Beta-Cell Transplantation in Pre-Uremic Patients With Type 1 Diabetes
Study Details
Study Description
Brief Summary
To examine whether temporary immunosuppression with ATG, tacrolimus and MMF allows prolonged survival of beta cell allografts in type 1 diabetic patients with early chronic complications of diabetes.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 1/Phase 2 |
Study Design
Outcome Measures
Primary Outcome Measures
- Evidence of clinically relevant beta cell function. [2 years]
Eligibility Criteria
Criteria
Inclusion Criteria:
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type 1 insulin-dependent diabetic patients in relatively good general condition
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non-smoker
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body weight < 80 kg
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C-peptide < 0.03 nmol/l (<0.09 µg/l) 6 min. after glucagon IV (1mg) (glycemia > 180 mg/dl)
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EBV antibody positive
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cooperative and reliable patient giving informed consent by signature; the patient should be informed in sufficient detail on the content and procedure of the protocol, indicating potential risks of intervention and of immunosuppressive therapy; the patient should also be informed that withdrawal of immunosuppressive therapy in patients with persistent plasma C-peptide positivity may result in subsequent loss of ß-cell graft function; the ß cell implant should be identified as a clinical trial
Exclusion Criteria:
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history of thrombosis or pulmonary embolism
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abnormal liver function
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HLA antibodies
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Universitair Ziekenhuis and Diabetes Research Center - Brussels Free University-VUB | Brussels | Belgium | 1090 | |
2 | Department of Endocrinology and Nephrology, UZ Gasthuisberg, Katholieke Universiteit Leuven -KUL | Leuven | Belgium | 3000 |
Sponsors and Collaborators
- AZ-VUB
- Vrije Universiteit Brussel
- Universitaire Ziekenhuizen Leuven
- Universiteit Antwerpen
- Erasme University Hospital
Investigators
- Principal Investigator: Bart Keymeulen, MD, PhD, Universitair Ziekenhuis Brussel
Study Documents (Full-Text)
None provided.More Information
Publications
- Maleux G, Gillard P, Keymeulen B, Pipeleers D, Ling Z, Heye S, Thijs M, Mathieu C, Marchal G. Feasibility, safety, and efficacy of percutaneous transhepatic injection of beta-cell grafts. J Vasc Interv Radiol. 2005 Dec;16(12):1693-7.
- Movahedi B, Keymeulen B, Lauwers MH, Goes E, Cools N, Delvaux G. Laparoscopic approach for human islet transplantation into a defined liver segment in type-1 diabetic patients. Transpl Int. 2003 Mar;16(3):186-90. Epub 2003 Feb 15.
- BK-Tx-04