Trial Outcomes & Findings for Effect of Low-Dose Dexamethasone on the Incidence of Hyperglycemia Following Surgery (NCT NCT01545700)

NCT ID: NCT01545700

Last Updated: 2019-09-30

Results Overview

Serum blood glucose concentrations

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

200 participants

Primary outcome timeframe

Patient were followed for the duration of hospitalization, for an average of 6 days

Results posted on

2019-09-30

Participant Flow

This study was conducted at NorthShore University HealthSystem (a single tertiary medical center affiliated with the University of Chicago Pritzker School of Medicine) and was registered with ClinicalTrials.gov (NCT #01545700). Participants were recruited by reviewing operating room schedules and contact by telephone on the day before surgery.

A total of 200 patients were enrolled in this clinical trial.

Participant milestones

Participant milestones
Measure
Control, Saline 0-4 Hours
2 cc of saline Control-saline : Patients are randomized to receive saline 2 cc
Dexamethasone 4 mg, 0-4 Hours
Dexamethasone 4 mg administered intraoperatively Dexamethasone 4 mg : Patients randomized to receive dexamethasone 4mg and 1 cc saline
Dexamethasone 8 mg, 0-4 Hours
Dexamethasone 8 mg administered intraoperatively Dexamethasone 8 mg : Patients randomized to receive dexamethasone 8mg
Placebo Comparator Saline 8-24 Hours
placebo, 2 cc saline Control saline : Patients are randomized to receive saline 2 cc
Dexamethasone 4 mg, 8-24 Hours
Dexamethasone 4 mg administered intraoperatively Dexamethasone 4 mg : Patients are randomized to receive dexamethasone 4 mg and saline 1 cc
Dexamethasone 8 mg, 8-24 Hours
Dexamethasone 8 mg administered intraoperatively Dexamethasone 8 mg : Patients are randomized to receive dexamethasone 8 mg
Overall Study
STARTED
34
33
33
34
33
33
Overall Study
COMPLETED
33
32
31
34
32
33
Overall Study
NOT COMPLETED
1
1
2
0
1
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Effect of Low-Dose Dexamethasone on the Incidence of Hyperglycemia Following Surgery

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Control, Saline 0-4 Hours
n=34 Participants
2 cc of saline Control-saline : Patients are randomized to receive saline 2 cc
Dexamethasone 4 mg, 0-4 Hours
n=33 Participants
Dexamethasone 4 mg administered intraoperatively Dexamethasone 4 mg : Patients randomized to receive dexamethasone 4mg and 1 cc saline
Dexamethasone 8 mg, 0-4 Hours
n=33 Participants
Dexamethasone 8 mg administered intraoperatively Dexamethasone 8 mg : Patients randomized to receive dexamethasone 8mg
Placebo Comparator Saline 8-24 Hours
n=34 Participants
placebo, 2 cc saline Control saline : Patients are randomized to receive saline 2 cc
Dexamethasone 4 mg, 8-24 Hours
n=33 Participants
Dexamethasone 4 mg administered intraoperatively Dexamethasone 4 mg : Patients are randomized to receive dexamethasone 4 mg and saline 1 cc
Dexamethasone 8 mg, 8-24 Hours
n=33 Participants
Dexamethasone 8 mg administered intraoperatively Dexamethasone 8 mg : Patients are randomized to receive dexamethasone 8 mg
Total
n=200 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
Age, Categorical
Between 18 and 65 years
29 Participants
n=93 Participants
29 Participants
n=4 Participants
30 Participants
n=27 Participants
25 Participants
n=483 Participants
28 Participants
n=36 Participants
28 Participants
n=10 Participants
169 Participants
n=115 Participants
Age, Categorical
>=65 years
5 Participants
n=93 Participants
4 Participants
n=4 Participants
3 Participants
n=27 Participants
9 Participants
n=483 Participants
5 Participants
n=36 Participants
5 Participants
n=10 Participants
31 Participants
n=115 Participants
Age, Continuous
53 years
STANDARD_DEVIATION 10 • n=93 Participants
53 years
STANDARD_DEVIATION 9 • n=4 Participants
53 years
STANDARD_DEVIATION 11 • n=27 Participants
57 years
STANDARD_DEVIATION 12 • n=483 Participants
53 years
STANDARD_DEVIATION 13 • n=36 Participants
56 years
STANDARD_DEVIATION 11 • n=10 Participants
54 years
STANDARD_DEVIATION 9 • n=115 Participants
Sex: Female, Male
Female
34 Participants
n=93 Participants
33 Participants
n=4 Participants
33 Participants
n=27 Participants
34 Participants
n=483 Participants
33 Participants
n=36 Participants
33 Participants
n=10 Participants
200 Participants
n=115 Participants
Sex: Female, Male
Male
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants
Region of Enrollment
United States
34 participants
n=93 Participants
33 participants
n=4 Participants
33 participants
n=27 Participants
34 participants
n=483 Participants
33 participants
n=36 Participants
33 participants
n=10 Participants
200 participants
n=115 Participants

PRIMARY outcome

Timeframe: Patient were followed for the duration of hospitalization, for an average of 6 days

Population: per protocol

Serum blood glucose concentrations

Outcome measures

Outcome measures
Measure
Placebo 0-4 Hours
n=34 Participants
Placebo 0-4 hours baseline
Dexamethasone 4 mg 0-4 Hours
n=33 Participants
Dexamethasone 8 mg 0-4 Hours
n=33 Participants
Placebo 8-24 Hours
n=33 Participants
Dexamethasone 4 mg 8-24 Hours
n=33 Participants
Dexamethasone 8 mg 8-24 Hours
n=32 Participants
Dexamethasone 4 mg 0-4 Hours-1 Hour
n=32 Participants
Dexamethasone 4 mg 0-4 Hours-2 Hours
n=32 Participants
Dexamethasone 4 mg 0-4 Hours-3 Hours
n=32 Participants
Dexamethasone 4 mg 0-4 Hours-4 Hours
n=32 Participants
Dexamethasone 8 mg 0-4 Hours-baseline
n=31 Participants
Dexamethasone 8 mg 0-4 Hours-1 Hour
n=31 Participants
Dexamethasone 8 mg 0-4 Hours-2 Hours
n=31 Participants
Dexamethasone 8 mg 0-4 Hours-3 Hours
n=31 Participants
Dexamethasone 8 mg 0-4 Hours-4 Hours
n=31 Participants
Placebo 8-24 Hours Baseline
n=34 Participants
Placebo 8-24 Hours-8 Hours
n=34 Participants
Placebo 8-24 Hours-24 Hours
n=34 Participants
Dexamethasone 4 mg 8-24 Hours-baseline
n=32 Participants
Dexamethasone 4 mg 8-24 Hours-8 Hours
n=32 Participants
Dexamethasone 4 mg 8-24 Hours-24 Hours
n=32 Participants
Dexamethasone 8 mg 8-24 Hours-baseline
n=33 Participants
Dexamethasone 8 mg 8-24 Hours-8 Hours
n=33 Participants
Dexamethasone 8 mg 8-24 Hours-24 Hours
n=33 Participants
Serum Blood Glucose Concentrations
101 mg/dl
Standard Deviation 15
137 mg/dl
Standard Deviation 29
140 mg/dl
Standard Deviation 28
141 mg/dl
Standard Deviation 34
139 mg/dl
Standard Deviation 34
107 mg/dl
Standard Deviation 21
141 mg/dl
Standard Deviation 23
159 mg/dl
Standard Deviation 33
159 mg/dl
Standard Deviation 30
159 mg/dl
Standard Deviation 25
108 mg/dl
Standard Deviation 23
138 mg/dl
Standard Deviation 27
151 mg/dl
Standard Deviation 23
146 mg/dl
Standard Deviation 22
149 mg/dl
Standard Deviation 25
101 mg/dl
Standard Deviation 19
150 mg/dl
Standard Deviation 36
121 mg/dl
Standard Deviation 26
98 mg/dl
Standard Deviation 16
149 mg/dl
Standard Deviation 28
119 mg/dl
Standard Deviation 16
100 mg/dl
Standard Deviation 19
151 mg/dl
Standard Deviation 36
124 mg/dl
Standard Deviation 27

SECONDARY outcome

Timeframe: Patients were followed for the duration of hospitalization, for an average of 6 days

VAS pain scoes at rest 0=no pain, 100=worst pain imaginable

Outcome measures

Outcome measures
Measure
Placebo 0-4 Hours
n=33 Participants
Placebo 0-4 hours baseline
Dexamethasone 4 mg 0-4 Hours
n=32 Participants
Dexamethasone 8 mg 0-4 Hours
n=31 Participants
Placebo 8-24 Hours
n=34 Participants
Dexamethasone 4 mg 8-24 Hours
n=32 Participants
Dexamethasone 8 mg 8-24 Hours
n=33 Participants
Dexamethasone 4 mg 0-4 Hours-1 Hour
Dexamethasone 4 mg 0-4 Hours-2 Hours
Dexamethasone 4 mg 0-4 Hours-3 Hours
Dexamethasone 4 mg 0-4 Hours-4 Hours
Dexamethasone 8 mg 0-4 Hours-baseline
Dexamethasone 8 mg 0-4 Hours-1 Hour
Dexamethasone 8 mg 0-4 Hours-2 Hours
Dexamethasone 8 mg 0-4 Hours-3 Hours
Dexamethasone 8 mg 0-4 Hours-4 Hours
Placebo 8-24 Hours Baseline
Placebo 8-24 Hours-8 Hours
Placebo 8-24 Hours-24 Hours
Dexamethasone 4 mg 8-24 Hours-baseline
Dexamethasone 4 mg 8-24 Hours-8 Hours
Dexamethasone 4 mg 8-24 Hours-24 Hours
Dexamethasone 8 mg 8-24 Hours-baseline
Dexamethasone 8 mg 8-24 Hours-8 Hours
Dexamethasone 8 mg 8-24 Hours-24 Hours
Pain Scores
50 0-100 VAS scale scores on a scale
Standard Deviation 21
47 0-100 VAS scale scores on a scale
Standard Deviation 26
45 0-100 VAS scale scores on a scale
Standard Deviation 24
50 0-100 VAS scale scores on a scale
Standard Deviation 21
45 0-100 VAS scale scores on a scale
Standard Deviation 17
44.5 0-100 VAS scale scores on a scale
Standard Deviation 23

Adverse Events

Control-saline Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Dexamethasone Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Glenn S. Murphy, MD

NorthShore University HealthSystem

Phone: 847-570-2760

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place