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CompletedPhase 1, PHASE2Results posted

Islet Transplantation in Type 1 Diabetic Patients Using the Edmonton Protocol of Steroid Free Immunosuppression

Asset

Exenatide

GLP-1 agonist

Listed sites

1

Recruiting sites

Enrollment

10

actual

Study population

Type 1 diabetes

Key I/E criterion

Primary endpoints

Treatment-emergent AEs (any)Insulin IndependenceHbA1c <6.5% achievement (HbA1c <6.5% achievement, Severe hypoglycemia)

Footprint

Where this trial recruits

Site locations as reported to ClinicalTrials.gov. Site count is not enrollment count; per-site enrollment is not available from source.

Identifiers

Registered as

NCT IDNCT00566813
Org study IDIND11807-2004-0532

Timeline

Milestones

Study first posted2007-12-04estimated
Primary completion2010-07-05actual
Results first posted2018-11-19actual
Study completion2020-07-15actual
Last update posted2021-04-06actual
Study start2004-11 (month precision)

Assets

Investigational agents

Study populations

Who this study enrolls

Type 1 diabetes

Eligibility

Who can enroll

Minimum age18 Years
Maximum age75 Years
SexAll
Healthy volunteersNot accepted

Inclusion criteria

Type 1 diabetes > 5 years complicated by at least one of the following situations despite intensive insulin management:
Reduced awareness of hypoglycemia at plasma glucose levels < 54 mg/dL
Metabolic lability/instability characterized by two or more episodes of severe hypoglycemia or hospital visits for diabetic ketoacidosis over the last year
Progressive secondary complications of diabetes:
Retinopathy-three step progression using the ETDRS grading system or equivalent progression;
Nephropathy- microalbuminuria rise of 50 µg/min (72 mg/24h) over three months within the past two years despite using an ACE inhibitor;
Neuropathy-persistent gastroparesis, postural hypotension, neuropathic bowel or bladder, or severe peripheral neuropathy unresponsive to management

Exclusion criteria

Co-existing cardiac disease:
Myocardial infarction within past six months
Angiographic evidence of non-correctable coronary artery disease
Ischemia on functional cardiac exam d. Heart failure > NYHA II
Active alcohol or substance abuse or cigarette smoking
Psychiatric disorder: schizophrenia, bipolar disorder, or major depression that is unstable on medication
Non-adherence to prescribed regimens
Active infection including hepatitis C, hepatitis B, HIV
TB by history, current infection, or under treatment for suspected TB
History of malignancies except squamous or basal skin cancer
Stroke within the past 6 months
BMI > 26 kg/m2 or body weight > 70 kg at screening visit
C-peptide response to glucagon stimulation, any C-peptide ≥ 0.3 ng/mL
Inability to provide informed consent
Age less than 18 or greater than 65 years
Creatinine clearance < 85 mL/min/1.73 m2 by 24-hour urine collection
Serum creatinine > 1.5 mg/dL
Macroalbuminuria > 300 mg/24h
Baseline Hb < 12 gm/dL in women, < 13 gm/dL in men
Baseline liver function tests outside normal range
Untreated proliferative retinopathy
Positive pregnancy test, intent for pregnancy, male's intent to procreate, unwilling to use effective contraception, breast-feeding
Previous transplant or PRA reactivity > 20%)
Insulin requirement > 0.7 IU/kg/day
HbA1C > 12%
Hyperlipidemia
Chronic use of steroids
Use of coumadin or other anticoagulant (except aspirin) or PT INR > 1.5
Addison's disease
Allergy to radiographic contrast material

Endpoints (3)

What's being measured

Protocol endpoints and posted registry outcome measures, grouped into outcome categories. Composite endpoints show their component event types. Standard codes (LOINC, SNOMED CT) are shown where available.

Coverage by outcome category

Glycemic / diabetes
2
Safety / tolerability / PK
1

Glycemic / diabetes

2 endpoints
Primary/protocol endpoint/low confidence

Number of Participants With Insulin Independence at End of Study Participation

Time frame:End of 15 Month Study Participation/Follow-up

threshold achievement, improvement

Posted result

GroupValue (number), participants95% CI
Islet Cells4
Islet Cells + Etanercept + Exenatide5
Primary/protocol endpoint

Number of Participants With HbA1c Less Than or Equal to 6.5 & Free of Severe Hypoglycemic Events

Time frame:At end of 15 month study participation

HbA1c <6.5% achievement

threshold achievement, improvement

componentsHbA1c <6.5% achievement, Severe hypoglycemia

LOINC 4548-4

Posted result

GroupValue (number), participants95% CI
Islet Cells4
Islet Cells + Etanercept + Exenatide5

Safety / tolerability / PK

1 endpoint
Primary/protocol endpoint

Number of Participants With Adverse Events Including Laboratory Abnormalities at the End of Study Participation

Time frame:15 months after the last transplant

Treatment-emergent AEs (any)

event count, event

Posted result

GroupValue (number), participants95% CI
Islet Cells4
Islet Cells + Etanercept + Exenatide5

Publications (1)

Bibliography

Records linked to this trial through ClinicalTrials.gov references, PubMed NCT search, and curated study seeds. 'Canonical' marks design/result papers; others are registry references or candidates.

Registry references + supporting bibliography

Provenance

Sources

Trial identity, design, statusClinicalTrials.gov API v2
Snapshot dateJuly 1, 2026
Endpoint classificationDelfa endpoint taxonomy v2 (May 13, 2026)
Results tableClinicalTrials.gov results section

Trial facts come from public ClinicalTrials.gov records. Endpoint categories are Delfa's classification of those records, not a ClinicalTrials.gov field. All figures reflect the July 1, 2026 snapshot.