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| ID | Type | Description | Link |
|---|---|---|---|
| 2014-A00141-46 | Other Identifier | ID-RCB number, ANSM |
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Islet transplantation for type 1 diabetes results are still improving, and actually Insulin-independence with normal HbA1c is obtained in 50% of patients after 5 years, 80% of c-peptide positive patients. In addition to the need of 2 or 3 surgical or radiological interventions to inject islets, an immunosuppressive regimen is needed, which can be deleterious, particularly on kidneys. Moreover, long term beneficial effects of islet transplantation on stabilization or prevention of macro and micro vascular complications of diabetes has not been evaluated. In a preliminary work, it was observed a stabilisation or improvement of microvascular complications when compared to pre-transplant data.
The aim of this study is to compare the evolution of diabetes complications, especially nephrologic, 10 years after islet transplantation and to compare it to patients with a brittle diabetes, 10 years after evaluation for islet transplantation, finally not performed.
This case-control study will evaluate nephrologic parameters (creatinine, MDRD creatinine clearance, microalbuminuria, proteinuria) and other micro and macro-vascular complications of type 1 diabetes) before islet transplantation and 10 years after the transplantation or after the first evaluation in patients who finally did not underwent islet transplantation for various non nephrologic reasons
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Islet transplanted | patients who underwent islet transplantation |
| |
| non islet transplanted | patients who refused or were non selected for islet transplantation for a non nephrologic reason |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| islet transplanted | Other | islet transplantation |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Modification of Diet in Renal Disease (MDRD) | measure the difference of Modification of Diet in Renal Disease (MDRD) between the two groups according to the presence or absence of an islet transplant. | At 10 years |
| Measure | Description | Time Frame |
|---|---|---|
| number of cardiovascular events | At 10 years | |
| number of deaths | At 10 years |
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Inclusion Criteria:
Exclusion Criteria:
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Patients suffering of type 1 diabetes since at least 10 years
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| Name | Affiliation | Role |
|---|---|---|
| Marie-Christine VANTYGHEM, MD, PhD | University Hospital, Lille | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Lille University Hospital | Lille | 59037 | France |
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| ID | Term |
|---|---|
| D016381 | Islets of Langerhans Transplantation |
| ID | Term |
|---|---|
| D017690 | Cell Transplantation |
| D064987 | Cell- and Tissue-Based Therapy |
| D001691 | Biological Therapy |
| D013812 | Therapeutics |
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serum and DNA
| non islet transplanted | Other | no islet transplantation (for a non nephrologic reason) |
|
|
| D013507 |
| Endocrine Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
| D014180 | Transplantation |