Type 1 Diabetes Mellitus
Conditions
Keywords
diabetes type 1, bone marrow transplantation
Brief summary
This project evaluates the effectiveness of the administration of autologous bone marrow blood in patients with brittle type 1 diabetes mellitus to restore insulin secretion. After mobilization of hematopoietic progenitors (G-CSF) during 3 days, 50 to 90 mL of bone marrow blood will be obtained by multifunction in the posterior iliac crest. The material obtained will be implanted into the pancreas through the magna pancreatic artery after femoral catheterization.
Interventions
administration of autologous bone marrow blood through magna pancreatic artery after femoral catheterization once during 12-month study period
Sponsors
Study design
Eligibility
Inclusion criteria
* diabetes type 1 patients * 18 to 50 years of age * more than 5 years of evolution of the disease * brittle diabetes (HbA1c \> 8.5 % with intensified treatment or severe hypoglycemia episodes
Exclusion criteria
* history of cancer * hematologic alterations * infectious disease positivity (HIV, HCV etc.) * diabetic nephropathy * cardiac failure * liver disease * autoimmune systemic disease * allergy to iodine contrast or anesthesia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Evaluate glycosylated hemoglobin 1,3,6, and 12 months after autologous bone marrow blood administration. | 12 months |
Secondary
| Measure | Time frame |
|---|---|
| Evaluate number of hypoglycemias 1,3,6, and 12 months after autologous bone marrow blood administration. | 12 months |
| Evaluate insulin dose 1,3,6, and 12 months after autologous bone marrow blood administration. | 12 months |
| Evaluate GADab titers and treatment tolerance 1,3,6, and 12 months after autologous bone marrow blood administration. | 12 months |
Countries
Spain