Outcomes of Physiologic Insulin Resensitization (PIR) in Patients With Chronic Kidney Disease and Type 2 Diabetes Mellitus

NCT ID: NCT07187479

Last Updated: 2025-10-20

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

RECRUITING

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-10-14

Study Completion Date

2026-06-30

Brief Summary

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The purpose of this research is to evaluate outcomes of physiologic insulin re-sensitization (PIR) in patients with Chronic Kidney Disease (CKD) and Type 2 Diabetes Mellitus (T2DM).

Detailed Description

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The primary objective of this study is to assess the outcomes of Physiologic Insulin Resensitization (PIR) treatment compared to standard of care (SOC) on renal patients with a diagnosis of chronic kidney disease (CKD) (stages 3b, 4 and 5) and Type 2 diabetes mellitus (T2DM)

Conditions

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Chronic Kidney Disease (Stages 4 and 5) Kidney Disease Type 2 Diabetes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized, Open Label Study
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Physiologic Insulin Resensitization (PIR) Group

Subject to receive Physiologic Insulin Resensitization (PIR)

Group Type EXPERIMENTAL

Physiologic Insulin Resensitization (PIR)

Intervention Type OTHER

PIR is a physician-directed treatment that uses an exterior infusion pump to deliver insulin intravenously.

Standard of Care (SOC) Group

Subjects will receive standard of care

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Physiologic Insulin Resensitization (PIR)

PIR is a physician-directed treatment that uses an exterior infusion pump to deliver insulin intravenously.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Is age 18 or older (male or female)
* Have a documented diagnosis of CKD stage 3b, 4, or 5 and T2DM of 6 months or greater prior to screening. Patients may have treatment regimens associated with T2DM that include diabetic oral and/or injectable medications including insulin and/or GLP-1 receptor agonists.
* In the opinion of the Investigator, has been on an appropriate, stable regimen for management of any complications present for the past six (6) months.
* In the opinion of the Investigator, is able to do all of the following:

* Provide valid informed consent.
* Understand and comply with study procedures as presented in the consent process.
* Has the capacity or support to attend all required visits.
* If female, the subject must meet either of the following sets of conditions:

o Is of non-childbearing potential, defined as meeting either of the following criteria:
* Age ≥50 years and post-menopausal for at least one (1) year
* Surgically sterile due to bilateral tubal ligation, bilateral oophorectomy, or hysterectomy
* Is of childbearing potential and meets both of the following criteria:

* Has a negative serum pregnancy test (beta-human chorionic gonadotropin) at screening.
* Agrees to practice an acceptable method of birth control (contraception) from screening until at least 30 days after last study treatment

Exclusion Criteria

* Has in the past two (2) years received treatment for a malignancy.
* Current pregnancy or intends to become pregnant during the study
* Has in the past one (1) year used non-prescription opioids or psychoactive drugs.
* Has in the past six (6) months had a hypoglycemic event requiring urgent care and/or administration of glucagon, osteocalcin, or parenteral glucose, unless approved for enrollment by the Medical Monitor.
* Has within the past one (1) month participated in a clinical study involving either of the following:

* An investigational drug or procedure for any clinical indication
* An investigation method for glucose control using approved agents
* Is nursing or is planning to nurse during the study.
* Has at screening a positive test for HIV (4th gen. screen), HBsAg, or HCV viral load.
* Has at screening, one or more of the following abnormal lab results:

* Hb \<8 g/dL
* WBC \<2,000/µL
* Platelets \<50,000/µL
* ALT, AST, or Alkaline Phosphatase \>5x ULN
* ALT or AST \>2.5x ULN, and Total Bilirubin \>2x ULN
* Serum albumin \<3 g/dL
* Has - in the opinion of the Investigator - psychiatric, behavioral, cognitive and/or clinical dysfunction (whether or not related to known medical illness or drug / alcohol use) that would affect the subject's safety and/or compliance.
* Is on active dialysis at time of screening
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Well Cell Global

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sungchun Lee, MD

Role: PRINCIPAL_INVESTIGATOR

Arizona Kidney Disease and Hypertension Centers

Locations

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Arizona Kidney Disease and Hypertension Center

Phoenix, Arizona, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Richard Marchase, PhD

Role: CONTACT

205-612-4763

Samantha Villaverde

Role: CONTACT

904-806-8280

Facility Contacts

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Cynthia Carrizoza, MS, CCRP

Role: primary

602-997-0484

Other Identifiers

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AZ-01

Identifier Type: -

Identifier Source: org_study_id

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