Phase 2
N=10
Islet Transplantation in Type 1 Diabetic Patients Using the Edmonton Protocol of Steroid Free Immunosuppression
Diabetes Mellitus, Type 1
Bottom Line
View on ClinicalTrials.gov: NCT00566813 ↗Enrolled (actual)
10
Serious AEs
20.0%
Results posted
Nov 2018
Primary outcome: Primary: Number of Participants With Adverse Events Including Laboratory Abnormalities at the End of Study Participation — 4; 5 participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- Islet Cell Transplant (Drug); Islet Cell Transplant plus (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- University of Illinois at Chicago
- Primary completion
- Jul 2010
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Adverse Events Including Laboratory Abnormalities at the End of Study Participation |
4; 5 | — |
| PRIMARY Number of Participants With Insulin Independence at End of Study Participation |
4; 5 | — |
| PRIMARY Number of Participants With HbA1c Less Than or Equal to 6.5 & Free of Severe Hypoglycemic Events |
4; 5 | — |
Summary
The primary purpose of this study is to demonstrate the safety of allogeneic islet transplantation in type 1 diabetic patients performed at the University of Illinois at Chicago (UIC). The purpose is to reproduce the Edmonton protocol to demonstrate that pancreatic islets isolated at UIC are safe and of sufficient quality to provide reproducible graft function.
Eligibility Criteria
Inclusion Criteria
- Type 1 diabetes > 5 years complicated by at least one of the following situations despite intensive insulin management:
- Reduced awareness of hypoglycemia at plasma glucose levels NYHA II
- Active alcohol or substance abuse or cigarette smoking
- Psychiatric disorder: schizophrenia, bipolar disorder, or major depression that is unstable on medication
- Non-adherence to prescribed regimens
- Active infection including hepatitis C, hepatitis B, HIV
- TB by history, current infection, or under treatment for suspected TB
- History of malignancies except squamous or basal skin cancer
- Stroke within the past 6 months
- BMI > 26 kg/m2 or body weight > 70 kg at screening visit
- C-peptide response to glucagon stimulation, any C-peptide ≥ 0.3 ng/mL
- Inability to provide informed consent
- Age less than 18 or greater than 65 years
- Creatinine clearance 1.5 mg/dL
- Macroalbuminuria > 300 mg/24h
- Baseline Hb 20%)
- Insulin requirement > 0.7 IU/kg/day
- HbA1C > 12%
- Hyperlipidemia
- Chronic use of steroids
- Use of coumadin or other anticoagulant (except aspirin) or PT INR > 1.5
- Addison's disease
- Allergy to radiographic contrast material
Data sourced from ClinicalTrials.gov (NCT00566813). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.