Evidence map›Paper›PMID 22723582›Full record

Trial reportDiabetes care2012

Improvement in outcomes of clinical islet transplantation: 1999-2010.

Franca B Barton, Michael R Rickels, Rodolfo Alejandro, Bernhard J Hering, Stephen Wease, Bashoo Naziruddin, Jose Oberholzer, Jon S Odorico, Marc R Garfinkel, Marlon Levy and 26 more

2 registry-linked trialsAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Diabetes care, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 318 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
318citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02854696 phase3unknown statusnot on this mapstarted 2016, after this paper: background citation

Health Economic Analysis of Islet Cell Transplantation for Patients With Severe Forms of Brittle Type 1 Diabetes

TypeinterventionalSponsorUniversity Hospital, GrenobleRan2016 to 2023Enrolled42ConditionsType 1 DiabetesArmsIslet graft, best medical care
NCT03063229 naterminatednot on this mapstarted 2016, after this paper: background citation

Energy Balance Following Islet Transplantation

TypeinterventionalSponsorUniversity of EdinburghRan2016 to 2019Enrolled2ConditionsType 1 DiabetesArmsAccelerometer, Anthropomentry, Blood tests, BODPOD, MRI (Magnetic Resonance Imaging)
3 · Its place in the literature

Who cites it

318 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Impact of Islet Transplantation on Type 1 Diabetes-Related Complication: A Systematic Review.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Pooled it
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  19. A Cure for Type 1 Diabetes: Are We There Yet?Diabetes technology & therapeutics · 2025
    Review
  20. Cell Therapy for T1D Beyond BLA: Gearing Up Toward Clinical Practice.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2025
    Review

258 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

36 authors.

Franca B BartonThe EMMES Corporation, Rockville, MD, USA. fbarton@emmes.com
Michael R Rickels
Rodolfo Alejandro
Bernhard J Hering
Stephen Wease
Bashoo Naziruddin
Jose Oberholzer
Jon S Odorico
Marc R Garfinkel
Marlon Levy
Francois Pattou
Thierry Berney
Antonio Secchi
Shari Messinger
Peter A Senior
Paola Maffi
Andrew Posselt
Peter G Stock
Dixon B Kaufman
Xunrong Luo
Fouad Kandeel
Enrico Cagliero
Nicole A Turgeon
Piotr Witkowski
Ali Naji
Philip J O'Connell
Carla Greenbaum
Yogish C Kudva
Kenneth L Brayman
Meredith J Aull
Christian Larsen
Tom W H Kay
Luis A Fernandez
Marie-Christine Vantyghem
Melena Bellin
A M James Shapiro

Funding

MULTIDISCIPLINARY CLINICAL AND TRANSLATIONAL SCIENCE (MCTS) PROGRAM (UL1)UL1RR025741 · NCRR · NORTHWESTERN UNIVERSITY AT CHICAGO · PI GREENLAND, PHILIP · 2008 to 2011
$24.7M
Multidisciplinary Clinical and Translational Science (MCTS) Program (UL1)UL1TR000150 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI LLOYD-JONES, DONALD M · 2012 to 2013
$10.1M
Sitagliptin therapy to improve outcomes after islet autotransplantation.K23DK084315 · NIDDK · UNIVERSITY OF MINNESOTA · PI BELLIN, MELENA D. · 2010 to 2014
$816k
NCATS NIH HHS UL1 TR000150NCRR NIH HHS UL1 RR025741NIDDK NIH HHS K23 DK084315
6 · The paper itself

Abstract

objectiveTo describe trends of primary efficacy and safety outcomes of islet transplantation in type 1 diabetes recipients with severe hypoglycemia from the Collaborative Islet Transplant Registry (CITR) from 1999 to 2010. RESEARCH DESIGN AND

methodsA total of 677 islet transplant-alone or islet-after-kidney recipients with type 1 diabetes in the CITR were analyzed for five primary efficacy outcomes and overall safety to identify any differences by early (1999-2002), mid (2003-2006), or recent (2007-2010) transplant era based on annual follow-up to 5 years.

resultsInsulin independence at 3 years after transplant improved from 27% in the early era (1999-2002, n = 214) to 37% in the mid (2003-2006, n = 255) and to 44% in the most recent era (2007-2010, n = 208; P = 0.006 for years-by-era; P = 0.01 for era alone). C-peptide ≥0.3 ng/mL, indicative of islet graft function, was retained longer in the most recent era (P < 0.001). Reduction of HbA(1c) and resolution of severe hypoglycemia exhibited enduring long-term effects. Fasting blood glucose stabilization also showed improvements in the most recent era. There were also modest reductions in the occurrence of adverse events. The islet reinfusion rate was lower: 48% by 1 year in 2007-2010 vs. 60-65% in 1999-2006 (P < 0.01). Recipients that ever achieved insulin-independence experienced longer duration of islet graft function (P < 0.001).

conclusionsThe CITR shows improvement in primary efficacy and safety outcomes of islet transplantation in recipients who received transplants in 2007-2010 compared with those in 1999-2006, with fewer islet infusions and adverse events per recipient.

Indexed as

Islets of Langerhans TransplantationAdolescentAdultAgedBlood GlucoseC-PeptideDiabetes Mellitus, Type 1Glycated HemoglobinHumansMiddle AgedRegistriesTreatment OutcomeBlood GlucoseC-PeptideGlycated Hemoglobin

Identifiers

PMID22723582
PMCPMC3379615

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.