Efficacy and safety of application «Neovasculgen» in the complex treatment patients with chronic lower limbischemia (IIb-III phase of clinical trials)



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详细

The article deals with the results of a 6 month
comparative follow-up of non-resectable patients with
lower limb atherosclerosis having clinical symptoms as
claudication (IIa-III stages according to the Fontaine-
Pokrovsky classification) who received Neovasculgen
as a part of conservative therapy. Neovasculgen, a gene
therapy drug, is a plasmid construction with a vascular
endothelial growth factor gene. 100 patients were enrolled
into the study: 75 patients comprised the clinical group,
while 25 ones being the controls. The patients underwent
treatment in three clinical centers. The drug was injected
intramuscular, maximally close to ischemia zones, twice in
doses of 1.2 mg with the interval of 14 days. The following
factors were controlled: pain free walking distance (PlWD),
ankle-brachial index (ABI), transcutaneous partial pressure
of oxygen (TcPO2), linear blood flow rate (LBFR) in the
involved segment, angiography; also the integral treatment
result on the scale «success/failure», quality of life SF-36
questionnaire were assessed. The study duration was 6
months. PlWD was determined to increase by 110% that
shows statistically significant difference versus the control
(P=0.000).

作者简介

P Shvalb

I.P. Pavlov Ryazan State Medical University, Ryazan

I.P. Pavlov Ryazan State Medical University, Ryazan

A Gavrilenko

B.V. Petrovsky Russian Scientific Center of Surgery, Moscow

B.V. Petrovsky Russian Scientific Center of Surgery, Moscow

R Kalinin

I.P. Pavlov Ryazan State Medical University, Ryazan

I.P. Pavlov Ryazan State Medical University, Ryazan

Yu Chervyakov

Yaroslavl State Medical Academy, Yaroslavl

Yaroslavl State Medical Academy, Yaroslavl

D Voronov

B.V. Petrovsky Russian Scientific Center of Surgery, Moscow

B.V. Petrovsky Russian Scientific Center of Surgery, Moscow

I Staroverov

Yaroslavl State Medical Academy, Yaroslavl

Yaroslavl State Medical Academy, Yaroslavl

S Gryaznov

I.P. Pavlov Ryazan State Medical University, Ryazan

I.P. Pavlov Ryazan State Medical University, Ryazan

N Mzavanadze

I.P. Pavlov Ryazan State Medical University, Ryazan

I.P. Pavlov Ryazan State Medical University, Ryazan

E Nersesyan

Yaroslavl State Medical Academy, Yaroslavl

Yaroslavl State Medical Academy, Yaroslavl

S Kiselev

Human Stem Cells Institute, Moscow

Human Stem Cells Institute, Moscow

A Isaev

Human Stem Cells Institute, Moscow

Human Stem Cells Institute, Moscow

R Deev

Human Stem Cells Institute, Moscow

Human Stem Cells Institute, Moscow

参考

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