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| ID | Type | Description | Link |
|---|---|---|---|
| 2018-lunshen-017 | Other Identifier | No.3 Affiliated Hospital of SMU |
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| Name | Class |
|---|---|
| Southern Medical University, China | OTHER |
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This study intends to reconstruct intestinal micro-ecology through fecal Microbiome transplantation (FMT) technology, to treat patients with type 1 diabetes, and combine intestinal Metagenomics and 16s rRNA sequencing technology to study the relevant mechanism of intestinal micro-ecology for the treatment of type 1 diabetes.
Type 1 diabetes is an organ-specific autoimmune disease based on islet beta cell-specific destruction and absolute insulin deficiency. Studies on the pathogenesis of intestinal flora and type 1 diabetes have shown that as an "endocrine organ", intestinal microbes play an important role in regulating the secretion of the body. Bacteria in the intestine can not only directly synthesize hormones or hormone-like compounds, but also regulate the synthesis and secretion of corresponding hormones in the widely distributed intestinal endocrine cells, thereby participating in the regulation of various biological functions in the human body. This study uses fecal microbiome transplantation (FMT) to explore another potential treatment for type 1 diabetes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| FMT Arm | Experimental | 10 Participants will be enrolled in this arm to receive FMT treatment |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Fecal Microbiota Transplantation (FMT) | Biological | FMT will be performed through transendoscopic enteral tubing (TET) within one week during treatment period |
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| Measure | Description | Time Frame |
|---|---|---|
| Changes in mean amplitude of glycemic excursion (MAGE) | Dates from Continuous glucose monitoring system | 24 Weeks |
| Changes in standard deviation of blood glucose (SDBG) | Dates from Continuous glucose monitoring system | 24 Weeks |
| Changes in hemoglobin A1c (HbA1c) | Dates from blood chemistry test | 24 Weeks |
| Safety of FMT | Number of all participants with treatment-related adverse events as assessed by CTCAE v4.03 | 24 Weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in 24h mean blood glucose(MBG) | Dates from Continuous glucose monitoring system | 24 Weeks |
| Changes in percentage of time of blood glucose(PT) | Dates from Continuous glucose monitoring system |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Daoyan Pan, MD | Contact | 0086-02062784353 | pdy4266@126.com |
| Name | Affiliation | Role |
|---|---|---|
| Jie Shen, MD | The Third Affiliated Hospital of Southern Medical University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The third affiliated hospital of Southern Medical University | Recruiting | Guangzhou | Guangdong | 510630 | China |
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| ID | Term |
|---|---|
| D003922 | Diabetes Mellitus, Type 1 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D000069467 | Fecal Microbiota Transplantation |
| ID | Term |
|---|---|
| D001691 | Biological Therapy |
| D013812 | Therapeutics |
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| 24 Weeks |
| Changes in mean absolute glucose(MAG) | Dates from Continuous glucose monitoring system | 24 Weeks |
| Changes in standard deviation of blood glucose(SDBG) | Dates from Continuous glucose monitoring system | 24 Weeks |
| Changes in coefficient of variation(CV) | Dates from Continuous glucose monitoring system | 24 Weeks |
| Changes in high blood glucose index(HBGI) | Dates from Continuous glucose monitoring system | 24 Weeks |
| Changes in low blood glucose index(LBGI) | Dates from Continuous glucose monitoring system | 24 Weeks |
| Changes in effective blood glucose fluctuations in frequency(NGE) | Dates from Continuous glucose monitoring system | 24 Weeks |
| Changes in glycated albumin (GA) | Dates from blood chemistry test | 24 Weeks |
| Changes of serum C-peptide (fasting, 30min after meal, 120min after meal) | Dates from blood chemistry test | 24 Weeks |
| Assessment of diabetes antibodies | Assessment of diabetes antibodies including Islet Cell Cytoplasmic Autoantibodies (ICA), Insulin Autoantibodies (IAA), Glutamic Acid Decarboxylase Autoantibodies (GADA), Insulinoma-Associated-2 Autoantibodies (IA-2A), and Zinc Transporter-8 Autoantibodies (ZnT8A); | 24 Weeks |
| Changes in intestinal microbiome profile | Changes in intestinal microbiome profile by 16s rRNA sequencing and metagenomics. | 24 Weeks |
| Changes in Peripheral Blood Stem Cell (PBMC) | Dates from blood test | 24 Weeks |
| Changes in body weight to calculate body mass index (BMI) | Dates from physical examination | 24 Weeks |
| Pathological changes of intestinal mucosa | Changes in intestinal mucosa profile by enteroscopy | 24 Weeks |
| Changes in blood pressure | Dates from physical examination | 24 Weeks |
| Changes in oral mucosal bacteria colonization | Changes in oral mucosal bacteria by 16s rRNA sequencing and metagenomics. | 24 Weeks |
| Changes in urine microalbumin | Dates from urine test | 24 Weeks |
| Blood chemistry panel | Changes in the results of blood chemistry tests including complete blood count, diabetic autoantibodies, serum C peptide, insulin, blood glucose, routine urine, urinary microalbumin, routine stool, liver function, renal function, seven ions, myocardial enzymes, six glycolipids, glycated hemoglobin and glycosylated serum albumin before and after treatment. | 24 Weeks |
| D004700 | Endocrine System Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |