Australian Heart Experiment
Australian Heart Experiment
Two Australian men have received injections of stem cells harvested from their own bone marrow directly into their hearts in an attempt to improve their heart function. According to the website News.com.au, both men had severe chest pain and had already had bypass surgery. This was part of a limited Phase I safety trial of a total of 8 patients; both men were discharged with no side effects. They will be evaluated at one, three, and six months to see if there is any improvement in their heart function. The story is also reported on The Advertiser, the Melbourne Herald Sun, and the Daily Telegraph. It is part of a study being conducted by the biotech company Mesoblast.
The news stories characterize this as a world first; the difference is apparently that the cells were injected directly, rather than being inserted through a catheter. This should eliminate any problems in getting the stem cells to where they ought to be, but it will still be important to know if the stem cells survive and differentiate. 10 patients is too small to have a good clinical sample, but if there are no side-effects from the procedure and it appears to work in these 10 people (I hope some women are included, since women and men have significant differences in how heart disease and heart attacks manifest themselves), that would be a good sign for future extensive clinical trials. And there needs to be a good double-blind study to test placebo effect as well. Obviously you can’t do a placebo if you are trying to see if a procedure is safe, but that’s another important area for further down the road. (The placebo effect is caused in part by the body’s release of endorphins as a response to the belief medication has been administered, so it can be very real.)