Safety and Efficacy of OCN19-overexpressed Human Umbilical Cord-derived Mesenchymal Stem Cells in the Treatment of Refractory Type 2 Diabetes Mellitus

NCT ID: NCT06727721

Last Updated: 2024-12-17

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

Clinical Phase

PHASE2

Total Enrollment

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-11-06

Study Completion Date

2029-12-12

Brief Summary

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Umbilical cord mesenchymal stem cell injection expressing OCN19, while playing the role of MSCs, can directly stimulate the expression of insulin gene and the division and proliferation of islet beta cells, which is expected to further enhance the therapeutic effect of stem cells. In non-clinical studies, it was found that MSCs expressing OCN19 had better hypoglycemic effect than MSCs

Detailed Description

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Conditions

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Diabetes Type 2 Diabetes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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The placebo group

The control group was given albumin

Group Type PLACEBO_COMPARATOR

albumin injection

Intervention Type BIOLOGICAL

Placebo

The control group

The control group was given mesenchymal stem cells

Group Type ACTIVE_COMPARATOR

Mesenchymal stem cells

Intervention Type BIOLOGICAL

Ordinary mesenchymal stem cells were given

The experimental group

The experimental group was given OCN-19 stem cells

Group Type EXPERIMENTAL

mesenchymal stem cells with OCN-19

Intervention Type BIOLOGICAL

The patient received mesenchymal stem cells with OCN-19 three times

Interventions

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mesenchymal stem cells with OCN-19

The patient received mesenchymal stem cells with OCN-19 three times

Intervention Type BIOLOGICAL

Mesenchymal stem cells

Ordinary mesenchymal stem cells were given

Intervention Type BIOLOGICAL

albumin injection

Placebo

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

1. Accoding to WHO diagnostic standards, patients with type 2 diabetes (fasting blood glucose ≥ 7.0 mmol/L), 30-75 years old, regardless of gender;
2. Able to clearly understand the purpose of clinical trials and comply with trial requirements, willing to participate in this study, and sign an informed consent form;
3. 20kg/m2 ≤ Body Mass Index (BMI) ≤ 30 kg/m2;
4. 7.5% ≤ glycated hemoglobin ≤ 10%;
5. Insulin should be subcutaneously injected for more than six months, and insulin and/or other oral hypoglycemic drugs (limited to metformin only) should be used α The dosage of glycosidase inhibitors remained stable for the first 3 months before randomization;
6. During the study period, all males and females with reproductive potential were willing to accept the use of efficient contraceptive methods.

Exclusion Criteria

1. 1 Type diabetes, pregnancy diabetes or other special type diabetes patients;
2. Patients with severe allergic constitution or allergic to any ingredients used in cell culture;
3. Patients who have used drugs that affect glucose metabolism within the past month, such as glucocorticoids, thiazide diuretics, oral contraceptives, tricyclic antidepressants, etc;
4. Screening the patients with acute complications such as diabetes ketoacidosis and non ketotic hyperosmolar syndrome in recent 6 months;
5. Serious cardiovascular and cerebrovascular events such as NYHA grade III or IV heart failure, myocardial infarction, cerebral infarction, and cerebral hemorrhage occurred within the past 6 months;
6. Patients with abnormal blood routine (including white blood cell or neutrophil count below the lower limit of normal, abnormal platelet count, and hemorrhagic disease);
7. Patients with liver and kidney dysfunction: such as serum bilirubin TBIL exceeding the upper limit of normal by 1.5 times, AST and ALT exceeding the upper limit of normal by 2.5 times, and serum creatinine exceeding 1.5 mg/dl for males and 1.4 mg/dl for females;
8. Patients with other serious systemic diseases (such as malignant tumors, central nervous system, cardiovascular system, blood system, digestive system, endocrine system, respiratory system, urogenital system, immune system, etc.);
9. Individuals who are currently using systemic hormones (such as glucocorticoids), immunosuppressants, or cytotoxic therapy;
10. Patients who received antibiotic treatment within the three months prior to study registration;
11. Patients who have received live or attenuated vaccines within 4 weeks prior to registration, or plan to receive live or attenuated vaccines during the study period;
12. Patients who are positive for HbsAg, Anti HCV, HIV or syphilis;
13. Patients with active infection (such as hepatitis B or hepatitis C, tuberculosis) requiring treatment;
14. Fever related diseases of unknown origin;
15. Disabled patients (blind, deaf, mute, intellectually disabled, physically disabled) and individuals with mental illnesses;
16. Patients who use drugs or have a history of adverse drug abuse and alcohol dependence within 5 years (with mental or substance abuse disorders that may interfere with the requirements of the trial);
17. Patients of childbearing age who are pregnant or lack effective contraceptive measures or have a pregnancy plan, as well as breastfeeding patients;
18. Patients who have received other stem cell treatments or participated in other clinical studies within the first three months of screening;
19. Patients who have not recovered due to adverse events (≥ level 2) caused by drug treatment within 4 weeks prior to the start of the study;
20. Patients with congenital or acquired immune dysfunction or a history of organ transplantation;
21. Patients with other serious diseases that may affect infusion results;
22. According to the judgment of the researchers, patients whose clinical conditions are not suitable for inclusion in this study.-
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Lu jin ,MD

OTHER

Sponsor Role lead

Responsible Party

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Lu jin ,MD

Director of endocrinology Department, Changhai Hospital

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Changhai Hospital

Shanghai, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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jin lu

Role: CONTACT

Phone: 021-18801784133

Email: [email protected]

Facility Contacts

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jin lu

Role: primary

Other Identifiers

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CHEC2023-226

Identifier Type: -

Identifier Source: org_study_id