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Treatment Satisfaction of Insulin Glargine Plus Insulin Apidra Compared With NPH Insulin Plus Insulin Apidra in Recently Diagnosed Type 1 Diabetes Children and Adolescents

Not Applicable
Terminated
Conditions
Diabetes Type 1
Interventions
Drug: insulin Glargine + Insulin Apidra
Registration Number
NCT00925977
Lead Sponsor
Rabin Medical Center
Brief Summary

A randomized, crossover, open study in order to compare treatment satisfaction with insulin Glargine plus insulin Apidra Vs NPH insulin plus insulin Apidra in newly diagnosed children and adolescents with type 1 diabetes.

The study will include two consecutive periods: 2 weeks run in period and 24 weeks intervention period, divided into two separate treatment periods of 12 weeks. According to randomization, each patient will be treated consecutively with both treatment arms: 12 weeks with insulin Glargine and than 12 weeks with NPH insulin or 12 weeks with insulin NPH ad than 12 weeks with insulin Glargine. Patients will complete DTSQ (Diabetes Treatment Satisfaction Questionnaire) at months 0, 12 and 24 weeks, before and at the end of each study arm.

Detailed Description

A randomized, crossover, open study in order to compare treatment satisfaction with insulin Glargine plus insulin Apidra Vs NPH insulin plus insulin Apidra in newly diagnosed children and adolescents with type 1 diabetes.

134 Patients with new onset Diabetes type 1, diagnosed 12 months previously at maximum will be enrolled.

The study will include two consecutive periods: 2 weeks run in period and 24 weeks intervention period, divided into two separate treatment periods of 12 weeks. According to randomization, each patient will be treated consecutively with both treatment arms: 12 weeks with insulin Glargine and than 12 weeks with NPH insulin or 12 weeks with NPH insulin and than 12 weeks with insulin Glargine.

The study will consist of 4 clinical visits, taking place at -2, 0, 12 and 24 weeks. Height,weight,vital signs, HbA1c and insulin doses will be determined during the clinical visits.

Patients will complete DTSQ (Diabetes Treatment Satisfaction Questionnaire) at months 0, 12 and 24 weeks, before and at the end of each study arm.

The DTSQ questionnaires consists of DTSQ parents- for patients below the age of 13, and DTSQ teen for those above age 13.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
44
Inclusion Criteria
  1. Type 1 diabetes diagnosed less than 12 months prior to study entry
  2. Age: 7-20 years old.
  3. HbA1c>/=8.0
  4. Signing inform consent form
Exclusion Criteria
  1. Any significant disease or conditions, including psychiatric disorders that in the opinion of the investigator are likely to effect his compliance or ability to complete the study.
  2. Patients participating in other device or drug studies.
  3. Any contraindication to insulin glargine and or insulin Apidra and or Insulin NPH according to SmPC.
  4. Inability, of adolescent or parent, to understand/complete the Treatment satisfaction questionnaire.

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
insulin Glargine + insulin Apidrainsulin Glargine + Insulin Apidrainsulin Glargine + insulin Apidra
Primary Outcome Measures
NameTimeMethod
Treatment satisfactionpatients will complete DTSQ at months 0,12 and 24
Secondary Outcome Measures
NameTimeMethod
HbA1cvalue of Hba1C will be measured at screening visit and at the end of each study arm
4 and 7 points glucose profilepatients will complete a diary before all clinical visits
Insulin dosesInsulin doses will be determined at baseline visit and every visit after
Hypoglycemic eventspatients will report in their diary every episode of hypoglycemia

Trial Locations

Locations (4)

Soroka hospital

🇮🇱

Bear Sheva, Israel

Rambam Hospital

🇮🇱

Haifa, Israel

Health care unit- Jerusalem

🇮🇱

Jerusalem, Israel

Schnider children medical center

🇮🇱

Petach-Tikva, Israel

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