Evidence map›Paper›PMID 23197862›Full record

Trial reportStem cells translational medicine2012

A phase II trial of autologous transplantation of bone marrow stem cells for critical limb ischemia: results of the Naples and Pietra Ligure Evaluation of Stem Cells study.

Alessandro Schiavetta, Ciro Maione, Chiara Botti, Gennaro Marino, Stefano Lillo, Alberto Garrone, Lorella Lanza, Stefano Pagliari, Andrea Silvestroni, Giuseppe Signoriello and 2 more

2 registry-linked trialsOpen access · goldAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Stem cells translational medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05854615 phase4recruitingnot on this mapstarted 2024, after this paper: background citation

An Observational, Practice-Based, Open Label, Feasibility Study to Observe the Efficacy and Safety of Intramuscular Administration of Stempeucel® in Malaysian Patients With Critical Limb Ischemia (CLI) Due to Buerger's Disease

TypeinterventionalSponsorCell Biopeutics Resources Sdn BhdRan2024 to 2027Enrolled3ConditionsCritical Limb Ischemia, Buerger's DiseaseArmsAdult human bone marrow derived, cultured, pooled, allogeneic mesenchymal stromal cells
NCT05854641 phase4recruitingnot on this mapstarted 2024, after this paper: background citation

An Observational, Practice-Based, Open Label, Feasibility Study to Observe the Efficacy and Safety of Intramuscular Administration of Stempeucel® in Malaysian Patients With Critical Limb Ischemia (CLI) Due to Peripheral Arterial Disease.

TypeinterventionalSponsorCell Biopeutics Resources Sdn BhdRan2024 to 2027Enrolled10ConditionsCritical Limb Ischemia, Peripheral Arterial DiseaseArmsStempeucel®
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
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  5. Article
  6. Article
  7. Observational
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  14. Article
  15. Adult Stem Cells and Diseases of Aging.Journal of clinical medicine · 2014
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Autologous bone marrow cell therapy for peripheral arterial disease.Stem cells and cloning : advances and applications · 2012
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

Alessandro SchiavettaDepartment of Vascular Surgery, Azienda Ospedaliera Santa Corona, Pietra Ligure, Italy. aleschiavetta@libero.it
Ciro Maione
Chiara Botti
Gennaro Marino
Stefano Lillo
Alberto Garrone
Lorella Lanza
Stefano Pagliari
Andrea Silvestroni
Giuseppe Signoriello
Vincenzo Sica
Gilda Cobellis
Ospedale Santa Corona · ITUniversity of Campania "Luigi Vanvitelli" · ITUniversity of Naples Federico II · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Critical limb ischemia (CLI) is a vascular disease affecting lower limbs, which is going to become a demanding challenge because of the aging of the population. Despite advances in endovascular therapies, CLI is associated with high morbidity and mortality. Patients without direct revascularization options have the worst outcomes. To date, 25%-40% of CLI patients are not candidates for surgical or endovascular approaches, ultimately facing the possibility of a major amputation. This study aimed to assess the safety and efficacy of autologous bone marrow (BM) transplantation performed in "no-option" patients, in terms of restoring blood perfusion by collateral flow and limb salvage. A multicenter, prospective, not-controlled phase II study for no-option CLI patients was performed. Patients were subjected to intra-arterial infusion of autologous bone marrow and followed for 12 months after the treatment. Variation of blood perfusion parameters, evaluated by laser Doppler flowmetry or transcutaneous oximetry, was set as the primary endpoint at 12 months after treatment and amputation-free survival as the secondary endpoint. Sixty patients were enrolled and treated with BM transplantation, showing improvement in objective and subjective measures of perfusion. Furthermore, survival analysis demonstrated improved amputation-free survival rates (75.2%) at 12 months after the treatment. This study provides further evidence that autologous bone marrow transplantation is well tolerated by CLI patients without adverse effects, demonstrating trends toward improvement in perfusion and reduced amputation rate, confirming the feasibility and safety of the procedure.

Indexed as

Bone Marrow TransplantationRecovery of FunctionStem Cell TransplantationAdultAgedAged, 80 and overBlood Flow VelocityDisease-Free SurvivalFemaleHumansIschemiaItalyLaser-Doppler FlowmetryLower ExtremityMaleMiddle Aged

Identifiers

PMID23197862
PMCPMC3659723
OpenAlexW2109799580

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.