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Trial registered on ANZCTR
Registration number
ACTRN12608000125325
Ethics application status
Not yet submitted
Date submitted
28/02/2008
Date registered
10/03/2008
Date last updated
10/03/2008
Type of registration
Prospectively registered
Titles & IDs
Public title
A Comparison of Peri-Operative and Post Acute Coronary Syndrome Glycaemic Control in Insulin Requiring Patients with Type 2 Diabetes at St Vincent’s Hospital With and Without Real-Time Continuous Glucose Monitoring.
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Scientific title
In patients with type 2 diabetes treated with insulin, who are post-operative or post acute coronary syndrome, does real-time continuous glucose monitoring vs intermittant finger pricks improve glucose control.
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Universal Trial Number (UTN)
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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:
Type 2 diabetes requiring insulin
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Acute coronary syndromes
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Post - operative patients
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Condition category
Condition code
Metabolic and Endocrine
2914
2914
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0
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Diabetes
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Cardiovascular
2915
2915
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0
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Coronary heart disease
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Surgery
2916
2916
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0
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Surgical techniques
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Real-Time Continuous glucose monitoring with Guardian Real-Time where glucose levels are displayed on the monitor every 5 minutes. If the levels are falling at >2mmol/20minutes or similarly rising at that rate, the monitor will alarm and thus appropriate interventions can be carried. Before any intervention is taken, the levels displayed are confirmed with a finger prick test. Subjects will be fitted with this monitor after surgery or the coronary event and will wear it up to 3 days post-event.
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
Intermittant glucose testing with finger pricks that will be carried out 4-6 times a day. The results obtained will require appropriate action as specified by the hospital's existing protocol for post-operative glucose control. Subjects here will also be fitted with the continuous glucose monitor but it will be blinded so as not to reveal the levels but rather to store it for retrospective comparison. Subjects will be monitored for a period up to 3 days from the event.
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Control group
Active
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Outcomes
Primary outcome [1]
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Time spent in the target glycaemic range, time spent in hypoglycaemic range and time spent in the hyperglycaemic range. These outcomes are measured from the data stored in the continuous glucose monitors and will be accessed via a corresponding computer programme.
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Assessment method [1]
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Timepoint [1]
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1 to 3 days post event.
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Secondary outcome [1]
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Glucose variablility as will be determined using Continuous Overlapping Net Glycaemia Action (CONGA).
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Assessment method [1]
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Timepoint [1]
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1 to 3 days post event
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Eligibility
Key inclusion criteria
Type 2 diabetes requiring insulin, patients who are post operative or post acute coronary syndromes.
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Minimum age
18
Years
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Maximum age
80
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
Patients on corticosteraids, patients requiring renal dialysis and patients admitted to Intensive Care Unit.
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Study design
Purpose of the study
Diagnosis
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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)
Allocation was not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple radomisation using coin tossing.
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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
Efficacy
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/06/2008
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
747
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3065
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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St VIncent's Hospital Research Endowment Fund
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Address [1]
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St. Vincent's Hospital
41 Victoria Parade
Fitzroy Melbourne VIC 3065
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
St Vincent's Hospital
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Address
41 Victoria Parade
Fitzroy Melbourne VIC 3065
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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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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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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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31/01/2008
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Approval date [1]
4994
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Ethics approval number [1]
4994
0
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Summary
Brief summary
In patients with type 2 diabetes, it is proven that good glucose control during stressful events like after surgery and after a heart attack helps improve the outcome. Therefore in patients with type 2 diabetes requiring insulin and undergoing stressful events, real-time continuous glucose monitoring which provides detailed information on the glucose trends may improve glucose control compared with intermittant glucose monitoring with finger pricks shich are "snap shots" of the ever fluctuating glucose level.
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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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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Veena Roberts
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Address
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St Vincent's Hospital
41 Victoria Parade
Fitzroy Melbourne VIC 3065
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Country
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Australia
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Phone
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+61 3 92882211
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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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Dr. David O'Neal
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Address
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Clinical Sciences Building
St Vincent's Hospital
41 Victoria Parade
Fitzroy Melbourne VIC 3065
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Country
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Australia
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Phone
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+61 3 92882574
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Fax
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+61 3 92882581
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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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