatening, required inpatient hospitalisation or prolongation of existing hospitalisation, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, was a medically important event.

    Measured: Up to Month 12 post-infusion

  3. Change From Baseline in Clinical Laboratory Parameters (Chloride, Potassium and Sodium) at Month 6 and Month 12

    Clinical chemistry parameters assessed were chloride, potassium and sodium.

    Measured: Baseline, Month 6 and Month 12

  4. Change From Baseline in Clinical Laboratory Parameter - Albumin at Month 6 and Month 12

    Clinical chemistry parameter assessed was albumin.

    Measured: Baseline, Month 6 and Month 12

  5. Change From Baseline in Clinical Laboratory Parameter - Glucose at Month 6 and Month 12

    Clinical chemistry parameter assessed was glucose.

    Measured: Baseline, Month 6 and Month 12

  6. Change From Baseline in Hematological Parameters (Platelets, White Blood Cells, Basophils, Eosinophils, Lymphocytes, Monocytes and Neutrophils) at Month 6 and Month 12

    Hematological parameters assessed were: platelets, white blood cells, basophils, eosinophils, lymphocytes, monocytes and neutrophils.

    Measured: Baseline, Month 6 and Month 12

  7. Change From Baseline in Hematological Parameter - Hemoglobin at Month 6 and Month 12

    Hematological parameter assessed was hemoglobin.

    Measured: Baseline, Month 6 and Month 12

  8. Change From Baseline in Hematological Parameter - Red Blood Cells at Month 6 and Month 12

    Hematological parameter assessed was red blood cells.

    Measured: Baseline, Month 6 and Month 12

  9. Change From Baseline in Vital Signs - Blood Pressure at Month 6 and Month 12

    Vital signs assessed were systolic and diastolic blood pressure.

    Measured: Baseline, Month 6 and Month 12

  10. Change From Baseline in Vital Signs - Heart Rate at Month 6 and Month 12

    Vital signs assessed was heart rate.

    Measured: Baseline, Month 6 and Month 12

  11. Change From Baseline in Vital Signs - Respiratory Rate at Month 6 and Month 12

    Vital signs assessed was respiratory rate.

    Measured: Baseline, Month 6 and Month 12

  12. Change From Baseline in Vital Signs - Temperature at Month 6 and Month 12

    Vital signs assessed was temperature.

    Measured: Baseline, Month 6 and Month 12

  13. Number of Participants With Clinically Significant Change From Baseline in Cardiac Physical Examinations at Month 6 and Month 12

    Cardiac physical examination parameters assessed were: jugular vein distension, edema, heart sounds, murmur, breath sounds.

    Measured: Baseline, Month 6 and Month 12

  14. Change From Baseline in Electrocardiogram (ECG) Parameters (QRS Duration, PR, QT, QTc and QT Interval) at Month 6 and Month 12

    ECG parameters assessed were: PR Interval, QRS Duration, QT Interval, QTc interval and QT interval.

    Measured: Baseline, Month 6 and Month 12

  15. Change From Baseline in Electrocardiogram Parameter - Ventricular Rate at Month 6 and Month 12

    ECG parameter assessed was ventricular rate; which depends on the degree of atrioventricular conduction.

    Measured: Baseline, Month 6 and Month 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Jun 2015 (estimated)
  2. Study start7 Jan 2016
  3. Primary completion14 Sep 2017
  4. Study completion14 Sep 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
25 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02485938
Sponsor's protocol ID
CAP-1002-DMD-01
Acronym
HOPE
Status last verified
Jan 2025
First submitted
19 Jun 2015
Last updated
9 Jan 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Allogeneic Cardiosphere-Derived Cells (CAP-1002) in people with Duchenne Muscular Dystrophy and Cardiomyopathy, run by Capricor Inc. at 3 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 27 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 9 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 9 Jan 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants Experiencing Any of the Adjudicated Events (time frame: Within 72 hours post-infusion). The study lists 15 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Jan 2025.

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