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Trial registered on ANZCTR
Registration number
ACTRN12608000562370
Ethics application status
Approved
Date submitted
15/09/2008
Date registered
7/11/2008
Date last updated
7/12/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
The effects of exogenous glucagon-like peptide-1 administration on glucose metabolism and gastric emptying in critically ill patients.
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Scientific title
Double-blind randomised placebo cross-over trial of exogenous glucagon-like peptide-1 to establish the effect on glucose metabolism and gastric emptying during gastric feeding in critically ill patients
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Secondary ID [1]
252300
0
There is no secondary ID
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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:
Critical illness
3686
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Condition category
Condition code
Metabolic and Endocrine
3852
3852
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0
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Other metabolic disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Intravenous Glucagon-like peptide-1 (reconstituted in 4%albumin) at 1.2pmol/kg/min will be administered for 360minutes at 1ml/min. Seperated by 24 hours the cross-over treatment is placebo (intravenous 4% Albumin at 1ml/min for 360minutes
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Intervention code [1]
3400
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Treatment: Drugs
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Comparator / control treatment
placebo (4% albumin solution intravenous for 360minutes at 1ml/min)
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Control group
Active
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Outcomes
Primary outcome [1]
4752
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blood glucose concentration. Measured using bedside glucometer
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Assessment method [1]
4752
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Timepoint [1]
4752
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0-6 hours
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Primary outcome [2]
4753
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gastric emptying. Measured using scintigraphic and breath test techniques
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Assessment method [2]
4753
0
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Timepoint [2]
4753
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0-8 hours
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Primary outcome [3]
4754
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nutrient absorption. Measured using absorption of 3-O-Methyl-Glucose.
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Assessment method [3]
4754
0
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Timepoint [3]
4754
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0-4 hours
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Secondary outcome [1]
8031
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Regulatory and counter-regulatory hormone release. Measured using plasma Insulin and glucagon concentrations
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Assessment method [1]
8031
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Timepoint [1]
8031
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0-6 hours
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Secondary outcome [2]
8032
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plasma GLP-1 concentration
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Assessment method [2]
8032
0
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Timepoint [2]
8032
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0-6 hours
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Eligibility
Key inclusion criteria
critically ill patients and mechanically ventilated suitable for, or receiving, enteral nutrition and likely to stay ventilated for at least 48 hours.
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Minimum age
17
Years
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Maximum age
90
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
Pregnancy, Contraindication to enteral nutrient administration, Previous surgery on the oesophagus, stomach or duodenum, Any gastrointestinal surgery on this hospital admission and History of diabetes mellitus
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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)
Cross-over study. Randomisation is performed by the pharmacy department of the Royal Adelaide Hospital using statistical software. Once the peptide is reconstituted the study drug or placebo is packaged and labelled study drug. The investigator will receive the study drug from the pharmacy department and have no involvement in preparation of solution or randomisation schedule.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
computer generated
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
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Phase
Phase 1
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
31/10/2008
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Actual
4/11/2008
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Date of last participant enrolment
Anticipated
31/10/2013
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Actual
27/07/2009
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
25
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Accrual to date
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Final
25
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
3867
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Government body
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Name [1]
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National Health and Medical Research Council (NHMRC)
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Address [1]
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Level 5, 20 Allara Street
Canberra ACT 2601
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Country [1]
3867
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Australia
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Primary sponsor type
Hospital
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Name
Royal Adelaide Hospital Intensive Care Unit
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Address
Floor 4
Royal Adelaide Hospital
North Terrace
Adelaide
5000 SA
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Country
Australia
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Secondary sponsor category [1]
3610
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Individual
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Name [1]
3610
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adam deane
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Address [1]
3610
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Floor 4
Royal Adelaide Hospital
North Terrace
Adelaide 5000
SA
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Country [1]
3610
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
5920
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Royal Adelaide Hospital Research Ethics Committee
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Ethics committee address [1]
5920
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IMVS Building Royal Adelaide Hospital North Terrace Adelaide SA 5000
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Ethics committee country [1]
5920
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Australia
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Date submitted for ethics approval [1]
5920
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Approval date [1]
5920
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01/07/2008
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Ethics approval number [1]
5920
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061229 V3
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Ethics committee name [2]
6099
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Royal Adelaide Hospital Research Ethics Committee
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Ethics committee address [2]
6099
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Ethics committee country [2]
6099
0
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Date submitted for ethics approval [2]
6099
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Approval date [2]
6099
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30/07/2008
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Ethics approval number [2]
6099
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061229c
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Summary
Brief summary
Adequate nutrition is important to allow patients in the Intensive Care Unit the best chance to recover from their illness. The most common method of feeding patients is through a tube into the gut. However, due to their illness many of these patients have very high levels of glucose (sugar) in the bloodstream, which can have a negative effect on their recovery. The purpose of this study is to determine whether a naturally occurring hormone, called Glucagon-like Peptide-1 (GLP-1), can help lower blood glucose levels and improve the outcome of patients in Intensive Care. GLP-1 is a gastrointestinal hormone that is normally released into the bloodstream in response to a meal.
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Trial website
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Trial related presentations / publications
Deane AM, Chapman MJ, Fraser RJ, Summers MJ, Zaknic AV, Storey JP, Jones KL, Rayner CK, Horowitz M. Effects of exogenous glucagon-like peptide-1 on gastric emptying and glucose absorption in the critically ill: relationship to glycemia. Crit Care Med. 2010 May;38(5):1261-9.
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Public notes
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Contacts
Principal investigator
Name
28929
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Dr Adam Deane
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Address
28929
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Royal Adelaide Hospital
North Terrace
Adelaide
SA 5000
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Country
28929
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Australia
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Phone
28929
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+618 8222 2818
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Fax
28929
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Email
28929
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[email protected]
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Contact person for public queries
Name
12086
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Adam Deane
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Address
12086
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Intensive Care Unit
Floor 4
Royal Adelaide Hospital
North Terrace
Adelaide SA
5000
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Country
12086
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Australia
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Phone
12086
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08 8222-4000
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Fax
12086
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Email
12086
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[email protected]
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Contact person for scientific queries
Name
3014
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adam deane
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Address
3014
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Intensive Care Unit
Floor 4
Royal Adelaide Hospital
North Terrace
Adelaide
SA
5000
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Country
3014
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Australia
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Phone
3014
0
08 8222-4000
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Fax
3014
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Email
3014
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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
Source
Title
Year of Publication
DOI
Embase
The effects of exogenous glucagon-like peptide-1 on glycaemia and gastric emptying in the critically ill.
2009
N.B. These documents automatically identified may not have been verified by the study sponsor.
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