Outcomes of Physiologic Insulin Resensitization (PIR) in Patients With Chronic Kidney Disease and Type 2 Diabetes Mellitus

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorWell Cell Global

About this trial

The purpose of this research is to evaluate outcomes of physiologic insulin re-sensitization (PIR) in patients with Chronic Kidney Disease (CKD) and Type 2 Diabetes Mellitus (T2DM).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Is age 18 or older (male or female)

Have a documented diagnosis of CKD stage 3b, 4, or 5 and T2DM of 6 months or greater prior to screening. Patients may have treatment regimens associated with T2DM that include diabetic oral and/or injectable medications including insulin and/or GLP-1 receptor agonists.

In the opinion of the Investigator, has been on an appropriate, stable regimen for management of any complications present for the past six (6) months.

Provide valid informed consent.

Disqualifiers

Has in the past two (2) years received treatment for a malignancy.

Current pregnancy or intends to become pregnant during the study

Has in the past one (1) year used non-prescription opioids or psychoactive drugs.

Has in the past six (6) months had a hypoglycemic event requiring urgent care and/or administration of glucagon, osteocalcin, or parenteral glucose, unless approved for enrollment by the Medical Monitor.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Physiologic Insulin Resensitization (PIR)

    Other intervention

    PIR is a physician-directed treatment that uses an exterior infusion pump to deliver insulin intravenously.

Treatment groups

120 Participants
are divided into 2 treatment groups
Group A: Physiologic Insulin Resensitization (PIR) GroupExperimental treatment 1 intervention
Group B: Standard of Care (SOC) GroupNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Estimated Glomular Filtration Rate (eGFR)

Assess the eGFR of patients in the PIR group as compared to the SOC group

Time frame
12 and 24 weeks
2

Blood Urea Nitrogen/Creatinine Ratio (BUN/Cr)

Assess the BUN/Cr of patients in the PIR group as compared to the SOC group

Time frame
12 and 24 weeks
3

Cystatin C

Assess the Cystatin C of patients in the PIR group as compared to the SOC group

Time frame
12 and 24 weeks
4

Urine albumin-creatinine ratio (ACR)

Assess the urine ACR of patients in the PIR group as compared to the SOC group

Time frame
12 and 24 weeks

Secondary outcomes

1

Prescribed medication usage for control of symptoms

Assess changes of medications in the PIR group as compared to the SOC group

Time frame
12 and 24 weeks
2

Hemoglobin A1c (HbA1c)

Assess the Hb1c of patients in the PIR group as compared to the SOC group

Time frame
12 and 24 weeks
3

Fasting blood glucose

Assess the fasting blood glucose of patients in the PIR group as compared to the SOC group

Time frame
12 and 24 weeks
4

Fasting insulin level

Assess the fasting insulin level of patients in the PIR group as compared to the SOC group

Time frame
12 and 24 weeks

Other outcomes

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