Mesenchymal Stem Cells to Intervene in the Development of Type 1 Diabetes: a Blinded Randomized Study
Study Details
Study Description
Brief Summary
This project aims to evaluate the efficacy of autologous mesenchymal stem cell treatment to preserve insulin production and beta-cell mass in recently diagnosed patients with type 1 diabetes mellitus. The hypothesis to be tested is that an increased number of circulating mesenchymal stem cells will provide immune modulatory properties, and thereby stop the immune process in islets causing progressive beta-cell death.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Placebo Comparator: sham transplantation of mesenchymal stem cells control arm with sham transplantation |
Procedure: sham transplantation of mesenchymal stem cells
Placebo control for transplantation of mesenchymal stem cells
|
Active Comparator: autologous mesenchymal stem cell transplantation Active arm with transplantation of cells |
Biological: autologous mesenchymal stem cell transplantation
|
Outcome Measures
Primary Outcome Measures
- ∆-change of C-peptide Area Under the Curve (AUC) (0-120 min) for a mixed meal tolerance test at two year follow-up when compared to pre-treatment values at enrolment. [∆-change will be assessed as a difference between two years after transplantation/sham transplantation of mesenchymal stem cells when compared to before transplantation/sham transplantation, i.e. at time 0.]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
fasting C-peptide >0.12 nmol/l
-
within three weeks of diagnosis of type 1 diabetes
Exclusion Criteria:
-
body mass index (BMI) >30
-
unstable cardiovascular status incl. New York Heart Association (NYHA) class III/IV
-
patients with known or previous malignancy
-
active infections incl. serological evidence of infection with HIV, Treponema pallidum, hepatitis B (patients with serology consistent with previous vaccination and a history of vaccination are acceptable) or hepatitis C.
-
immune suppressive treatment
-
women being pregnant or nursing, or women physiologically capable of becoming pregnant, unless they are using effective methods of contraception during study
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Uppsala University Hospital | Uppsala | Sweden | SE-75185 |
Sponsors and Collaborators
- Uppsala University Hospital
Investigators
- Principal Investigator: Per-Ola Carlsson, MD, PhD, Uppsala University Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- AS Dnr2013/195