Within the spinal column, there are several soft structures, including flexible cartilage and rubber-like discs. These help to support the spine, prevent injury, and cushion the vertebrae. Arthritis in the neck and lower back occurs when these structures begin to weaken and shrink. Pain or weakness can result from increased tension between vertebrae, causing bone spurs that can lead to compressed or “pinched” nerves in the spine. There are many different kinds of arthritis, the most common being osteoarthritis (usually occurs due to old age, strain from movement, or injury) and rheumatoid arthritis (occurs as a result of an autoimmune condition).
The most common treatment for arthritis of the neck and lower back includes some combination of lifestyle changes (diet and exercise), physical therapy, and pain medication (like over-the-counter pain relievers, NSAIDS, muscle relaxers, and mild narcotics). In some cases, the pain specialist may recommend steroid injections in the spine to block pain in the affected nerves. Although uncommon, surgery may become necessary to treat certain specific causes of neck and lower back arthritis pain.
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.