Delayed Mycophenolate Mofetil in Single-Donor Islet Allotransplantation in Type 1 Diabetes
Completed · Phase 1/Phase 2
Conditions studied: Type 1 Diabetes, Hypoglycemia
In brief
The objective of this study is to assess the safety and efficacy of islet allotransplantation for the reestablishment of stable glycemic control in patients with type 1 diabetes, using anti-thymocyte globulin induction immunosuppression with sirolimus, mycophenolate mofetil and low dose tacrolimus maintenance immunosuppression.
Key facts
- Study ID
- NCT00285233
- Run by
- University of Minnesota
- People needed
- 8
- Starts
- 2000-09-01
- Expected to finish
- 2005-03-01
- Last updated by the study team
- 2012-08-02
Who can join
Age: 18 and older, up to 65. Sex: any. Healthy volunteers: accepted.
You may qualify if…
- Primary islet allotransplant
- Type 1 diabetes mellitus, complicated by at least one of the following situations that persist despite intensive efforts in close cooperation with their diabetes care team:
- Metabolic lability/instability;
- Reduced awareness of hypoglycemia;
- Persistently poor glucose control (as defined by HgbA1c>10% at the end of six months of intensive management efforts with the diabetes care team);
- Progressive secondary complications.
- Age 18 and older
- Able to give written informed consent
You may not qualify if…
- Known hypersensitivity to rabbit proteins.
- Presence of history of panel-reactive anti-HLA antibodies (>10%).
- Insufficient cardiovascular reserve.
- Creatinine clearance <60 mL/min/m2.
- Portal hypertension, abnormal liver enzyme tests, or history of significant liver disease.
- History of malignancy within 5 years.
- Active peptic ulcer disease.
- Severe unremitting diarrhea or other gastrointestinal disorders potentially interfering with the ability to absorb oral medications.
- Pregnancy or breast-feeding.
- Active infections.
- Serological evidence of infection with HIV, or HBsAg or HCVAb positive within the previous 12 months prior to transplantation.
- Negative screen for Epstein-Barr Virus (EBV) by an EBNA method
- Evidence of infiltrate, cavitation, or consolidation on chest x-ray during pre-study screening.
- Schizophrenia, bipolar disorder, or major depression that is unstable or uncontrolled on current medications.
- Ongoing substance abuse; drug or alcohol.
- Recent history of noncompliance.
- Any medical condition that, in the opinion of the investigator, will interfere with the safe completion of the trial.
Where it is running
- University of Minnesota — Minneapolis, Minnesota, United States
Full record on ClinicalTrials.gov
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