Diabetes Mellitus, Type 1NCT03835312
Sequential Transplantation of UCBSCs and Islet Cells in Children and Adolescents With Monogenic Immunodeficiency T1DM
A study testing Sequential transplantation in people with Diabetes Mellitus, Type 1 and Immunologic Deficiency Syndromes, run by Children's Hospital of Fudan University at 1 site in China.
Trial summary
This study evaluates the efficacy of sequential transplantation of umbilical cord blood stem cells and islet cells in children with monogenic immunodeficiency type 1 diabetes mellitus. Umbilical cord blood stem cell transplantation will be performed first. Read more about this study
- Who is it for?
- Ages Up to 18 years
- Conditions the study is for
- Diabetes Mellitus, Type 1, Immunologic Deficiency Syndromes
- What is being tested?
- Sequential transplantation
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 50 participants
- Where
- 1 siteChina
- Study dates
- 20 Feb 2019to 31 Dec 2030
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Up to 18 years
- All sexes
- No healthy volunteers
- Child, Adult
Who may be able to join
- 1.Type 1 diabetes mellitus children with genetic immunodeficiency
- Meet the diagnostic criteria of type 1 diabetes mellitus: clinical manifestations of typical diabetes mellitus include polyphagia, polyuria, weight loss, or diabetic ketoacidosis, confirmed by blood sugar level, islet function and autoimmune antibody.
- Existence of extrapancreatic organ damage: (1) inflammatory bowel disease, (2) impairment of renal function, (3) repeated infection of mouth, skin, anus or whole body, (4) immune hepatitis, (5) persistent chronic immune iridocyclitis, (6) immune adrenalinitis leading to adrenocortical dysfunction, (7) pituitary inflammation leading to hypophysis, (8) rheumatoid disease, (9) immune vasculitis, (10) systemic lupus erythematosus, (11) other organs besides thyroid function damage. Suffering from one or more of above diseases. Recurrence after receiving regular clinical treatment, including symptomatic treatment of organ protective drugs.
- Gene mutation was found according to gene diagnosis: gene mutation was found by gene sequencing. Literature searches at home and abroad confirmed that the defect of the gene resulted in autoimmune or immune dysfunction, resulting in multiple organ dysfunction and poor prognosis.
Who cannot join
- Mature and effective treatment methods are available.
- HIV, HBV and HCV were positive.
- A the active period of infection.
- At the active stage of malignant tumors.
- Combination of other fatal diseases.
- Existence of mental and psychological diseases.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
China1 site, 1 recruiting
- Recruiting
Children's Hospital of Fudan University
Shanghai, Shanghai Municipality
Luo Feihong, +862164931226 ext. +862164931226, luofh@fudan.edu.cn
Xu Zhenran, +862164931226 ext. +862164931226, xu_zhenran@fudan.edu.cn
About this study
Official title: Sequential Transplantation of Umbilical Cord Blood Stem Cells and Islet Cells in Children and Adolescents With Monogenic Immunodeficiency Type 1 Diabetes Mellitus
This study evaluates the efficacy of sequential transplantation of umbilical cord blood stem cells and islet cells in children with monogenic immunodeficiency type 1 diabetes mellitus. Umbilical cord blood stem cell transplantation will be performed first. Children with stable immune reconstruction will than receive islet cell transplantation.
Read the detailed description
Monogenic immunodeficiency type 1 diabetes mellitus (T1DM) usually onsets in early age and has a long course of treatment. Because of T cell deficiency, patients are prone to recurrent infection, hemorrhage, sepsis, colitis or complications of diabetes mellitus, which lead to early death.
New clinical treatment schemes have been explored and introduced around the world. Sequential transplantation of umbilical cord blood stem cells and islet cells is the latest treatment method for these children. Early treatment of monogenic immunodeficiency T1DM children can avoid disease-related organ toxicity, infection risk associated with chronic immunosuppression, and possible prevention of autoimmune endocrine organ damage. Thus, sequential transplantation of umbilical cord blood stem cells and islet cells is the only possible cure for those patients currently.
- Being tested
- Sequential transplantation
- Keywords
- Islets of Langerhans Transplantation, Cord Blood Stem Cell Transplantation
- Medical subject headings
- Diabetes Mellitus, Type 1, Immunologic Deficiency Syndromes
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Sequential transplantationProcedure or surgery
After successful matching of umbilical cord blood stem cells, patients will receive pretreatment and chemotherapy under protective isolation, followed by thawing and reinfusion of umbilical cord blood stem cells. Immunosuppressive agents will be used for GVHD prevention and anti-infection support will be provided after reinfusion. The status of umbilical cord blood stem cell implantation, immune reconstruction and therapeutic effect will be evaluated. Islet transplantation will be performed in those who meet the conditions. The long-term prognosis will be observed by long-term follow-up.
| Study group | Role | What they receive |
|---|---|---|
| Interventional | Experimental | Sequential transplantation of umbilical cord blood stem cells and islet cells Receives: Procedure: Sequential transplantation |
What is being measured
The primary outcome is the main question the study is designed to answer.
Concentration of serum C-peptide
Islet function (concentration of serum C-peptide)
Measured: from the completion of treatment to 3 months
Concentration of serum C-peptide
Islet function (concentration of serum C-peptide)
Measured: from the completion of treatment to 3 years
Secondary outcomes (142)
Concentration of serum C-peptide
Islet function (concentration of serum C-peptide)
Measured: from the completion of treatment to 6 months
Concentration of serum C-peptide
Islet function (concentration of serum C-peptide)
Measured: from the completion of treatment to 9 months
Concentration of serum C-peptide
Islet function (concentration of serum C-peptide)
Measured: from the completion of treatment to 12 months
Concentration of serum C-peptide
Islet function (concentration of serum C-peptide)
Measured: from the completion of treatment to 15 months
Concentration of serum C-peptide
Islet function (concentration of serum C-peptide)
Measured: from the completion of treatment to 18 months
Concentration of serum C-peptide
Islet function (concentration of serum C-peptide)
Measured: from the completion of treatment to 21 months
Concentration of serum C-peptide
Islet function (concentration of serum C-peptide)
Measured: from the completion of treatment to 24 months
Concentration of serum C-peptide
Islet function (concentration of serum C-peptide)
Measured: from the completion of treatment to 27 months
Concentration of serum C-peptide
Islet function (concentration of serum C-peptide)
Measured: from the completion of treatment to 30 months
Concentration of serum C-peptide
Islet function (concentration of serum C-peptide)
Measured: from the completion of treatment to 33 months
Concentration of serum insulin
Concentration of serum insulin
Measured: from the completion of treatment to 3 months
Concentration of serum insulin
Concentration of serum insulin
Measured: from the completion of treatment to 6 months
Concentration of serum insulin
Concentration of serum insulin
Measured: from the completion of treatment to 9 months
Concentration of serum insulin
Concentration of serum insulin
Measured: from the completion of treatment to 12 months
Concentration of serum insulin
Concentration of serum insulin
Measured: from the completion of treatment to 15 months
Concentration of serum insulin
Concentration of serum insulin
Measured: from the completion of treatment to 18 months
Concentration of serum insulin
Concentration of serum insulin
Measured: from the completion of treatment to 21 months
Concentration of serum insulin
Concentration of serum insulin
Measured: from the completion of treatment to 24 months
Concentration of serum insulin
Concentration of serum insulin
Measured: from the completion of treatment to 27 months
Concentration of serum insulin
Concentration of serum insulin
Measured: from the completion of treatment to 30 months
Concentration of serum insulin
Concentration of serum insulin
Measured: from the completion of treatment to 33 months
Concentration of serum insulin
Concentration of serum insulin
Measured: from the completion of treatment to 36 months
Fast blood glucose level
Fast blood glucose level
Measured: from the completion of treatment to 3 months
Fast blood glucose level
Fast blood glucose level
Measured: from the completion of treatment to 6 months
Fast blood glucose level
Fast blood glucose level
Measured: from the completion of treatment to 9 months
Fast blood glucose level
Fast blood glucose level
Measured: from the completion of treatment to 12 months
Fast blood glucose level
Fast blood glucose level
Measured: from the completion of treatment to 15 months
Fast blood glucose level
Fast blood glucose level
Measured: from the completion of treatment to 18 months
Fast blood glucose level
Fast blood glucose level
Measured: from the completion of treatment to 21 months
Fast blood glucose level
Fast blood glucose level
Measured: from the completion of treatment to 24 months
Fast blood glucose level
Fast blood glucose level
Measured: from the completion of treatment to 27 months
Fast blood glucose level
Fast blood glucose level
Measured: from the completion of treatment to 30 months
Fast blood glucose level
Fast blood glucose level
Measured: from the completion of treatment to 33 months
Fast blood glucose level
Fast blood glucose level
Measured: from the completion of treatment to 36 months
HbA1c level
HbA1c level
Measured: from the completion of treatment to 3 months
HbA1c level
HbA1c level
Measured: from the completion of treatment to 6 months
HbA1c level
HbA1c level
Measured: from the completion of treatment to 9 months
HbA1c level
HbA1c level
Measured: from the completion of treatment to 12 months
HbA1c level
HbA1c level
Measured: from the completion of treatment to 15 months
HbA1c level
HbA1c level
Measured: from the completion of treatment to 18 months
HbA1c level
HbA1c level
Measured: from the completion of treatment to 21 months
HbA1c level
HbA1c level
Measured: from the completion of treatment to 24 months
HbA1c level
HbA1c level
Measured: from the completion of treatment to 27 months
HbA1c level
HbA1c level
Measured: from the completion of treatment to 30 months
HbA1c level
HbA1c level
Measured: from the completion of treatment to 33 months
HbA1c level
HbA1c level
Measured: from the completion of treatment to 36 months
occurrence of infection (number of infections)
occurrence of infection (number of infections)
Measured: from the completion of treatment to 3 months
occurrence of infection (number of infections)
occurrence of infection (number of infections)
Measured: from the completion of treatment to 6 months
occurrence of infection (number of infections)
occurrence of infection (number of infections)
Measured: from the completion of treatment to 9 months
occurrence of infection (number of infections)
occurrence of infection (number of infections)
Measured: from the completion of treatment to 12 months
occurrence of infection (number of infections)
occurrence of infection (number of infections)
Measured: from the completion of treatment to 15 months
occurrence of infection (number of infections)
occurrence of infection (number of infections)
Measured: from the completion of treatment to 18 months
occurrence of infection (number of infections)
occurrence of infection (number of infections)
Measured: from the completion of treatment to 21 months
occurrence of infection (number of infections)
occurrence of infection (number of infections)
Measured: from the completion of treatment to 24 months
occurrence of infection (number of infections)
occurrence of infection (number of infections)
Measured: from the completion of treatment to 27 months
occurrence of infection (number of infections)
occurrence of infection (number of infections)
Measured: from the completion of treatment to 30 months
occurrence of infection (number of infections)
occurrence of infection (number of infections)
Measured: from the completion of treatment to 33 months
occurrence of infection (number of infections)
occurrence of infection (number of infections)
Measured: from the completion of treatment to 36 months
Concentration of blood immunoglobulin
Concentration of blood immunoglobulin
Measured: from the completion of treatment to 3 months
Concentration of blood immunoglobulin
Concentration of blood immunoglobulin
Measured: from the completion of treatment to 6 months
Concentration of blood immunoglobulin
Concentration of blood immunoglobulin
Measured: from the completion of treatment to 9 months
Concentration of blood immunoglobulin
Concentration of blood immunoglobulin
Measured: from the completion of treatment to 12 months
Concentration of blood immunoglobulin
Concentration of blood immunoglobulin
Measured: from the completion of treatment to 15 months
Concentration of blood immunoglobulin
Concentration of blood immunoglobulin
Measured: from the completion of treatment to 18 months
Concentration of blood immunoglobulin
Concentration of blood immunoglobulin
Measured: from the completion of treatment to 21 months
Concentration of blood immunoglobulin
Concentration of blood immunoglobulin
Measured: from the completion of treatment to 24 months
Concentration of blood immunoglobulin
Concentration of blood immunoglobulin
Measured: from the completion of treatment to 27 months
Concentration of blood immunoglobulin
Concentration of blood immunoglobulin
Measured: from the completion of treatment to 30 months
Concentration of blood immunoglobulin
Concentration of blood immunoglobulin
Measured: from the completion of treatment to 33 months
Concentration of blood immunoglobulin
Concentration of blood immunoglobulin
Measured: from the completion of treatment to 36 months
Concentration of T lymphocyte subsets
Concentration of T lymphocyte subsets
Measured: from the completion of treatment to 3 months
Concentration of T lymphocyte subsets
Concentration of T lymphocyte subsets
Measured: from the completion of treatment to 6 months
Concentration of T lymphocyte subsets
Concentration of T lymphocyte subsets
Measured: from the completion of treatment to 9 months
Concentration of T lymphocyte subsets
Concentration of T lymphocyte subsets
Measured: from the completion of treatment to 12 months
Concentration of T lymphocyte subsets
Concentration of T lymphocyte subsets
Measured: from the completion of treatment to 15 months
Concentration of T lymphocyte subsets
Concentration of T lymphocyte subsets
Measured: from the completion of treatment to 18 months
Concentration of T lymphocyte subsets
Concentration of T lymphocyte subsets
Measured: from the completion of treatment to 21 months
Concentration of T lymphocyte subsets
Concentration of T lymphocyte subsets
Measured: from the completion of treatment to 24 months
Concentration of T lymphocyte subsets
Concentration of T lymphocyte subsets
Measured: from the completion of treatment to 27 months
Concentration of T lymphocyte subsets
Concentration of T lymphocyte subsets
Measured: from the completion of treatment to 30 months
Concentration of T lymphocyte subsets
Concentration of T lymphocyte subsets
Measured: from the completion of treatment to 33 months
Concentration of T lymphocyte subsets
Concentration of T lymphocyte subsets
Measured: from the completion of treatment to 36 months
Concentraion of interleukin-2
Cytokines (concentraion of interleukin-2)
Measured: from the completion of treatment to 3 months
Concentraion of interleukin-2
Cytokines (concentraion of interleukin-2)
Measured: from the completion of treatment to 6 months
Concentraion of interleukin-2
Cytokines (concentraion of interleukin-2)
Measured: from the completion of treatment to 9 months
Concentraion of interleukin-2
Cytokines (concentraion of interleukin-2)
Measured: from the completion of treatment to 12 months
Concentraion of interleukin-2
Cytokines (concentraion of interleukin-2)
Measured: from the completion of treatment to 15 months
Concentraion of interleukin-2
Cytokines (concentraion of interleukin-2)
Measured: from the completion of treatment to 18 months
Concentraion of interleukin-2
Cytokines (concentraion of interleukin-2)
Measured: from the completion of treatment to 21 months
Concentraion of interleukin-2
Cytokines (concentraion of interleukin-2)
Measured: from the completion of treatment to 24 months
Concentraion of interleukin-2
Cytokines (concentraion of interleukin-2)
Measured: from the completion of treatment to 27 months
Concentraion of interleukin-2
Cytokines (concentraion of interleukin-2)
Measured: from the completion of treatment to 30 months
Concentraion of interleukin-2
Cytokines (concentraion of interleukin-2)
Measured: from the completion of treatment to 33 months
Concentraion of interleukin-2
Cytokines (concentraion of interleukin-2)
Measured: from the completion of treatment to 36 months
Body height
Body height
Measured: from the completion of treatment to 3 months
Body height
Body height
Measured: from the completion of treatment to 6 months
Body height
Body height
Measured: from the completion of treatment to 9 months
Body height
Body height
Measured: from the completion of treatment to 12 months
Body height
Body height
Measured: from the completion of treatment to 15 months
Body height
Body height
Measured: from the completion of treatment to 18 months
Body height
Body height
Measured: from the completion of treatment to 21 months
Body height
Body height
Measured: from the completion of treatment to 24 months
Body height
Body height
Measured: from the completion of treatment to 27 months
Body height
Body height
Measured: from the completion of treatment to 30 months
Body height
Body height
Measured: from the completion of treatment to 33 months
Body height
Body height
Measured: from the completion of treatment to 36 months
Body weight
Body weight
Measured: from the completion of treatment to 3 months
Body weight
Body weight
Measured: from the completion of treatment to 6 months
Body weight
Body weight
Measured: from the completion of treatment to 9 months
Body weight
Body weight
Measured: from the completion of treatment to 12 months
Body weight
Body weight
Measured: from the completion of treatment to 15 months
Body weight
Body weight
Measured: from the completion of treatment to 18 months
Body weight
Body weight
Measured: from the completion of treatment to 21 months
Body weight
Body weight
Measured: from the completion of treatment to 24 months
Body weight
Body weight
Measured: from the completion of treatment to 27 months
Body weight
Body weight
Measured: from the completion of treatment to 30 months
Body weight
Body weight
Measured: from the completion of treatment to 33 months
Body weight
Body weight
Measured: from the completion of treatment to 36 months
Tanner stage
Puberty change (Tanner stage)
Measured: from the completion of treatment to 3 months
Tanner stage
Puberty change (Tanner stage)
Measured: from the completion of treatment to 6 months
Tanner stage
Puberty change (Tanner stage)
Measured: from the completion of treatment to 9 months
Tanner stage
Puberty change (Tanner stage)
Measured: from the completion of treatment to 12 months
Tanner stage
Puberty change (Tanner stage)
Measured: from the completion of treatment to 15 months
Tanner stage
Puberty change (Tanner stage)
Measured: from the completion of treatment to 18 months
Tanner stage
Puberty change (Tanner stage)
Measured: from the completion of treatment to 21 months
Tanner stage
Puberty change (Tanner stage)
Measured: from the completion of treatment to 24 months
Tanner stage
Puberty change (Tanner stage)
Measured: from the completion of treatment to 27 months
Tanner stage
Puberty change (Tanner stage)
Measured: from the completion of treatment to 30 months
Tanner stage
Puberty change (Tanner stage)
Measured: from the completion of treatment to 33 months
Tanner stage
Puberty change (Tanner stage)
Measured: from the completion of treatment to 36 months
Occurrence of graft versus host disease
Occurrence of graft versus host disease
Measured: from the completion of treatment to 3 months
Occurrence of graft versus host disease
Occurrence of graft versus host disease
Measured: from the completion of treatment to 6 months
Occurrence of graft versus host disease
Occurrence of graft versus host disease
Measured: from the completion of treatment to 9 months
Occurrence of graft versus host disease
Occurrence of graft versus host disease
Measured: from the completion of treatment to 12 months
Occurrence of graft versus host disease
Occurrence of graft versus host disease
Measured: from the completion of treatment to 15 months
Occurrence of graft versus host disease
Occurrence of graft versus host disease
Measured: from the completion of treatment to 18 months
Occurrence of graft versus host disease
Occurrence of graft versus host disease
Measured: from the completion of treatment to 21 months
Occurrence of graft versus host disease
Occurrence of graft versus host disease
Measured: from the completion of treatment to 24 months
Occurrence of graft versus host disease
Occurrence of graft versus host disease
Measured: from the completion of treatment to 27 months
Occurrence of graft versus host disease
Occurrence of graft versus host disease
Measured: from the completion of treatment to 30 months
Occurrence of graft versus host disease
Occurrence of graft versus host disease
Measured: from the completion of treatment to 33 months
Occurrence of graft versus host disease
Occurrence of graft versus host disease
Measured: from the completion of treatment to 36 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Feb 2019
- Study start20 Feb 2019
- Primary completion31 Dec 2028 (estimated)
- Study completion31 Dec 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (17)Papers the sponsor has linked to this study.
- Other trials for Diabetes Mellitus, Type 1Studies of the same condition, open and under way.
- More trials run by Children's Hospital of Fudan UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 50 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Children's Hospital of Fudan University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Luo Feihong, Study chair, Children's Hospital of Fudan University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03835312
- Sponsor's protocol ID
- SeqTranUCBC&IC-001
- Status last verified
- Mar 2026
- First submitted
- 31 Jan 2019
- Last updated
- 17 Mar 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Cho NH, Shaw JE, Karuranga S, Huang Y, da Rocha Fernandes JD, Ohlrogge AW, Malanda B. IDF Diabetes Atlas: Global estimates of diabetes prevalence for 2017 and projections for 2045. Diabetes Res Clin Pract. 2018 Apr;138:271-281. doi: 10.1016/j.diabres.2018.02.023. Epub 2018 Feb 26.
PubMed 29496507Fu H, Shen SX, Chen ZW, Wang JJ, Ye TT, LaPorte RE, Tajima N. Shanghai, China, has the lowest confirmed incidence of childhood diabetes in the world. Diabetes Care. 1994 Oct;17(10):1206-8. doi: 10.2337/diacare.17.10.1206.
PubMed 7821146Zhao Z, Sun C, Wang C, Li P, Wang W, Ye J, Gu X, Wang X, Shen S, Zhi D, Lu Z, Ye R, Cheng R, Xi L, Li X, Zheng Z, Zhang M, Luo F. Rapidly rising incidence of childhood type 1 diabetes in Chinese population: epidemiology in Shanghai during 1997-2011. Acta Diabetol. 2014 Dec;51(6):947-53. doi: 10.1007/s00592-014-0590-2. Epub 2014 Apr 29.
PubMed 24777734Daniels M, DuBose SN, Maahs DM, Beck RW, Fox LA, Gubitosi-Klug R, Laffel LM, Miller KM, Speer H, Tamborlane WV, Tansey MJ; T1D Exchange Clinic Network. Factors associated with microalbuminuria in 7,549 children and adolescents with type 1 diabetes in the T1D Exchange clinic registry. Diabetes Care. 2013 Sep;36(9):2639-45. doi: 10.2337/dc12-2192. Epub 2013 Apr 22.
PubMed 23610082Amin R, Widmer B, Prevost AT, Schwarze P, Cooper J, Edge J, Marcovecchio L, Neil A, Dalton RN, Dunger DB. Risk of microalbuminuria and progression to macroalbuminuria in a cohort with childhood onset type 1 diabetes: prospective observational study. BMJ. 2008 Mar 29;336(7646):697-701. doi: 10.1136/bmj.39478.378241.BE. Epub 2008 Mar 18.
PubMed 18349042Mollsten A, Svensson M, Waernbaum I, Berhan Y, Schon S, Nystrom L, Arnqvist HJ, Dahlquist G; Swedish Childhood Diabetes Study Group; Diabetes Incidence Study in Sweden; Swedish Renal Registry. Cumulative risk, age at onset, and sex-specific differences for developing end-stage renal disease in young patients with type 1 diabetes: a nationwide population-based cohort study. Diabetes. 2010 Jul;59(7):1803-8. doi: 10.2337/db09-1744. Epub 2010 Apr 27.
PubMed 20424230American Diabetes Association. (2) Classification and diagnosis of diabetes. Diabetes Care. 2015 Jan;38 Suppl:S8-S16. doi: 10.2337/dc15-S005. No abstract available.
PubMed 25537714Wildin RS, Smyk-Pearson S, Filipovich AH. Clinical and molecular features of the immunodysregulation, polyendocrinopathy, enteropathy, X linked (IPEX) syndrome. J Med Genet. 2002 Aug;39(8):537-45. doi: 10.1136/jmg.39.8.537.
PubMed 12161590Uzel G, Sampaio EP, Lawrence MG, Hsu AP, Hackett M, Dorsey MJ, Noel RJ, Verbsky JW, Freeman AF, Janssen E, Bonilla FA, Pechacek J, Chandrasekaran P, Browne SK, Agharahimi A, Gharib AM, Mannurita SC, Yim JJ, Gambineri E, Torgerson T, Tran DQ, Milner JD, Holland SM. Dominant gain-of-function STAT1 mutations in FOXP3 wild-type immune dysregulation-polyendocrinopathy-enteropathy-X-linked-like syndrome. J Allergy Clin Immunol. 2013 Jun;131(6):1611-23. doi: 10.1016/j.jaci.2012.11.054. Epub 2013 Mar 25.
PubMed 23534974Bennett CL, Christie J, Ramsdell F, Brunkow ME, Ferguson PJ, Whitesell L, Kelly TE, Saulsbury FT, Chance PF, Ochs HD. The immune dysregulation, polyendocrinopathy, enteropathy, X-linked syndrome (IPEX) is caused by mutations of FOXP3. Nat Genet. 2001 Jan;27(1):20-1. doi: 10.1038/83713.
PubMed 11137993Rao A, Kamani N, Filipovich A, Lee SM, Davies SM, Dalal J, Shenoy S. Successful bone marrow transplantation for IPEX syndrome after reduced-intensity conditioning. Blood. 2007 Jan 1;109(1):383-5. doi: 10.1182/blood-2006-05-025072. Epub 2006 Sep 21.
PubMed 16990602van de Veerdonk FL, Plantinga TS, Hoischen A, Smeekens SP, Joosten LA, Gilissen C, Arts P, Rosentul DC, Carmichael AJ, Smits-van der Graaf CA, Kullberg BJ, van der Meer JW, Lilic D, Veltman JA, Netea MG. STAT1 mutations in autosomal dominant chronic mucocutaneous candidiasis. N Engl J Med. 2011 Jul 7;365(1):54-61. doi: 10.1056/NEJMoa1100102. Epub 2011 Jun 29.
PubMed 21714643Toubiana J, Okada S, Hiller J, Oleastro M, Lagos Gomez M, Aldave Becerra JC, Ouachee-Chardin M, Fouyssac F, Girisha KM, Etzioni A, Van Montfrans J, Camcioglu Y, Kerns LA, Belohradsky B, Blanche S, Bousfiha A, Rodriguez-Gallego C, Meyts I, Kisand K, Reichenbach J, Renner ED, Rosenzweig S, Grimbacher B, van de Veerdonk FL, Traidl-Hoffmann C, Picard C, Marodi L, Morio T, Kobayashi M, Lilic D, Milner JD, Holland S, Casanova JL, Puel A; International STAT1 Gain-of-Function Study Group. Heterozygous STAT1 gain-of-function mutations underlie an unexpectedly broad clinical phenotype. Blood. 2016 Jun 23;127(25):3154-64. doi: 10.1182/blood-2015-11-679902. Epub 2016 Apr 25.
PubMed 27114460Leiding JW, Okada S, Hagin D, Abinun M, Shcherbina A, Balashov DN, Kim VHD, Ovadia A, Guthery SL, Pulsipher M, Lilic D, Devlin LA, Christie S, Depner M, Fuchs S, van Royen-Kerkhof A, Lindemans C, Petrovic A, Sullivan KE, Bunin N, Kilic SS, Arpaci F, Calle-Martin O, Martinez-Martinez L, Aldave JC, Kobayashi M, Ohkawa T, Imai K, Iguchi A, Roifman CM, Gennery AR, Slatter M, Ochs HD, Morio T, Torgerson TR; Inborn Errors Working Party of the European Society for Blood and Marrow Transplantation and the Primary Immune Deficiency Treatment Consortium. Hematopoietic stem cell transplantation in patients with gain-of-function signal transducer and activator of transcription 1 mutations. J Allergy Clin Immunol. 2018 Feb;141(2):704-717.e5. doi: 10.1016/j.jaci.2017.03.049. Epub 2017 Jun 7.
PubMed 28601685Niclauss N, Morel P, Berney T. Has the gap between pancreas and islet transplantation closed? Transplantation. 2014 Sep 27;98(6):593-9. doi: 10.1097/TP.0000000000000288.
PubMed 25029387
Study at a glance
From the registry record, last updated by the sponsor on 17 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Sequential Transplantation of Umbilical Cord Blood Stem Cells and Islet Cells in Children and Adolescents With Monogenic Immunodeficiency Type 1 Diabetes Mellitus
- ClinicalTrials.gov ID
- NCT03835312
- Acronym / sponsor ID
- SeqTranUCBC&IC-001
- Keywords
- Islets of Langerhans Transplantation, Cord Blood Stem Cell Transplantation
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 50 participants (estimated)
- Lead sponsor
- Children's Hospital of Fudan UniversityUniversity, hospital or other
- Study start
- 20 Feb 2019 (actual)
- Primary completion
- 31 Dec 2028 (estimated)
- Study completion
- 31 Dec 2030 (estimated)
- First posted
- 8 Feb 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study evaluates the efficacy of sequential transplantation of umbilical cord blood stem cells and islet cells in children with monogenic immunodeficiency type 1 diabetes mellitus. Umbilical cord blood stem cell transplantation will be performed first. Children with stable immune reconstruction will than receive islet cell transplantation.
Detailed description
Monogenic immunodeficiency type 1 diabetes mellitus (T1DM) usually onsets in early age and has a long course of treatment. Because of T cell deficiency, patients are prone to recurrent infection, hemorrhage, sepsis, colitis or complications of diabetes mellitus, which lead to early death.
New clinical treatment schemes have been explored and introduced around the world. Sequential transplantation of umbilical cord blood stem cells and islet cells is the latest treatment method for these children. Early treatment of monogenic immunodeficiency T1DM children can avoid disease-related organ toxicity, infection risk associated with chronic immunosuppression, and possible prevention of autoimmune endocrine organ damage. Thus, sequential transplantation of umbilical cord blood stem cells and islet cells is the only possible cure for those patients currently.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Interventional | Experimental | Procedure: Sequential transplantationSequential transplantation of umbilical cord blood stem cells and islet cells |
Who may qualify
- Ages
- Up to 18 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult
Key inclusion criteria (4 listed)
- 1.Type 1 diabetes mellitus children with genetic immunodeficiency
- Meet the diagnostic criteria of type 1 diabetes mellitus: clinical manifestations of typical diabetes mellitus include polyphagia, polyuria, weight loss, or diabetic ketoacidosis, confirmed by blood sugar level, islet function and autoimmune antibody.
- Existence of extrapancreatic organ damage: (1) inflammatory bowel disease, (2) impairment of renal function, (3) repeated infection of mouth, skin, anus or whole body, (4) immune hepatitis, (5) persistent chronic immune iridocyclitis, (6) immune adrenalinitis leading to adrenocortical dysfunction, (7) pituitary inflammation leading to hypophysis, (8) rheumatoid disease, (9) immune vasculitis, (10) systemic lupus erythematosus, (11) other organs besides thyroid function damage. Suffering from one or more of above diseases. Recurrence after receiving regular clinical treatment, including symptomatic treatment of organ protective drugs.
- Gene mutation was found according to gene diagnosis: gene mutation was found by gene sequencing. Literature searches at home and abroad confirmed that the defect of the gene resulted in autoimmune or immune dysfunction, resulting in multiple organ dysfunction and poor prognosis.
Key exclusion criteria (6 listed)
- Mature and effective treatment methods are available.
- HIV, HBV and HCV were positive.
- A the active period of infection.
- At the active stage of malignant tumors.
- Combination of other fatal diseases.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Sequential transplantationAfter successful matching of umbilical cord blood stem cells, patients will receive pretreatment and chemotherapy under protective isolation, followed by thawing and reinfusion of umbilical cord blood stem cells. Immunosuppressive agents will be used for GVHD prevention and anti-infection support will be provided after reinfusion. The status of umbilical cord blood stem cell implantation, immune reconstruction and therapeutic effect will be evaluated. Islet transplantation will be performed in those who meet the conditions. The long-term prognosis will be observed by long-term follow-up. | Procedure or surgery | Interventional |
Primary outcome
Concentration of serum C-peptide
Time frame: from the completion of treatment to 3 months
Islet function (concentration of serum C-peptide)
Concentration of serum C-peptide
Time frame: from the completion of treatment to 3 years
Islet function (concentration of serum C-peptide)
142 secondary outcomes
Concentration of serum C-peptide
Time frame: from the completion of treatment to 6 months
Concentration of serum C-peptide
Time frame: from the completion of treatment to 9 months
Concentration of serum C-peptide
Time frame: from the completion of treatment to 12 months
Concentration of serum C-peptide
Time frame: from the completion of treatment to 15 months
Concentration of serum C-peptide
Time frame: from the completion of treatment to 18 months
Concentration of serum C-peptide
Time frame: from the completion of treatment to 21 months
Concentration of serum C-peptide
Time frame: from the completion of treatment to 24 months
Concentration of serum C-peptide
Time frame: from the completion of treatment to 27 months
Concentration of serum C-peptide
Time frame: from the completion of treatment to 30 months
Concentration of serum C-peptide
Time frame: from the completion of treatment to 33 months
Concentration of serum insulin
Time frame: from the completion of treatment to 3 months
Concentration of serum insulin
Time frame: from the completion of treatment to 6 months
Concentration of serum insulin
Time frame: from the completion of treatment to 9 months
Concentration of serum insulin
Time frame: from the completion of treatment to 12 months
Concentration of serum insulin
Time frame: from the completion of treatment to 15 months
Concentration of serum insulin
Time frame: from the completion of treatment to 18 months
Concentration of serum insulin
Time frame: from the completion of treatment to 21 months
Concentration of serum insulin
Time frame: from the completion of treatment to 24 months
Concentration of serum insulin
Time frame: from the completion of treatment to 27 months
Concentration of serum insulin
Time frame: from the completion of treatment to 30 months
Concentration of serum insulin
Time frame: from the completion of treatment to 33 months
Concentration of serum insulin
Time frame: from the completion of treatment to 36 months
Fast blood glucose level
Time frame: from the completion of treatment to 3 months
Fast blood glucose level
Time frame: from the completion of treatment to 6 months
Fast blood glucose level
Time frame: from the completion of treatment to 9 months
Fast blood glucose level
Time frame: from the completion of treatment to 12 months
Fast blood glucose level
Time frame: from the completion of treatment to 15 months
Fast blood glucose level
Time frame: from the completion of treatment to 18 months
Fast blood glucose level
Time frame: from the completion of treatment to 21 months
Fast blood glucose level
Time frame: from the completion of treatment to 24 months
Fast blood glucose level
Time frame: from the completion of treatment to 27 months
Fast blood glucose level
Time frame: from the completion of treatment to 30 months
Fast blood glucose level
Time frame: from the completion of treatment to 33 months
Fast blood glucose level
Time frame: from the completion of treatment to 36 months
HbA1c level
Time frame: from the completion of treatment to 3 months
HbA1c level
Time frame: from the completion of treatment to 6 months
HbA1c level
Time frame: from the completion of treatment to 9 months
HbA1c level
Time frame: from the completion of treatment to 12 months
HbA1c level
Time frame: from the completion of treatment to 15 months
HbA1c level
Time frame: from the completion of treatment to 18 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Mar 2026.
- Background: PubMed 29496507Cho NH, Shaw JE, Karuranga S, Huang Y, da Rocha Fernandes JD, Ohlrogge AW, Malanda B. IDF Diabetes Atlas: Global estimates of diabetes prevalence for 2017 and projections for 2045. Diabetes Res Clin Pract. 2018 Apr;138:271-281. doi: 10.1016/j.diabres.2018.02.023. Epub 2018 Feb 26.
- Background: PubMed 7821146Fu H, Shen SX, Chen ZW, Wang JJ, Ye TT, LaPorte RE, Tajima N. Shanghai, China, has the lowest confirmed incidence of childhood diabetes in the world. Diabetes Care. 1994 Oct;17(10):1206-8. doi: 10.2337/diacare.17.10.1206.
- Background: PubMed 24777734Zhao Z, Sun C, Wang C, Li P, Wang W, Ye J, Gu X, Wang X, Shen S, Zhi D, Lu Z, Ye R, Cheng R, Xi L, Li X, Zheng Z, Zhang M, Luo F. Rapidly rising incidence of childhood type 1 diabetes in Chinese population: epidemiology in Shanghai during 1997-2011. Acta Diabetol. 2014 Dec;51(6):947-53. doi: 10.1007/s00592-014-0590-2. Epub 2014 Apr 29.
- Background: PubMed 23610082Daniels M, DuBose SN, Maahs DM, Beck RW, Fox LA, Gubitosi-Klug R, Laffel LM, Miller KM, Speer H, Tamborlane WV, Tansey MJ; T1D Exchange Clinic Network. Factors associated with microalbuminuria in 7,549 children and adolescents with type 1 diabetes in the T1D Exchange clinic registry. Diabetes Care. 2013 Sep;36(9):2639-45. doi: 10.2337/dc12-2192. Epub 2013 Apr 22.
- Background: PubMed 18349042Amin R, Widmer B, Prevost AT, Schwarze P, Cooper J, Edge J, Marcovecchio L, Neil A, Dalton RN, Dunger DB. Risk of microalbuminuria and progression to macroalbuminuria in a cohort with childhood onset type 1 diabetes: prospective observational study. BMJ. 2008 Mar 29;336(7646):697-701. doi: 10.1136/bmj.39478.378241.BE. Epub 2008 Mar 18.
- Background: PubMed 20424230Mollsten A, Svensson M, Waernbaum I, Berhan Y, Schon S, Nystrom L, Arnqvist HJ, Dahlquist G; Swedish Childhood Diabetes Study Group; Diabetes Incidence Study in Sweden; Swedish Renal Registry. Cumulative risk, age at onset, and sex-specific differences for developing end-stage renal disease in young patients with type 1 diabetes: a nationwide population-based cohort study. Diabetes. 2010 Jul;59(7):1803-8. doi: 10.2337/db09-1744. Epub 2010 Apr 27.
- Background: PubMed 25537714American Diabetes Association. (2) Classification and diagnosis of diabetes. Diabetes Care. 2015 Jan;38 Suppl:S8-S16. doi: 10.2337/dc15-S005. No abstract available.
- Background: PubMed 12161590Wildin RS, Smyk-Pearson S, Filipovich AH. Clinical and molecular features of the immunodysregulation, polyendocrinopathy, enteropathy, X linked (IPEX) syndrome. J Med Genet. 2002 Aug;39(8):537-45. doi: 10.1136/jmg.39.8.537.
- Background: PubMed 23534974Uzel G, Sampaio EP, Lawrence MG, Hsu AP, Hackett M, Dorsey MJ, Noel RJ, Verbsky JW, Freeman AF, Janssen E, Bonilla FA, Pechacek J, Chandrasekaran P, Browne SK, Agharahimi A, Gharib AM, Mannurita SC, Yim JJ, Gambineri E, Torgerson T, Tran DQ, Milner JD, Holland SM. Dominant gain-of-function STAT1 mutations in FOXP3 wild-type immune dysregulation-polyendocrinopathy-enteropathy-X-linked-like syndrome. J Allergy Clin Immunol. 2013 Jun;131(6):1611-23. doi: 10.1016/j.jaci.2012.11.054. Epub 2013 Mar 25.
- Background: PubMed 11137993Bennett CL, Christie J, Ramsdell F, Brunkow ME, Ferguson PJ, Whitesell L, Kelly TE, Saulsbury FT, Chance PF, Ochs HD. The immune dysregulation, polyendocrinopathy, enteropathy, X-linked syndrome (IPEX) is caused by mutations of FOXP3. Nat Genet. 2001 Jan;27(1):20-1. doi: 10.1038/83713.
- Background: PubMed 16990602Rao A, Kamani N, Filipovich A, Lee SM, Davies SM, Dalal J, Shenoy S. Successful bone marrow transplantation for IPEX syndrome after reduced-intensity conditioning. Blood. 2007 Jan 1;109(1):383-5. doi: 10.1182/blood-2006-05-025072. Epub 2006 Sep 21.
- Background: PubMed 21714643van de Veerdonk FL, Plantinga TS, Hoischen A, Smeekens SP, Joosten LA, Gilissen C, Arts P, Rosentul DC, Carmichael AJ, Smits-van der Graaf CA, Kullberg BJ, van der Meer JW, Lilic D, Veltman JA, Netea MG. STAT1 mutations in autosomal dominant chronic mucocutaneous candidiasis. N Engl J Med. 2011 Jul 7;365(1):54-61. doi: 10.1056/NEJMoa1100102. Epub 2011 Jun 29.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Luo Feihong study chair
Children's Hospital of Fudan University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Sequential transplantation in people with Diabetes Mellitus, Type 1 and Immunologic Deficiency Syndromes, run by Children's Hospital of Fudan University at 1 site in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 17 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Luo Feihong (+862164931226 ext. +862164931226, luofh@fudan.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Concentration of serum C-peptide (time frame: from the completion of treatment to 3 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03835312, which also lists 17 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Mar 2026; AzTrials last refreshed its copy on 8 Nov 2026.