Evidence map›Paper›PMID 39424303›Full record

ArticleOpen heart2024

Clinical development and proof of principle testing of new regenerative vascular endothelial growth factor-D therapy for refractory angina: rationale and design of the phase 2 ReGenHeart trial.

Aleksi J Leikas, Juha E K Hartikainen, Jens Kastrup, Anthony Mathur, Mariann Gyöngyösi, Francisco Fernández-Avilés, Ricardo Sanz-Ruiz, Wojtek Wojakowski, Adrian Gwizdała, Riho Luite and 14 more

Abstract readClinical Trial Protocol
In one paragraph

Article in Open heart, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Angiogenic Doping: Plausible Yet Difficult to Detect.Sports medicine (Auckland, N.Z.) · 2026
    Review
  2. Gene Therapy for Heart Failure.Journal of cardiovascular translational research · 2026
    Review
  3. 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

24 authors.

Aleksi J Leikas *Heart Center, Kuopio University Hospital, Kuopio, Finland aleksi.leikas@uef.fi.ORCID 0000-0001-9590-0105
Juha E K Hartikainen *Heart Center, Kuopio University Hospital, Kuopio, Finland.ORCID 0000-0003-0847-107X
Jens KastrupCardiology Stem Cell Centre, Copenhagen University Hospital, Copenhagen, Denmark.ORCID 0000-0002-3668-5393
Anthony MathurCentre for Cardiovascular Medicine and Devices, Queen Mary University of London, London, UK.ORCID 0000-0001-7941-9653
Mariann GyöngyösiDepartment of Internal Medicine II, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-7083-2107
Francisco Fernández-AvilésDepartment of Cardiology, General University Gregorio Marañón Hospital, Madrid, Spain.ORCID 0000-0001-5501-5275
Ricardo Sanz-RuizDepartment of Cardiology, General University Gregorio Marañón Hospital, Madrid, Spain.ORCID 0000-0002-3370-6064
Wojtek WojakowskiDepartment of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland.ORCID 0000-0002-3681-5207
Adrian GwizdałaFirst Department of Cardiology, Poznań University of Medical Sciences, Poznań, Poland.ORCID 0000-0002-7134-8026
Riho LuiteHeart Center, Kuopio University Hospital, Kuopio, Finland.
Marko NikkinenHeart Center, Kuopio University Hospital, Kuopio, Finland.
Abbas A QayyumCardiology Stem Cell Centre, Copenhagen University Hospital, Copenhagen, Denmark.
Mandana Haack-SørensenCardiology Stem Cell Centre, Copenhagen University Hospital, Copenhagen, Denmark.ORCID 0000-0001-9037-8012
Matthew KelhamBarts Heart Centre, St Bartholomew's Hospital, London, UK.ORCID 0000-0002-4118-5043
Daniel A JonesBarts Heart Centre, St Bartholomew's Hospital, London, UK.ORCID 0000-0003-1441-0417
Kevin HamzarajDepartment of Internal Medicine II, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-2505-8554
Andreas SpannbauerDepartment of Internal Medicine II, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-9819-0361
Maria E Fernández-SantosDepartment of Cardiology, General University Gregorio Marañón Hospital, Madrid, Spain.ORCID 0000-0001-9229-0022
Marek JędrzejekDepartment of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland.ORCID 0000-0001-9473-4491
Agnieszka SkoczyńskaDepartment of Cardiology and Structural Heart Diseases, Medical University of Silesia, Katowice, Poland.ORCID 0000-0002-2461-4678
Niklas VartiainenDepartment of Clinical Physiology and Nuclear Medicine, Kuopio University Hospital, Kuopio, Finland.ORCID 0000-0002-6721-1166
Juhani KnuutiTurku PET Centre, Turku University Hospital, Turku, Finland.ORCID 0000-0003-3156-9593
Antti SarasteHeart Center, Turku University Hospital, Turku, Finland.ORCID 0000-0003-2488-0893
Seppo Ylä-HerttualaHeart Center, Kuopio University Hospital, Kuopio, Finland.ORCID 0000-0001-7593-2708

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite tremendous therapeutic advancements, a significant proportion of coronary artery disease patients suffer from refractory angina pectoris, that is, quality-of-life-compromising angina that is non-manageable with established pharmacological and interventional treatment options. Adenoviral vascular endothelial growth factor-D

methodsReGenHeart is an investigator-initiated, multicentre, randomised, placebo-controlled and double-blinded phase 2 clinical trial that aims to study the safety and efficacy of intramyocardially administered angiogenic AdVEGF-D GT for refractory angina. Patients will be randomised in a 2:1 ratio and blocks of six to receive either AdVEGF-D or placebo. Primary endpoints are improvements in functional capacity assessed with the 6 min walking test and angina symptoms with Canadian Cardiovascular Society class after 6 month follow-up. Secondary endpoints are improvements in myocardial perfusion assessed with either positron emission tomography or single-photon emission CT after 6 month follow-up and functional capacity and angina symptoms after 12 months. In addition, changes in the quality of life, the use of angina medication and the incidence of major adverse cardiac and cerebrovascular events will be evaluated.

conclusionsThe phase 2 ReGenHeart trial will provide knowledge of the safety and efficacy of AdVEGF-D GT to ameliorate symptoms in refractory angina patients, extending and further testing positive results from the preceding phase 1/2a trial.

Indexed as

Angina PectorisGenetic TherapyVascular Endothelial Growth Factor DAdenoviridaeClinical Trials, Phase II as TopicDouble-Blind MethodFemaleGenetic VectorsHumansMaleMulticenter Studies as TopicMyocardial Perfusion ImagingProof of Concept StudyQuality of LifeRandomized Controlled Trials as TopicTomography, Emission-Computed, Single-PhotonVascular Endothelial Growth Factor DAngina PectorisAtherosclerosisGENE THERAPYPositron-Emission Tomography

Identifiers

PMID39424303
PMCPMC11487854

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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.