Alliance for Regenerative Medicine - Disease Spotlight



Disease Facts:
                              Cardiovascular Disease (CVD)
Description:                  + Multiple Approaches for Strengthening Weakened Hearts
+ CVD is an umbrella term
                              Cardiovascular disease (CVD), which        created additional functioning heart      of efficacy of this form of treatment.
that encompasses a wide       affects a person’s heart and               muscle.
range of medical issues,      circulatory system, are highly                                                       Aldagen, a North Carolina-based
including hypertension,       prevalent among the general                Several Alliance members are              company, has completed a Phase I
stroke, heart attack, and     population and represents the              conducting clinical trials in CVD.        trial in heart failure patients for
                              leading causes of death and disability     Specifically, ARM members are             which the company’s cell therapy
coronary heart disease        in the U.S., leaving a substantial         working on new therapies to address       was shown to improve the move-
                              impact on our national health care         heart attack, ischemic heart failure,     ment of blood in the heart and
Patients:                     infrastructure. The most recent            congestive heart failure, dilated         improve patients’ clinical
                              studies completed by the American          cardiomyopathy and stroke (see the        status. Aldagen is developing its
+ Affects 36% of              Heart Association (AHA) estimate           ‘Stroke’ disease spotlight for more       therapies from patient’s own bone
Americans in some form        that 36% of Americans currently            information):                             marrow using propriety technology
+ Incidence projected to      suffer from some form of CVD. This                                                   to isolate cells that are able to
                              includes the 12% of Americans who          Aastrom Biosciences, located in
increase to 40% by 2030                                                                                            improve blood flow to ischemic
                              experienced heart attack, congestive       Michigan, is in a Phase II trial for an
                                                                                                                   tissues. Aldagen is planning to
                              heart failure, or stroke in 2010. While    autologous (self-donated) stem cell
Current Costs:                                                                                                     commence Phase II trials for
                              symptoms of these CVDs vary widely,        therapy using cardiac repair cells
                                                                                                                   ischemic heart failure — as well as
+ $272 billion in direct      survivors of the most acute                (CRCs) to treat cardiomyopathy. This
                                                                                                                   critical limb ischemia and stroke — in
costs                         conditions often undergo life-             condition causes the heart muscle to
                                                                                                                   2011.
                              changing treatments ranging from           deteriorate, leaving patients
+ $171 billion in lost                                                   vulnerable to arrhythmia or sudden        Athersys has developed MultiStem®,
                              daily medications to surgical
productivity                  interventions such as pace makers,         death. Between 200,000 and                an off-the-shelf stem cell therapy
                              angioplasty, or heart transplants.         400,000 Americans are affected by         using donated adult cells from bone
                              Patients with heart disease,               cardiomyopathy. The current               marrow and other non-embryonic
From the American Heart                                                  standard of treatment is limited to       sources for targeted treatments of
                              especially those who have survived
Association:                  acute events, often suffer from long-      heart transplant or the use of            multiple conditions, including heart
“Cardiovascular disease       term disabilities, loss of productivity,   mechanical pumps, whereas                 attack, inflammatory bowel disease,
                              and diminished quality of life.            Aastrom’s approach of infusing            and ischemic stroke. The Ohio-based
(CVD) is the leading cause                                               patients with CRC's is predicted to       company recently completed a Phase
of death in the United        CVD is generally progressive and           help the body activate its own            I trial for heart attack, which showed
States and is responsible     often necessitates more significant        healing mechanisms.                       that MultiStem® is safe and
                              medical interventions over time,                                                     appeared to improve heart function
for 17% of national health    highlighting the need for innovative       Advanced Cell Technology, with
                                                                                                                   through several mechanisms. The
expenditures. As the          and effective treatments that can          offices in Massachusetts and
                                                                                                                   company is planning to initiate Phase
                              repair damaged cardiac muscle and          California, is approved by the FDA to
population ages, these                                                   begin a Phase II study for congestive
                                                                                                                   2 studies in heart attack and stroke in
                              revascularize obstructed veins and                                                   2011.”
costs are expected to         arteries. Regenerative medicine            heart failure (CHF). ACT’s product
increase substantially.”      technologies could fill this need by       candidate uses the patient’s own          Cytori, located in California, markets
           - January 2011     using living cells as therapies to help    myoblasts (adult muscle stem cells        the Celution® System for extracting
                              stimulate the growth of functional         that can form muscle fibers) to repair    and concentrating adipose (fat)-
                              heart muscle. The most recent              damaged heart muscle and promote          derived stem and regenerative cells
                              scientific evidence for this approach      new blood vessels in the damaged          (ADRCs) used in research and which
                              came from the University of Miami,         area. CHF is an end-stage CVD that        may ultimately be used in various
                              where a small human trial for heart        leaves patients with few options          forms of therapy. Cytori is also
                              attack showed that patients infused        other than heart transplant. By using     sponsoring two clinical trials using
     The Alliance for         with stem cells extracted from their       a catheter delivery technique, ACT’s      patient’s own ADRCs to treat acute
 Regenerative Medicine        own bone marrow replaced scar              approach potentially offers a safer       heart attack and chronic myocardial
                              tissue and reduced enlarged hearts         (compared to the risks of transplant)     ischemia, with the aim of reducing
  (ARM) was formed to         by up to 25%. The stem cells fostered      and more cost-effective treatment         post-incident disability and mortality
  advance regenerative        the restoration of damaged tissue          option for these patients. The Phase      rates through restoration of heart
medicine by representing      and prompted the patient's heart to        I and Ib studies produced encourag-       function.
                              produce its own stem cells, which          ing, though preliminary, indications
   and supporting the
      community of
  companies, academic         + Regenerative Medicine—In Brief
  research institutions,
                              What is regenerative medicine?             tissue and renew biologic                 products addressing many more
patient advocacy groups,
                              Regenerative medicine (RM) is a            function in the body is what              conditions advancing in clinical
 foundations, and other       rapidly evolving interdisciplinary         distinguishes RM from other               trials. RM holds the promise of
organizations before the      field in health care that trans-           types of treatments and brings            treating a broad range of dis-
    Congress, federal         lates fundamental knowledge in             new hope for dramatically                 eases that collectively represent
agencies and the general      biology, chemistry and physics             improving clinical outcomes and           a substantial burden to our
         public.              into materials, devices, systems           curing disease.                           healthcare system, including
                              and therapeutic strategies,                What diseases can RM treat?               acute and chronic conditions
  For more information,       including cell-based therapies,                                                      such as diabetes, congestive
                                                                         RM products are currently on
 please visit us online at:   which augment, repair, replace             the market for the treatment of           heart failure, Parkinson’s
   www.alliancerm.org         or regenerate organs and                   wounds, cartilage defects, and            disease, stroke, renal disease,
                              tissues. The ability to repair             diabetic foot ulcers, with                spinal cord injury, and ALS.

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ARM Heart Disease

  • 1. Alliance for Regenerative Medicine - Disease Spotlight Disease Facts: Cardiovascular Disease (CVD) Description: + Multiple Approaches for Strengthening Weakened Hearts + CVD is an umbrella term Cardiovascular disease (CVD), which created additional functioning heart of efficacy of this form of treatment. that encompasses a wide affects a person’s heart and muscle. range of medical issues, circulatory system, are highly Aldagen, a North Carolina-based including hypertension, prevalent among the general Several Alliance members are company, has completed a Phase I stroke, heart attack, and population and represents the conducting clinical trials in CVD. trial in heart failure patients for leading causes of death and disability Specifically, ARM members are which the company’s cell therapy coronary heart disease in the U.S., leaving a substantial working on new therapies to address was shown to improve the move- impact on our national health care heart attack, ischemic heart failure, ment of blood in the heart and Patients: infrastructure. The most recent congestive heart failure, dilated improve patients’ clinical studies completed by the American cardiomyopathy and stroke (see the status. Aldagen is developing its + Affects 36% of Heart Association (AHA) estimate ‘Stroke’ disease spotlight for more therapies from patient’s own bone Americans in some form that 36% of Americans currently information): marrow using propriety technology + Incidence projected to suffer from some form of CVD. This to isolate cells that are able to includes the 12% of Americans who Aastrom Biosciences, located in increase to 40% by 2030 improve blood flow to ischemic experienced heart attack, congestive Michigan, is in a Phase II trial for an tissues. Aldagen is planning to heart failure, or stroke in 2010. While autologous (self-donated) stem cell Current Costs: commence Phase II trials for symptoms of these CVDs vary widely, therapy using cardiac repair cells ischemic heart failure — as well as + $272 billion in direct survivors of the most acute (CRCs) to treat cardiomyopathy. This critical limb ischemia and stroke — in costs conditions often undergo life- condition causes the heart muscle to 2011. changing treatments ranging from deteriorate, leaving patients + $171 billion in lost vulnerable to arrhythmia or sudden Athersys has developed MultiStem®, daily medications to surgical productivity interventions such as pace makers, death. Between 200,000 and an off-the-shelf stem cell therapy angioplasty, or heart transplants. 400,000 Americans are affected by using donated adult cells from bone Patients with heart disease, cardiomyopathy. The current marrow and other non-embryonic From the American Heart standard of treatment is limited to sources for targeted treatments of especially those who have survived Association: acute events, often suffer from long- heart transplant or the use of multiple conditions, including heart “Cardiovascular disease term disabilities, loss of productivity, mechanical pumps, whereas attack, inflammatory bowel disease, and diminished quality of life. Aastrom’s approach of infusing and ischemic stroke. The Ohio-based (CVD) is the leading cause patients with CRC's is predicted to company recently completed a Phase of death in the United CVD is generally progressive and help the body activate its own I trial for heart attack, which showed States and is responsible often necessitates more significant healing mechanisms. that MultiStem® is safe and medical interventions over time, appeared to improve heart function for 17% of national health highlighting the need for innovative Advanced Cell Technology, with through several mechanisms. The expenditures. As the and effective treatments that can offices in Massachusetts and company is planning to initiate Phase repair damaged cardiac muscle and California, is approved by the FDA to population ages, these begin a Phase II study for congestive 2 studies in heart attack and stroke in revascularize obstructed veins and 2011.” costs are expected to arteries. Regenerative medicine heart failure (CHF). ACT’s product increase substantially.” technologies could fill this need by candidate uses the patient’s own Cytori, located in California, markets - January 2011 using living cells as therapies to help myoblasts (adult muscle stem cells the Celution® System for extracting stimulate the growth of functional that can form muscle fibers) to repair and concentrating adipose (fat)- heart muscle. The most recent damaged heart muscle and promote derived stem and regenerative cells scientific evidence for this approach new blood vessels in the damaged (ADRCs) used in research and which came from the University of Miami, area. CHF is an end-stage CVD that may ultimately be used in various where a small human trial for heart leaves patients with few options forms of therapy. Cytori is also attack showed that patients infused other than heart transplant. By using sponsoring two clinical trials using The Alliance for with stem cells extracted from their a catheter delivery technique, ACT’s patient’s own ADRCs to treat acute Regenerative Medicine own bone marrow replaced scar approach potentially offers a safer heart attack and chronic myocardial tissue and reduced enlarged hearts (compared to the risks of transplant) ischemia, with the aim of reducing (ARM) was formed to by up to 25%. The stem cells fostered and more cost-effective treatment post-incident disability and mortality advance regenerative the restoration of damaged tissue option for these patients. The Phase rates through restoration of heart medicine by representing and prompted the patient's heart to I and Ib studies produced encourag- function. produce its own stem cells, which ing, though preliminary, indications and supporting the community of companies, academic + Regenerative Medicine—In Brief research institutions, What is regenerative medicine? tissue and renew biologic products addressing many more patient advocacy groups, Regenerative medicine (RM) is a function in the body is what conditions advancing in clinical foundations, and other rapidly evolving interdisciplinary distinguishes RM from other trials. RM holds the promise of organizations before the field in health care that trans- types of treatments and brings treating a broad range of dis- Congress, federal lates fundamental knowledge in new hope for dramatically eases that collectively represent agencies and the general biology, chemistry and physics improving clinical outcomes and a substantial burden to our public. into materials, devices, systems curing disease. healthcare system, including and therapeutic strategies, What diseases can RM treat? acute and chronic conditions For more information, including cell-based therapies, such as diabetes, congestive RM products are currently on please visit us online at: which augment, repair, replace the market for the treatment of heart failure, Parkinson’s www.alliancerm.org or regenerate organs and wounds, cartilage defects, and disease, stroke, renal disease, tissues. The ability to repair diabetic foot ulcers, with spinal cord injury, and ALS.