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A Study of Pancreatectomy with Autologous Islet Transplantation for Treatment of Chronic Pancreatitis

Phase 2
Recruiting
Conditions
Chronic pancreatitis and pancreatic arteriovenous malformation
Registration Number
JPRN-jRCTc030220161
Lead Sponsor
Shimoda Masayuki
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
10
Inclusion Criteria

1. A written consent can be obtained. 2. Age is between 18 and 70 years old. 3. Diagnosis of chronic pancreatitis or pancreatic arteriovenous malformation 4.Previous conservative treatment, celiac plexus block, endoscopic treatment or surgical treatment were ineffective.

Exclusion Criteria

1. BW >100kg or BMI >30 kg/m2. 2. Insulin requirement >0.8IU/kg/day or >55U/day. 3. Type 1 diabetes. 4. HbA1c>10%. 5. Systolic blood pressure >160 mmHg or diastolic blood pressure >100 mmHg. 6. eGFR >30ml/min/1.73m2. 7. Pregnancy or breastfeeding. 8. Active infections, Hepatitis B, hepatitis C or mycobacteriosis including tuberculosis. 9. Malignant tumor. However, those who have been diagnosed as recurrence-free after treatment are not excluded. 10. Alcoholism or drug dependency 11. Hb<10 g/dL. However, this does not exclude cases where blood transfusion is planned during surgery. 12. Coagulopathy. 13. Severe heart disease. 14. Liver dysfunction. 15. Portal vein hypertension or liver fibrosis. 16. Pancreatic tumor. 17. Gastrointestinal disorders with impair oral drug absorption. 18. Participant in another clinical trial. 19. Patients who are unable to make regular outpatient visits. 20. Mental illness. 21. Patients who are judged to be inappropriate by clinical trial investigators.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The ratio of patients with good glycemic control 6 months after treatment (180 +/- 14 days). blood glucose control is defined as satisfying all of the following 1, 2 and 3. 1. Fasting blood c-peptide >= 0.1 ng / mL. 2. HbA1c value <7.4% or HbA1c value <preoperative value + 1.0% in case of diabetes before treatment 3. No severe hypoglycemic attack from 30 days to 6 months after treatment
Secondary Outcome Measures
NameTimeMethod
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