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Low-dose Glucagon for Prevention of Exercise-Induced Hypoglycemia in People With Type 1 Diabetes 22 운동 예방

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임상시험 NCT05076292은(는) 제1형 당뇨병, 저혈당증에 대해 알아본 중재연구입니다. 현재 상태는 완료입니다. 연구는 2021년 11월 23일에 시작되어 22명의 참여자와 함께 진행되었습니다. Steno Diabetes Center Copenhagen이(가) 진행한 이 연구는 2023년 8월 8일에 마무리되었습니다. ClinicalTrials.gov의 가장 최근 정보는 2023년 12월 5일에 갱신되었습니다.
간단한 개요
The primary aim of the study is to compare the efficacy of single-administration low-dose glucagon and split-administration low-dose glucagon to placebo for prevention of exercise-induced hypoglycemia in people with type 1 diabetes using insulin pumps and multiple daily injections (MDI).

The secondary aim is to compare the accuracy of three continuous glucose monitors (CGM) during and after exercise in inpatient and...

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상세한 설명
A randomized, single-blinded, placebo-controlled three-arm cross-over study will be conducted to assess the study objectives. 22 participants with type 1 diabetes will complete three study visits in random order. At every visit the participants will exercise for 60 min receiving different low doses of glucagon before or before and after exercise compared with placebo.

During the visits and in an outpatient period th...

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공식 제목

Low-dose Glucagon for Prevention of Exercise-Induced Hypoglycemia in People With Type 1 Diabetes

질환명
제1형 당뇨병저혈당증
기타 연구 식별자
  • 78618
  • 2021-001342-34 (EudraCT 번호)
NCT 번호
실제 연구 시작일
2021-11-23
최신 업데이트 게시
2023-12-05
예상 연구 완료일
2023-08-08
계획된 등록 인원
22
연구종류
중재연구
단계/상
해당 없음
상태
완료
키워드
Type 1 Diabetes
Exercise
Hypoglycemia
Glucagon
Continuous Glucose Monitoring
주요 목적
예방
설계 할당
무작위배정
중재 모델
교차 설계
맹검 (마스킹)
단일맹검
시험군 / 개입
참가자 그룹/시험군개입/치료
실험적150 ug glucagon before exercise
150 ug glucagon will be administered subcutaneously just before exercise and placebo will be administered after exercise.
GlucaGen
150 ug or 75\*2 ug glucagon will be administered subcutaneously to the participants before and after exercise.
실험적2*75 ug glucagon before exercise and after exercise
75 ug glucagon will be administered subcutaneously just before exercise and another 75 ug of glucagon will be administered immediately after exercise.
GlucaGen
150 ug or 75\*2 ug glucagon will be administered subcutaneously to the participants before and after exercise.
활성 대조군Saline as placebo
Saline as placebo will be administered in the same amount as glucagon before and after exercise.
식염수
Saline will be used as placebo before and after exercise.
주요결과변수
결과변수측정값 설명시간 범위
Incidence rate of hypoglycemia (PG < 3.9 mmol/l)
From 0-180 minutes post-intervention
이차결과변수
결과변수측정값 설명시간 범위
Percentage of time below range (PG < 3.9)
From 0-180 minutes post-intervention
Percentage of time in range (PG ≥ 3.9 mmol/l and ≤ 10.0 mmol/l)
From 0-180 minutes post-intervention
Time (min) to hypoglycemia (PG < 3.9 mmol/l)
From 0-180 minutes post-intervention
Change in plasma glucose levels
From 0-180 minutes post-intervention
Incidence rate of hyperglycemia (PG > 10 mmol/l)
From 0-180 minutes post-intervention
Nadir plasma glucose concentration
From 0-180 minutes post-intervention
Peak plasma glucose concentration
From 0-180 minutes post-intervention
Incremental peak in plasma glucose concentration
From 0-180 minutes post-intervention
Mean plasma glucose concentration
From 0-180 minutes post-intervention
Plasma glucose Area Under the Curve (AUC)
From 0 to 180 min post-intervention
Percentage of time in hyperglycemia (PG > 10 mmol/l)
From 0-180 minutes post-intervention
Change in visual analogue scale (VAS) for nausea, headache, stomachache, injection site pain and palpitations from intervention (tintervention = 0) to 180 min post-intervention
From 0-180 minutes post-intervention
Mean absolute relative difference (MARD) during the 60-minutes exercise session (using SMBG as the reference value)
During exercise
MARD during the three-day outpatient period (using the 5 daily SMBG as the reference value)
During the three-day outpatient period
MARD during the three-hour inpatient study visit (using YSI as reference value)
During exercise
Rate-of change (ROC) accuracy (using SMBG and YSI as the reference value)
During exercise and during the three-day outpatient period
Point accuracy with the Clarke Error Grid Analysis (CEGA) (using SMBG and YSI as the reference value)
During exercise and during the three-day outpatient period
적격성 기준

연령대
성인, 노인
최소 연령
18 Years
참여 가능한 성별
전체
  • Age ≥ 18
  • T1D ≥ 2 years
  • Use of insulin pump or MDI therapy for ≥ 6 months
  • Current use of insulin aspart
  • HbA1c ≤ 70mmol/mol (8.5%)
  • Body mass index (BMI) ≤ 30 kg/m2
  • Performs exercise ≥1 time per week

  • Use of anti-diabetic medicine (other than insulin), corticosteroids or other drugs affecting glucose metabolism during the study period and within 30 days prior to study start
  • Professional athletes or highly active individuals ( ≥ 5 hours of exercise per week)
  • Known or suspected allergies to glucagon or related products
  • History of hypersensitivity or allergic reaction to glucagon or lactose
  • Allergy to the patch of the CGM devices
  • Patients with pheochromocytoma, insulinoma or gastroparesis
  • Females of childbearing potential who are pregnant, breast-feeding or intend to become pregnant or are not using adequate contraceptive methods (methods are considered adequate for study enrollment for females: an intrauterine device, hormonal contraception (birth control pills, implant, patch, vaginal ring or injection), a single partner who is sterile or infertile, or sexual abstinence. Contraception is required throughout the study duration. Sterilized or postmenopausal women (>12 months since last period) are not required to use contraception)
  • Inability to understand the individual information and to give informed consent
  • Current participation in another clinical trial that, in the judgment of the investigator, will compromise the results of the study or the safety of the subject
  • Concomitant medical or psychological conditions identified through review of medical history, physical examination and clinical laboratory analysis that, according to the investigator's assessment, makes the individual unsuitable for study participation
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