Transplantation of Pancreatic Islets in Patients With Type 1 Diabetes Mellitus and Functional Kidney Graft

NCT ID: NCT00639600

Last Updated: 2010-05-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

21 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-06-30

Study Completion Date

2010-05-31

Brief Summary

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This research project is supported by a multicentric network of collaborators whose goal is to assess the efficacy of transplanting allogenic pancreas islets to restore insulin secretion in patients with type 1, insulin-dependent diabetes mellitus with kidney transplantation and to improve their metabolic control.

Detailed Description

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The main objective is to demonstrate the beneficial effect of islet allotransplantation in patients with type 1 diabetes with no endogenous insulin secretion, and with a functional kidney graft. The other objectives are to evaluate the conditions for the efficacy of islet cell transplantation, to assess the improvement in quality of life and the cost of the islet cell transplantation.

Conditions

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Type 1 Diabetes Mellitus

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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human pancreatic islet transplantation

human pancreatic islet transplantation

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Type 1 diabetes mellitus
* Disease duration \> 5 years
* ketose antecedents
* Basal and stimulated plasma C-\< 0.2 ng/ml,\<0.06 nmol/l (glycemia must be measured simultaneously\_ 1.20 g/l or 6.6 mM, stimulation with glucagon IV 1 mg -Measured at à T0 and T 6 min)
* Established kidney graft ≥ 6 months
* Current creatinine clearance: ≥ 50 ml/min/1.73 m² and Proteinuria \< 0.5 g/24h
* HbA1C\< 12%

Exclusion Criteria

* Hemostasis problems
* Documented hepatic pathology
* Patient under 18 or over 65 year-old
* Women with body weight over 70 kg (tolerance of 2 kg between inclusion day and transplantation day) or BMI \> 26
* Men with body weight \> 75 kg (tolerance of 3 kg between inclusion day and transplantation day) or BMI \> 26
* insuline needs \> 0.7 U/kg/j or 50 U/j
* Serious life-threatening pathology
* untreated hyperlipidemia
* Hypersensitivity to drugs rapamycine-alike
* Liver disease (transaminases or total bilirubin ≥ 3N)
* Failure to communicate or cooperate with the investigator


* Hypercholesterolemia (\> 350mg/dl, 9,1 mmol/l) not controlled
* Hypertriglyceridemia (\> 500 mg/dl, 5,6 mmol/l) not controlled
* Leukocytes \> 4500 /mm3 , neutrophils \> 2000/ mm3, platelets \> 100000/ mm3
* Any clinical or biological pathology that could interfere with the study
* Past or present neoplasia (with the exception of non melanoma skin cancers)
* Any hemostasis disorder needing a prolonged treatment with anticoagulation drugs. Low-dose aspirin is permitted.
* Pregnancy, lactation, pregnancy project or absence of efficient contraception
* Any medical or psychosocial condition susceptible to interfere with the study, such as drug abuse or recent alcohol abuse
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Grenoble

OTHER

Sponsor Role lead

Responsible Party

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University Hospital, Grenoble

Principal Investigators

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Pierre Y Benhamou, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University Hospital of Grenoble, Department of Endocrinology

Locations

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University Hospital

Besançon, , France

Site Status

University Hospital, Department of Endocrinology

Grenoble, , France

Site Status

University Hospital, Department of Endocrinology

Lyon, , France

Site Status

University Hospital, Department of Endocrinology

Montpellier, , France

Site Status

University Hospital, Department of Endocrinology

Nancy, , France

Site Status

University Hospital, Department of Endocrinology

Strasbourg, , France

Site Status

University Hospital, Department of Surgery

Geneva, , Switzerland

Site Status

Countries

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France Switzerland

References

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Lablanche S, Borot S, Wojtusciszyn A, Bayle F, Tetaz R, Badet L, Thivolet C, Morelon E, Frimat L, Penfornis A, Kessler L, Brault C, Colin C, Tauveron I, Bosco D, Berney T, Benhamou PY; GRAGIL Network. Five-Year Metabolic, Functional, and Safety Results of Patients With Type 1 Diabetes Transplanted With Allogenic Islets Within the Swiss-French GRAGIL Network. Diabetes Care. 2015 Sep;38(9):1714-22. doi: 10.2337/dc15-0094. Epub 2015 Jun 11.

Reference Type DERIVED
PMID: 26068866 (View on PubMed)

Other Identifiers

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95/CHUG/10/C2

Identifier Type: -

Identifier Source: org_study_id