Intravenous Exenatide in Patients With Acute Brain Injury

NCT ID: NCT02058940

Last Updated: 2018-07-12

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

8 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-08-31

Study Completion Date

2017-08-31

Brief Summary

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The purpose of this study is to assess the feasibility of exenatide infusion for the treatment of high blood sugars following acute brain injury.

Detailed Description

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Conditions

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Brain Injuries

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Exenatide

Group Type EXPERIMENTAL

Exenatide

Intervention Type DRUG

50 ng/min IV for 30 minutes, then start 25 ng/min IV for a maximum duration of 48 hours

Interventions

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Exenatide

50 ng/min IV for 30 minutes, then start 25 ng/min IV for a maximum duration of 48 hours

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adults ≥18 years
* Acute brain injury resulting in admission to the Neurosciences Intensive Care Unit for an anticipated length of stay \>48 hours
* Two Blood glucose concentrations \> 150 mg/dL and ≤300 mg/dL
* Informed consent obtained via proxy

Exclusion Criteria

* Pregnant (verified by urine or serum pregnancy test within 24 hours of initiation of infusion) or lactating females
* Type 1 diabetes mellitus
* History of pancreatitis or risk factors for acute pancreatitis (i.e ethanol abuse, gall stones)
* Renal insufficiency defined as creatinine clearance (CrCL) \< 45 mL/min
* Known history of gastroparesis
* History of surgery on stomach, esophagus or duodenum
* Diabetic Ketoacidosis or Hyperosmolar Hyperglycemic Nonketotic Syndrome
* Concurrent steroid use or planned post-operative steroid use
* History of organ transplantation
* Brain death or suspected imminent brain death within the next 72 hours
* Refractory intracranial hypertension defined as intracranial pressure (ICP) \> 25 mmHg for greater than 15 minutes and refractory to medical intervention
* Currently enrolled in another investigational drug or device protocol
* Insulin infusion within 3 hours of study drug administration or confirmed long acting insulin or sulfonylurea use prior to admission within 24 hours of study drug administration
* Known allergy to exenatide
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role collaborator

Medtronic

INDUSTRY

Sponsor Role collaborator

University of North Carolina, Chapel Hill

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nicole R. Pinelli, PharmD

Role: PRINCIPAL_INVESTIGATOR

University of North Carolina, Chapel Hill

Locations

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University of North Carolina; UNC Medical Center

Chapel Hill, North Carolina, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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Astra Zeneca Pharmaceuticals

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

Medtronic MiniMed, Inc

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

13-1391

Identifier Type: -

Identifier Source: org_study_id

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