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临床试验/2024-512230-15-00
2024-512230-15-00招募中2 期

GALOP: Oral Glibenclamide in premature hyperglycemia

Assistance Publique Hopitaux De Paris4 个研究点 分布在 1 个国家目标入组 35 人开始时间: 2024年6月24日最近更新:

试验速览

阶段
2 期
状态
招募中
入组人数
35
试验地点
4
主要终点
The primary outcome is 72 hours glycaemic control on glibenclamide treatment (success of the treatment). This is defined as the non-use of insulin and absence of severe hypoglycaemia (< 1.5 mmol/l) or persistent moderate hypoglycaemia (< 2.6 mmol/l in 2 successive capillary measurements at an interval of more than 3 hours)

研究概览

简要总结

To assess the 72-hour efficacy of an enteral suspension of glibenclamide in controlling transient hyperglycaemia in premature infants weighing less than 1500 g.

入排标准

年龄范围
0 years 至 17 years(0-17 Years)
接受健康志愿者

入选标准

  • Newborn less than 34 weeks post-mentrual age
  • Birth weight < 1500 g
  • Gestational age < 32 weeks
  • Hyperglycaemia ≥ 10 mmol/l on 2 measurements taken at least 3 hours apart after eventual reduction of glucose intakes following each unit’s protocol (if not consecutive, within a maximum interval of 9 hours)
  • Secure venous access point (umbilical venous catheter or epicutaneo-cava catheter)
  • Enteral feeding considered or already started prior to enrolment
  • Consent obtained from legal guardians
  • Beneficiary of social security

排除标准

  • Contraindication to enteral feeding (at the discretion of the clinician responsible for the child)
  • Profound hypophosphoremia (< 1 mmol/l)
  • RCIU PN < 3ème perc. (définition Audipog)
  • Hypersensitivity to glibenclamide or other sulphonylureas or sulphonamides, or one of the excipients
  • Patient with continuous insulin IV administration
  • Patient treated with miconazole
  • Severe birth defect, including cardiac malformation associated with a risk of myocardial ischemia
  • Severe sepsis requiring mechanical ventilation or haemodynamic support
  • Severe renal dysfunction (serum creatinine > 120 µmol/l)
  • Severe hepatocellular failure (if assessment indicated: V factor less than the standard laboratory range for the age) and/or severe cholestasis (conjugated bilirubin > 50 µmol/L)
  • Hyperglycaemia associated with an error in administering glucose infusion

结局指标

主要结局

The primary outcome is 72 hours glycaemic control on glibenclamide treatment (success of the treatment). This is defined as the non-use of insulin and absence of severe hypoglycaemia (< 1.5 mmol/l) or persistent moderate hypoglycaemia (< 2.6 mmol/l in 2 successive capillary measurements at an interval of more than 3 hours)

The primary outcome is 72 hours glycaemic control on glibenclamide treatment (success of the treatment). This is defined as the non-use of insulin and absence of severe hypoglycaemia (< 1.5 mmol/l) or persistent moderate hypoglycaemia (< 2.6 mmol/l in 2 successive capillary measurements at an interval of more than 3 hours)

次要结局

  • • Overall success of the treatment defined by continuation to the end of treatment without insulin use.
  • • Glycaemic profile under glibenclamide (see protocol)
  • • Duration of glibenclamide treatment.
  • • Nutritional intakes and growth (see protocol)
  • • Number of children with at least one episode of moderate (blood glucose < 2.6 mmol/l) or severe (< 1.5 mmol/l) hypoglycaemia within the first 72 hours of treatment and for the duration of treatment
  • • Number and type of adverse reactions to glibenclamide (see protocol)
  • • Neonatal morbidity assessed at 36 weeks post-menstrual age: intraventricular haemorrhage, periventricular leukomalacia, retinopathy of premature newborns, haemodynamic disorders, necrotising enterocolitis
  • • Mortality at 36 weeks post-menstrual age
  • • Number of dose adjustments
  • • Ease of use assessment score by caregivers
  • • Plasma concentrations of glibenclamide

研究者

申办方类型
Hospital/Clinic/Other health care facility
责任方
Principal Investigator
主要研究者

KERMORVANT Elsa (Coordinating investigator)

Scientific

Assistance Publique Hopitaux De Paris

研究点 (4)

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