Stem Cell Mobilization (Plerixafor) and Immunologic Reset in Type 1 Diabetes (T1DM)
NCT03182426 · Status: COMPLETED · Phase: PHASE1/PHASE2 · Type: INTERVENTIONAL · Enrollment: 22
Last updated 2024-07-19
Summary
Type 1 diabetes is an autoimmune disease characterized by destruction of pancreatic beta-cells, resulting in absolute deficiency of insulin. Presently there is no known cure.
Our proposed interventional trial is based on 'immunological reset' approach: T-depletion therapy and anti-inflammatory treatment will restore self-tolerance in T1DM; Autologous, peripheral-blood mobilized hematopoietic CD34+-enriched stem cells and a long-acting GLP-1 analogue will promote pancreatic islet regeneration and repair.
The short-term goals of this protocol is to demonstrate that subjects with new-onset T1DM undergoing autologous hematopoietic stem cell mobilization and immunologic reset will have greater preservation of endogenous insulin secretion compared to controls, and foremost that this nonmyeloablative treatment is safe, without the need for chronic immune suppression.
Conditions
- Diabetes Mellitus, Type 1
Interventions
- DRUG
-
Plerixafor
Systemic CD34+ stem cell mobilization for beta-cell repair
- DRUG
-
Alemtuzumab
T-cell depletion
- DRUG
-
Anakinra
Anti-inflammatory
- DRUG
-
Etanercept
Anti-inflammatory
- DRUG
-
Beta-cell regeneration
Sponsors & Collaborators
-
Alberta Innovates Health Solutions
collaborator OTHER -
University of Alberta
lead OTHER
Principal Investigators
-
James Shapiro, MD, PhD · University of Alberta
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 45 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-08-15
- Primary Completion
- 2024-07-15
- Completion
- 2024-07-15
Countries
- Canada
Study Locations
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