Islet After Kidney Transplant for Type 1 Diabetes
- Registration Number
- NCT00784966
- Lead Sponsor
- Virginia Commonwealth University
- Brief Summary
The purpose of this study is to determine if prolonged administration of the anti TNF (tumor necrosis factor)-Alpha agent etanercept is associated with enhanced graft survival in patients undergoing islet after kidney transplantation.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- All
- Target Recruitment
- Not specified
Inclusion Criteria
- Patients with type 1 diabetes mellitus, who have a stable functioning renal transplant, are taking the appropriate maintenance immunosuppression and have no severe health problems that preclude them receiving an islet transplant will be considered for inclusion.
Exclusion Criteria
- Have a history of or findings suggestive of unstable diabetic complications (e.g. active eye disease)
- Active infections (clinically or by laboratory testing)
- History of current malignancy or suspicion of malignancy until properly investigated and excluded
- Liver or biliary abnormalities
- Unstable cardiovascular disease
- Findings to suggest immunological sensitization or those women who have the potential to get pregnant and are not using a sufficient method of contraception
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description 1 etanercept Two weeks etanercept post islet transplant 2 etanercept Two months etanercept treatment post islet transplant
- Primary Outcome Measures
Name Time Method The functional capability of the islet allograft to normalize glucose metabolism in the absence of insulin therapy. Outcome measures will be assessed at protocol prescribed intervals. Long term outcomes assessment will be measured at 5 years post transplant or all evidence of islet function has ceased plus six months.
- Secondary Outcome Measures
Name Time Method Reduction in insulin requirements in those patients who do not achieve insulin independence with improved metabolic control. Outcome measures will be assessed at protocol prescribed intervals.
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What molecular mechanisms does etanercept target to improve islet graft survival in type 1 diabetes after kidney transplantation?
How does etanercept compare to standard-of-care immunosuppressants in islet after kidney transplant outcomes for type 1 diabetes patients?
Which biomarkers are associated with enhanced islet graft survival in type 1 diabetes patients treated with prolonged etanercept post-kidney transplant?
What are the potential adverse events of prolonged etanercept use in islet after kidney transplantation for type 1 diabetes and how can they be managed?
Are there any combination therapies or competitor drugs that enhance graft survival in islet after kidney transplantation for type 1 diabetes when used with or instead of etanercept?
Trial Locations
- Locations (1)
Virginia Commonwealth University Health System
🇺🇸Richmond, Virginia, United States
Virginia Commonwealth University Health System🇺🇸Richmond, Virginia, United States