Related Experiment Video
Updated: Aug 26, 2025

Percutaneous Contrast Echocardiography-guided Intramyocardial Injection and Cell Delivery in a Large Preclinical Model
Published on: January 21, 2018
Cell administration routes for heart failure: a comparative re-evaluation of the REGENERATE-DCM and REGENERATE-IHD
Doo Sun Sim1,2, Daniel A Jones1,3, Ceri Davies1,3
1Centre for Cardiovascular Medicine & Devices, William Harvey Research Institute, Queen Mary University of London, London, UK.
Insights
Intracoronary cell delivery shows significant efficacy for heart failure patients, improving ejection fraction and quality of life. This simpler method offers a promising alternative to intramyocardial delivery in clinical trials.
Area of Science:
- Cardiology
- Regenerative Medicine
- Clinical Trials
Background:
- Intramyocardial cell delivery faces logistical challenges for heart failure treatment.
- Autologous cell therapy has shown potential in treating heart failure.
Purpose of the Study:
- To evaluate the efficacy of the intracoronary cell delivery route.
- To re-analyze data from REGENERATE-DCM and REGENERATE-IHD trials for heart failure.
Main Methods:
- Retrospective statistical analysis of combined data from 150 patients.
- Evaluation of endpoints including left ventricular ejection fraction (LVEF), NT-proBNP, NYHA class, and quality of life.
Main Results:
- Intracoronary delivery demonstrated significant improvements in LVEF (3.7%), NT-proBNP (-76 pg/ml), NYHA class (48% patients), and quality of life.
- Improvements in LVEF, NYHA class, and quality of life were statistically significant compared to the control group.
Conclusions:
- Intracoronary cell delivery presents a viable and effective strategy for heart failure.
- The logistical simplicity and demonstrated efficacy support its consideration in future clinical trials for heart failure.
Abstract:
Aims: Given the logistical issues surrounding intramyocardial cell delivery, we sought to address the efficacy of the simpler, more accessible intracoronary route by re-evaluating REGENERATE-DCM and REGENERATE-IHD (autologous cell therapy trials for heart failure; n = 150). Methods: A retrospective statistical analysis was performed on the trials' combined data. The following end points were evaluated: left ventricular ejection fraction (LVEF), N-terminal pro brain natriuretic peptide concentration (NT-proBNP), New York Heart Association class (NYHA) and quality of life. Results: This demonstrated a new efficacy signal for intracoronary delivery, with significant benefits to: LVEF (3.7%; p = 0.01), NT-proBNP (median -76 pg/ml; p = 0.04), NYHA class (48% patients; p = 0.01) and quality of life (12 ± 19; p = 0.006). The improvements in LVEF, NYHA and quality of life scores remained significant compared to the control group. Conclusion: The efficacy and logistical simplicity of intracoronary delivery should be taken into consideration for future trials.
More Related Videos
Related Concept Videos
Heart Failure V: Medical Management
Cardiomyopathy II: Dilated Cardiomyopathy
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
Heart Failure Drugs: Inotropic Agents
Cardiomyopathy V: Interprofessional Care
Heart Failure VI: Adjunct Therapies

