Trial Outcomes & Findings for Hydroxychloroquine and Metabolic Outcomes in Patients Undergoing TPAIT (NCT NCT03283566)

NCT ID: NCT03283566

Last Updated: 2022-04-08

Results Overview

HCQ-treated compared to placebo arm. This outcome measure was reported in Mean and Standard deviation looking at C peptide/glucose secretion at 90 mins during mixed meal test adjusted for IEG/Kg (islet cell equivalency) infused to the patient.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

9 participants

Primary outcome timeframe

12 months

Results posted on

2022-04-08

Participant Flow

Participant milestones

Participant milestones
Measure
Hydroxychloroquine
Administered pre-transplant through 3 months after surgery. Hydroxychloroquine: Subjects will receive a pre-transplant 200 mg daily dose of HCQ 30 days before TPAIT and will continue on the drug for 3 months after surgery.
Placebo
Placebo treatment following the same schedule as Arm 1 (i.e. Hydroxychloroquine). Placebo: Subjects will receive a pre-transplant placebo 30 days before TPAIT and will continue on the placebo for 3 months after surgery.
Overall Study
STARTED
4
5
Overall Study
COMPLETED
3
3
Overall Study
NOT COMPLETED
1
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Hydroxychloroquine
Administered pre-transplant through 3 months after surgery. Hydroxychloroquine: Subjects will receive a pre-transplant 200 mg daily dose of HCQ 30 days before TPAIT and will continue on the drug for 3 months after surgery.
Placebo
Placebo treatment following the same schedule as Arm 1 (i.e. Hydroxychloroquine). Placebo: Subjects will receive a pre-transplant placebo 30 days before TPAIT and will continue on the placebo for 3 months after surgery.
Overall Study
Lost to Follow-up
1
2

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Hydroxychloroquine
n=3 Participants
Administered pre-transplant through 3 months after surgery. Hydroxychloroquine: Subjects will receive a pre-transplant 200 mg daily dose of HCQ 30 days before TPAIT and will continue on the drug for 3 months after surgery.
Placebo
n=3 Participants
Placebo treatment following the same schedule as Arm 1 (i.e. Hydroxychloroquine). Placebo: Subjects will receive a pre-transplant placebo 30 days before TPAIT and will continue on the placebo for 3 months after surgery.
Total
n=6 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=3 Participants
0 Participants
n=3 Participants
0 Participants
n=6 Participants
Age, Categorical
Between 18 and 65 years
3 Participants
n=3 Participants
3 Participants
n=3 Participants
6 Participants
n=6 Participants
Age, Categorical
>=65 years
0 Participants
n=3 Participants
0 Participants
n=3 Participants
0 Participants
n=6 Participants
Age, Continuous
50 years
STANDARD_DEVIATION 12 • n=3 Participants
37 years
STANDARD_DEVIATION 3 • n=3 Participants
43.5 years
STANDARD_DEVIATION 7.5 • n=6 Participants
Sex: Female, Male
Female
3 Participants
n=3 Participants
1 Participants
n=3 Participants
4 Participants
n=6 Participants
Sex: Female, Male
Male
0 Participants
n=3 Participants
2 Participants
n=3 Participants
2 Participants
n=6 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
3 Participants
n=3 Participants
3 Participants
n=3 Participants
6 Participants
n=6 Participants

PRIMARY outcome

Timeframe: 12 months

Population: C-peptide/Glucose = ng/mg glucose/IEQ/kg - Primary 12-month endpoint

HCQ-treated compared to placebo arm. This outcome measure was reported in Mean and Standard deviation looking at C peptide/glucose secretion at 90 mins during mixed meal test adjusted for IEG/Kg (islet cell equivalency) infused to the patient.

Outcome measures

Outcome measures
Measure
Hydroxychloroquine
n=3 Participants
Administered pre-transplant through 3 months after surgery. Hydroxychloroquine: Subjects will receive a pre-transplant 200 mg daily dose of HCQ 30 days before TPAIT and will continue on the drug for 3 months after surgery.
Placebo
n=3 Participants
Placebo treatment following the same schedule as Arm 1 (i.e. Hydroxychloroquine). Placebo: Subjects will receive a pre-transplant placebo 30 days before TPAIT and will continue on the placebo for 3 months after surgery.
Quotient of Stimulated C-peptide/Glucose Level Normalized for IEQ/Kg Infused in Response to MMTT
.000000077 ng/mg glucose/IEQ/kg
Standard Deviation .000000096
0.000000079 ng/mg glucose/IEQ/kg
Standard Deviation .00000012

SECONDARY outcome

Timeframe: 12 months

HCQ-treated compared to placebo arm. We used a standard, 5 hour Mixed meal tolerance test (MMT). Blood draws were taken every 15 mins for the first hours, then every 30 mins the second hour, then hourly until completion.

Outcome measures

Outcome measures
Measure
Hydroxychloroquine
n=3 Participants
Administered pre-transplant through 3 months after surgery. Hydroxychloroquine: Subjects will receive a pre-transplant 200 mg daily dose of HCQ 30 days before TPAIT and will continue on the drug for 3 months after surgery.
Placebo
n=3 Participants
Placebo treatment following the same schedule as Arm 1 (i.e. Hydroxychloroquine). Placebo: Subjects will receive a pre-transplant placebo 30 days before TPAIT and will continue on the placebo for 3 months after surgery.
C-peptide AUC Response to MMTT
813 ng/mL/min
Standard Deviation 463
588 ng/mL/min
Standard Deviation 391

SECONDARY outcome

Timeframe: 12 months

Population: Treatment versus placebo

C-peptide, ng/mL/min/IEQ/kg iAUC post-MMTT. Our measurement can be reported in area under the curve for C-peptide normalized for glucose values as well as Islet cell mass infused to the patient in order to compare placebo vs intervention arms.

Outcome measures

Outcome measures
Measure
Hydroxychloroquine
n=3 Participants
Administered pre-transplant through 3 months after surgery. Hydroxychloroquine: Subjects will receive a pre-transplant 200 mg daily dose of HCQ 30 days before TPAIT and will continue on the drug for 3 months after surgery.
Placebo
n=3 Participants
Placebo treatment following the same schedule as Arm 1 (i.e. Hydroxychloroquine). Placebo: Subjects will receive a pre-transplant placebo 30 days before TPAIT and will continue on the placebo for 3 months after surgery.
Ratio of C-peptide AUC to Glucose AUC in Response to MMTT Adjusted for Infused Islet Cell Mass
0.00091 ng/mL/min/IEQ/kg iAUC post-MMT
Standard Deviation 0.0006
0.00222 ng/mL/min/IEQ/kg iAUC post-MMT
Standard Deviation 0.0029

Adverse Events

Hydroxychloroquine

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

EMI Research Director

Cleveland Clinic Foundation, Department of Endocroine and Metabolism

Phone: 216 445-3757

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place