Visualizing beta cells after Intrahepatic Islet of Langerhans Transplantatio
- Conditions
- Transplantatie eilandjes van LangerhansIntrahepatic islet transplantation in type 1 diabetes patients10018424
- Registration Number
- NL-OMON47855
- Lead Sponsor
- Radboud Universitair Medisch Centrum
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 13
Patients:
- > 18 years old
- T1D patient undergone islet transplantation
- Clinically proven functional islet graft (stimulated C-peptide > 0.8 nmol/L)
- Signed informed consent
Inclusion criteria T1D patients without an islet transplant
- > 18 years old
- Signed informed consent;on the waiting list for islet transplantation
- Treatment with synthetic Exendin (Exenatide, Byetta®) or Dipeptidyl-Peptidase IV inhibitors within the last 3 months
- Breast feeding
- Pregnancy or the wish to become pregnant within 6 months
- Affected kidney function * Calculated creatinine clearance below 30ml/min
- Liver disease defined as aspartate aminotransferase or alanine aminotransferase level of more than three times the upper limit of normal range (45 U/L).
- Age < 18 years
- No signed informed consent
- Exclusion criteria for MR:
* Metallic fragments, clips or devices in brain, eyes, spinal canal
* Implantable defibrillator or pacemaker (wires)
* Mandibular magnetic implants
* Neurostimulator, bladder stimulator, non-removable insulin pump
* Metal tissue-expander in chest
* Cochlear implant
* Ossicular replacement prosthesis
Study & Design
- Study Type
- Observational invasive
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>The main parameters of the study are the qualitative and quantitative<br /><br>assessment of the uptake of 68Ga-NODAGA-exendin-4 in the liver of T1D patients<br /><br>who received intrahepatic islet transplantation by PET/CT with additional<br /><br>MRI/MRS and compare this uptake to the uptake in the liver of healthy<br /><br>individuals.</p><br>
- Secondary Outcome Measures
Name Time Method <p>- The quantitative assessment of the detected signal in the liver compared to<br /><br>the functionality of the islet graft as assessed by clinical parameters.<br /><br>- The qualitative assessment of the distribution of uptake in the liver<br /><br>reflecting islet distribution across the liver.<br /><br>- Correlation between the distribution of uptake in the liver (PET) and<br /><br>structural abnormalities, such as hepatic steatosis (MRI/MRS)</p><br>