Evidence map›Paper›PMID 36528793›Full record

Trial reportMolecular therapy : the journal of the American Society of Gene Therapy2023

Direct intramyocardial injection of VEGF mRNA in patients undergoing coronary artery bypass grafting.

Vesa Anttila, Antti Saraste, Juhani Knuuti, Marja Hedman, Pekka Jaakkola, Karl-Ludwig Laugwitz, Markus Krane, Anders Jeppsson, Saara Sillanmäki, Jaya Rosenmeier and 9 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Molecular therapy : the journal of the American Society of Gene Therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03370887 (A Randomized, Double-blind, Placebo-controlled, Multi-centre, Sequential Design, Phase IIa Study to Evaluate Safety and Tolerability of Epicardial Injections of AZD8601 During Coronary Artery Bypass Grafting Surgery), which is not on this map. Cited by 64 papers.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed
15.5field-weighted citation impact, top 1% 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.

NCT03370887 phase2completednot on this map

A Randomized, Double-blind, Placebo-controlled, Multi-centre, Sequential Design, Phase IIa Study to Evaluate Safety and Tolerability of Epicardial Injections of AZD8601 During Coronary Artery Bypass Grafting Surgery

TypeinterventionalSponsorAstraZenecaRan2018 to 2021Enrolled11ConditionsHeart FailureArmsAZD8601, Placebo
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 78 citations in OpenAlex.

  1. Trial
  2. Review
  3. Towards mRNA therapeutics 2.0.Nature reviews. Drug discovery · 2026
    Review
  4. Article
  5. Review
  6. Article
  7. Review
  8. Biologics for cardiovascular diseases: from bench to bedside.Signal transduction and targeted therapy · 2026
    Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. mRNA medicine for cardiovascular disease.Nature cardiovascular research · 2026
    Review
  15. Past, Present and Future of Regenerative Gene Therapy for Ischemic Heart Failure.Journal of cardiovascular translational research · 2026
    Review
  16. Review
  17. Review
  18. Mechanisms and Therapeutic Potential of Human Cardiomyocyte Proliferation.Journal of cardiovascular development and disease · 2026
    Review
  19. Article
  20. Review

4 more citing papers are in PubMed but not listed here.

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

19 authors at 10 institutions in 6 countries.

Vesa AnttilaHeart Centre, Turku University Hospital and University of Turku, Turku, Finland.
Antti SarasteHeart Centre, Turku University Hospital and University of Turku, Turku, Finland; Turku PET Centre, Turku University Hospital and University of Turku, Turku, Finland.
Juhani KnuutiTurku PET Centre, Turku University Hospital and University of Turku, Turku, Finland.
Marja HedmanHeart Centre, Kuopio University Hospital, Kuopio, Finland; Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.
Pekka JaakkolaHeart Centre, Kuopio University Hospital, Kuopio, Finland.
Karl-Ludwig LaugwitzFirst Medical Department (Cardiology, Angiology and Pneumology), Klinikum rechts der Isar, Technical University of Munich, Munich, Germany.
Markus KraneGerman Centre for Cardiovascular Research (DZHK), Munich Heart Alliance, Munich, Germany; Department of Cardiovascular Surgery, German Heart Centre Munich, Technical University of Munich, Munich, Germany; Division of Cardiac Surgery, Yale School of Medicine, Yale University, New Haven, CT, USA.
Anders JeppssonDepartment of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Cardiothoracic Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden.
Saara SillanmäkiDepartment of Clinical Physiology and Nuclear Medicine, Kuopio University Hospital, Kuopio, Finland.
Jaya RosenmeierResearch and Early Clinical Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.
Pernilla ZingmarkResearch and Early Clinical Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.
Anna RudvikEarly Biometrics & Statistical Innovation, Data Science & Artificial Intelligence, R&D, AstraZeneca, Gothenburg, Sweden.
Pavlo GarkaviyResearch and Early Clinical Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.
Christina WatsonStudy Management Early, Cardiovascular, Renal, and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Cambridge, UK.
Menelas N PangalosBioPharmaceuticals Research and Development, AstraZeneca, Cambridge, UK.
Kenneth R ChienDepartment of Cell and Molecular Biology, Karolinska Institutet, Stockholm, Sweden.
Regina Fritsche-DanielsonResearch and Early Clinical Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden.
Anna CollénResearch and Early Clinical Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden. Electronic address: anna.collen@astrazeneca.com.
Li-Ming GanDepartment of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Research and Early Clinical Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, Gothenburg, Sweden; Department of Cardiology, Sahlgrenska University Hospital, Gothenburg, Sweden.
AstraZeneca (Sweden) · SEUniversity of Turku · FIAstraZeneca (United Kingdom) · GBKuopio University Hospital · FISahlgrenska University Hospital · SEAstraZeneca (Netherlands) · NLKarolinska Institutet · SETUM Klinikum · DEUniversity of Eastern Finland · FIYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vascular endothelial growth factor A (VEGF-A) has therapeutic cardiovascular effects, but delivery challenges have impeded clinical development. We report the first clinical study of naked mRNA encoding VEGF-A (AZD8601) injected into the human heart. EPICCURE (ClinicalTrials.gov: NCT03370887) was a randomized, double-blind study of AZD8601 in patients with left ventricular ejection fraction (LVEF) 30%-50% who were undergoing elective coronary artery bypass surgery. Thirty epicardial injections of AZD8601 (total 3 mg) or placebo in citrate-buffered saline were targeted to ischemic but viable myocardial regions mapped using quantitative [

Indexed as

Myocardial IschemiaVascular Endothelial Growth Factor ACoronary Artery BypassHeartHumansStroke VolumeTreatment OutcomeVentricular Function, LeftVascular Endothelial Growth Factor ACABGcardiacclinical trialEPICCURELVEFmRNAphase 2aregenerationsafetytherapeutic mRNAtolerabilityVEGF-A

Identifiers

PMID36528793
PMCPMC10014220
OpenAlexW4311860188

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.