Cytori ATHENA Trial Results Support Symptomatic Benefit From Cytori Cell Therapy
Cytori Therapeutics, Inc. (NASDAQ:CYTX) announced today the presentation of six and twelve month data from the
ATHENA Trials at the annual meeting of The Society for Cardiovascular Angiography and Interventions. The ATHENA trials are two
prospective, randomized (2:1, active : placebo), double-blind, controlled, parallel group trials (ATHENA and ATHENA II) each
assessing Cytori Cell Therapy® [ATHENA: 20 million cells, 28 patients; ATHENA II: 40 million cells, 3 patients]. The objective of
the ATHENA program was assessment of safety and feasibility of Cytori Cell Therapy using the Celution® System automated on-site
manufacturing of the cellular therapeutic and intramyocardial delivery for treatment of chronic ischemic heart disease with left
heart failure.
On the treatment day, patients underwent fat harvest via small volume lipoharvest followed by cell processing, electromechanical
mapping of the left ventricle with subsequent injection of cells (or placebo) into viable myocardium intramyocardial.
A total of 31 patients (17 Cytori Cell Therapy, 14 placebo) were randomized prior to termination of enrollment, with 28 patients
having 6 month or longer follow-up data. Trial enrollment was terminated prematurely due to the prolonged period of enrollment
required. Enrollment was prolonged due to challenges in identifying suitable patients who met all inclusion/exclusion criteria and
two trial enrollment delays related to safety reviews during the trial. ATHENA and ATHENA II trial data were combined for
analyses.
Top line 12 month data revealed:
- Improvements in the Minnesota Living with Heart Failure Questionnaire (MLHFQ) total score (a
validated questionnaire for disease specific health related quality of life) were observed in the Cytori Cell Therapy group
relative to the placebo group. The mean (95% CI) between group differences (Cytori Cell Therapy minus placebo) for the change
from baseline were as follows: 3 months = -4.7 (-20.3, 10.9) (p=0.54), 6 months = -9.4 (-22.5, 3.8) (p=0.154) and 12 months =
-16.3 (-31.7, -1.0) (p=0.038).
- The SF-36 (a validated questionnaire for generic health related quality of life) results showed
trends toward improvement in the Cytori Cell Therapy group relative to the placebo group, with several domains associated with
nominal p-values less than 0.05.
- At 6 months post-treatment, incremental treadmill testing, left ventricular ejection fraction, left
ventricular end-systolic volume and left ventricular end-systolic volume showed no relevant differences between groups. As per
the protocol, echocardiogram and treadmill testing were not conducted at 12 month post-treatment.
- Heart failure hospitalizations were reported by investigators in 3/17 (17.6%) and 5/14 (35.7%) of
cell treated and placebo treated groups respectively.
Regarding safety, 18 of 31 patients (58.1%) were reported to have at least one serious adverse event during the trial (Cytori
Cell Therapy 9/17 (52.9%), placebo 9/14 (64.3%)). Two non-cell related fatal events occurred during the trial in the Cytori Cell
Therapy group (myocardial ischemia – day 2 post-procedure, decompensation of heart failure – day 291 post-procedure) with none in
the placebo group.
“The ATHENA data suggest that a small volume fat harvest, followed by automated local processing, and intramyocardial delivery
of autologous Cytori Cell Therapy is feasible and may be associated with symptomatic benefit in these patients. Although the sample
is size is limited, the findings support feasibility and scalability for use of Cytori Cell Therapy for treatment of ischemic heart
disease,” said Dr. Tim Henry, Director, Division of Cardiology, Cedars-Sinai Heart Institute, Los Angeles and one of the
coordinating investigators for the ATHENA trials.
About Cytori Therapeutics, Inc.
Cytori Therapeutics is a late stage cell therapy company developing autologous cell therapies from adipose tissue to treat a
variety of medical conditions. Data from preclinical studies and clinical trials suggest that Cytori Cell Therapy™ acts principally
by improving blood flow, modulating the immune system, and facilitating wound repair. As a result, Cytori Cell Therapy™ may provide
benefits across multiple disease states and can be made available to the physician and patient at the point-of-care through
Cytori’s proprietary technologies and products. For more information: visit www.cytori.com.
Cautionary Statement Regarding Forward-Looking Statements
This press release includes forward-looking statements regarding events, trends and business prospects, which may affect our
future operating results and financial position. Such statements, including, without limitation, clinical performance of our
technology, including its safety and feasibility, and publication of our study data, are all subject to risks and uncertainties
that could cause our actual results and financial position to differ materially. Some of these risks and uncertainties include, but
are not limited to, inherent risk and uncertainty in the protection intellectual property rights, regulatory uncertainties, risks
in the conduct of clinical trials, risks in the collection and results of clinical data, final clinical outcomes, dependence on
third party performance, performance and acceptance of our products in the marketplace, as well as other risks and uncertainties
described under the heading “Risk Factors” in Cytori’s Securities and Exchange Commission Filings on Form 10-K and Form 10-Q. We
assume no responsibility to update or revise any forward-looking statements to reflect events, trends or circumstances after the
date they are made.
Cytori Therapeutics, Inc.
Tiago Girao, +1-858-458-0900
ir@cytori.com
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