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Trial registered on ANZCTR
Registration number
ACTRN12608000189325
Ethics application status
Approved
Date submitted
9/04/2008
Date registered
11/04/2008
Date last updated
11/04/2008
Type of registration
Prospectively registered
Titles & IDs
Public title
Does starting children on an insulin pump improve how blood vessels work due to less variable blood glucose levels?
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Scientific title
Does commencing a continuous subcutaneous insulin infusion reduce glucose variability and improve vascular function in children with type 1 diabetes.
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
type I diabetes
3019
0
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cardiovascular disease
3020
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Condition category
Condition code
Metabolic and Endocrine
3168
3168
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0
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Diabetes
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
continuous subcutaneous insulin infusion (insulin pump), dose at calculated based on normal insulin requirements, study to continue for 3 weeks but patients to continue on insulin pump after study is complete
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Intervention code [1]
2760
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Treatment: Devices
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Comparator / control treatment
Comparator will be the patient's normal subcutaneous insulin regimen prior to commencing on the insulin pump. Insulin dose and number of injections will be dependent on the need of the individual.
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Control group
Active
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Outcomes
Primary outcome [1]
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Glucose variability. Glucose variability will be assessed by using a Medtronic Minimed Paradigm Real-Time continuous glucose monitoring system (CGMS).
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Assessment method [1]
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Timepoint [1]
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just prior and then 3 weeks after commencing an insulin pump
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Primary outcome [2]
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Vascular function. Vascular endothelial function will be assessed using flow-mediated dilatation (FMD).
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Assessment method [2]
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Timepoint [2]
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Just prior and then 3 weeks after commencing an insulin pump
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Secondary outcome [1]
6825
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vascular risk factors - venous blood test for : HbA1c, fasting lipids and glucose, hsCRP, adiponectin
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Assessment method [1]
6825
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Timepoint [1]
6825
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just prior and then 3 weeks after commencing an insulin pump
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Eligibility
Key inclusion criteria
Children with type I diabetes from the diabetes clinic at the Adelaide Chidren, Youth and Women's Health Service on the waiting list to commence an insulin pump
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Minimum age
8
Years
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Maximum age
18
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
smoking, history of allergic reaction to nitrates or nitrites, pregnancy
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
Subjects will have glucose variability and vascular function assessed prior and then 3 weeks after commencing an insulin pump
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
18/04/2008
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
20
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Adelaide Children, Youth and Women's Health Service
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Address [1]
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72 King William Road
North Adelaide
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Country [1]
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Australia
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Funding source category [2]
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Other Collaborative groups
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Name [2]
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Pfizer Australia Paediatric Endocrine Care Grant
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Address [2]
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APEC Research Grants
PO BOX 57
West Ryde NSW 2114
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Country [2]
3277
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Australia
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Primary sponsor type
Hospital
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Name
Adelaide Children, Youth abd Women's Health Service
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Address
72 King William Road
North Adelaide
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Country
Australia
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Secondary sponsor category [1]
2929
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Other Collaborative groups
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Name [1]
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Pfizer Australia Paediatric Endocrine Care Grant
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Address [1]
2929
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APEC Research Grants
PO BOX 57
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Country [1]
2929
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Adelaide Children, Youth and Women's Health Service Research Ethics Committee
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Ethics committee address [1]
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72 King William Road North Adelaide SA 5006
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
5264
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Approval date [1]
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02/04/2008
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Ethics approval number [1]
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REC2032/2/11
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Summary
Brief summary
We already know that blood glucose levels relate to the long term vascular complications in type I diabetes. There have been other studies that suggest that blood glucose variability (i.e. how much the blood glucose levels vary through the day) may also be an important factor. The purpose of this study is to look at blood vessel function and glucose variability in children whilst they are on insulin injections compared with shortly after starting an insulin pump. The hypotheses to be tested are: •Commencing children with type I diabetes on a insulin pump improves how blood vessels work •Commencing children with type I diabetes on a insulin pump reduces glucose variability •The improvement in how the blood vessels is due to reduced glucose variability independent of other changes in vascular risk factors.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Jennifer Harrington
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Address
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72 King William Road
North Adelaide SA 5006
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Country
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Australia
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Phone
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08 81616402
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Fax
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08 81617759
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Jennifer Harrington
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Address
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72 King William Road
North Adelaide SA 5006
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Country
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Australia
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Phone
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08 8161402
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Fax
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08 81617759
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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