Raptiva and Sirolimus in Islet Transplantation for Type 1 Diabetes
NCT00672204 · Status: TERMINATED · Phase: PHASE1/PHASE2 · Type: INTERVENTIONAL · Enrollment: 23
Last updated 2017-10-25
Summary
The primary objective of this protocol is to test the safety and efficacy of a treatment regimen consisting of maintenance therapy with efalizumab and sirolimus for 1 year followed by withdrawal of efalizumab and maintenance therapy with sirolimus, for the prevention of the destruction and rejection of islet transplants in type 1 diabetic recipients.
Genentech, the manufacturer of efalizumab voluntarily withdrew the drug from the U.S. market in April of 2009. Previously transplanted subjects have been transitioned to alternative immunosuppressives and no new subjects will be transplanted under this protocol.
Conditions
- Type 1 Diabetes Mellitus
- Hypoglycemia
Interventions
- BIOLOGICAL
-
Allogeneic islets of Langerhans transplant
Up to 3 intraportal infusions of cadaveric pancreatic islets of Langerhans. Each infusion to contain at least 5,000 islet equivalents/kg body weight.
- DRUG
-
Raptiva
Treatment Day -1 pretransplant to Treatment Day 90 after tx.: 1.0 mg/kg/wk SQ; Treatment Day 91 to Treatment Day 365: 0.5 mg/kg/wk SQ;
- DRUG
-
Sirolimus
Initial dose 0.1 mg/kg PO on day -2, followed by 0.05 mg/kg daily, whole blood 24-hour trough adjusted to target 3-15 ng/ml as tolerated
- DRUG
-
anti-thymocyte globulin
2.0 mg/kg on days -2, and -1 IV
Sponsors & Collaborators
-
Juvenile Diabetes Research Foundation
collaborator OTHER - lead OTHER
Principal Investigators
-
Bernhard J. Hering, M.D. · University of Minnesota
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2007-11-30
- Primary Completion
- 2010-12-31
- Completion
- 2012-08-31
Countries
- United States
Study Locations
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