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                    Clinical Islet Transplantation (CIT)             CONFIDENTIAL                                        Page 1 of 123 
                    Protocol CIT-07 
                     
                                                CLINICAL ISLET TRANSPLANTATION (CIT) 
                                                                      PROTOCOL CIT-07 
                                                         Islet Transplantation in Type 1 Diabetes 
                                                                  Version 8.0 (20 August 2012) 
                                                                             BB-IND 9336 
                    Study Sponsors: 
                    The National Institute of Allergy and Infectious Diseases (NIAID) 
                    The National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK) 
                     CIT PRINCIPAL INVESTIGATORS                                    MEDICAL MONITORS 
                     Clinical Islet Transplantation (CIT) Consortium                Nancy Bridges, MD 
                     (as defined in RFA-DK-04-005)                                  Chief, Transplantation Immunobiology Branch 
                     Bernhard Hering, MD – University of Minnesota                  Division of Allergy, Immunology, and Transplantation 
                                                                                    National Institute of Allergy and Infectious Diseases 
                     Xunrong Luo, MD, PhD – Northwestern University  
                     Olle Korsgren, MD, PhD – Uppsala Univ. Hospital  6610 Rockledge Dr.; Room 6325 
                     Nicole Turgeon, MD – Emory University                          Bethesda, MD 20892 
                     Ali Naji, MD, PhD – University of Pennsylvania                 Phone: 301-451-4406 
                     Andrew Posselt, MD, PhD – University of                        Fax: 301-402-2571 
                                                                                    E-mail: nbridges@niaid.nih.gov
                     California, San Francisco                                                                            
                     Camillo Ricordi, MD – University of Miami                       
                     James Shapiro, MD, PhD – University of Alberta                 Thomas L. Eggerman MD, PhD 
                     Dixon Kaufman, MD, PhD, FACS - University of                   Director Islet Transplantation Program 
                     Wisconsin                                                      Division of Diabetes, Endocrinology and Metabolic 
                                                                                    Diseases 
                     BIOSTATISTICIAN                                                National Institute of Diabetes and Digestive and 
                     William Clarke, PhD; CTSDMC                                    Kidney Diseases 
                     Department of Biostatistics                                    6707 Democracy Blvd. Rm 697 MSC5460 
                     University of Iowa                                             Bethesda, MD 20892 (overnight delivery 20817) 
                     2400 UCC                                                       Phone:  301-594-8813 
                     Iowa City, Iowa 52242                                          Fax:  301-480-3503 
                                                                                    E-mail:  eggermant@extra.niddk.nih.gov
                     Phone: 319-384-2833                                                                                             
                     Fax: 319-335-6535                                               
                     E-mail: William-clarke@uiowa.edu
                                                                                    SENIOR REGULATORY OFFICER 
                     PROJECT MANAGER                                                Julia Goldstein, MD 
                                                                                    Senior Regulatory Officer 
                     Allison Priore, BS                                             Division of Allergy, Immunology, and 
                     Project Manager                                                Transplantation 
                     Division of Allergy, Immunology, and                           National Institute of Allergy and Infectious 
                     Transplantation                                                Diseases 
                     National Institute of Allergy and Infectious                   6610 Rockledge Dr. Rm 6717 
                     Diseases                                                       Bethesda, MD 20892 
                     6610 Rockledge Dr. Rm 6304B                                    Phone: 301-451-3112 
                     Bethesda, MD 20892                                             Fax: 301-480-1537 
                     Phone: 301-560-4513                                            E-mail: goldsteinj@niaid.nih.gov   
                     Fax: 301-402-2571 
                     E-mail: priorea@niaid.nih.gov   
                    Islet Transplantation in Type 1 Diabetes                                               Version 8.0  (20 August 2012) 
                    Clinical Islet Transplantation (CIT)             CONFIDENTIAL                                        Page 2 of 123 
                    Protocol CIT-07 
                     
                                                                   Confidentiality Statement 
                     The information contained within this document is not to be disclosed in any way without prior permission of the 
                     CIT PIs, the Division of Allergy, Immunology, and Transplantation, or the National Institute of Diabetes & 
                     Digestive & Kidney Diseases. 
                                                       
                                                           
                    Islet Transplantation in Type 1 Diabetes                                               Version 8.0 (20 August 2012) 
                    Clinical Islet Transplantation (CIT)             CONFIDENTIAL                                        Page 3 of 123 
                    Protocol CIT-07 
                     
                                                            INVESTIGATOR SIGNATURE PAGE 
              Protocol Number:                               Version/Date: 8.0/ 20 August 2012 
              CIT-07 
              IND:                                           CIT Principal Investigators: 
               BB-IND 9336                                   Bernhard Hering, MD; Xunrong Luo, MD, PhD; Olle Korsgren, MD, PhD; 
                                                             Nicole Turgeon, MD; Ali Naji, MD, PhD ; Andrew Posselt, MD, PhD; 
                                                             Camillo Ricordi, MD; James Shapiro, MD, PhD, Dixon Kaufman, MD, PhD, 
                                                             FACS 
              Title: 
              Islet Transplantation in Type 1 Diabetes 
              Study Sponsors: 
              The National Institute of Allergy and Infectious Diseases (NIAID) 
                                                                                                                 
              The National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK)
              INSTRUCTIONS:  Please have the Principal Investigator print, sign, and date at the indicated location 
              below.  A copy should be kept for your records and the original signature page sent to the Data 
              Coordinating Center.   
              After signature, please return the original of this form by surface mail to:  
                                                                                   
                      ATTN:  Clinical Trials Statistical & Data Management Center Department of Biostatistics 
                                                                        201 S Clinton St 
                                                                  Iowa City, IA  52240-4034 
              I confirm that I have read the above protocol in the latest version.  I understand it, and I will work 
              according to the principles of Good Clinical Practice (GCP) as described in the United States Code of 
              Federal Regulations (CFR) – 21 CFR Parts 45, 50, 56, and 312, and the International Conference on 
              Harmonization (ICH) document “Guidance for Industry:  E6 Good Clinical Practice:  Consolidated 
              Guidance” dated April 1996.  Further, I will conduct the study in keeping with local, legal, and 
              regulatory requirements.   
               
              As the Site Principal Investigator, I agree to conduct protocol CIT-07, “Islet Transplantation in Type 1 
              Diabetes” according to good clinical practices.  I agree to carry out the study by the criteria written in the 
              protocol and understand that no changes can be made to this protocol without written permission of the 
              NIAID and NIDDK. 
               
               
              ___________________________________ 
              Site Principal Investigator  (Print) 
               
              ____________________________________                                      _________________ 
              Site Principal Investigator (Signature)                                                     Date 
                    Islet Transplantation in Type 1 Diabetes                                               Version 8.0 (20 August 2012) 
                    Clinical Islet Transplantation (CIT)             CONFIDENTIAL                                        Page 4 of 123 
                    Protocol CIT-07 
                     
                                                                   Protocol Synopsis 
                     Title                           Islet Transplantation in Type 1 Diabetes 
                     Clinical Phase                  Phase 3 
                     IND Sponsor                     DAIT/NIAID/NIH 
                     IND Number                      BB-IND 9336 
                     Activation Date                 October 2006 
                     Accrual Objective               48 
                     Accrual Period                  24 months 
                     Follow-up Period                24 months after final transplant 
                     Study Design                    A prospective, single-arm, multi-center study in islet transplantation 
                     Treatment Description           Subjects will receive up to 3 separate infusions of islets. Subjects will receive 
                                                     induction and maintenance immunosuppression consisting of ATG 
                                                                                                nd        rd
                                                     (basiliximab instead of ATG for the 2  and 3  transplants, if applicable), 
                                                     sirolimus and low-dose tacrolimus. In addition, subjects will receive 
                                                     etanercept for anti-inflammatory therapy. 
                     Primary Endpoint                The proportion of subjects with an HbA1c <7.0% at Day 365 AND free of 
                                                     severe hypoglycemic  events from Day 28 to Day 365 inclusive following the 
                                                     first islet transplant, with the day of transplant designated Day 0. 
                     Secondary Endpoints             The key secondary endpoints are the following: 
                                                     1)  The proportion of subjects with an HbA1c <7.0% AND free of severe 
                                                         hypoglycemic events from Day 28 to Day 730, inclusive, after the first 
                                                         islet transplant. 
                                                     2)  The proportion of subjects with HbA1c ≤ 6.5% at one year after the first 
                                                         islet transplant AND free of severe hypoglycemic events from Day 28 to 
                                                         Day 365 after the first islet transplant. 
                                                     3)  The proportion of subjects with HbA1c ≤ 6.5% at two years after the first 
                                                         islet transplant AND free of severe hypoglycemic events from Day 28 to 
                                                         Day 730 after the first islet transplant. 
                                                     4)  The proportion of subjects free of severe hypoglycemic events from Day 
                                                         28 to Day 365 after the first islet transplant. 
                                                     5)  The proportion of subjects free of severe hypoglycemic events from Day 
                                                         28 to Day 730 after the first islet transplant. 
                                                     6)  The proportion of subjects with HbA1c <7.0% at one year after the first 
                                                         islet transplant. 
                                                     7)  The proportion of subjects with HbA1c <7.0% at two years after the first 
                                                         islet transplant. 
                                                     8)  The proportion of subjects with HbA1c ≤6.5% at one year after the first 
                    Islet Transplantation in Type 1 Diabetes                                               Version 8.0 (20 August 2012) 
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...Persons using assistive technology may not be able to fully access information in this file for assistance e mail niddk cr imsweb com include the web site and filename your message clinical islet transplantation cit confidential page of protocol type diabetes version august bb ind study sponsors national institute allergy infectious diseases niaid digestive kidney principal investigators medical monitors consortium nancy bridges md as defined rfa dk chief immunobiology branch bernhard hering university minnesota division immunology xunrong luo phd northwestern olle korsgren uppsala univ hospital rockledge dr room nicole turgeon emory bethesda ali naji pennsylvania phone andrew posselt fax nbridges nih gov california san francisco camillo ricordi miami james shapiro alberta thomas l eggerman dixon kaufman facs director program wisconsin endocrinology metabolic biostatistician william clarke ctsdmc department biostatistics democracy blvd rm msc iowa overnight delivery ucc city eggermant ...

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