Status:

RECRUITING

Cellular Therapy for Type 1 Diabetes Using Mesenchymal Stem Cells

Lead Sponsor:

Medical University of South Carolina

Collaborating Sponsors:

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Conditions:

Diabetes Mellitus, Type 1

Eligibility:

All Genders

18-40 years

Phase:

PHASE1

Brief Summary

The goal of this study is to determine the safety and efficacy of fresh metabolically active allogeneic umbilical cord-derived mesenchymal stromal cells (UC-MSCs) for the treatment of new-onset type 1...

Detailed Description

This study seeks to find and enroll participants between the ages of 18 to 40 with new onset Type 1 diabetes (T1D) within 6 months of the first dose of insulin. T1D is an autoimmune disease in which T...

Eligibility Criteria

Inclusion

  • Inclusion criteria:
  • A new diagnosis of T1D based on the ADA criteria within 6 months of randomization.
  • Male and female between the ages of 18 and 40
  • Mentally stable and able to comply with the procedures of the study protocol
  • Positivity for at least one T1D-associated autoantibody, such as GAD, IA-2 or ZnT8 autoantibodies
  • At screening, patients must have residual β cell function with a stimulated peak C-peptide \>0.2 nmol/l during a 2 hour MMTT
  • Must be willing to comply with "intensive diabetes management" (\* See diabetes management at MUSC below) as directed by the participant's clinician with the goal of maintaining blood glucose as close to normal as possible
  • Subject must be willing to comply with the schedule of study visits and protocol requirements
  • Subject with normal laboratory values of: White blood cell counts: between 4,500 to 11,000 per microliter; Platelet counts: 140,000 to 450,000 platelets per microliter of blood; Serum creatinine range is 0.6-1.3 mg/dL, Hepatic function: ALT 5 to 55 units per liter (U/L), AST 5 to 48 U/L.
  • Exclusion criteria:
  • Evidence of retinopathy at baseline based on ophthalmologic examination or medical record review.
  • Body Mass Index \< 14 or \>35
  • Presence of malignancy
  • Subject has abnormally high lipid levels that exceeds \> 3 times the upper limit of normal for LDL cholesterol or triglycerides
  • Subject has blood pressure greater than 160 mmHg systolic or 100 mmHg diastolic at time of consent
  • Subject is being treated for severe active infection of any type
  • A female subject who is breast-feeding, pregnant, or intends to become pregnant during the study.
  • Subject with clinically relevant uncontrolled medical condition not associated with diabetes (e.g. severe psychiatric, hematologic, renal, hepatic, neurologic, cardiac, or respiratory disorder)
  • Subjects with HgbA1c \>12%, and/or fasting blood glucose \>270 mg/dL and/or frequent episodes of hypoglycemia (\>2 episodes per week of blood glucose levels \<60 mg/dL).

Exclusion

    Key Trial Info

    Start Date :

    February 27 2020

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    March 31 2027

    Estimated Enrollment :

    60 Patients enrolled

    Trial Details

    Trial ID

    NCT04061746

    Start Date

    February 27 2020

    End Date

    March 31 2027

    Last Update

    May 2 2025

    Active Locations (1)

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    1

    Medical University of South Carolina

    Charleston, South Carolina, United States, 29425