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Trial registered on ANZCTR
Registration number
ACTRN12615000333516
Ethics application status
Approved
Date submitted
24/03/2015
Date registered
13/04/2015
Date last updated
16/03/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Novel approaches to manage glucocorticoid-induced diabetes in hospital inpatients
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Scientific title
The effects of liraglutide vs insulin on glycaemic control in inpatients with glucocorticoid-induced diabetes
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Secondary ID [1]
286404
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Nil known
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Universal Trial Number (UTN)
U1111-1168-6022
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
glucocorticoid-induced or -exacerbated diabetes
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Condition category
Condition code
Metabolic and Endocrine
294867
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0
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Diabetes
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Basal insulin (0.2 U/kg by subcutaneous injection in the morning) + liraglutide (0.6 mg by subcutaneous injection in the morning) for 72 h
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
Basal insulin (0.2 U/kg by subcutaneous injection in the morning) + short-acting insulin (0.2 U/kg by subcutaneous injection in 3 divided doses before each main meal) for 72 h
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Control group
Active
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Outcomes
Primary outcome [1]
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Time spent with normoglycaemia as determined by continuous glucose monitoring
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Assessment method [1]
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Timepoint [1]
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72 h
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Secondary outcome [1]
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mean glucose as determined by continuous glucose monitoring
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Assessment method [1]
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Timepoint [1]
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72 h
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Secondary outcome [2]
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total daily insulin obtained from drug chart
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Assessment method [2]
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Timepoint [2]
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72 h
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Secondary outcome [3]
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peak glucose as determined by continuous glucose monitoring
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Assessment method [3]
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Timepoint [3]
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72 h
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Secondary outcome [4]
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glycemic variability as determined by continuous glucose monitoring
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Assessment method [4]
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Timepoint [4]
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72 h
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Secondary outcome [5]
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Hypoglycaemia (BGL < 3.5 mmol/L and/or clinical evidence of hypoglycaemia) as determined by continuous glucose monitoring
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Assessment method [5]
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Timepoint [5]
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72 h
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Secondary outcome [6]
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Hyperglycaemia (BGL>18 mmol/L) as determined by continuous glucose monitoring
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Assessment method [6]
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Timepoint [6]
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72 h
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Eligibility
Key inclusion criteria
Glucocorticoid-induced or exacerbated diabetes treated with insulin and/or oral glucose-lowering medication(s)
Glucose >= 15 mmol/l
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Minimum age
18
Years
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Maximum age
85
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Type 1 diabetes
Admission to intensive care
Likely to require surgical intervention
Likely to be admitted <48 h
eGFR <15 ml/min
Acute vomiting or history of gastroparesis
Known allergy to insulin or GLP-1 agonists
Proliferative retinopathy
Premenopausal females
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Date of first participant enrolment
Anticipated
29/05/2014
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Actual
29/05/2014
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Date of last participant enrolment
Anticipated
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Actual
22/09/2015
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
30
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Accrual to date
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Final
7
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Novo-Nordisk Regional Grant Scheme
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Address [1]
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Level 3
21 Solent Circuit
BAULKHAM HILLS NSW 2153
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Alfred Hospital
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Address
55 Commercial Rd
Melbourne, Vic, 3004
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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N/A
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Address [1]
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N/A
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Country [1]
289652
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Alfred Health Human Ethics Committee
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Ethics committee address [1]
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Ethics committee country [1]
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Date submitted for ethics approval [1]
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Approval date [1]
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01/04/2014
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Ethics approval number [1]
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75/14
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Summary
Brief summary
High dose steroids can raise blood glucose levels. These can cause infections, prolong hospital stay and even rarely result in death. Little is known about the best way to manage patients with ‘steroid diabetes’. We will study various approaches to manage high glucose levels in patients treated with steroids in hospital. We will use minimally invasive continuous glucose monitoring, a contemporary technology, to compare and evaluate in detail two different treatment schedules. One intervention will combine longer acting and mealtime insulin (conventional regimen), and the other will combine liraglutide, a newer non-insulin injection, together with longer acting insulin. The results of this study will provide important objective pilot data on management of patients with ‘steroid diabetes’ in hospital.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Leon Bach
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Address
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Department of Endocrinology and Diabetes
The Alfred
55 Commercial Rd
Melbourne Vic 3004
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Country
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Australia
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Phone
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+61 3 9076 2460
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Leon Bach
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Address
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Department of Endocrinology and Diabetes
The Alfred
55 Commercial Rd
Melbourne Vic 3004
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Country
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Australia
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Phone
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+61 3 9076 2460
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Leon Bach
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Address
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Department of Endocrinology and Diabetes
The Alfred
55 Commercial Rd
Melbourne Vic 3004
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Country
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Australia
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Phone
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+61 3 9076 2460
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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