Mesenchymal Stem Cell and Islet Co-transplantation
A Phase I Study Evaluating Safety and Tolerability of Autologous Bone Marrow-derived Mesenchymal Stromal Cells in Chronic Pancreatitis Patients Who Undergo Total Pancreatectomy and Islet Autotransplantation.
2 other identifiers
interventional
3
1 country
1
Brief Summary
The purpose of this study is to show safety and tolerability to our mesenchymal stromal cells (MSCs) product which will be autologous in nature, expanded using a non-xenogeneic, human component expansion media (pooled human platelet lysate) and delivered fresh. Subsequently, the investigators intend to test whether infusion of MSCs immediately after islet autograft can reduce onset of diabetes and improve glycemic control after total pancreatectomy and islet autotransplantation.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_1
Started Dec 2014
Typical duration for phase_1
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2014
CompletedFirst Submitted
Initial submission to the registry
December 16, 2014
CompletedFirst Posted
Study publicly available on registry
March 10, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
November 21, 2017
CompletedApril 4, 2022
March 1, 2022
1.5 years
December 16, 2014
March 23, 2022
Conditions
Outcome Measures
Primary Outcomes (1)
C-peptide level after mixed meal tolerance test
12 months
Secondary Outcomes (2)
Liver function, kidney function
12 months after transplant
The absence of severe hypoglycemic episodes
12 months after transplant
Study Arms (2)
Control
NO INTERVENTIONPatients will receive standard islet transplantation.
autologous mesenchymal stromal cell
EXPERIMENTALPatients will receive MSCs together with standard islet transplantation.
Interventions
Islet transplantation patients will receive autologous MSCs following islets infusion
Eligibility Criteria
You may qualify if:
- Chronic pancreatitis patients who undergo TP-IAT.
- \>18 years of age.
- Patients with BMI from 18.5 to 30.
- Renal function: \>90mls/min/1.73m squared
- Normal INR/PT/PTT values for MUSC clinical laboratory standards
- Diabetes free before surgery (fasting blood glucose\<125mg/dl).
- No prior pancreatic surgery with the exception of transduodenal sphincteroplasty or Whipple/Beger procedure.
- Patients with normal liver function as measured by serum levels of aminotransferase including alanine aminotransferase (ALT), and aspartate aminotransferase (AST), and total bilirubin levels.
You may not qualify if:
- Patients whose Hemoglobin, Hematocrit, and Platelet count are above or below normal values for MUSC clinical laboratory standards.
- Patients who has hematological malignancy.
- Patients who are under immunosuppression.
- Patients with marked calcification disease on CT scan.
- Patients with severe fibrosis and atrophy on pancreas MRI.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
GI Surgery, Medical University of South Carolina
Charleston, South Carolina, 29425, United States
Related Publications (1)
Wang H, Strange C, Nietert PJ, Wang J, Turnbull TL, Cloud C, Owczarski S, Shuford B, Duke T, Gilkeson G, Luttrell L, Hermayer K, Fernandes J, Adams DB, Morgan KA. Autologous Mesenchymal Stem Cell and Islet Cotransplantation: Safety and Efficacy. Stem Cells Transl Med. 2018 Jan;7(1):11-19. doi: 10.1002/sctm.17-0139. Epub 2017 Nov 21.
PMID: 29159905RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Hongjun Wang, Ph.D
Medical University of South Carolina
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor of Surgery
Study Record Dates
First Submitted
December 16, 2014
First Posted
March 10, 2015
Study Start
December 1, 2014
Primary Completion
June 1, 2016
Study Completion
November 21, 2017
Last Updated
April 4, 2022
Record last verified: 2022-03