Long Term Surveillance of Islet Transplant Recipients Following Complete Graft Loss

NCT ID: NCT02000687

Last Updated: 2025-01-27

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

RECRUITING

Total Enrollment

60 participants

Study Classification

OBSERVATIONAL

Study Start Date

2008-12-31

Study Completion Date

2028-07-31

Brief Summary

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This is a single-center, prospective, open label study in islet transplant recipients following islet graft loss.

Detailed Description

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After complete islet graft loss is determined, patient's maintenance immunosuppression (i.e. sirolimus, tacrolimus, MMF and/or Myfortic®) will be discontinued and they will be monitored for 10 years thereafter, for the appearance of allosensitization using panel reactive antibody (PRA) levels and monitor the persistence of elevated PRA levels. Primary objective is to determine the rate of allosensitization in patients 3 years after failed islet transplantation (i.e. stimulated c-peptide \<0.3mg/mL) and monitor the persistence of elevated PRA levels (≥ 20%) at year 3, 6, and 9. Timing, frequency and level of change in PRA will be monitored after all immunosuppression is discontinued.

Conditions

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Type 1 Diabetes Mellitus

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

1\. History of at least one islet alone transplant (ie islet transplant in the absence of any other organ transplant).

Exclusion Criteria

1. Inability to provide written informed consent.
2. Mentally unstable and/or unable to comply with the procedures of the study protocol.
3. History of any solid organ transplant.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rodolfo Alejandro

OTHER

Sponsor Role lead

Responsible Party

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Rodolfo Alejandro

Professor of Medicine

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Rodolfo Alejandro, MD

Role: PRINCIPAL_INVESTIGATOR

University of Miami

Locations

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Diabetes Research Institute

Miami, Florida, United States

Site Status RECRUITING

Countries

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United States

Facility Contacts

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Rodolfo Alejandro, MD

Role: primary

305-243-5321

Ana M Alvarez, APRN

Role: backup

305 243-3389

References

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Rios P, Baidal D, Lemos J, Camhi SS, Infante M, Padilla N, Alvarez Gil AM, Fuenmayor V, Ambut J, Qasmi FA, Mantero AM, Cayetano SM, Ruiz P, Ricordi C, Alejandro R. Long-term Persistence of Allosensitization After Islet Allograft Failure. Transplantation. 2021 Nov 1;105(11):2490-2498. doi: 10.1097/TP.0000000000003635.

Reference Type DERIVED
PMID: 33481552 (View on PubMed)

Related Links

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https://diabetesresearch.org/dri-clinical-trials/

Diabetes Research Institute clinical trials

Other Identifiers

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20080127

Identifier Type: -

Identifier Source: org_study_id

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