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临床试验/NCT03428932
NCT03428932已完成不适用

Glycemic Control and the Brain in Children With Type 1 Diabetes

Nemours Children's Clinic10 个研究点 分布在 1 个国家目标入组 46 人开始时间: 2018年2月1日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
46
试验地点
10
主要终点
Changes in Gray Matter Volume in the Brain

研究概览

简要总结

The purpose of this study is to determine if improving diabetes control by better controlling blood sugars, will help improve or normalize brain function as compared to routine diabetes care. We will use either the patient's own insulin routine (injections or insulin pumps) or a closed-loop insulin pump (Medtronic 670G). This system uses a continuous glucose monitor (CGM) and an insulin pump to automatically give insulin and may improve control of blood sugars.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
14 Years 至 17 Years(Child)
性别
All
接受健康志愿者

入选标准

  • Be at least 14 and not yet 18 years old
  • Must have been diagnosed with T1D prior to 5 years old but after 6 months
  • For those diagnosed prior to 1 year of age, a positive blood test for an antibody marker will be required
  • Have been born term or near term (≥34 weeks) and weighed more than≥ 2 kg (4.4lbs) at birth
  • Be in puberty

排除标准

  • History of intellectual disability, language or learning disability identified before diagnosis of diabetes, or enrollment in a self-contained special education program
  • ADD/ADHD and/or on stimulant medication
  • Any known genetic or medical problem that could impair brain development
  • Abnormalities of the brain/nervous system, visual or hearing problem
  • History of seizures not associated with fever before diabetes diagnosis
  • Previous inpatient psychiatric treatment
  • Unable to have a MRI of the head due to having metal: including metal ear tubes, full set of braces in mouth (retainer is acceptable), other appliances, or vascular clip

结局指标

主要结局

Changes in Gray Matter Volume in the Brain

时间窗: 6 months

Trends in total and regional grey matter volume

次要结局

  • Changes in Brain Activation (Dorsal Anterior Cingulate, Inferior Frontal Gyrus and/or Parietal Cortex)(6 months)
  • Changes in WASI-II Perceptual Reasoning Index (PRI)(6 months)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (10)

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