# Clinical grade insulin-producing iPSCs encapsulated with durable hyaluronic acid for long-term treatment of type 1 diabetes

> **NIH NIH R43** · LIKARDA, LLC · 2021 · $256,338

## Abstract

Abstract
For those with type 1 diabetes, the wait for a cell therapy to control blood glucose without systemic
immunosuppression has been long and disappointing. While recent commercial acquisitions for such
cell therapies offer hope that the field is finally advancing, there will be a need for numerous options,
much like the approach to the COVID vaccine. Likarda holds multiple patents surrounding our novel
microplates used for differentiation of induced pluripotent stem cells into insulin-producing cells and
around our unique encapsulation technology that allows us to use biocompatible hydrogels that are not
available to traditional microencapsulation approaches. We have differentiated clinically-appropriate
human pluripotent cells into insulin-producing cells (Insulin-Producing induced Pluripotent Stem Cells
– IPiPSCs) using our 5-step protocol that incorporates few growth factors compared to published
protocols and can reverse diabetes in immune-compromised mice. We have encapsulated islets in a
PEG-based hydrogel and reversed diabetes in immune-competent rats for their lifespan without
immunosuppression or exogenous insulin. However, the IPiPSCs did not function well in the PEG-
based hydrogel. Preliminary data indicates that a new hydrogel formulation we have created based on
thiolated hyaluronic acid (ThHA) is a better match for the IPiPSCs. The purpose of this project is to
examine the ability of ThHA to durably reverse diabetes in rats with a pilot trial in diabetic dogs. The
specific aims are: 1) Identify genetic stability of the IPiPSCs after encapsulation and implantation into
diabetic rats; 2) Determine whether implantation of ThHA-encapsulated human IPiPSCs in diabetic
rats and beagles arrests the clinical signs of diabetes; 3) Identify biomarkers of a possible foreign body
reaction in the surrounding tissue at 2 wks, 3 and 9 mos post-transplant int diabetic rats and 6 mos in
diabetic dogs. Once we confirm the optimal hydrogel formulation for the IPiPSCs, we will incorporate
them into our ribbon device, a retrievable device that maintains the large surface area and low diffusion
barrier characteristics of microspheres while delivering retrievability for regulatory requirements. At the
completion of this Phase I feasibility study, we will undergo Phase II studies in spontaneously diabetic
dogs, which are an optimal model for human T1D due to parallel clinical presentation, similar
autoantibodies, pathology and complications. Promising long-term results in spontaneously-diabetic
dogs would offer strong preclinical data for human clinical trials.

## Key facts

- **NIH application ID:** 10322774
- **Project number:** 1R43DK130698-01
- **Recipient organization:** LIKARDA, LLC
- **Principal Investigator:** Lisa A. Stehno-Bittel
- **Activity code:** R43 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $256,338
- **Award type:** 1
- **Project period:** 2021-09-07 → 2022-09-06

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10322774

## Citation

> US National Institutes of Health, RePORTER application 10322774, Clinical grade insulin-producing iPSCs encapsulated with durable hyaluronic acid for long-term treatment of type 1 diabetes (1R43DK130698-01). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10322774. Licensed CC0.

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