Unique ID issued by UMIN | UMIN000012620 |
---|---|
Receipt number | R000014652 |
Scientific Title | Continuous subcutaneous injection of octreotide for congtenital hyperinsulinism: efficacy and safety. |
Date of disclosure of the study information | 2013/12/19 |
Last modified on | 2019/07/21 17:54:46 |
Continuous subcutaneous injection of octreotide for congtenital hyperinsulinism: efficacy and safety.
Subcutaneous continuous octreotide for congenital hyperinsulinism (SCORCH study)
Continuous subcutaneous injection of octreotide for congtenital hyperinsulinism: efficacy and safety.
Subcutaneous continuous octreotide for congenital hyperinsulinism (SCORCH study)
Japan |
congenital hyperinsulinism
Pediatrics |
Others
YES
To examine the efficacy and safety of continuous subcutaneous octreotide injection for congenital hyperinsulinism.
Safety,Efficacy
Short term increase in blood glucose comparing the mean blood glucose before 24 hours and after 48 hours of the initiation of the treatment.
1) Long-term reduction in the amount of glucose infusion to maintain blood glucose at 1 week, 2 weeks, 4 weeks, and at every 3 month after 5 weeks.
2) Neurological outcome after > 1 year of the initiation of the treatment.
3) Number of ypoglycemic episodes < 45 mg/dL during the treatment, categorized as asymptomatic, symptomatic, or severe.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
After stabilizing the blood glucse by continuous high concentration glucose infusion, continuous subcutaneous octreotide injection is initiated at a dose of up to 25 micrograms/kg/day with continuous monitoring of blood glucose for the first 48 hours
2 | weeks-old | <= |
52 | weeks-old | > |
Male and Female
Patients who meet all criteria below.
1 Age between 2 weeks to 1 year and with congenital hyperinsulinemic hypoglycemia (insulin > 3 microunits/mL at blood glucose <45 mg/dL)
2 Requires continuous glucose infusion at > 6 mg/kg/min to maintain blood glucose > 60 mg/dL.
3 Inability to maintain blood glucose > 60 mg/dL with diazoxide at15 mg/kg/d.
4 Consent to participate in the study from the guardians.
5 Consent to undergo molecular testing for congenital hyperinsulinism.
1) Hypoglycemic patients with causes other than hyperinsulinemia.
2) Patients with severe extrapancreatic comorbidities.
a. intestinal dysfunction
b. respiratory failure
c. severe liver dysfunction with transaminases or bilirubin > 3x ULN for age.
d. renal failure with urea nitrogen or creatinine > 3x ULN for age.
e. patient with other comorbidities who would not be appropriate for enrollment.
7
1st name | |
Middle name | |
Last name | Tohru Yorifuji |
Osaka City General Hospital
Pediatric Endocrinology and Metabolism
2-13-22 Miyakojima-Hondori, Miyakojima, Osaka 534-0021
06-6929-1221
t-yorifuji@med.osakacity-hp.or.jp
1st name | |
Middle name | |
Last name | Tohru Yorifuji |
Osaka City General Hospital
Pediatric Endocrinology and Metabolism
2-13-22 Miyakojima-Hondori, Miyakojima, Osaka 534-0021
06-6929-1221
scorch-study@med.osakacity-hp.or.jp
Japan Agency for Medical Research and Development. Research group for the study on "Efficacy and safety of subcutaneous continuous octreotide infusion for congenital hyperinsulinism."
Japan Agency for Medical Research and Development.
Japanese Governmental office
Japanese Society for Pediatric Endocrinology
NO
大阪市立総合医療センター(大阪府)、聖マリアンナ医科大学病院(神奈川県)、北海道大学病院(北海道)
2013 | Year | 12 | Month | 19 | Day |
Partially published
https://www.jstage.jst.go.jp/article/endocrj/64/9/64_EJ17-0024/_article/-char/en
Main results already published
2013 | Year | 10 | Month | 06 | Day |
2013 | Year | 03 | Month | 12 | Day |
2014 | Year | 01 | Month | 01 | Day |
2019 | Year | 03 | Month | 31 | Day |
2019 | Year | 04 | Month | 30 | Day |
2019 | Year | 10 | Month | 30 | Day |
2019 | Year | 11 | Month | 30 | Day |
2013 | Year | 12 | Month | 19 | Day |
2019 | Year | 07 | Month | 21 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000014652