Type 1 Diabetes Mellitus
Conditions
Keywords
Type1 Diabetes Mellitus, Multipotent stromal cell, Mesenchymal stem cell, Insulin, Pancreatic reserve, Disease progression
Brief summary
The purpose of this study is to evaluate whether the administration of multipotent stromal cell also referred as to mesenchymal stem cells (MSCs), modified Type 1 Diabetes progression.
Detailed description
Aim: to evaluate whether a single intravenous administration of allogeneic bone marrow-derived multipotent stromal cell also referred as to mesenchymal stem cells (MSCs), modified endogenous insulin secretion capacity and exogenous insulin requirement in patients with Type 1 Diabetes Mellitus. Participants: 10, females or males, 18 years or older, diagnosed with Type 1 Diabetes Mellitus at most 1 year before enrollment, under exogenous insulin treatment, with pancreatic reserve of insulin. Intervention: intravenous administration of a single dose (2-3 millions/Kg) of allogeneic MSCs. Follow up: before and 1, 6, 24 months after MSC administration.
Interventions
origin: bone marrow of healthy donor; manipulation: ex vivo expanded; via: intravenous; vehicle: 5% human recombinant albumin in physiological serum; dose: 2-3 millions/Kg; dosage: single
Sponsors
Study design
Eligibility
Inclusion criteria
* differential diagnosis of Type 1 Diabetes * diagnosed performed at most 1 year before enrollment * pancreatic reserve of insulin higher than 0.8 nmol/L/h * good general health status * informed consent of patient * consent of treating physician * proved psychiatric competence to be enrolled in a clinical study
Exclusion criteria
* pregnancy * significant comorbidities * HIV, HBV, HCV, HTLV-1, HLTV-2 or VDRL positive
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in insulin pancreatic reserve | pre- and 1, 6, 24 months post-intervention | Levels of insulin secreted after the acute ingestion of a protein rich liquid diet |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in insulin requirement | pre- and up to 24 months post-intervention | Daily dose of self-administered insulin |
Other
| Measure | Time frame | Description |
|---|---|---|
| Number of patients with grade 3 through grade 5 adverse events (CTCAE v3.0) | up to 24 months post-intervention | Review of patient clinical records |
Countries
Chile