Mesenchymal Stem Cell Therapy for Type 1 Diabetes Mellitus Patients

NCT ID: NCT03484741

Last Updated: 2018-04-04

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

PHASE1/PHASE2

Total Enrollment

15 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-04-01

Study Completion Date

2018-11-30

Brief Summary

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The purpose of this study is to evaluate the safety and efficacy of mesenchymal stem cells (MSCs) transplantation for type 1 Diabetes Mellitus patients.

Detailed Description

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Mesenchymal stem cells (MSCs) are collected from autologous bone marrow mononuclear cells and allogeneic umbilical cord tissue (UC-MSC).

15 patients with type 1 Diabetes Mellitus will be enrolled and will receive MSCs by intravenous infusion. They were followed up for 6 months after transplantation.

Safety is to assess the occurrence of adverse events (AEs) during either stem cells infusion or by physician assessments.

The primary endpoint is to assess the improvement of patients' Fasting blood glucose, HbA1C, C-peptide, and blood insulin level.

Conditions

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Type 1 Diabetes Mellitus

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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MSC and PRP

15 patients will be given autologous bone marrow-derived mesenchymal stem cells (BM-MSC) and mesenchymal stem cell from allogeneic umbilical cord tissue (UC-MSC) combined with platelet-rich plasma (PRP) by intravenous infusion.

Group Type EXPERIMENTAL

MSC and PRP

Intervention Type BIOLOGICAL

MSC are collected from autologous bone marrow mononuclear cells (BMNC) and allogeneic umbilical cord tissue (UC-MSC) under sterile conditions and combined with activated platelet-rich plasma (PRP) to treat this disease.

Interventions

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MSC and PRP

MSC are collected from autologous bone marrow mononuclear cells (BMNC) and allogeneic umbilical cord tissue (UC-MSC) under sterile conditions and combined with activated platelet-rich plasma (PRP) to treat this disease.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Who is diagnosed with Type 1 Diabetes Mellitus according to the ADA, the patients meet at least one of the following criteria:

* At least one autoantibody associated with Type 1 Diabetes Mellitus such as ICA or GAD.
* Previously diagnosed at a medical facility with Type 1 Diabetes.
* Having evidence of insulin depletion based on the test results during screening.
* Patients treated with fixed insulin dose for at least 3 months.
* Males and females between age 18 and 45 years at the screening.
* Patients able to read, write and understand ICF form

Exclusion Criteria

* Uncontrolled blood pressure at the time of enrollment: systolic pressure \>160 mmHg and/or diastolic blood pressure \> 100 mmHg.
* Having evidence related to renal dysfunction:

* creatinine \> 1.5 mg/dl or (\>133 mmol/L) for men.
* creatinine \> 1.4 mg/dl or (\>124 mmol/L) for woman.
* eGRF \< 40 ml/ min
* Proteinuria \> 300 mg/day
* Having evidence of ketoacidosis at the time of selection.
* Having evidence of ongoing or frequent hypoglycemia.
* Having severe infection
* Infected with hepatitis B virus or hepatitis C or tuberculosis. Positive results of HbsAg or Anti HCV or/and PCR tuberculosis are only acceptable in case of vaccination and without suspicious signs. All other cases are not accepted even in the absence of clinical signs.
* Diseases detected before/during screening such as cardiovascular disease, respiratory disease ( pulmonary, fibrosis, chronic respiratory failure), liver disease, cancer, neurology, metabolism.
* Having abnormalities in red blood cells such as sickle cells disease.
* Using alcohol and/or tobacco.
* Blood clotting disorders (INR \> 1.5, PTT \>40, PT \> 15).
* Taking any anticoagulant.
* Taking systemic steroids.
* Participate in another clinical study involving experimenting drugs and/or medical equipment.
* Patients who are unable to perform the tests and assessments needed for the study (eg, patients who are unable to perform bone marrow transplantation) or patients who do not agree to participate in the study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Science Ho Chi Minh City

OTHER

Sponsor Role collaborator

Van Hanh General Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Phuong Le, MSc-MD

Role: PRINCIPAL_INVESTIGATOR

Stem Cell Unit, Van Hanh General Hospital

Ngoc Phan, MSc

Role: PRINCIPAL_INVESTIGATOR

Stem Cell Institute, University of Science Ho Chi Minh City

Locations

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Van Hanh Geral Hospital

Ho Chi Minh City, Ho Chi Minh, Vietnam

Site Status RECRUITING

Countries

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Vietnam

Central Contacts

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Phuong Le, MSc-MD

Role: CONTACT

(+84)902742732

Stem Cell Unit, Van Hanh General Hospital

Role: CONTACT

Facility Contacts

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Phuong Le, MSc-MD

Role: primary

(+84)902742732

Other Identifiers

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DIME 1001

Identifier Type: OTHER

Identifier Source: secondary_id

DIME 1001

Identifier Type: -

Identifier Source: org_study_id

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