A Clinical Trial to Prevent New Onset Diabetes After Transplantation
NCT01683331 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 251
Last updated 2019-03-20
Summary
Specific Aim 1: To determine the clinical efficacy of early initiation of insulin therapy in decreasing the incidence of NODAT among de novo kidney transplant patients with manifested post-transplant hyperglycemia during the first week after transplantation.
Hypothesis 1: Early initiation of insulin therapy protects beta-cell from early stress related to the surgery and use of higher doses of immunosuppressive medications, and leads to lower incidence of NODAT at 1 and 2 years.
Specific Aim 2: To determine the improvement in overall glycemic control with the early initiation of insulin therapy.
Hypothesis 2: Early initiation of insulin therapy results in greater overall control of glycemia compared to standard care of dietary counseling, life-style modification, oral hypoglycemic agents and/or insulin as needed at 1 year.
Specific Aim 3: To determine the improvement in beta-cell function among patients assigned to the early initiation of insulin therapy at one year post-transplantation.
Hypothesis 3: Early initiation of insulin therapy protects beta-cell from glucotoxicity of post-transplant hyperglycemia and preserves better beta-cell function at 1 year.
Conditions
- Prevention of New Onset Diabetes Among Kidney Transplant Patients
Interventions
- DRUG
-
Insulin treatment for hyperglycemia
Sponsors & Collaborators
-
Medical University of Vienna
collaborator OTHER - lead OTHER
Principal Investigators
-
Akinlolu Ojo, MD · University of Michigan
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2012-08-31
- Primary Completion
- 2018-02-27
- Completion
- 2018-02-27
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Define Predictors for Posttransplant Diabetes Mellitus Study
NCT06440330 ·Status: RECRUITING
-
Study of Islet Transplantation in Type 1 Diabetic Kidney Transplant Recipients
NCT00888628 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Reduced Calorie Diet Intervention in Kidney Transplant Recipients
NCT00994838 ·Status: COMPLETED ·Phase: PHASE2
-
Prevalence of Adrenal Insufficiency in Kidney Transplanted Patients in Glucocorticoid Treatment
NCT03136562 ·Status: COMPLETED
-
Comparing Glycaemic Benefits of Active Versus Passive Lifestyle Intervention in Kidney Allograft Recipients
NCT02233491 ·Status: COMPLETED ·Phase: NA
-
Insulin Secretory Capacity in Insulin-independent Pancreas-Kidney Recipients Compared to Controls
NCT00618761 ·Status: UNKNOWN ·Phase: NA
-
Effects of Preoperative Long-Term Immunonutrition in Patients Listed for Liver Transplantation
NCT00495859 ·Status: UNKNOWN ·Phase: NA
-
Predicting Outcomes in Posttransplant Diabetes Mellitus Via microRNA
NCT07055984 ·Status: RECRUITING
-
Impact of Glycemic Control After Reperfusion on Acute Kidney Injury in Living Donor Liver Transplantation
NCT06320730 ·Status: COMPLETED
-
Noninvasive Methods to Monitor Graft Survival in Kidney Transplant Patients
NCT00308802 ·Status: COMPLETED
-
Islet After Kidney Transplant for Type 1 Diabetes
NCT00784966 ·Status: WITHDRAWN ·Phase: PHASE1/PHASE2
-
Optimal A1c Control in Post Liver or Combined Liver and Kidney Transplant Recipients Who Have Diabetes Mellitus
NCT04216303 ·Status: WITHDRAWN
-
Islet Transplantation in Type 1 Diabetic Recipients of Kidney Transplants
NCT00288977 ·Status: COMPLETED ·Phase: NA
-
Molecular Assessment and Profiling of Liver Transplant Recipients
NCT04793360 ·Status: ACTIVE_NOT_RECRUITING
-
Exercise and Prediabetes After Renal Transplantation
NCT06576531 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Screening for Patients Needing Kidney, Kidney-Pancreas, or Islet-Cell Transplant
NCT00001859 ·Status: COMPLETED
-
Immune Monitoring and Assay Development in Organ Transplant Recipients
NCT01283295 ·Status: RECRUITING
-
Tissue Microdialysis Monitoring of Liver Grafts
NCT06890234 ·Status: ENROLLING_BY_INVITATION
-
Preserve-Transplant Study
NCT03102996 ·Status: COMPLETED ·Phase: PHASE4
-
Kidney Alone Versus Islet-After-Kidney in Type 1 Diabetic Kidney Transplant Recipient.
NCT05662267 ·Status: COMPLETED
-
Preventing Outcomes Through Effective Cardiovascular Risk Reduction After Transplant II
NCT02003469 ·Status: COMPLETED ·Phase: NA
-
Islet Cell Transplantation in Patients With Type I Diabetes With Previous Kidney Transplantation
NCT00315588 ·Status: COMPLETED ·Phase: PHASE2
-
Glucose Disorders Induced by Tacrolimus on Pre Transplantation Endstage Renal Disease Patients
NCT03640026 ·Status: TERMINATED ·Phase: PHASE4
-
TransplantLines Insulin Resistance and Inflammation Biobank and Cohort Study
NCT03272854 ·Status: ACTIVE_NOT_RECRUITING
-
Use of Predigraft in Kidney Transplant Patients
NCT04969757 ·Status: COMPLETED ·Phase: NA