Myofascial pain syndrome is a condition where repeated strain on a muscle or muscle group causes pain in the fascia, the connecting tissue that surrounds the muscles. When suffering from myofascial pain, patients develop sensitive “trigger” points on a muscle that can cause pain throughout the affected muscle group. Some patients experience a phenomenon called “referred pain” in which discomfort caused by these tender spots is felt in a separate part of the body from the source of the problem. Myofascial pain can be so severe that it disrupts sleep and usually worsens with time due to activity and stress.
This condition is most commonly treated with medications (pain management) and physical therapy (including massage, application of hot/cold, and stretching). Doctors may also treat associating symptoms of myofascial pain like insomnia and depression with antidepressants or sedatives. However, if pain persists, a pain specialist may recommend a trigger point injection treatment that involves injecting trigger points with steroids or anaesthesia.
First Patient Enrolled in Novel Stem Cell Trial for Heart Failure Treatment
Washington, D.C. – MedStar Heart & Vascular Institute has enrolled its first patient to a clinical trial to determine whether cardiac stem cells reduce inflammation enough to improve heart function in patients with heart failure severe enough to require a left ventricular assist device, or LVAD. STEMVAD is a randomized, double-blinded, placebo-controlled study that will assess the effects of multiple intravenous administration of CardioCell’s proprietary mesenchymal stem cells (MSCs). It is expected to enroll 30 patients.
The STEMVAD trial is the next step in MedStar Heart & Vascular Institute’s earlier research that discovered “one of the major problems in heart failure is persistent inflammation," said Stephen Epstein, MD, director of Translational and Vascular Biology Research at MedStar Heart & Vascular Institute. "And these mesenchymal stem cells control inflammation, leading to improved heart function.”
Approximately six and a half million adult Americans have heart failure, of whom 200,000 to 250,000 are estimated to have end-stage heart failure and need a heart transplant. However, with the very low supply of donor hearts, LVADs are increasingly used. An LVAD is a small pump that helps circulate the patient’s blood when their heart becomes too weak to pump effectively on its own. Although highly effective in alleviating symptoms and improving longevity, patients with LVAD support have a high incidence of serious complications.
“Innovative therapies to improve heart function and outcomes of patients with advanced heart failure are sorely needed,” added Selma Mohammed, MD, PhD, principal investigator of the STEMVAD trial and research director of the Advanced Heart Failure Research Program at MedStar Heart & Vascular Institute.
“If we are successful in showing intravenously delivered stem cells improve outcomes in patients, the results would likely extend to the general population of heart failure patients, and in the process, fundamentally transform current paradigms for treating heart failure,” concluded Ron Waksman, MD, director of Cardiovascular Research and Advanced Education at MedStar Heart & Vascular Institute.
For more information on whether patients may qualify for the trial, call Michelle Deville, research coordinator, at 202-877-2713 or email [email protected].
Conflict of Interest Statement: Dr. Stephen Epstein is an equity holder in CardioCell, serves on its Board, and consults for the company.
About MedStar Heart & Vascular Institute
MedStar Heart & Vascular Institute is a national leader in the research, diagnosis and treatment of cardiovascular disease. A network of 10 hospitals and 170 cardiovascular physicians throughout Maryland, Northern Virginia and the Greater Washington, D.C., region, MedStar Heart & Vascular Institute also offers a clinical and research alliance with Cleveland Clinic Heart & Vascular Institute, the nation’s No. 1 heart program. Together, they have forged a relationship of shared expertise to enhance quality, improve safety and increase access to advanced services. MedStar Heart & Vascular Institute was founded at MedStar Washington Hospital Center, home to the Nancy and Harold Zirkin Heart & Vascular Hospital. Opened in July 2016, the hospital ushered in a new era of coordinated, centralized specialty care for patients with even the most complex heart and vascular diagnoses.