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临床试验/EUCTR2022-000157-87-DK
EUCTR2022-000157-87-DK进行中(未招募)1 期

HypoBar I: Delaying intestinal glucose absorption to ameliorate post-bariatric hypoglycaemia. A randomized cross-over clinical trial. - HypoBarI

Hvidovre Hospital0 个研究点目标入组 16 人开始时间: 2022年1月24日最近更新:
适应症
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试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
16

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

性别
All

入选标准

  • At enrolment, participants must:
  • Be adults (above 18 years old);
  • Have undergone bariatric surgery more than 18 months prior to inclusion;
  • Self-reported weight stability (less than 5% variation over the 6 months);
  • Present at least one 5-minutes or longer event of interstitial fluid glucose <3.0 mmol/L, one 5-minutes symptomatic event of IFG<3.9mmol/L (allowing a time gap between symptoms reported and low glucose values of ±30 minutes) at least 4.0% of IFG <3.9mmol/L during a min 10 days CGM monitoring screening period, excluding first 24 hours of monitoring (prone to error due to local inflammatory reaction);
  • Have a negative pregnancy test, if applicable;
  • Commit to safe contraception during the trial and over the following 5 months, namely intrauterine devices, hormonal contraception (oral contraceptive pills, implants, transdermal patches, vaginal rings or long-acting injections) or double barrier methods (a condom combined with a diaphragm).
  • Are the trial subjects under 18? no
  • 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 16
  • F.1.3 Elderly (>=65 years) no
  • F.1.3.1 Number of subjects for this age range

排除标准

  • All patients presenting one of the following at enrolment will be excluded:
  • Altered baseline analytical profile, namely an early morning 12h-fasting blood test with hemogram, liver and kidney functions tests, albumin, total proteins, plasma glucose, TSH, insulin, C-peptide, and beta-hCG and thus pointing towards other potential causes for hypoglycaemia and/or prone to unsafety to pursue the trial*;
  • Inability or unwillingness to perform meal test (e.g. unable to have the meal over 20 minutes);
  • Pharmacotherapy that affects glucose metabolism:
  • Glucocorticoid treatment within 6 weeks of inclusion;
  • Somatostatin analogue treatment within 4 months of inclusion;
  • GLP-1 receptor analogue treatment within 6 half-lives of inclusion;
  • SGLT2 inhibitor treatment within 2 weeks of inclusion.
  • HbA1c >47.5 mmol/mol [>6.5%;]
  • Antithyroid treatment within 3 months of inclusion or poorly managed thyroid disease (TSH outside reference range);
  • Pregnancy (positive pregnancy test), aspiring to get pregnant over the following 5 months or lactation;
  • Renal insufficiency (eGFR <60 ml/min/1.73m2);
  • Elevation of liver enzymes (>3 x elevation of upper normal limit of alanine amino transferase and/or alkaline phosphatases);
  • Poorly controlled psychiatric disease or mental retardation;
  • Alcohol or other substance abuse;
  • Significant anaemia (Hb <6.0 mmol/L);
  • Recent history of major adverse cardiovascular events (MACE), such as hospitalizations for heart failure, nonfatal stroke, or nonfatal myocardial infarction within the previous 12 months;
  • Any other condition that in the opinion of the investigator may compromise outcome;
  • Sustained intolerance to study drugs.

研究者

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