Effect of Islet Autotransplantation Compared to Oral Antidiabetic Drug.

NCT ID: NCT01922492

Last Updated: 2015-11-20

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

28 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-05-31

Study Completion Date

2017-12-31

Brief Summary

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* Effects of autologous islet transplantation were compared to those of oral anti-diabetic drugs after distal pancreatectomy.
* The primary interest is a insulin-secretory function after the surgery in two intervention groups.

Detailed Description

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Conditions

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Partial Pancreatectomy Due to Benign Pancreatic Neoplasm

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Autologous islet transplantation

Autologous islet transplantation arm: autologous islet transplantation

Group Type EXPERIMENTAL

Autologous islet transplantation

Intervention Type PROCEDURE

Islet was isolated from the normal part of resected pancreas with modified Ricordi method.

After purification, the islets were infused into the liver through percutaneous transhepatic portal vein catheterization.

Oral anti-diabetic drugs

Metformin (starting from 500mg qd with dose adjustment thereafter) with or without vildagliptin (starting from 50mg qd with dose adjustment thereafter)

Group Type ACTIVE_COMPARATOR

Oral anti-diabetic drugs

Intervention Type DRUG

* Metformin on the diagnosis of postoperative diabetes mellitus. Starting dose of 500mg per day and dose adjustment as needed to control blood glucose.
* Vildagliptin added on the insufficient glycemic control with monotherapy. Starting dose of 50mg per day and dose adjustment as needed to control blood glucose.

Interventions

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Autologous islet transplantation

Islet was isolated from the normal part of resected pancreas with modified Ricordi method.

After purification, the islets were infused into the liver through percutaneous transhepatic portal vein catheterization.

Intervention Type PROCEDURE

Oral anti-diabetic drugs

* Metformin on the diagnosis of postoperative diabetes mellitus. Starting dose of 500mg per day and dose adjustment as needed to control blood glucose.
* Vildagliptin added on the insufficient glycemic control with monotherapy. Starting dose of 50mg per day and dose adjustment as needed to control blood glucose.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients who underwent distal pancreatectomy for pathologic diagnosis of pancreatic mass

Exclusion Criteria

* Prior history of diabetes mellitus
* Patients whose fasting, post-load (75g OGTT) glucose or HbA1c level meet ADA diagnostic criteria
* Patients who refused to participate the study
Minimum Eligible Age

20 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ministry of Health & Welfare, Korea

OTHER_GOV

Sponsor Role collaborator

Novartis

INDUSTRY

Sponsor Role collaborator

Seoul National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Kyong Soo Park

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kyong Soo Park

Role: PRINCIPAL_INVESTIGATOR

Seoul National University Hospital

Locations

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Seoul National University Hospital

Seoul, , South Korea

Site Status

Countries

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South Korea

References

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Yoon JW, Jung HS, Jang JY, Kim MJ, Kim JH, Ohn JH, Kim JH, Lee HM, Kim HC, Lee KB, Choi SA, Kim SW, Park KS. Improved Insulin Secretion by Autologous Islet Transplantation, Compared to Oral Antidiabetic Agents, After Distal Pancreatectomy. Cell Transplant. 2015;24(8):1615-26. doi: 10.3727/096368914X682440. Epub 2014 Jun 27.

Reference Type DERIVED
PMID: 24978858 (View on PubMed)

Other Identifiers

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SHUH_AIT_1

Identifier Type: -

Identifier Source: org_study_id