Diabetic Neuropathies
Conditions
Keywords
Patients with symmetric peripheral diabetic neuropathy
Brief summary
Treatment of patients with diabetic neuropathy by intraarterial progenitor cell transplantation.
Detailed description
Goal is: Stimulation of angiogenesis and induction of vasa nervorum in order to improve nerve function
Interventions
catheter delivery of stem cells
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with distal symmetrical diabetic neuropathy of the legs * Type 1 or Type 2 Diabetes * Stable Glucose control over last 3 months (Hba1c \<7.5) * Written informed consent
Exclusion criteria
* Patients with peripheral arterial disease (ABI \<0.9) * Neuropathy of other origin * Myopathy * Asymmetrical neuropathy * Active infection oder fever * Chronic inflammatory disease (z.B M. Crohn, Rheumatoid Arthritis) * HIV or hepatitis * Neoplastic disease without complete remission within last 5 y * Stroke or myocardial infarction within last 3 months * Renal failure (creatinine \> 2 mg/dl) * Liver disease (GOT \> 2 upper limit or spontaneous INR \> 1,5). * Anemia (hemoglobine \< 8.5 mg/dl) * Platelets \<100.000/µl * HbA1c \>7,5 % * Allergies to Aspirin, Clopidogrel, Heparin * Bleeding disorder * Surgery or trauma within the last 2 months * Pregnancy * Mental retardation * Participation in another study within 30 days
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improvement of neurological score: modified NIS(LL)+7 | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| Modified Toronto Clinical Scoring System | 1 year |
| Heart rate variability | 1 year |
Countries
Germany