Continuous Subcutaneous Insulin Infusion strAtegy Versus Multiple Daily Insulin Injections strAtegy (CAMACS)
3 mai 2013 mis à jour par: Guang Ning, Shanghai Jiao Tong University School of Medicine
The current study will compare the different efficacy of two transient intensive insulin treatment strategies: Continuous subcutaneous insulin infusion (CSII) and multiple daily insulin injections (MDI) in patients who are not well controlled with oral hypoglycaemic agents.
Aperçu de l'étude
Statut
Inconnue
Les conditions
Type d'étude
Interventionnel
Inscription (Anticipé)
120
Phase
- Phase 4
Contacts et emplacements
Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.
Lieux d'étude
-
-
Shanghai
-
Shanghai, Shanghai, Chine, 200025
- Recrutement
- Ruijin hospital, Shanghai Jiao-Tong University School of Medicine
-
Contact:
- Guang Ning, Professor
- Numéro de téléphone: 665344 8621-64370045
- E-mail: feifei1116@hotmail.com
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Chercheur principal:
- Guang Ning, Professor
-
-
Critères de participation
Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.
Critère d'éligibilité
Âges éligibles pour étudier
25 ans à 65 ans (Adulte, Adulte plus âgé)
Accepte les volontaires sains
Non
Sexes éligibles pour l'étude
Tout
La description
Inclusion Criteria:
- Using at least two kinds of oral hypoglycaemic agents, one of which must be insulin secretagogues (at least half of the maximum permitted daily dose); or at least two kinds of oral hypoglycaemic agents, one of which must be insulin secretagogues (at least half of the maximum permitted daily dose), plus once daily basic insulin treatment (daily dosage < 30IU);
- The anti-diabetic therapy is stable within 3 months before study screening;
- Age: 25-65years, both gender, BMI: 20-35kg/m2;
- Good compliance with the follow-up
- Signed informed consent
- HbA1c ≥ 8.0 % and ≤ 12%
Exclusion Criteria:
- Having the history of using insulin therapy twice daily or MDI or insulin pump (except the insulin therapy during gestational diabetes mellitus)
- For once daily insulin therapy: daily dose insulin therapy dosage > 30IU
- Having the history of using GLP-1 for therapy within 3 months before screening
- Women in pregnancy or under breast feeding
- Having acute diabetic complications within 6 months before screening or having severe chronic diabetic complications at screening
- Allergic to study drugs
- Severe liver dysfunction, including serum alanine aminotransferase concentration more than 2.5 times above upper limit of normal range, abnormal renal function (GFR < 60ml/min)
- Other severe conditions which will put the patients in high risk during the study
- Recently drug or alcohol abuse
Plan d'étude
Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Expérimental: Continuous Subcutaneous Insulin Infusion
CSII
|
Patients will be given Continuous Subcutaneous Insulin Infusion during two weeks confinement in the hospital.
The initial dosage will be body weight (kg)*0.5, and will be adjusted according to the 7 points glucose monitoring records in the hospital.
Autres noms:
|
|
Comparateur actif: Multiple Daily Insulin Injections
MDI
|
Patients will be given Transient multiple daily insulin injections during two weeks confinement in the hospital.
The initial dosage will be body weight (kg)*0.5, and will be adjusted according to the 7 points glucose monitoring records in the hospital
Autres noms:
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Glycated hemoglobin levels
Délai: During 2 weeks intensive insulin treatment period and 1 year after the intensive treatment.
|
The different influence of two intensive insulin treatment strategies: CSII and MDI on the change of glycated hemoglobin levels during two weeks intensive insulin treatment period and 1 year after the intensive treatment.
|
During 2 weeks intensive insulin treatment period and 1 year after the intensive treatment.
|
|
Glycated albumin levels
Délai: During 2 weeks intensive insulin treatment period and 1 year after the intensive treatment.
|
The different influence of two intensive insulin treatment strategies: CSII and MDI on the change of glycated albumin levels during two weeks intensive insulin treatment period and 1 year after the intensive treatment.
|
During 2 weeks intensive insulin treatment period and 1 year after the intensive treatment.
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
The glucose levels
Délai: During 2 weeks intensive treatment and 1 year after treatment
|
The different influence of CSII and MDI on the change of plasma glucose levels during 2 weeks intensive treatment and 1 year after treatment
|
During 2 weeks intensive treatment and 1 year after treatment
|
|
Episode of hypoglycemia
Délai: During 2 weeks of intensive treatment and 1 year after treatment
|
The different influence of CSII and MDI on Episode of hypoglycemia during 2 weeks of intensive treatment and 1 year after treatment
|
During 2 weeks of intensive treatment and 1 year after treatment
|
|
Body weight
Délai: During 2 weeks intensive treatment and 1 year after treatment
|
The different influence of CSII and MDI on Body weight during 2 weeks intensive treatment and 1 year after treatment
|
During 2 weeks intensive treatment and 1 year after treatment
|
|
Biochemical parameters and inflammatory factors
Délai: During 2 weeks intensive treatment and 1 year after treatment
|
The different influence of CSII and MDI on the change of biochemical parameters and inflammatory factors during 2 weeks intensive treatment and 1 year after treatment
|
During 2 weeks intensive treatment and 1 year after treatment
|
|
C peptide levels
Délai: During 2 weeks intensive treatment and 1 year after treatment
|
The different influence of CSII and MDI on the change of C peptide levels during 2 weeks intensive treatment period and 1 year after treatment
|
During 2 weeks intensive treatment and 1 year after treatment
|
|
Number of participants with adverse events
Délai: During 2 weeks intensive treatment and 1 year after treatment
|
The number of Participants with adverse events in different intensive treatment strategies (CSII or MDI) during 2 weeks intensive treatment period and 1 year after treatment.
|
During 2 weeks intensive treatment and 1 year after treatment
|
Collaborateurs et enquêteurs
C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.
Dates d'enregistrement des études
Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.
Dates principales de l'étude
Début de l'étude
1 décembre 2011
Achèvement primaire (Anticipé)
1 décembre 2013
Achèvement de l'étude (Anticipé)
1 décembre 2014
Dates d'inscription aux études
Première soumission
25 janvier 2012
Première soumission répondant aux critères de contrôle qualité
8 avril 2012
Première publication (Estimation)
10 avril 2012
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Estimation)
6 mai 2013
Dernière mise à jour soumise répondant aux critères de contrôle qualité
3 mai 2013
Dernière vérification
1 mai 2013
Plus d'information
Termes liés à cette étude
Mots clés
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- CCEMD012
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