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- Sperimentazione clinica NCT05097339
cArdiopulmonary exerCise Test Assessing Multiple bIOmarkers iN Type 1 Diabetes
Panoramica dello studio
Stato
Condizioni
Descrizione dettagliata
Compare values and trends of different biomarkers (glucose, lactate and beta-hydroxybutyrate) before, during and after morning aerobic and symptom limited maximal exercise (cycling) to predict glycemic fluctuations (hypo- and hyperglycemic events) during and after exercise in order to create treatment algorithms to prevent these events.
Endpoint:
• Evaluate values and trends of glucose, lactate and beta-hydroxybutyrate before, during and after morning exercise in venous blood.
Tipo di studio
Iscrizione (Effettivo)
Contatti e Sedi
Luoghi di studio
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Antwerp
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Edegem, Antwerp, Belgio, 2650
- Antwerp University Hospital
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Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Metodo di campionamento
Popolazione di studio
Descrizione
Inclusion Criteria:
- Male adults (18-40 years old) with T1D, diagnosed since > 1 year
- Using a CGM (Dexcom G5) or willing to wear a CGM (Dexcom G5) for the duration of the study.
The CGM must be applied >48h before the exercise test
- Participants are on intensified insulin therapy (MDI) or insulin pump therapy (CSII)
- 6% ≤ HbA1c ≤ 8%
- Having a self-reported moderate activity level on the iPAQ (Internationally Physical Activity Questionnaire).
- C-peptide <0.2 nmol/l
- The Physical Activity Coefficient has not changed in the 2 months prior to the first Exercise Test.
- 20kg/m2 < BMI < 25kg/m2
Exclusion Criteria:
- Recently diagnosed T1D (< 12mo)
- Participants not on MDI or CSII
- Musculoskeletal disorder that affects cycling or is a contra-indication for vigorous physical activity
- Cardiorespiratory disease or ECG abnormality that is a contra-indication for vigorous physical activity
- Having an acute illness (e.g. influenza) that interferes with glucose metabolism
- Having a metabolic disorder (different from diabetes) or takes drugs known to have significant interference with glucose metabolism, such as systemic corticoids as judged by the investigator
- Current treatment with drugs known to have significant interference with glucose metabolism, such as systemic corticoids as judged by the investigator
- Presence of concomitant pathology such as heart failure, liver failure, kidney failure defined as eGFR <45mL/min
- Patient not able or willing to sign the patient informed consent
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Modelli osservazionali: Altro
- Prospettive temporali: Prospettiva
Coorti e interventi
Gruppo / Coorte |
|---|
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Patients with type 1 diabetes
Patients with type 1 diabetes perform a morning Symptom Limited Maximal Exercise Test (CPET) or a 60-minute morning Aerobic Test (AEX) at 60% VO2peak
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Change in glucose concentration during and after morning Aerobic and Symptom Limited Maximal Exercise Test
Lasso di tempo: Blood sampling was done before the exercise, every 3 minutes for CPET and every 5 minutes for AEX during the exercise and every 15 minutes during the first hour of recovery and every 20 minutes during the rest of the 6-hour follow-up.
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Glucose levels in mg/dL during and after morning Aerobic (60 minutes at 60% of VO2 max) and Symptom Limited Maximal Exercise Test (AEX & CPET), measured in 21 patients through YSI (YSI Life Sciences, Yellow Springs, OH)
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Blood sampling was done before the exercise, every 3 minutes for CPET and every 5 minutes for AEX during the exercise and every 15 minutes during the first hour of recovery and every 20 minutes during the rest of the 6-hour follow-up.
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Change in lactate concentration during and after morning Aerobic and Symptom Limited Maximal Exercise Test
Lasso di tempo: Blood sampling was done before the exercise, every 3 minutes for CPET and every 5 minutes for AEX during the exercise and every 15 minutes during the first hour of recovery and every 20 minutes during the rest of the 6-hour follow-up.
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Lactate levels in mmol/mol during and after morning Aerobic (60 minutes at 60% of VO2 max) and Symptom Limited Maximal Exercise Test (AEX & CPET), measured in 21 patients through YSI (YSI Life Sciences, Yellow Springs, OH)
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Blood sampling was done before the exercise, every 3 minutes for CPET and every 5 minutes for AEX during the exercise and every 15 minutes during the first hour of recovery and every 20 minutes during the rest of the 6-hour follow-up.
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Change in ketone concentration during and after morning Aerobic and Symptom Limited Maximal Exercise Test
Lasso di tempo: Blood sampling was done before the exercise, every 3 minutes for CPET and every 5 minutes for AEX during the exercise and every 15 minutes during the first hour of recovery and every 20 minutes during the rest of the 6-hour follow-up.
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Ketone levels (Beta-hydroxybutyrate) in mmol/mol during and after morning Aerobic (60 minutes at 60% of VO2 max) and Symptom Limited Maximal Exercise Test (AEX & CPET), measured in 21 patients through YSI (YSI Life Sciences, Yellow Springs, OH)
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Blood sampling was done before the exercise, every 3 minutes for CPET and every 5 minutes for AEX during the exercise and every 15 minutes during the first hour of recovery and every 20 minutes during the rest of the 6-hour follow-up.
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Collaboratori e investigatori
Sponsor
Collaboratori
Investigatori
- Investigatore principale: Christophe De Block, MD, PhD, University Hospital, Antwerp
Pubblicazioni e link utili
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Inizio studio (Effettivo)
Completamento primario (Effettivo)
Completamento dello studio (Effettivo)
Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
- ACTION1
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