Evidence map›Paper›PMID 28781130›Full record

Trial reportEBioMedicine2017

Cardiac Function Improvement and Bone Marrow Response -: Outcome Analysis of the Randomized PERFECT Phase III Clinical Trial of Intramyocardial CD133

Gustav Steinhoff, Julia Nesteruk, Markus Wolfien, Günther Kundt, PERFECT Trial Investigators Group, Jochen Börgermann, Robert David, Jens Garbade, Jana Große, Axel Haverich and 13 more

Open access · goldAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in EBioMedicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 pooled it
5.2field-weighted citation impact, top 4% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 2 syntheses or guidelines pooled it, 79 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Utilization of Stem Cells in Medicine: A Narrative Review.International journal of molecular sciences · 2025
    Review
  6. Review
  7. Stem Cell Therapy in Ischemic Heart Failure.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2025
    Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Cell Therapy in the Treatment of Coronary Heart Disease.International journal of molecular sciences · 2023
    Review
  13. C-kitHeliyon · 2023
    Article
  14. Article
  15. Article
  16. Review
  17. New Approaches in Heart Research: Prevention Instead of Cardiomyoplasty?International journal of molecular sciences · 2023
    Review
  18. Review
  19. Review
  20. 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

23 authors at 9 institutions in 2 countries.

Gustav SteinhoffDepartment of Cardiac Surgery, Reference and Translation Center for Cardiac Stem Cell Therapy, University Medicine Rostock, Schillingallee 35, 18055 Rostock, Germany. Electronic address: gustav.steinhoff@med.uni-rostock.de.
Julia NesterukDepartment of Cardiac Surgery, Reference and Translation Center for Cardiac Stem Cell Therapy, University Medicine Rostock, Schillingallee 35, 18055 Rostock, Germany. Electronic address: iuliia.nesteruk@med.uni-rostock.de.
Markus WolfienUniversity Rostock, Institute of Computer Science, Department of Systems Biology and Bioinformatics, Ulmenstraße 69, 18057 Rostock, Germany. Electronic address: markus.wolfien@uni-rostock.de.
Günther KundtUniversity Medicine Rostock, Department of Medical Informatics and Biostatistics, Ernst-Heydemann-Straße 8, 18055 Rostock, Germany. Electronic address: guenther.kundt@med.uni-rostock.de.
PERFECT Trial Investigators Group
Jochen BörgermannHeart and Diabetes Center North Rhine Westfalia, University Hospital of the Ruhr, University Bochum, Georgstraße 11, 32545 Bad Oeynhausen, Germany. Electronic address: jboergermann@hdz-nrw.de.
Robert DavidDepartment of Cardiac Surgery, Reference and Translation Center for Cardiac Stem Cell Therapy, University Medicine Rostock, Schillingallee 35, 18055 Rostock, Germany. Electronic address: robert.david@med.uni-rostock.de.
Jens GarbadeDepartment of Cardiac Surgery, Heart Center University Medicine Leipzig, Strümpellstraße 39, 04289 Leipzig, Germany. Electronic address: jens.garbade@helios-kliniken.de.
Jana GroßeDepartment of Cardiac Surgery, Reference and Translation Center for Cardiac Stem Cell Therapy, University Medicine Rostock, Schillingallee 35, 18055 Rostock, Germany. Electronic address: jana.grosse@med.uni-rostock.de.
Axel HaverichMedical School Hannover, Department of Heart-, Thoracic-, and Vascular Surgery, Carl-Neuberg- Straße 1, 30625 Hannover, Germany. Electronic address: haverich.axel@mh-hannover.de.
Holger HennigUniversity Rostock, Institute of Computer Science, Department of Systems Biology and Bioinformatics, Ulmenstraße 69, 18057 Rostock, Germany; Broad Institute of Harvard and MIT, Imaging Platform, 415 Main St, Cambridge, MA 02142, USA. Electronic address: holger.hennig@uni-rostock.de.
Alexander KaminskiDepartment of Cardiac Surgery, Reference and Translation Center for Cardiac Stem Cell Therapy, University Medicine Rostock, Schillingallee 35, 18055 Rostock, Germany. Electronic address: alexander.kaminski@med.uni-rostock.de.
Joachim LotzUniversity Medicine Goettingen, Department of Diagnostic Radiology, Robert-Koch-Straße 40, 37075 Göttingen, Germany. Electronic address: joachim.lotz@med.uni-goettingen.de.
Friedrich-Wilhelm MohrDepartment of Cardiac Surgery, Heart Center University Medicine Leipzig, Strümpellstraße 39, 04289 Leipzig, Germany. Electronic address: chir@herzzentrum-leipzig.de.
Paula MüllerDepartment of Cardiac Surgery, Reference and Translation Center for Cardiac Stem Cell Therapy, University Medicine Rostock, Schillingallee 35, 18055 Rostock, Germany. Electronic address: paula.mueller@med.uni-rostock.de.
Robert OostendorpDepartment of Medicine III, Technical University Munich, Klinikum rechts der Isar, Ismaninger Straße 22, 81675 München, Germany. Electronic address: robert.oostendorp@tum.de.
Ulrike RuchDepartment of Cardiac Surgery, Reference and Translation Center for Cardiac Stem Cell Therapy, University Medicine Rostock, Schillingallee 35, 18055 Rostock, Germany. Electronic address: ulrike.ruch@med.uni-rostock.de.
Samir SarikouchMedical School Hannover, Department of Heart-, Thoracic-, and Vascular Surgery, Carl-Neuberg- Straße 1, 30625 Hannover, Germany.
Anna SkorskaDepartment of Cardiac Surgery, Reference and Translation Center for Cardiac Stem Cell Therapy, University Medicine Rostock, Schillingallee 35, 18055 Rostock, Germany. Electronic address: anna.skorska@med.uni-rostock.de.
Christof StammGerman Heart Center Berlin, Department of Heart-, Thoracic-, and Vascular Surgery, Augustenburger Platz 1, 13353 Berlin, Germany. Electronic address: stamm@DHZB.de.
Gudrun TiedemannDepartment of Cardiac Surgery, Reference and Translation Center for Cardiac Stem Cell Therapy, University Medicine Rostock, Schillingallee 35, 18055 Rostock, Germany. Electronic address: gudrun.tiedemann@web.de.
Florian Mathias WagnerDepartment of Cardiac and Vascular Surgery, University Heart Center Hamburg, Martinistraße 52, 20246 Hamburg, Germany. Electronic address: fl.wagner@uke.de.
Olaf WolkenhauerUniversity Rostock, Institute of Computer Science, Department of Systems Biology and Bioinformatics, Ulmenstraße 69, 18057 Rostock, Germany. Electronic address: olaf.wolkenhauer@uni-rostock.de.
University of Rostock · DELeipzig Heart Institute · DEMedizinische Hochschule Hannover · DEBroad Institute · USDeutsches Herzzentrum der Charité · DEHeart and Diabetes Center North Rhine-Westphalia · DETUM Klinikum · DEUniversität Hamburg · DEUniversity of Göttingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe phase III clinical trial PERFECT was designed to assess clinical safety and efficacy of intramyocardial CD133

designMulticentre, double-blinded, randomised placebo controlled trial.

settingThe study was conducted across six centres in Germany October 2009 through March 2016 and stopped due slow recruitment after positive interim analysis in March 2015.

participantsPost-infarction patients with chronic ischemia and reduced LVEF (25-50%).

interventionsEighty-two patients were randomised to two groups receiving intramyocardial application of 5ml placebo or a suspension of 0.5-5×10 OUTCOME: Primary endpoint was delta (∆) LVEF at 180days (d) compared to baseline measured in MRI. FINDINGS (PRESPECIFIED): Safety (n=77): 180d survival was 100%, MACE n=2, SAE n=49, without difference between placebo and CD133 FINDINGS (POST HOC): Responders (R) classified by ∆LVEF≥5% after 180d were 60% of the patients (35/58) in both treatment groups. ∆LVEF in ANCOVA was +17.1% in (R) vs. non-responders (NR) (∆LVEF 0%, n=23). NR were characterized by a preoperative response signature in peripheral blood with reduced CD133

interpretationThe PERFECT trial analysis demonstrates that the regulation of induced cardiac repair is linked to the circulating pool of CD133+ EPC and thrombocytes, associated with SH2B3 gene expression. Based on these findings, responders to cardiac functional improvement may be identified by a peripheral blood biomarker signature.

trial registrationClinicalTrials.govNCT00950274.

Indexed as

Bone Marrow TransplantationAC133 AntigenAdultAgedBone Marrow CellsDouble-Blind MethodFemaleHumansMachine LearningMaleMiddle AgedMyocardial InfarctionSurvival AnalysisTreatment OutcomeVentricular Function, LeftAC133 AntigenPROM1 protein, humanAngiogenesisCardiac repairCardiac stem cell therapyCD133(+)CD34(+)Endothelial progenitor cell (EPC)Lnk adaptorRandomised double-blinded phase III multicentre trialSH2B3

Identifiers

PMID28781130
PMCPMC5552265
OpenAlexW2740640590

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Registered trials

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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.