The Treatment of Patients With Type 1 Diabetes Mellitus With Autologous Tolerogenic Dendritic Cells
Primary Purpose
Diabetes Mellitus
Status
Not yet recruiting
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Autologous tolerogenic dendritic cells
Standard treatment according to the clinical protocols
Sponsored by
About this trial
This is an interventional treatment trial for Diabetes Mellitus
Eligibility Criteria
Inclusion Criteria:
- Clinical diagnosis of Type 1 Diabetes Mellitus
- The patient can read, understand, follow the examination procedures and complete, if necessary, the required documentation
- Written informed consent
Exclusion Criteria:
- The presence of any malignant tumor within the last 5 years
- Acute or chronic diseases in the stage of decompensation
- Chronic infectious diseases: HIV, viral hepatitis B, C, tuberculosis
- Patients who are pregnant, breastfeeding, or fertile patients who are not using adequate contraceptive methods
- Chronic and protracted mental disorders, all diseases with the presence of the syndrome of dependence on alcohol, drugs and psychoactive substances, any other condition that makes the patient unable to understand the nature, extent and possible consequences of the study or, in the opinion of the researcher, prevents the patient from observing and performing protocol
- Patients are unable or unwilling to give written informed consent and / or follow research procedures
- Any other medical condition that, in the opinion of the investigator, may be associated with an increased risk to the patient or may affect the outcome or evaluation of the study
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Patients with Type 1 Diabetes Mellitus receiving standard treatment and Tolerogenic Dendritic Cells
Patients with Type 1 Diabetes Mellitus receiving standard treatment
Arm Description
Group 1: Patients with Type 1 Diabetes Mellitus receiving standard treatment and Tolerogenic Dendritic Cells
Group 2: Patients with Type 1 Diabetes Mellitus receiving standard treatment
Outcomes
Primary Outcome Measures
The glucose concentration in blood
To assess the glucose concentration in blood
The glycated hemoglobin concentration
To assess the β-cell function measured by the glycated hemoglobin in blood
The C-peptide level in blood
To assess the β-cell function measured by the C-peptide level
The glucose concentration in blood
To assess the glucose concentration in blood
The glycated hemoglobin concentration
To assess the β-cell function measured by the glycated hemoglobin in blood
The C-peptide level in blood
To assess the β-cell function measured by the C-peptide level
The glucose concentration in blood
To assess the glucose concentration in blood
The glycated hemoglobin concentration
To assess the β-cell function measured by the glycated hemoglobin in blood
The C-peptide level in blood
To assess the β-cell function measured by the C-peptide level
Autoantigen specific T cell count
To determine the autoantigen specific T cell count using the flow cytometry
Autoantigen specific T cell count
To determine the autoantigen specific T cell count using the flow cytometry
Autoantigen specific T cell count
To determine the autoantigen specific T cell count using the flow cytometry
Adverse effects associated with the therapy
Determination of adverse effects associated with the therapy
Adverse effects associated with the therapy
Determination of adverse effects associated with the therapy
Secondary Outcome Measures
Full Information
NCT ID
NCT05207995
First Posted
November 29, 2021
Last Updated
January 12, 2022
Sponsor
Institute of Biophysics and Cell Engineering of National Academy of Sciences of Belarus
Collaborators
Belarusian State Medical University
1. Study Identification
Unique Protocol Identification Number
NCT05207995
Brief Title
The Treatment of Patients With Type 1 Diabetes Mellitus With Autologous Tolerogenic Dendritic Cells
Official Title
A Phase ½ Study to Evaluate the Safety and Feasibility of Autologous Tolerogenic Dendritic Cells in Patients With Type 1 Diabetes Mellitus
Study Type
Interventional
2. Study Status
Record Verification Date
January 2022
Overall Recruitment Status
Not yet recruiting
Study Start Date
March 1, 2022 (Anticipated)
Primary Completion Date
December 31, 2023 (Anticipated)
Study Completion Date
December 31, 2023 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Institute of Biophysics and Cell Engineering of National Academy of Sciences of Belarus
Collaborators
Belarusian State Medical University
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to determine the safety and tolerability of the administration of tolerogenic dendritic cells in patients with type 1 diabetes mellitus.
Detailed Description
The purpose of this study is to determine the safety and tolerability of the administration of autologous monocyte-derived dendritic cells tolerised with Vitamin-D3, co-cultivated with mesenchymal stem cell and primed peptides in patients with type 1 diabetes mellitus.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetes Mellitus
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
30 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Patients with Type 1 Diabetes Mellitus receiving standard treatment and Tolerogenic Dendritic Cells
Arm Type
Experimental
Arm Description
Group 1: Patients with Type 1 Diabetes Mellitus receiving standard treatment and Tolerogenic Dendritic Cells
Arm Title
Patients with Type 1 Diabetes Mellitus receiving standard treatment
Arm Type
Active Comparator
Arm Description
Group 2: Patients with Type 1 Diabetes Mellitus receiving standard treatment
Intervention Type
Biological
Intervention Name(s)
Autologous tolerogenic dendritic cells
Intervention Description
Autologous tolerogenic dendritic cells treated with Vitamin-D3, co-cultivated with mesenchymal stem cell and primed peptides (MSC-tolDC) injected subcutaneous.
Intervention Type
Other
Intervention Name(s)
Standard treatment according to the clinical protocols
Intervention Description
Standard treatment of type 1 diabetes mellitus according to the clinical protocols
Primary Outcome Measure Information:
Title
The glucose concentration in blood
Description
To assess the glucose concentration in blood
Time Frame
1 month
Title
The glycated hemoglobin concentration
Description
To assess the β-cell function measured by the glycated hemoglobin in blood
Time Frame
1 month
Title
The C-peptide level in blood
Description
To assess the β-cell function measured by the C-peptide level
Time Frame
1 month
Title
The glucose concentration in blood
Description
To assess the glucose concentration in blood
Time Frame
6 months
Title
The glycated hemoglobin concentration
Description
To assess the β-cell function measured by the glycated hemoglobin in blood
Time Frame
6 months
Title
The C-peptide level in blood
Description
To assess the β-cell function measured by the C-peptide level
Time Frame
6 months
Title
The glucose concentration in blood
Description
To assess the glucose concentration in blood
Time Frame
1 year
Title
The glycated hemoglobin concentration
Description
To assess the β-cell function measured by the glycated hemoglobin in blood
Time Frame
1 year
Title
The C-peptide level in blood
Description
To assess the β-cell function measured by the C-peptide level
Time Frame
1 year
Title
Autoantigen specific T cell count
Description
To determine the autoantigen specific T cell count using the flow cytometry
Time Frame
1 month
Title
Autoantigen specific T cell count
Description
To determine the autoantigen specific T cell count using the flow cytometry
Time Frame
6 months
Title
Autoantigen specific T cell count
Description
To determine the autoantigen specific T cell count using the flow cytometry
Time Frame
1 year
Title
Adverse effects associated with the therapy
Description
Determination of adverse effects associated with the therapy
Time Frame
1 month
Title
Adverse effects associated with the therapy
Description
Determination of adverse effects associated with the therapy
Time Frame
1 year
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Clinical diagnosis of Type 1 Diabetes Mellitus
The patient can read, understand, follow the examination procedures and complete, if necessary, the required documentation
Written informed consent
Exclusion Criteria:
The presence of any malignant tumor within the last 5 years
Acute or chronic diseases in the stage of decompensation
Chronic infectious diseases: HIV, viral hepatitis B, C, tuberculosis
Patients who are pregnant, breastfeeding, or fertile patients who are not using adequate contraceptive methods
Chronic and protracted mental disorders, all diseases with the presence of the syndrome of dependence on alcohol, drugs and psychoactive substances, any other condition that makes the patient unable to understand the nature, extent and possible consequences of the study or, in the opinion of the researcher, prevents the patient from observing and performing protocol
Patients are unable or unwilling to give written informed consent and / or follow research procedures
Any other medical condition that, in the opinion of the investigator, may be associated with an increased risk to the patient or may affect the outcome or evaluation of the study
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Natalia Antonevich, Dr
Phone
+375173691763
Email
antonevich.n@gmail.com
First Name & Middle Initial & Last Name or Official Title & Degree
Andrei Hancharou, Dr
Phone
+375296248972
Email
hancharou@ibp.org.by
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
antonevich.n@gmail.com Antonevich, Dr
Organizational Affiliation
the Institute of Biophysics and Cell Engineering of National Academy of Sciences of Belarus
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Tatiana Mokhort, Prof
Organizational Affiliation
Belarusian State Medical University
Official's Role
Study Director
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
The Treatment of Patients With Type 1 Diabetes Mellitus With Autologous Tolerogenic Dendritic Cells
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