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Clinical Trials/NCT03484741
NCT03484741
Unknown
Phase 1

A Preliminary Safety and Efficacy Evaluation of Mesenchymal Stem Cell Transplantation for Type 1 Diabetes Mellitus (T1DM) Patients

Van Hanh General Hospital1 site in 1 country15 target enrollmentApril 1, 2017

Overview

Phase
Phase 1
Intervention
Not specified
Conditions
Type 1 Diabetes Mellitus
Sponsor
Van Hanh General Hospital
Enrollment
15
Locations
1
Primary Endpoint
Hemoglobin A1c (HbA1c) level
Last Updated
8 years ago

Overview

Brief Summary

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

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.

Registry
clinicaltrials.gov
Start Date
April 1, 2017
End Date
November 2018
Last Updated
8 years ago
Study Type
Interventional
Study Design
Single Group
Sex
All

Investigators

Sponsor
Van Hanh General Hospital
Responsible Party
Sponsor

Eligibility Criteria

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.

Outcomes

Primary Outcomes

Hemoglobin A1c (HbA1c) level

Time Frame: 1 month, 3 months and 6 months after transplantation

Assess the changes in HbA1C level after transplantation

Adverse events

Time Frame: during the course of 6 months

Evaluate the safety of therapy by number record of adverse events (AEs)

Fasting blood glucose

Time Frame: every month in the course of 6 months

Assess the changes in fasting blood glucose level after transplantation

Secondary Outcomes

  • Insulin dose(during the course of 6 months)
  • C-peptide(every month in the course of 6 months)
  • Blood insulin level(every month in the course of 6 months)

Study Sites (1)

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