Type 1 Diabetes
Conditions
Keywords
Type 1 diabetes, autoimmune, cord blood stem cell, stem cell educator, immune modulation, children, Control autoimmunity, stimulate the regeneration of islet beta cells
Brief summary
Type 1 diabetes (T1D) is an autoimmune disease that usually occurs in children and reduces their pancreatic islet beta cells and thereby limits insulin production. Millions of individuals worldwide have T1D, and the number of children with diagnosed or undiagnosed T1D is increasing annually. Insulin supplementation is not a cure. It does not halt the persistent autoimmune response, nor can it reliably prevent devastating complications such as neuronal and cardiovascular diseases, blindness, and kidney failure. A true cure has proven elusive despite intensive research pressure over the past 25 years. Notably, Dr.Zhao and his team have successfully developed a groundbreaking technology Stem Cell Educator therapy (Zhao Y, et al.BMC Medicine 2011, 2012). To date, clinical trials in adult patients have demonstrated the safety and efficacy of Stem Cell Educator therapy for the treatment of T1D and other autoimmune-associated diseases. Here, the investigators will evaluate the safety and efficacy of Stem Cell Educator therapy in children with type 1 diabetes.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* 1\. T1D patients are screened for enrollment in the study if both clinical signs and laboratory tests meet the diagnosis standards of American Diabetes Association. 2\. Children from 3 through 18 years old and body weight \> 15 kg. 3\. Presence of at least one autoantibody to the pancreatic islet β cells (IA-2, GAD, ICA, ZnT8, or IAA). 4\. Written informed consent from the child and child's parents or legal representative.
Exclusion criteria
* 1\. Any clinically significant diseases in liver, kidney, and heart. 2\. Additional
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Autoimmune control | 90 days post treatment | Before treatment, test autoimmune-related markers as baseline; After treatment for 90 days, repeat testing autoimmune-related markers. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Metabolic control | 3-24 months post treatment | Before treatment, test for C-peptide levels and HbA1C as baseline; After treatment, test C-peptide levels and HbA1C on the 3rd month. 1. Analysis of islet beta cell function 2. Test for C-peptide levels on every 6 month; 3. Full evaluation of islet beta cell function after two years. |
Countries
China