Continuous Subcutaneous Insulin Infusion strAtegy Versus Multiple Daily Insulin Injections strAtegy (CAMACS)
3 mei 2013 bijgewerkt door: 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.
Studie Overzicht
Toestand
Onbekend
Conditie
Studietype
Ingrijpend
Inschrijving (Verwacht)
120
Fase
- Fase 4
Contacten en locaties
In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.
Studie Locaties
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Shanghai
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Shanghai, Shanghai, China, 200025
- Werving
- Ruijin hospital, Shanghai Jiao-Tong University School of Medicine
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Contact:
- Guang Ning, Professor
- Telefoonnummer: 665344 8621-64370045
- E-mail: feifei1116@hotmail.com
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Hoofdonderzoeker:
- Guang Ning, Professor
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Deelname Criteria
Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
25 jaar tot 65 jaar (Volwassen, Oudere volwassene)
Accepteert gezonde vrijwilligers
Nee
Geslachten die in aanmerking komen voor studie
Allemaal
Beschrijving
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
Studie plan
Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Experimenteel: Continuous Subcutaneous Insulin Infusion
CSII
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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.
Andere namen:
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Actieve vergelijker: Multiple Daily Insulin Injections
MDI
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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
Andere namen:
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Glycated hemoglobin levels
Tijdsspanne: During 2 weeks intensive insulin treatment period and 1 year after the intensive treatment.
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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.
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During 2 weeks intensive insulin treatment period and 1 year after the intensive treatment.
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Glycated albumin levels
Tijdsspanne: During 2 weeks intensive insulin treatment period and 1 year after the intensive treatment.
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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.
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During 2 weeks intensive insulin treatment period and 1 year after the intensive treatment.
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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The glucose levels
Tijdsspanne: During 2 weeks intensive treatment and 1 year after treatment
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The different influence of CSII and MDI on the change of plasma glucose levels during 2 weeks intensive treatment and 1 year after treatment
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During 2 weeks intensive treatment and 1 year after treatment
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Episode of hypoglycemia
Tijdsspanne: During 2 weeks of intensive treatment and 1 year after treatment
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The different influence of CSII and MDI on Episode of hypoglycemia during 2 weeks of intensive treatment and 1 year after treatment
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During 2 weeks of intensive treatment and 1 year after treatment
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Body weight
Tijdsspanne: During 2 weeks intensive treatment and 1 year after treatment
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The different influence of CSII and MDI on Body weight during 2 weeks intensive treatment and 1 year after treatment
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During 2 weeks intensive treatment and 1 year after treatment
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Biochemical parameters and inflammatory factors
Tijdsspanne: During 2 weeks intensive treatment and 1 year after treatment
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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
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During 2 weeks intensive treatment and 1 year after treatment
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C peptide levels
Tijdsspanne: During 2 weeks intensive treatment and 1 year after treatment
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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
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During 2 weeks intensive treatment and 1 year after treatment
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Number of participants with adverse events
Tijdsspanne: During 2 weeks intensive treatment and 1 year after treatment
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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.
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During 2 weeks intensive treatment and 1 year after treatment
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Medewerkers en onderzoekers
Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.
Studie record data
Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.
Bestudeer belangrijke data
Studie start
1 december 2011
Primaire voltooiing (Verwacht)
1 december 2013
Studie voltooiing (Verwacht)
1 december 2014
Studieregistratiedata
Eerst ingediend
25 januari 2012
Eerst ingediend dat voldeed aan de QC-criteria
8 april 2012
Eerst geplaatst (Schatting)
10 april 2012
Updates van studierecords
Laatste update geplaatst (Schatting)
6 mei 2013
Laatste update ingediend die voldeed aan QC-criteria
3 mei 2013
Laatst geverifieerd
1 mei 2013
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- CCEMD012
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