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CompletedNCT02689479Updated Feb 24, 2016

11C-5-HTP PET in Clinical Islet Transplantation

An interventional study of Positron-Emission Tomography and 11C-5-HTP in Type 1 Diabetes, sponsored by National Institute of Allergy and Infectious Diseases (NIAID). Completed at 2 sites in Sweden. Per ClinicalTrials.gov, last updated 2016-02-24.

Sponsored by National Institute of Allergy and Infectious Diseases (NIAID) · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
8
Allocation
Non-randomized
Sex
All
01

Study summary

In people with type I diabetes, the insulin producing cells in the pancreas have been destroyed. Presently one can only evaluate the function of the graft through laboratory tests, blood sugars and the insulin requirements. The mass of the insulin producing cells and their location are not known. The possibility to study the mass of insulin producing cells is of importance when developing new treatment regimes, in order to evaluate their efficacy on this parameter.

The researchers in this study are aiming to develop methods to measure the mass of insulin producing cells. A method (positron emission tomography, PET) previously used for the diagnosis of tumors of insulin producing cells may also be used to measure the amount of insulin producing cells in patients with type I diabetes. They plan to evaluate participants with type 1 diabetes that have undergone islet transplantation, to evaluate if PET can be used to measure the beta cell mass after islet transplantation.

02

Conditions studied

  • Type 1 Diabetes

Keywords

  • Clinical Islet Transplantation
  • Positron Emission Tomography (PET) Computed Tomography (CT) imaging
03

In context

Diabetes Mellitus, Type 1

3,522 studies on the registry are indexed under Diabetes Mellitus, Type 1; 577 are open to participants now.

This study's enrollment of 8 is below the median of 40 across 2,649 interventional studies indexed under Diabetes Mellitus, Type 1.

Browse Diabetes Mellitus, Type 1 studies →

Lead sponsor

National Institute of Allergy and Infectious Diseases (NIAID) is the lead sponsor of 2,401 studies on the registry; 179 are open to participants now.

Of its 396 completed or terminated interventional studies of FDA-regulated products, 294 (74%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

Subjects must meet all of the following criteria to be considered eligible for participation in the study:

  1. Subjects who are able to provide written informed consent and comply with the procedures of the study protocol.
  2. Patient that has received an islet transplant in or outside the CIT01 trial (post primary endpoint).

Exclusion criteria

Exclusion Criteria:

Subjects who meet any of these criteria are not eligible for participation in the study:

  1. For female subjects: Positive serum pregnancy test, presently breast-feeding, or unwillingness to use effective contraceptive measures at the time of PET scan +/- 2 weeks.
  2. Known history of severe co-existing cardiac disease, characterized by any one of the following conditions:

    1. Recent myocardial infarction (within past 6 months).
    2. Evidence of ischemia on functional cardiac exam within the last year.
    3. Left ventricular ejection fraction \<30%.
  3. Persistent elevation of liver function tests at the time of study entry. Persistent Aspartate Aminotransferase (serum glutamic-oxaloacetic transaminase), Alanine Aminotransferase (serum glutamate pyruvate transaminase), Alkaline phosphatase or total bilirubin, with values >1.5 times normal upper limits will exclude a patient.
  4. Treatment with any anti-diabetic medication, other than insulin, within 4 weeks of enrollment.
  5. Use of any investigational agents within 4 weeks of enrollment.
  6. Any medical condition that, in the opinion of the investigator, will interfere with the safe completion of the trial.
05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
8 participants (actual)

Interventions

  • ProcedurePositron-Emission Tomography

    Dynamic scanning is performed for 60 minutes. Image acquisition is performed in 3D and reconstructed using an iterative OSEM VUEPOINT algorithm

    Also known as: Positron Emission Tomography (PET) Imaging, PET Scan

  • Biological11C-5-HTP

    150-400 MBq \[11C\]5-HTP (approximately 2-5 MBq/kg) is administered manually as an intravenous bolus in a intravenous catheter in the arm prior to PET imaging.

  • ProcedureMagnetic Resonance Imaging

    Analysis will focus on adipose tissue distribution and composition in the liver.

    Also known as: MRI Scans

  • ProcedureMixed-Meal Tolerance Test (MMTT)
  • ProcedureContinuous Glucose Monitoring System® (CGMS)

    CGMS involves the subcutaneous (SC) placement of a glucose sensor connected by tubing to a pager-sized monitoring device that stores glucose data. Subjects will have the sensor placed in the clinic and wear it continuously for 72 - 84 hours (Gold) or 72-144 hours (iPro2).

  • ProcedureGlomerular Filtration Rate Testing
  • ProcedureBlood draw
06

What researchers measure

Primary outcomes

  1. The relationship between β cell mass calculated from the 11C-5-HTP PET scans and the MMTT C-peptide at 90 minutes

    Regression methods will be used to describe the association between the beta cell mass and 90 minute c-peptide.

    Time frame: 8 month

Secondary outcomes

  1. The relationship between βcell mass calculated from the 11C-5-HTP PET and the β-score computed at the time of the PET scan

    Regression methods will also be used to develop models to describe the relationship between the number of islets infused and the islet mass measured by PET.

    Time frame: 8 month

  2. The relationship between βcell mass calculated from the 11C-5-HTP PET and CPGCR computed at the time of the PET scan

    Time frame: 8 month

  3. The relationship between βcell mass calculated from the 11C-5-HTP PET and number of islets transplanted (Total IEQ)

    Time frame: 8 month

  4. The distribution of islets in the liver

    Descriptive measures and scatterplots will be used to visualize the distribution of beta cells in selected regions of the liver.

    Time frame: 8 month

  5. The distribution of fat accumulation in the liver

    Time frame: 8 month

  6. The relationship between distribution patterns in the liver and MMTT C-peptide at 90 minutes computed at the time of the PET scan

    Time frame: 8 month

  7. The relationship with PET and peak C-peptide

    Time frame: 8 month

  8. The relationship with PET and C-peptide AUC

    Time frame: 8 month

  9. The distribution of islets in the liver related to distribution of fat accumulation in the liver as measured by MRI

    Descriptive measures and scatterplots will be used to visualize the association between beta cells and fat deposits in the liver.

    Time frame: 8 month

  10. The incidence and severity of adverse events related to the PET investigation including allergic reactions

    Time frame: 8 month

07

Study locations

2 sites
  • Karolinska University Hospital
    Stockholm, Sweden
  • Uppsala University
    Uppsala, Sweden
08

References and documents

Publications

  • Eriksson O, Selvaraju R, Eich T, Willny M, Brismar TB, Carlbom L, Ahlstrom H, Tufvesson G, Lundgren T, Korsgren O. Positron Emission Tomography to Assess the Outcome of Intraportal Islet Transplantation. Diabetes. 2016 Sep;65(9):2482-9. doi: 10.2337/db16-0222. Epub 2016 Jun 20. PubMed 27325286 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 24, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02689479
Lead sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Responsible party
Sponsor
First posted
Feb 24, 2016
Start date
May 2013
Primary completion
Sep 2014
Completion
Sep 2014
Last update
Feb 24, 2016

Study contacts

Olle Korsgren
principal investigator · Uppsala University Hospital
Torbjorn Lundgren, MD
study chair · Karolinska University Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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