Status:

WITHDRAWN

Clinical Islet Transplantation Using the Edmonton Protocol

Lead Sponsor:

London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's

Collaborating Sponsors:

London Health Sciences Centre

Conditions:

Type 1 Diabetes

Eligibility:

All Genders

18-65 years

Brief Summary

The purpose of this study is to perform a series of islet transplants using the Edmonton protocol. Patients with Type I Diabetes and glycemic lability, severe hypoglycemia or hypoglycemic unawareness ...

Detailed Description

The purpose of this study is to document the outcomes of islet transplant at our centre while replicating the Edmonton protocol. The Edmonton protocol, as described above, is currently the standard cl...

Eligibility Criteria

Inclusion

  • age 18-65 years
  • type 1 diabetes for at least 5 years
  • at least 1 of the following: a) frequent, severe hypoglycaemia b) hypoglycemic unawareness\* c) glycemic lability despite an optimal insulin regimen\*, and failure of intensive insulin therapy as judged by independent endocrinologist

Exclusion

  • obesity (BMI \>28
  • insulin requirements \> 0.7 U/kg/day
  • history of cancer (except basal or squamous skin cancer)
  • unstable, severe, or non-correctable cardiac disease
  • previous organ transplant
  • evidence of sensitization (PRA\>20%)
  • renal dysfunction (macroalbuminuria, renal dialysis)
  • untreated proliferative retinopathy
  • active infection, including hep C, hep B, HIV, TB
  • current cigarette smoking (6 months abstinence required) or substance abuse
  • indication for steroid medications (exception steroid inhalers, topical steroids)
  • indication for anticoagulation (exception aspirin)
  • pregnancy or desire for future pregnancy; breast-feeding
  • major psychiatric illness

Key Trial Info

Start Date :

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

January 1 2008

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT00309231

End Date

January 1 2008

Last Update

March 15 2017

Active Locations (1)

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1

London Health Sciences Centre University Campus

London, Ontario, Canada, N6A 4L6