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Active, not recruitingNCT05095532Updated Sep 9, 2026

Autologous Mesenchymal Stromal Cells and Islet Co-transplantation in TP-IAT

A Phase 1 interventional study of Bone marrow-derived mesenchymal stem cells and Placebo in Chronic Pancreatitis and Mesenchymal Stem Cells, sponsored by Medical University of South Carolina. Active, not recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-09.

Sponsored by Medical University of South Carolina · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
42
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a clinical trial for chronic pancreatitis (CP) patients undergoing total pancreatectomy with islet autotransplantation (TP-IAT). Participants will be randomized to either bone marrow-derived mesenchymal stem cells (MSCs) or control with the standard of care. Participants will be followed for one-year post-transplant.

Read the detailed description

This will be a randomized, controlled clinical trial for CP patients scheduled to undergo a TP-IAT surgery. Those who are consented will be randomized into one of three groups. One group will receive islet transplantation alone, a placebo. The other two groups will receive islets plus autologous bone marrow-MSCs at two different doses (20x10\^6/patient, or 50x10\^6/patient). The TP-IAT procedure will remain as routinely performed. Patients will be followed for12 months post-transplantation, having 3 follow-up visits scheduled on days 90, 180, and 365 after the transplant. The primary endpoint will be a change in islet function from baseline to 12 months post-transplantation as measured by the C-peptide area under the curve following a mixed meal tolerance test. Potential effects of MSCs on glycemic control, pain relief, quality of life, and adverse events will be evaluated at each follow-up visit.

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Conditions studied

  • Chronic Pancreatitis
  • Mesenchymal Stem Cells

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Keywords

  • Total Pancreatectomy
  • TP-IAT
03

In context

Pancreatitis, Chronic

264 studies on the registry are indexed under Pancreatitis, Chronic; 73 are open to participants now.

This study's planned enrollment of 42 is close to the median of 46 across 140 interventional studies indexed under Pancreatitis, Chronic.

Browse Pancreatitis, Chronic studies →

Lead sponsor

Medical University of South Carolina is the lead sponsor of 852 studies on the registry; 165 are open to participants now.

Of its 128 completed or terminated interventional studies of FDA-regulated products, 101 (79%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Diagnosis of CP and scheduled for TP-IAT;
  • ≥18 years old;
  • Diabetes with HbA1c \<12%.

Exclusion criteria

Exclusion Criteria:

  • Patients who are under immunosuppression;
  • Pregnant and breastfeeding women.
  • Patients who have liver damage based on ALT, AST, and total bilirubin levels (>3 times normal levels);
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Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Care provider, Outcomes assessor)
Enrollment
42 participants (estimated)

Study arms

  • Experimental
    BM-MSCs at 20x10^6

    One time infusion of islets plus BM-MSCs at 20x10\^6/patient, n=14

    Biological: Bone marrow-derived mesenchymal stem cells

  • Experimental
    BM-MSCs at 50x10^6

    One time infusion of islets plus BM-MSCs at 50x10\^6/patient, n=14

    Biological: Bone marrow-derived mesenchymal stem cells

  • Placebo comparator
    Placebo

    One time infusion of islets only.

    Other: Placebo

Interventions

  • BiologicalBone marrow-derived mesenchymal stem cells

    MSC transplantation

  • OtherPlacebo

    Standard of Care

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What researchers measure

Primary outcomes

  1. Change in Islet Cell Function

    The primary endpoint will be change in islet function between baseline and 12 months as measured by area under the curve of C-peptide levels during a mixed meal tolerance test (MMTT) adjusted by islet equivalent number (IEQ) transplanted.

    Time frame: 1 year

Secondary outcomes

  1. Change in HbA1C levels from baseline to 12 months.

    Change in HbA1C levels from baseline to 12 months

    Time frame: 1 year

  2. Proportion of insulin-independent patients following IAT

    Proportion of insulin-independent patients following IAT

    Time frame: 1 year

  3. Average daily insulin requirement

    Average daily insulin requirement

    Time frame: 1 year

  4. Beta cell function as assessed by beta-score

    β-score is an assessment of beta cell function after islet transplantation incorporating fasting plasma glucose levels, HbA1c, daily insulin, and stimulated c-peptide. The range of the score is from 0 to 8. Higher number means better beta cell transplant function.

    Time frame: 1 year

Other outcomes

  1. Change in islet function between baseline to day 90±28

    Change in islet function between baseline to day 90±28. Islet function will be indicated by area under the curve of C-peptide levels during a mixed meal tolerance test adjusted by islet equivalent number transplanted.

    Time frame: 90 days

  2. Daily oral Morphine Equivalents on day prior to visit

    Daily oral Morphine Equivalents on day prior to visit (day 90±28 to day 365±28)

    Time frame: 9 months

  3. Proportion of patients remaining on narcotics

    Proportion of patients remaining on narcotics (day 90±28 to day 365±28).

    Time frame: 9 months

  4. Short form (SF)-12 Quality of Life score

    SF-12 Quality of Life score, Scores range from 0 to100, with higher scores indicating better physical and mental healthy functioning.

    Time frame: 1 year

  5. Glycemic control measured by area under the curve (AUC) HbA1c through year 1 and the C-peptide AUC and HbA1c AUC through year 1 (measured every three months) as impacted in a multivariate model by the IEQ/kg islets transplanted.

    Glycemic control measured by area under the curve (AUC) HbA1c through year 1 and the C-peptide AUC and HbA1c AUC through year 1 (measured every three months) as impacted in a multivariate model by the IEQ/kg islets transplanted.

    Time frame: 1 year

  6. Incidence and severity of adverse events and serious adverse events

    Incidence and severity of adverse events and serious adverse events

    Time frame: 1 year

07

Study locations

1 site
  • Medical University of South Carolina
    Charleston, South Carolina 29425, United States
08

References and documents

Publications

  • Sutherland DE, Gruessner AC, Carlson AM, Blondet JJ, Balamurugan AN, Reigstad KF, Beilman GJ, Bellin MD, Hering BJ. Islet autotransplant outcomes after total pancreatectomy: a contrast to islet allograft outcomes. Transplantation. 2008 Dec 27;86(12):1799-802. doi: 10.1097/TP.0b013e31819143ec. PubMed 19104425 ↗
  • Morgan KA, Lancaster WP, Owczarski SM, Wang H, Borckardt J, Adams DB. Patient Selection for Total Pancreatectomy with Islet Autotransplantation in the Surgical Management of Chronic Pancreatitis. J Am Coll Surg. 2018 Apr;226(4):446-451. doi: 10.1016/j.jamcollsurg.2017.12.018. Epub 2017 Dec 28. PubMed 29289751 ↗
  • Wang J, Zhang Y, Cloud C, Duke T, Owczarski S, Mehrotra S, Adams DB, Morgan K, Gilkeson G, Wang H. Mesenchymal Stem Cells from Chronic Pancreatitis Patients Show Comparable Potency Compared to Cells from Healthy Donors. Stem Cells Transl Med. 2019 May;8(5):418-429. doi: 10.1002/sctm.18-0093. Epub 2019 Jan 24. PubMed 30680957 ↗
  • Song L, Sun Z, Kim DS, Gou W, Strange C, Dong H, Cui W, Gilkeson G, Morgan KA, Adams DB, Wang H. Adipose stem cells from chronic pancreatitis patients improve mouse and human islet survival and function. Stem Cell Res Ther. 2017 Aug 30;8(1):192. doi: 10.1186/s13287-017-0627-x. PubMed 28854965 ↗
  • Ryan EA, Paty BW, Senior PA, Lakey JR, Bigam D, Shapiro AM. Beta-score: an assessment of beta-cell function after islet transplantation. Diabetes Care. 2005 Feb;28(2):343-7. doi: 10.2337/diacare.28.2.343. PubMed 15677790 ↗
  • Wang H, Desai KD, Dong H, Owzarski S, Romagnuolo J, Morgan KA, Adams DB. Prior surgery determines islet yield and insulin requirement in patients with chronic pancreatitis. Transplantation. 2013 Apr 27;95(8):1051-7. doi: 10.1097/TP.0b013e3182845fbb. PubMed 23411743 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 9, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05095532
Lead sponsor
Medical University of South Carolina
Collaborators
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Responsible party
Hongjun Wang (Professor, Scientific Director, Center for Cellular Therapy, Medical University of South Carolina) — Principal investigator
First posted
Oct 27, 2021
Start date
Dec 1, 2021
Primary completion
Jun 30, 2027 (estimated)
Completion
Jun 30, 2027 (estimated)
Last update
Sep 9, 2026

Study contacts

Charlton Strange, M.D
study director · Medical University of South Carolina
William Lancaster, M.D
study director · Medical University of South Carolina
Hongjun Wang
principal investigator · Medical University of South Carolina

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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