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To demonstrate the clinical efficacy and safety of vascular endothelial growth factor(VEGF165)when delivered by direct myocardial injection through the NOGA navigational catheter to improve myocardial perfusion in patients with severe angina pectoris for whom conventional PCI or CABG are either not possible or not ideal.Secondary objective will be to determine the effects of VEGF gene therapy on angina symptoms, patient perceived quality of life and exercise capacity
A multicentre, double blind, placebo controlled trial to assess efficacy of VEGF and promote myocardial angiogenesis in patients with CCS III-IV angina symptoms,treated with maximal anti anginal medications who are not amenable to or not ideal candidates for conventional revascularization.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| intramyocardial delivery of either VEGF165 or placebo | Procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Myocardial perfusion-stress/ rest scores(SRS),changes in summed stress scores(SSS)from baseline to 12 weeks follow up between placebo and VEGF treated groups. This analysis will be repeated at 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| symptom evaluation (CCS class, Seattle Angina Questionnaire; patient perceived Quality of Life( SF 36 questionnaire); exercise performance; major adverse cardiac events |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Duncan J. Stewart, MD | Unity Health Toronto | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Alberta | Edmonton | Alberta | T6G 2B7 | Canada | ||
| Victoria Heart Institute Foundation |
| Type | Date | Date Unknown |
|---|---|---|
| Release | Sep 8, 2009 | |
| Reset | Oct 8, 2009 | |
| Release | Jul 30, 2015 | |
| Reset | Aug 28, 2015 | |
| Release | Oct 13, 2015 | |
| Reset | Nov 13, 2015 | |
| Release | Jan 12, 2016 | |
| Reset | Feb 10, 2016 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Sep 8, 2009 | Oct 8, 2009 | |||
| Jul 30, 2015 |
| ID | Term |
|---|---|
| D017202 | Myocardial Ischemia |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D014652 | Vascular Diseases |
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| Victoria |
| British Columbia |
| V8R 6R5 |
| Canada |
| Sunnybrook Health Sciences Centre | Toronto | Ontario | M4N 3M5 | Canada |
| St. Michael's Hospital | Toronto | Ontario | M4P 2K2 | Canada |
| Mount Sinai | Toronto | Ontario | M5G 1X5 | Canada |
| Montreal Heart Institute | Montreal | Quebec | H1T 1C8 | Canada |
| Institute de Cardiologie, Hopital Laval | Québec | Quebec | G1V4G5 | Canada |
| Aug 28, 2015 |
| Oct 13, 2015 | Nov 13, 2015 |
| Jan 12, 2016 | Feb 10, 2016 |