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Glucose Control In Hematopoetic Stem Cell Transplant

Not Applicable
Terminated
Conditions
Hyperglycemia
Hematopoietic Stem Cell Transplantation
Interventions
Drug: Regular Insulin
Device: Deployment of the MiniMed Paradigm monitoring device
Registration Number
NCT00582036
Lead Sponsor
University of Oklahoma
Brief Summary

To determine whether intensive glucose control results in improved mortality and reduced hospital stay length by performing a randomized trial of intensive glucose management (blood glucose goal 110 mg/dl) using continuous IV insulin and glucose vs. non-intensive glucose management (goal 200 mg/dl)

Detailed Description

TO determine whether there are fewer infections, days without a fever, days on antibiotics given for an infection and time to marrow engraftment are improved by intensive glucose management; and to determine whether there is evidence of a reduction in measures of inflammation in patients randomized to intensive glucose management and whether reduction of inflammation is associated with outcome.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
11
Inclusion Criteria
  • Patients older than 18
  • Must meet standard criteria for HSCT
  • If patient is known diabetic at admit the may be maintained on home sulfonylurea and insulin if randomized to the conventional arm
Exclusion Criteria
  • If on intensive arm patient must stop all oral hyperglycemic meds

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Arm 1Regular InsulinRegular Sliding Scale Insulin administration for hyperglycemia
Arm 2Deployment of the MiniMed Paradigm monitoring deviceMiniMed Paradigm monitoring device for hyperglycemia
Primary Outcome Measures
NameTimeMethod
Intensive Control of Glucose Effects on Mortality in Allogenic Hematopoietic Stem Cell Transplant (HSCT)100 days
Secondary Outcome Measures
NameTimeMethod
Reduction of InfectionAbout 100 days
Reduced Length of In-hospital StayAbout 100 days

Trial Locations

Locations (1)

University of Oklahoma Health Sciences Center

🇺🇸

Oklahoma City, Oklahoma, United States

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