Coronary Artery Bypass Grafting (CABG)Phase 1/2NCT07265349
A Phase I/II Clinical Trial of Intramyocardial Injection of HucMSCs for the Treatment of Chronic Heart Failure
A Phase 1/2 study testing Mesenchymal stem cells(HucMSCs) and CABG in people with Coronary Artery Bypass Grafting (CABG) and Chronic Heart Failure, run by Tasly Pharmaceutical Group Co., Ltd at 4 sites in China.
Trial summary
B2278 is a human umbilical cord mesenchymal stem cell (HucMSCs) injection derived from the umbilical cord. It has the advantages of stronger immune regulation, stronger expansion capacity, lower immunogenicity, and greater accessibility. Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Coronary Artery Bypass Grafting (CABG), Chronic Heart Failure, Chronic Ischemic Cardiomyopathy
- What is being tested?
- Mesenchymal stem cells(HucMSCs) and CABG
- Type of treatment
- Injection or infusion, Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 51 participants
- Where
- 4 sitesChina
- Study dates
- 26 Dec 2025to 1 Aug 2027
- Phase
- Phase 1/2
- Are there results?
- Not yet: the study is under way
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 18 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 1) Age from 18 to 80 years, both genders are eligible ;
- 2) Clinically judged to be suitable for CABG treatment due to chronic ischemic cardiomyopathy;
- 3) LVEF (left ventricular ejection fraction) is ≤ 40% as indicated by echocardiography (modified Simpson method) or cardiac magnetic resonance (CMR);
- 4) NYHA (New York Heart Association) cardiac function classification of grade II-IV;
- 5) Patients or their legal guardians agreed to participate in this trial and signed the informed consent form.
- Major exclusion Criteria:
Show all 12Show fewer
- 1) Severe left ventricular dysfunction, with LVEF ≤ 20% (based on the UCG or CMR examination results during the screening period);
- 2) Non-ischemic chronic left heart dysfunction, including but not limited to acute left heart dysfunction, dilated cardiomyopathy, severe right heart dysfunction (such as bilateral lower extremity edema accompanied by jugular vein distension, liver enlargement, etc.) or severe pulmonary hypertension (PASP > 70 mmHg);
- 3) Clinically determined that other surgical procedures need to be performed simultaneously during CABG surgery, including but not limited to congenital heart disease requiring concurrent surgical intervention, heart valve disease, ventricular aneurysm, ventricular septal perforation, papillary muscle dysfunction, aortic dissection, intracardiac mass, thrombus or neoplasm;
- 4) Acute ST-segment elevation myocardial infarction or stroke event within 1 month before enrollment;
- 5) Uncontrolled malignant arrhythmia;
- 6)have undergone or are awaiting heart transplantation or implantation of a left ventricular assist device (LVAD).
Who cannot join
None listed.
Trial locations and contacts
4 sites in 1 country. Contact the study team or a site near you to ask about taking part.
China4 sites, 4 recruiting
- Recruiting
Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine
Shanghai, Shanghai Municipality, 20000
Qiang Zhao, 86+13701695256, Zq11607@rjb.com.cn
Qiang Zhao
- Not yet recruiting
Changhai Hospital
Shanghai, Shanghai Municipality
Lin Han, 86+13601914266, sh_hanlin@163.com
Lin Han
- Not yet recruiting
Shanghai Chest Hospital
Shanghai, Shanghai Municipality
Dan Zhu, 86+13671573807, zhudanmd@163.com
Dan Zhu
- Recruiting
Shanghai General Hospital
Shanghai, Shanghai Municipality
Fanglin Lu, 86+13901649602, drlufanglin@yeah.net
Fanglin Lu
About this study
Official title: A Phase I/II Clinical Trial to Evaluate the Safety and Efficacy of Intramyocardial Injection of Human Umbilical Cord Mesenchymal Stem Cells (HucMSCs) Combined With Coronary Artery Bypass Grafting in the Treatment of Chronic Heart Failure Caused by Chronic Ischemic Cardiomyopathy
B2278 is a human umbilical cord mesenchymal stem cell (HucMSCs) injection derived from the umbilical cord. It has the advantages of stronger immune regulation, stronger expansion capacity, lower immunogenicity, and greater accessibility. The preliminary research results indicated that the B2278 injection promote the polarization of macrophages towards a reparative state through paracrine action, directly promote angiogenesis and inhibited inflammatory responses, thereby exerting effects on myocardial repair and treatment of heart failure, and it is also safe and well-tolerated.
This trial is a multi-center I/II phase clinical trial of the human umbilical cord mesenchymal stem cell injection solution, aiming to explore the dosage and regimen for the intramyocardial injection of B2278 in combination with coronary artery bypass grafting surgery for the treatment of chronic heart failure caused by chronic ischemic cardiomyopathy, and to evaluate the safety, tolerance and efficacy of allogeneic intramyocardial injection of the human umbilical cord mesenchymal stem cell injection solution in patients with chronic ischemic heart failure.
- Conditions
- Coronary Artery Bypass Grafting (CABG), Chronic Heart Failure, Chronic Ischemic Cardiomyopathy
- Being tested
- Mesenchymal stem cells(HucMSCs), CABG
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Mesenchymal stem cells(HucMSCs)Drug
B2278 is mesenchymal stem cells derived from human umbilical cord.
CABGProcedure or surgery
only CABG
| Study group | Role | What they receive |
|---|---|---|
| CABG combined with low-dose B2278 | Experimental | CABG combined with B2278 at a dose of 1.0×10^7 cells per patient, intramyocardial injection into the epicardium Receives: Drug: Mesenchymal stem cells(HucMSCs) |
| CABG combined with midium-dose B2278 | Experimental | CABG combined with B2278 at a dose of 5.0×10^7 cells per patient, intramyocardial injection into the epicardium Receives: Drug: Mesenchymal stem cells(HucMSCs) |
| CABG combined with high-dose B2278 | Experimental | CABG combined with B2278 at a dose of 2.0×10^8 cells per patient, intramyocardial injection into the epicardium Receives: Drug: Mesenchymal stem cells(HucMSCs) |
| Only CABG | Experimental | Only CABG surgery Receives: Procedure: CABG |
What is being measured
The primary outcome is the main question the study is designed to answer.
In phase I, primary outcome will be measured with safety events including DLT, AE, SAE, TEAE, and MACE. In phase II, primary outcome will be measured with the change in LVEF based on CMR detection after 6 months of administration.
Measured: 6 months
Secondary outcomes (9)
The changes in left ventricular ejection fraction (LVEF), left ventricular end-diastolic volume (LVEDV), and left ventricular end-systolic volume (LVESV) on CMR compared to the baseline.
Measured: 6 months
The changes from baseline of LVEF, left ventricular end-systolic diameter (LVESD), left ventricular end-diastolic diameter (LVEDD), LVEDV, LVESV on UCG
Measured: 28 days, 3 months and 6 months
The proportion of participants with improved LVEF (the proportion of participants whose LVEF increased by ≥10% compared to the baseline and whose LVEF was >40% based on CMR and/or UCG);
Measured: 3 months and 6 months
The distribution of the New York Heart Association (NYHA) cardiac function classification
Measured: 28 days, 3 months and 6 months
The proportion of participants with NYHA classification ≤ II level
Measured: 28 days, 3months and 6months
The changes in the 6-minute walk test (6MWT) results compared to the baseline
Measured: 28 days, 3 months and 6months
The changes in the Minnesota Heart Failure Quality of Life Questionnaire (MLHFQ) from the baseline
Measured: 28 days, 3months and 6months
The change in the result of amino-terminal pro-brain natriuretic peptide (NT-proBNP) compared to the baseline
Measured: 28 days, 3months and 6months
The proportion of participants whose heart failure worsened (requiring hospitalization or emergency treatment due to the aggravation of heart failure symptoms and signs)
Measured: 3 months and 6months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Dec 2025
- Study start26 Dec 2025
- Primary completion31 Dec 2026 (estimated)
- Study completion1 Aug 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Coronary Artery Bypass Grafting (CABG)Studies of the same condition, open and under way.
- More trials run by Tasly Pharmaceutical Group Co., LtdThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 1/2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 51 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Tasly Pharmaceutical Group Co., Ltd
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Ruijin Hospital
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07265349
- Sponsor's protocol ID
- TASLY-BM-B2278-HF-I/Ⅱ
- Status last verified
- Jan 2026
- First submitted
- 20 Nov 2025
- Last updated
- 9 Jan 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 9 Jan 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase I/II Clinical Trial to Evaluate the Safety and Efficacy of Intramyocardial Injection of Human Umbilical Cord Mesenchymal Stem Cells (HucMSCs) Combined With Coronary Artery Bypass Grafting in the Treatment of Chronic Heart Failure Caused by Chronic Ischemic Cardiomyopathy
- ClinicalTrials.gov ID
- NCT07265349
- Acronym / sponsor ID
- TASLY-BM-B2278-HF-I/Ⅱ
- Conditions
- Coronary Artery Bypass Grafting (CABG), Chronic Heart Failure, Chronic Ischemic Cardiomyopathy
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 51 participants (estimated)
- Lead sponsor
- Tasly Pharmaceutical Group Co., LtdIndustry (pharma, biotech, devices)
- Collaborators
- Ruijin Hospital
- Study start
- 26 Dec 2025 (actual)
- Primary completion
- 31 Dec 2026 (estimated)
- Study completion
- 1 Aug 2027 (estimated)
- First posted
- 4 Dec 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
B2278 is a human umbilical cord mesenchymal stem cell (HucMSCs) injection derived from the umbilical cord. It has the advantages of stronger immune regulation, stronger expansion capacity, lower immunogenicity, and greater accessibility. The preliminary research results indicated that the B2278 injection promote the polarization of macrophages towards a reparative state through paracrine action, directly promote angiogenesis and inhibited inflammatory responses, thereby exerting effects on myocardial repair and treatment of heart failure, and it is also safe and well-tolerated.
This trial is a multi-center I/II phase clinical trial of the human umbilical cord mesenchymal stem cell injection solution, aiming to explore the dosage and regimen for the intramyocardial injection of B2278 in combination with coronary artery bypass grafting surgery for the treatment of chronic heart failure caused by chronic ischemic cardiomyopathy, and to evaluate the safety, tolerance and efficacy of allogeneic intramyocardial injection of the human umbilical cord mesenchymal stem cell injection solution in patients with chronic ischemic heart failure.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| CABG combined with low-dose B2278 | Experimental | Drug: Mesenchymal stem cells(HucMSCs)CABG combined with B2278 at a dose of 1.0×10^7 cells per patient, intramyocardial injection into the epicardium |
| CABG combined with midium-dose B2278 | Experimental | Drug: Mesenchymal stem cells(HucMSCs)CABG combined with B2278 at a dose of 5.0×10^7 cells per patient, intramyocardial injection into the epicardium |
| CABG combined with high-dose B2278 | Experimental | Drug: Mesenchymal stem cells(HucMSCs)CABG combined with B2278 at a dose of 2.0×10^8 cells per patient, intramyocardial injection into the epicardium |
| Only CABG | Experimental | Procedure: CABGOnly CABG surgery |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- 1) Age from 18 to 80 years, both genders are eligible ;
- 2) Clinically judged to be suitable for CABG treatment due to chronic ischemic cardiomyopathy;
- 3) LVEF (left ventricular ejection fraction) is ≤ 40% as indicated by echocardiography (modified Simpson method) or cardiac magnetic resonance (CMR);
- 4) NYHA (New York Heart Association) cardiac function classification of grade II-IV;
- 5) Patients or their legal guardians agreed to participate in this trial and signed the informed consent form.
Key exclusion criteria (0 listed)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Mesenchymal stem cells(HucMSCs)B2278 is mesenchymal stem cells derived from human umbilical cord. | Drug | CABG combined with high-dose B2278, CABG combined with low-dose B2278, CABG combined with midium-dose B2278 |
| CABGonly CABG | Procedure or surgery | Only CABG |
Primary outcome
In phase I, primary outcome will be measured with safety events including DLT, AE, SAE, TEAE, and MACE. In phase II, primary outcome will be measured with the change in LVEF based on CMR detection after 6 months of administration.
Time frame: 6 months
9 secondary outcomes
The changes in left ventricular ejection fraction (LVEF), left ventricular end-diastolic volume (LVEDV), and left ventricular end-systolic volume (LVESV) on CMR compared to the baseline.
Time frame: 6 months
The changes from baseline of LVEF, left ventricular end-systolic diameter (LVESD), left ventricular end-diastolic diameter (LVEDD), LVEDV, LVESV on UCG
Time frame: 28 days, 3 months and 6 months
The proportion of participants with improved LVEF (the proportion of participants whose LVEF increased by ≥10% compared to the baseline and whose LVEF was >40% based on CMR and/or UCG);
Time frame: 3 months and 6 months
The distribution of the New York Heart Association (NYHA) cardiac function classification
Time frame: 28 days, 3 months and 6 months
The proportion of participants with NYHA classification ≤ II level
Time frame: 28 days, 3months and 6months
The changes in the 6-minute walk test (6MWT) results compared to the baseline
Time frame: 28 days, 3 months and 6months
The changes in the Minnesota Heart Failure Quality of Life Questionnaire (MLHFQ) from the baseline
Time frame: 28 days, 3months and 6months
The change in the result of amino-terminal pro-brain natriuretic peptide (NT-proBNP) compared to the baseline
Time frame: 28 days, 3months and 6months
The proportion of participants whose heart failure worsened (requiring hospitalization or emergency treatment due to the aggravation of heart failure symptoms and signs)
Time frame: 3 months and 6months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Jan 2026.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
4 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing Mesenchymal stem cells(HucMSCs) and CABG in people with Coronary Artery Bypass Grafting (CABG) and Chronic Heart Failure, run by Tasly Pharmaceutical Group Co., Ltd at 4 sites in China.
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 12 inclusion and 0 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: looking for participants now, as of the sponsor's last update on 9 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 4 sites in China. 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 combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Qiang Zhao (86+13701695256, Zq11607@rjb.com.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
In phase I, primary outcome will be measured with safety events including DLT, AE, SAE, TEAE, and MACE. In phase II, primary outcome will be measured with the change in LVEF based on CMR detection after 6 months of administration. (time frame: 6 months). 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 2026.