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Cord-Derived Stem Cell Infusion After Heart Attack Cuts Heart Failure Risk in Phase 3 Trial

Experts urge placebo-controlled multicenter replication citing single‑blinded methods, limited generalizability.

Overview

  • The BMJ published results from PREVENT-TAHA8 showing that intracoronary infusion of allogenic Wharton's jelly–derived mesenchymal stem cells given 3–7 days after a first myocardial infarction reduced later heart failure events over roughly three years.
  • In 396 participants at three hospitals in Iran, 136 received the stem cell infusion plus standard care and 260 received standard care alone, with an average follow-up of about 33 months.
  • Event rates favored the intervention: heart failure 2.77 vs 6.48 and heart‑failure readmission 0.92 vs 4.20 per 100 person‑years, approximating 57% and 78% relative reductions, respectively.
  • The therapy did not show a statistically significant effect on all‑cause or cardiovascular mortality or on readmissions for recurrent heart attack during the study period.
  • Heart function improved more by six months in the treated group, but the single‑blinded design, lack of mechanistic biomarkers, and a predominantly male, 18–65 cohort limit broad applicability.