Evidence map›Paper›PMID 26588810›Full record

Trial reportAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2016

Successful Application of Closed-Loop Artificial Pancreas Therapy After Islet Autotransplantation.

G P Forlenza, B M Nathan, A M Moran, T B Dunn, G J Beilman, T L Pruett, M D Bellin

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.4field-weighted citation impact, top 11% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 22 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Is islet transplantation a realistic approach to curing diabetes?The Korean journal of internal medicine · 2017
    Review
  8. Article
  9. Article
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

7 authors at 2 institutions in 1 country.

G P ForlenzaDepartment of Pediatrics, University of Minnesota Medical Center, Minneapolis, MN.
B M NathanDepartment of Pediatrics, University of Minnesota Medical Center, Minneapolis, MN.
A M MoranDepartment of Pediatrics, University of Minnesota Medical Center, Minneapolis, MN.
T B DunnDepartment of Surgery, University of Minnesota Medical Center, Minneapolis, MN.
G J BeilmanDepartment of Surgery, University of Minnesota Medical Center, Minneapolis, MN.
T L PruettDepartment of Surgery, University of Minnesota Medical Center, Minneapolis, MN.
M D BellinDepartment of Pediatrics, University of Minnesota Medical Center, Minneapolis, MN.
University of Minnesota Medical Center · USUniversity of Colorado Denver · US

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
Pre-Faculty Research Training in Pediatric EndocrinologyT32DK065519 · NIDDK · UNIVERSITY OF MINNESOTA TWIN CITIES · PI BELLIN, MELENA D. · 2004 to 2024
$3.6M
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 TR000114NCATS NIH HHS UL1TR000114NIDDK NIH HHS K23 DK084315NIDDK NIH HHS T32 DK065519
6 · The paper itself

Abstract

Total pancreatectomy with islet autotransplantation (TPIAT) may relieve the pain of chronic pancreatitis while avoiding postsurgical diabetes. Minimizing hyperglycemia after TPIAT limits beta cell apoptosis during islet engraftment. Closed-loop (CL) therapy combining an insulin pump with a continuous glucose monitor (CGM) has not been investigated previously in islet transplant recipients. Our objective was to determine the feasibility and efficacy of CL therapy to maintain glucose profiles close to normoglycemia following TPIAT. Fourteen adult subjects (36% male; aged 35.9 ± 11.4 years) were randomized to subcutaneous insulin via CL pump (n = 7) or multiple daily injections with blinded CGM (n = 7) for 72 h at transition from intravenous to subcutaneous insulin. Mean serum glucose values were significantly lower in the CL pump group than in the control group (111 ± 4 vs. 130 ± 13 mg/dL; p = 0.003) without increased risk of hypoglycemia (percentage of time <70 mg/dL: CL pump 1.9%, control 4.8%; p = 0.46). Results from this pilot study suggest that CL therapy is superior to conventional therapy in maintaining euglycemia without increased hypoglycemia. This technology shows significant promise to safely maintain euglycemic targets during the period of islet engraftment following islet transplantation.

Indexed as

Islets of Langerhans TransplantationPancreas, ArtificialPancreatectomyAdultBlood GlucoseCase-Control StudiesFemaleFollow-Up StudiesGraft RejectionGraft SurvivalHumansHypoglycemiaMaleMiddle AgedPancreatitis, ChronicPilot ProjectsBlood Glucoseartificial organsautotransplantationclinical researchdiabetologyendocrinologyislets of Langerhansislet transplantationpracticesupport devicestype 1

Identifiers

PMID26588810
PMCPMC4844547
OpenAlexW2271290471

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.