UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000046105
Receipt number R000048840
Scientific Title A single-center, prospective, observational study investigating the level of insulin antagonist hormones in diabetic ketosis and hyperglycemic emergencies on admission.
Date of disclosure of the study information 2021/11/18
Last modified on 2025/01/30 10:41:45

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Basic information

Public title

Examination of the level of insulin antagonist hormones in hyperglycemic emergencies on admission.

Acronym

Examination of the level of insulin antagonist hormones in hyperglycemic emergencies on admission.

Scientific Title

A single-center, prospective, observational study investigating the level of insulin antagonist hormones in diabetic ketosis and hyperglycemic emergencies on admission.

Scientific Title:Acronym

A single-center, prospective, observational study investigating the level of insulin antagonist hormones in diabetic ketosis and hyperglycemic emergencies on admission.

Region

Japan


Condition

Condition

diabetes mellitus

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To elucidate the level of insulin antagonist hormones in diabetic ketosis and hyperglycemic emergencies on admission.

Basic objectives2

Others

Basic objectives -Others

We examine the level of insulin antagonist hormones in diabetic ketosis and hyperglycemic emergencies (diabetic ketoacidosis and hyperosmolar hyperglycemic state) on admission, and elucidate the effects of the hormones on these conditions.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

the levels of insulin counter hormone (glucagon, catecholamine, growth hormone, and cortisol) on admission.

Key secondary outcomes

the levels of insulin, plasma glucose, hemoglobin A1c (HbA1c), glycated albumin (GA), C-peptide, glucagon-like peptide 1 (GLP-1), glucose-dependent insulinotropic polypeptide (GIP), BUN and ketone body on admission


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

16 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) A person who is 16 years or older at the time of obtaining consent.
2) A person who is diagnosed diabetic ketosis or hyperglycemic emergency (diabetic ketoacidosis or hyperosmolar hyperglycemic state). In addition, each condition is defined as follows.
a) Diabetic ketosis : pH >= 7.30, and HCO3- >= 18 mEq/L, and ketone is positive.
b) Diabetic ketoacidosis : plasma glucose level > 250 mg/dL, and pH < 7.30, and/or HCO3- < 18 mEq/L, and keton is positive.
c) Hyperosmolar hyperglycemic state : plasma glucose level > 600 mg/dL, and pH >= 7.30, and HCO3- >= 18 mEq/L, and ketone is negative, and plasma osmorality >= 320 mOsm/kg.
3) When the age of a person is between 16 and 19 years at the time of obtaining consent, the person and his/her substitute understand the content of this study and can obtain written consent to participate in the study on sufficient explanation.
4) When a person's Glasgow coma scale is less than or equal 14 points at the time of obtaining consent, sufficient explanation should be given to his/her substitute for participation in this study. Futhermore, the person with the substitute's written consent will participate in the study. We should give sufficient explanation to the person after improving the consciousness level. The person understands the content of this study and can obtain written consent to participate in the study.
5) A person who understands the content of this study and can obtain written consent to participate in the study.

Key exclusion criteria

1) A woman who is in lactation period or who may be pregnant.

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Agena
Middle name
Last name Suzuki

Organization

Kitasato University, School of Medicine

Division name

Department of diabetes, endocrinology and metabolism

Zip code

252-0374

Address

1-15-1, Kitasato, Minami-ku, Sagamihara, Kanagawa-Pref, Japan

TEL

042-778-8706

Email

agena.s@med.kitasato-u.ac.jp


Public contact

Name of contact person

1st name Agena
Middle name
Last name Suzuki

Organization

Kitasato University, School of Medicine

Division name

Department of diabetes, endocrinology and metabolism

Zip code

252-0374

Address

1-15-1, Kitasato, Minami-ku, Sagamihara, Kanagawa-Pref, Japan

TEL

042-778-8706

Homepage URL


Email

agena.s@med.kitasato-u.ac.jp


Sponsor or person

Institute

Kitasato University, School of Medicine

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Institutional Review Board for Obsevation and Epidemiological study

Address

Kitasato 1-15-1, Minami-ku, Sagamihara, Kanagawa, Kanagawa

Tel

042-778-8273

Email

rinri-n@kitasato-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2021 Year 11 Month 18 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

27

Results


Results date posted


Results Delayed

Delay expected

Results Delay Reason

It took time until the analysis was done.

Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2020 Year 12 Month 03 Day

Date of IRB

2020 Year 12 Month 03 Day

Anticipated trial start date

2020 Year 12 Month 03 Day

Last follow-up date

2022 Year 12 Month 31 Day

Date of closure to data entry

2022 Year 12 Month 31 Day

Date trial data considered complete

2022 Year 12 Month 31 Day

Date analysis concluded

2024 Year 12 Month 31 Day


Other

Other related information

no


Management information

Registered date

2021 Year 11 Month 18 Day

Last modified on

2025 Year 01 Month 30 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000048840