GAITHERSBURG, MD--(Marketwire -07/18/12)- Cytomedix, Inc.    (CMXI)    (the "Company"), a regenerative therapies company    commercializing and developing innovative platelet and adult    stem cell technologies, announces the initiation of a Phase I    clinical study with ALD-451 in brain cancer patients in    collaboration with Duke University Medical Center.  
    The open-label study will enroll up to 12 patients and is    intended to demonstrate the feasibility and safety of ALD-451    when administered intravenously in World Health Organization    ("WHO") grade IV malignant glioma patients following surgery,    radiation therapy and treatment with temozolomide. The trial    also will obtain an initial description of the effects of    ALD-451 on neuro-cognition. The clinical study is open for    enrollment having received Investigational New Drug clearance    from the U.S. Food and Drug Administration and Investigational    Review Board clearance from Duke University Medical    Center(ClinicalTrials.gov Identifier: NCT01639612).  
    The study's principal investigator is Dr. Annick Desjardins,    Assistant Professor of Medicine at The Preston Robert Tisch    Brain Tumor Center at Duke University Medical Center.    Co-investigators are Dr. Henry S. Friedman, Deputy Director,    The Preston Robert Tisch Brain Tumor Center and Dr. Joanne    Kurtzberg, Chief Scientific Officer and Medical Director,    Robertson Clinical & Translational Cell Therapy Program.    Cytomedix will be responsible for manufacturing ALD-451 for the    clinical trial. Duke University Medical Center, through the    Robertson Clinical & Translational Cell Therapy Program,    will fund the trial and be responsible for all other aspects of    the study.  
    "We are excited to initiate patient recruitment in this study    and to explore the use of this cellular therapy to treat the    neuro-cognitive side effects of treating these devastating    cancers," said Dr. Desjardins.  
    Martin P. Rosendale, Chief Executive Officer of Cytomedix,    stated, "We are delighted to be working on this important trial    with leading clinicians at Duke University Medical Center, one    of the world's leading brain cancer centers for both treatment    and research. Malignant glioma patients who undergo surgery,    radiation therapy and temozolomide treatment oftentimes    experience deterioration of neuro-cognition and have poor    patient-reported outcomes. Earlier studies suggest that ALDH    bright cells may repair neural brain damage. We expect this    study to corroborate those results and look forward to    advancing the development of this very promising product    candidate."  
    About Malignant Glioma Primary central nervous    system ("CNS") tumors represent about 1.35% of all cancers and    2.2% of all cancer-related deaths. Glial neoplasms represent    about 40% of all primary CNS tumors and about 75% are    malignant. Malignant gliomas include WHO grade III: anaplastic    astrocytoma, anaplastic oligodendroglioma and anaplastic    oligoastrocytoma, and WHO grade IV: glioblastoma and    gliosarcoma. Because of their extensive infiltrative and    invasive nature, malignant gliomas present unique challenges.    This infiltrative nature, combined with their proximity to    critical intracranial structures as well as operative    difficulty distinguishing between normal and neoplastic cells,    significantly reduces the efficacy of surgical resection.    Radiation therapy and systemic chemotherapy are necessary    adjuncts to treatment. Children and adults who receive    radiation therapy involving the brain frequently experience a    progressive cognitive decline, significantly affecting their    quality of life.  
    About ALD-451ALD-451 is the population of autologous    pluri-potent ALDHbr stem cells isolated from the patients' bone    marrow using Cytomedix' proprietary technology. These adult    stem cells express high levels of the enzyme ALDH, an indicator    of biological activity in heterogenous early stage stem cells.    Preclinical research with ALD-451 bright cells suggests that    they may promote the repair of tissue damage. Recently,    preliminary data presented at the 2012 International Society of    Cell Therapy showed that ALDHbr bright cells reduced severity    of intracranial inflammation after brain irradiation in an    animal model. Investigators have also completed preclinical    research that showed improvements in motor function,    improvements in the slowing of decrease in brain volume, the    reversal of decline in stroke-induced cell viability and    improved blood flow, or perfusion, in the brain.  
    About Cytomedix, Inc. Cytomedix, Inc. is an    autologous regenerative therapies company commercializing    innovative platelet technologies for orthopedics and wound care    with a pipeline of adult stem cell therapies for tissue repair.    The Company markets the AutoloGel System, a device for the    production of autologous platelet rich plasma ("PRP") gel for    use on a variety of exuding wounds and the Angel Whole Blood    Separation System, a blood processing device and disposable    products used for the separation of whole blood into red cells,    platelet poor plasma ("PPP") and PRP in surgical settings. On    February 8, 2012 Cytomedix closed the acquisition of Aldagen, a    biopharmaceutical company developing regenerative cell    therapies based on its proprietary ALDH bright cell ("ALDHbr")    technology, currently in a Phase 2 trial for the treatment of    ischemic stroke. For additional information please visit        http://www.cytomedix.com  
    Safe Harbor StatementStatements contained in this    press release not relating to historical facts are    forward-looking statements that are intended to fall within the    safe harbor rule for such statements under the Private    Securities Litigation Reform Act of 1995. The information    contained in the forward-looking statements is inherently    uncertain, and Cytomedix' actual results may differ materially    due to a number of factors, many of which are beyond Cytomedix'    ability to predict or control, including among many others,    risks and uncertainties related to the Company's ability to    successfully integrate the Aldagen acquisition, to successfully    manage contemplated clinical trials, to manage and address the    capital needs, human resource, management, compliance and other    challenges of a larger, more complex and integrated business    enterprise, viability and effectiveness of the Company's sales    approach and overall marketing strategies, commercial success    or acceptance by the medical community, competitive responses,    the Company's ability to raise additional capital and to    continue as a going concern, and Cytomedix's ability to execute    on its strategy to market the AutoloGel System as    contemplated. To the extent that any statements made here are    not historical, these statements are essentially    forward-looking. The Company uses words and phrases such as    "believes," "forecasted," "projects," "is expected," "remain    confident," "will" and/or similar expressions to identify    forward-looking statements in this press release. Undue    reliance should not be placed on forward-looking information.    These forward-looking statements are subject to known and    unknown risks and uncertainties that could cause actual events    to differ from the forward-looking statements. More information    about some of these risks and uncertainties may be found in the    reports filed with the Securities and Exchange Commission by    Cytomedix, Inc. Cytomedix operates in a highly competitive and    rapidly changing business and regulatory environment, thus new    or unforeseen risks may arise. Accordingly, investors should    not place any reliance on forward-looking statements as a    prediction of actual results. Except as is expressly required    by the federal securities laws, Cytomedix undertakes no    obligation to update or revise any forward-looking statements,    whether as a result of new information, changed circumstances    or future events or for any other reason. Additional risks that    could affect our future operating results are more fully    described in our U.S. Securities and Exchange Commission    filings, including our Annual Report for the year ended    December 31, 2011 and other subsequent filings. These filings    are available at     http://www.sec.gov.  
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Cytomedix Announces Collaboration With Duke University on Phase I Clinical Study of ALD-451 in Malignant Glioma