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Trial registered on ANZCTR
Registration number
ACTRN12609000028202
Ethics application status
Approved
Date submitted
16/10/2008
Date registered
16/01/2009
Date last updated
17/11/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Measurement of blood sugar levels after prednisolone
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Scientific title
Assessment of the hyperglycaemic effect of high-dose prednisolone used for exacerbations in Chronic Obstructive Pulmonary Disease.
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Secondary ID [1]
288166
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nil known
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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:
Chronic Obstructive Pulmonary Disease
3838
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Condition category
Condition code
Respiratory
4026
4026
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0
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Chronic obstructive pulmonary disease
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
use of continuous glucose monitoring to better define the nature of prednisolone induced hyperglycaemia. Each patient will be monitored for up to 3 days and high dose prednisolone is defined as a single daily oral dose of 20mg or more. Interstitual fluid glucose is measured by the continuous glucose monitor, and this is a well known and accurate proxy for blood glucose. We aim to enrol 50 patients and this is expected to take up to 1 year.
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Intervention code [1]
3849
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Early detection / Screening
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Comparator / control treatment
Extrapolation of the Hba1c to estimate the mean interstitual glucose level over the prior 3 months. This is done using the equation developed by Nathan et al(Diab Care 31:1473-8, 2008) that converts a Hba1c value into a mean blood glucose reflecting the prior 3 months. In this manner the patient acts as their own control
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Mean daily interstitual fluid glucose will be measured by a continuous glucose monitor (CGMS Gold by Medtronic)
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Assessment method [1]
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Timepoint [1]
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The CGMS unit takes a reading every 5 minutes for up to 3 days
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Secondary outcome [1]
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Postprandial glucose excursions will be recorded by the continuous glucose monitor
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Assessment method [1]
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Timepoint [1]
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This will be for 3 days duration ie up to 9 meals during the hospital admission
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Eligibility
Key inclusion criteria
Patients experiencing exacerbations in Chronic Obstructive Pulmonary Disease and commenced on high dose prednisolone (>=20mg/day orallly)
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Minimum age
18
Years
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Maximum age
No limit
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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
none
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Convenience sample
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
13/08/2008
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Actual
14/08/2008
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Date of last participant enrolment
Anticipated
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Actual
11/03/2010
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
50
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Accrual to date
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Final
40
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Recruitment in Australia
Recruitment state(s)
SA
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Greg Roberts
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Address [1]
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Pharmacy Dept
Repatriation General Hospital
Daws Road, Daw Park SA 5041
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Repatriation General Hospital
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Address
Daws Road, Daw Park SA 5041
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Country
Australia
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Secondary sponsor category [1]
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Government body
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Name [1]
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Department of Health
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Address [1]
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Citicentre Building, Grenfell Street
Adelaide SA 5000
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Country [1]
3609
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Repatriation General Hospital Research and Ethics Committee
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Ethics committee address [1]
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Repatriation General Hospital Daws Road, Daw Park SA 5041
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
6098
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Approval date [1]
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08/07/2008
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Ethics approval number [1]
6098
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43/07
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Summary
Brief summary
When people with airways disease have flare-ups in their disease they are often admitted to hospital and receive high doses of an anti-inflammatory drug (prednisolone) as treatment. This drug can increase the patient's blood sugar levels, even in those who are not diabetics. This temporary increase in sugar evels may slow the patient from recovery. We are measuring the effect of prednisolone on blood sugar levels in the hope that we can identify a way to manage the sugar levels and keep them in the normal range when a patient receives high doses of prednisolone. If we managed to achieve this, then we may be able to speed up the recovery of the patient.
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Trial website
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Trial related presentations / publications
Burt MG, Roberts GW, Aguilar-Loza NR, Frith P, Stranks SN. Continuous monitoring of circadian glycemic patterns in patients receiving prednisolone for COPD. J Clin Endocrinol Metab 2011; 96:1789-1796.
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Public notes
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Contacts
Principal investigator
Name
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Mr Greg Roberts
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Address
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Pharmacy Dept,
Flinders Medical Centre
Flinders Drive
Bedford Park SA 5042
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Country
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Australia
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Phone
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61 8 82046936
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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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Greg Roberts
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Address
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Pharmacy Dept
Repatriation General Hospital
Daws Road, Daw Park SA 5041
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Country
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Australia
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Phone
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+61 8 82751632
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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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Greg Roberts
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Address
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Pharmacy Dept
Repatriation General Hospital
Daws Road, Daw Park SA 5041
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Country
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Australia
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Phone
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+61 8 82751632
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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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