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Early Stem Cell Infusion After First Heart Attack Cuts Heart Failure Risk in Phase 3 Trial

The BMJ trial in Iran tested early intracoronary infusions of umbilical cord–derived mesenchymal cells as an add‑on to standard post‑MI care.

Overview

  • Among 396 patients with a first myocardial infarction, those given allogeneic Wharton's jelly–derived mesenchymal stem cells within 3–7 days had a substantially lower incidence of heart failure over about 33 months than those on standard care alone.
  • The intervention group showed a roughly 57% reduction in heart failure risk and a 78% lower rate of heart‑failure hospital readmissions compared with controls.
  • Cardiac function improved more from baseline at six months in the treated group, indicating a short‑term functional benefit beyond standard therapies.
  • No significant differences were seen for recurrent heart‑attack readmissions, cardiovascular deaths, or all‑cause mortality during follow‑up.
  • Researchers note the study was single‑blinded without a sham procedure and enrolled mostly men aged 18–65, underscoring the need for larger, double‑blind, more diverse trials with mechanistic endpoints.