Evaluation of an algorithm for intensive subcutaneous insulin therapy in emergency room patients with hyperglycaemia

ISRCTN ISRCTN55224894
DOI https://doi.org/10.1186/ISRCTN55224894
ClinicalTrials.gov number NCT00353431
Secondary identifying numbers EKBB13/06
Submission date
17/07/2006
Registration date
17/08/2006
Last edited
16/04/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Ulrich Keller
Scientific

Petersgraben 4
Basel
4031
Switzerland

Phone +41 (0)612 655 078
Email ukeller@uhbs.ch

Study information

Study designInterventional randomised open-label active-controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleEvaluation of an algorithm for intensive subcutaneous insulin therapy in emergency room patients with hyperglycaemia
Study acronymEuglycemia
Study objectivesTime in the glycaemic target range (5.5 to 7.0 mmol/l) during the period of observation of 48 hours expected to be longer in the intensive insulin group.
Ethics approval(s)Local Ethics Committee of Basel, Switzerland (EKBB) approval, 20/03/2006, ref: 13/06
Health condition(s) or problem(s) studiedAll medical patients with a plasma glucose concentration more than 8 mmol/l
InterventionComparison of a normal sliding scale with subcutaneous (s.c.) insulin injections versuss the new algorithm with s.c. insulin injections (in both groups NovoRapid ®)
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Subcutaneous insulin
Primary outcome measureTime in the glycaemic target range (5.5 to 7.0 mmol/l) during the period of observation of 48 hours (expected to be longer in the intensive insulin group).
Secondary outcome measures1. Time to reach the target range (expected to be shorter in the
intensive insulin group)
2. Frequency of hypoglycaemia (plasma glucose less than 3.8 mmol/l) (safety endpoint, expected to be similar in the two groups)
3. Frequency of severe hypoglycaemia (plasma glucose less than 2.5 mmol/l) (safety endpoint, expected to be similar in the two groups)
4. Frequency of hypokalaemia (safety endpoint, expected to be similar in the two groups)
Overall study start date31/08/2006
Completion date30/04/2008

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexBoth
Target number of participants140
Total final enrolment130
Key inclusion criteria1. All patients with hyperglycaemia (more than 8.0 mmol/l) admitted to the medical emergency room
2. Patients with presumed hospitalisation in the Emergency Room (ER) or medical ward of more than 48 hours duration
Key exclusion criteria1. Patients in shock (defined as hypotension or shock index more than one with oliguria, changed mental status and metabolic acidosis)
2. Patients with a terminal illness on palliative care
3. Patients with type one diabetes
4. Patients with insulin pump therapy
5. Patients with need for hospitalisation in the intensive or coronary care unit
6. Patients with presumed hospitalisation shorter than 48 hours
7. Known pregnancy (in women of birthbearing age pregnancy test for exclusion mandatory)
8. No informed consent
Date of first enrolment31/08/2006
Date of final enrolment30/04/2008

Locations

Countries of recruitment

  • Switzerland

Study participating centre

Petersgraben 4
Basel
4031
Switzerland

Sponsor information

University Hospital of Basel (Switzerland)
University/education

Petersgraben 4
Basel
4031
Switzerland

Phone +41 (0)612 655 078
Email ukeller@uhbs.ch
Website http://www.endo-diabasel.ch
ROR logo "ROR" https://ror.org/04k51q396

Funders

Funder type

Industry

Novo Nordisk (Switzerland)
Private sector organisation / For-profit companies (industry)
Alternative name(s)
Novo Nordisk Global
Location
Denmark

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Basic results No No
Results article results 14/06/2013 16/04/2019 Yes No

Editorial Notes

16/04/2019: Publication reference and total final enrolment added.