Study of a Model-based Approach to Blood Glucose Control in Very-low-birthweight Neonates

NCT ID: NCT01419873

Last Updated: 2011-08-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-08-31

Study Completion Date

2011-06-30

Brief Summary

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Very low birthweight neonates commonly develop high blood sugar levels. There is an association between high blood sugar levels and poorer short term outcomes but it is not known whether the high sugar level itself actually causes the problems.

There are a range of ways to manage high sugar levels but there are no consensus guidelines to follow. One option is to manage the high sugar levels with an infusion of insulin. Studies looking at insulin infusions have often used fixed protocols to guide the amount of insulin to be given and are often complicated by hypoglycaemia.

This study investigated whether using a model-based approach to individualise insulin administration to neonates with high sugar levels would provide a safe and effective management option for controlling blood sugar levels and avoid the complication of low blood sugar levels.

Detailed Description

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Conditions

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Hyperglycaemia

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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Actrapid Human Insulin

Actrapid Insulin is a drug used in routine neonatal practice to treat hyperglycaemia. The intervention in this study was to base dosing on insulin by a computer based-model approach as opposed to sliding scales, fixed protocols or clinician intuition

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Birthweight \<1500g
* Blood sugar \>/= 10mmol/L
* Clinician decision to start an insulin infusion

Exclusion Criteria

* Infants who were moribund and not expected to survive
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Christchurch Women's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Adrienne Lynn

Dr Adrienne Lynn

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Adrienne M Lynn, FRACP

Role: PRINCIPAL_INVESTIGATOR

Canterbury District Helath Board

Locations

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Christchurch Womens Hospital, Canterbury District Health Board

Christchurch, , New Zealand

Site Status

Countries

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New Zealand

References

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Le Compte AJ, Lynn AM, Lin J, Pretty CG, Shaw GM, Chase JG. Pilot study of a model-based approach to blood glucose control in very-low-birthweight neonates. BMC Pediatr. 2012 Aug 7;12:117. doi: 10.1186/1471-2431-12-117.

Reference Type DERIVED
PMID: 22871230 (View on PubMed)

Other Identifiers

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URA/08/06/039

Identifier Type: -

Identifier Source: org_study_id

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