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A multi-centre randomised trial of insulin detemir in pre-diabetes associated with cystic fibrosis. - Randomized trial of insulin detemir in CF associated pre-diabetes

Phase 1
Conditions
Individuals with cystic fibrosis develop diabetes. They exhibit abnormal glucose handling (impaired glucose tolerance), poor growth and a decline in lung function before overt diabetes develops. Early treatment with insulin before diabetes develops may improve weight gain and lung function and delay progression to overt diabetes.
Registration Number
EUCTR2005-002997-31-GB
Lead Sponsor
Sheffield Children's NHS Trust
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
Not specified
Target Recruitment
40
Inclusion Criteria

Any individual with cystsic fibrosis aged 10 years or older who has impaired glucose tolerance following a standard oral glucose tolerance test (OGTT):
- fasting glucose >6.1 mmol but <7.0 mmol
- 2 hour glucose >7.8mmol but < 11.1mmol
- 3 random glucose measurement >1.1mmol but non diabetic OGTT
Are the trial subjects under 18? yes
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

Failure to give informed consent
Previous treatment with insulin or hypoglycaemic agents

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<br> Secondary Objective: To identify aspects of abnormal glucose handling and beta cell function that predict future diabetes.<br> ;<br> Primary end point(s): 1) Change in lung function (FEV1, FVC, Shwachmann score)<br> 2) Change in BMI standard deviation score and growth velocity<br> ;<br> Main Objective: To examine whether treatment with a long acting insulin analogue in the prediabetic phase improves growth & lung function and whether it delays progression to the development of overt diabetes in cystic fibrosis<br><br>
Secondary Outcome Measures
NameTimeMethod
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