NCT07479134

Brief Summary

The goal of this interventional study is to generate induced pluripotent stem cells (iPSCs) from somatic cells and differentiate them into insulin-producing β cells in patients with metabolic and genetic pancreatic diseases and in healthy controls. The main questions it aims to answer are: Can somatic cells from healthy individuals and patients with diabetes be successfully reprogrammed into iPSCs? Can these iPSCs be differentiated into functional insulin-producing β cells suitable for studying disease mechanisms and developing cell-based therapies? Participants will provide a single biological sample (either a 3 mm skin punch biopsy, a blood sample, or a urine sample) collected under sterile conditions. The samples will be used to derive somatic cells, which will then be reprogrammed into iPSCs and differentiated into β cells for laboratory analyses. Participants will: Undergo a one-time sample collection (skin biopsy, blood draw, or urine collection) at Ospedale San Raffaele Receive standard post-procedure care (if applicable) This research aims to improve understanding of β cell function and dysfunction in diabetes and to advance personalized regenerative therapies for β cell replacement.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
100

participants targeted

Target at P50-P75 for not_applicable diabetes

Timeline
118mo left

Started Mar 2026

Longer than P75 for not_applicable diabetes

Geographic Reach
1 country

1 active site

Status
recruiting

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 Progress3%
Mar 2026Feb 2036

Study Start

First participant enrolled

March 1, 2026

Completed
12 days until next milestone

First Submitted

Initial submission to the registry

March 13, 2026

Completed
5 days until next milestone

First Posted

Study publicly available on registry

March 18, 2026

Completed
9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 28, 2035

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

February 28, 2036

Last Updated

March 18, 2026

Status Verified

November 1, 2025

Enrollment Period

9 years

First QC Date

March 13, 2026

Last Update Submit

March 13, 2026

Conditions

Keywords

diabetes; stem cells, induced pluripotent stem cells

Outcome Measures

Primary Outcomes (1)

  • generation of iPSC

    Successful generation of iPSCs from somatic cells, defined by \>80% expression of pluripotency markers (SSEA4, OCT4, NANOG) within 7-60 days after culture establishment.

    within 7-60 days after culture establishment

Study Arms (1)

Biospecimen Collection for iPSC Generation and β Cell Differentiation

EXPERIMENTAL

All participants will provide a single biological sample (skin biopsy, blood draw, or urine collection) for isolation of somatic cells. These cells will be reprogrammed into induced pluripotent stem cells (iPSCs) and differentiated into insulin-producing β cells to study pancreatic function and disease mechanisms. No therapeutic intervention is administered.

Procedure: Biological - skin biopsy, blood draw, or urine collection for iPSC generation

Interventions

This study involves a single, minimally invasive biological sampling to obtain somatic cells for the generation of induced pluripotent stem cells (iPSCs). Each participant will undergo only one procedure: a 3 mm skin punch biopsy under local anesthesia, a peripheral blood draw (up to 20 mL), or a urine collection (up to 300 mL), depending on laboratory needs. Samples will be processed to isolate fibroblasts, blood cells, or urine-derived epithelial cells, which will be reprogrammed into iPSCs using a non-integrating RNA-based system . The resulting iPSCs will be characterized for pluripotency and differentiated into insulin-producing β cells.

Biospecimen Collection for iPSC Generation and β Cell Differentiation

Eligibility Criteria

Age12 Years - 70 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Age between 12 and 70 years.
  • Ability and willingness to provide informed consent (or assent with parental consent for minors).
  • Group 1: Individuals diagnosed with pancreatic β cell dysfunction, including but not limited to:
  • Type 1 Diabetes
  • Type 2 Diabetes
  • Maturity Onset Diabetes of the Young (MODY)
  • Wolfram Syndrome
  • Pancreatogenic Diabetes
  • Group 2: Healthy control donors without pancreatic β cell dysfunction.

You may not qualify if:

  • Age below 12 or above 70 years.
  • Health condition too compromised to allow safe tissue collection (e.g., acute hypoglycemia \<70 mg/dL or hyperglycemia \>140 mg/dL at sampling).
  • Inability or unwillingness to provide informed consent/assent.
  • Active malignancy or current cancer treatment.
  • Known infection with HIV, Hepatitis B, or Hepatitis C.
  • Use of medications that may interfere with iPSC generation (e.g., high-dose corticosteroids, immunomodulators), unless approved by investigators.
  • For participants undergoing skin biopsy: bleeding disorders, local skin infection, allergy to anesthetics, or use of anticoagulants.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Diabetes Research Institute

Milan, 20132, Italy

RECRUITING

MeSH Terms

Conditions

Diabetes Mellitus

Interventions

Blood Specimen CollectionUrine Specimen Collection

Condition Hierarchy (Ancestors)

Glucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Intervention Hierarchy (Ancestors)

Specimen HandlingClinical Laboratory TechniquesDiagnostic Techniques and ProceduresDiagnosisPuncturesSurgical Procedures, OperativeInvestigative Techniques

Central Study Contacts

Valeria Sordi, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
BASIC SCIENCE
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor of Endocrinology Director, Diabetes Research Institute, Director, Regenerative Medicine and Transplant Unit

Study Record Dates

First Submitted

March 13, 2026

First Posted

March 18, 2026

Study Start

March 1, 2026

Primary Completion (Estimated)

February 28, 2035

Study Completion (Estimated)

February 28, 2036

Last Updated

March 18, 2026

Record last verified: 2025-11

Data Sharing

IPD Sharing
Will not share

Locations