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Autologous CD133+ bone marrow-derived cells is an investigational cell therapy consisting of CD133+ (Prominin-1) hematopoietic and endothelial progenitor cells harvested from a patient's own bone marrow. These cells are selected for their potential to differentiate into cardiac and endothelial lineages, aiming to promote neovascularization and myocardial regeneration in ischemic tissues. The therapy is typically administered via direct transendocardial (intramyocardial) injection, often guided by electromechanical mapping (e.g., NOGA). It was primarily evaluated in the REGENT-VSEL Phase 2 trial by the Medical University of Silesia for patients with pharmacologically resistant stable angina pectoris and inducible myocardial ischemia who were not candidates for revascularization. Although the therapy demonstrated safety, clinical results showed no significant improvement in myocardial perfusion or quality of life compared to placebo.
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