NCT01151176

Brief Summary

The study aims to demonstrate that a simple intravenous insulin algorithm can be implemented in Latin America and will result in safe and better glucose control in patients with Acute Coronary Syndrome (ACS) compared with SC insulin.

Trial Health

37
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Trial recruitment is currently suspended
Enrollment
130

participants targeted

Target at P50-P75 for phase_4

Timeline
Completed

Started Aug 2012

Geographic Reach
2 countries

2 active sites

Status
suspended

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 4, 2010

Completed
4 months until next milestone

First Posted

Study publicly available on registry

June 28, 2010

Completed
2.1 years until next milestone

Study Start

First participant enrolled

August 1, 2012

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2013

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2013

Completed
Last Updated

June 19, 2012

Status Verified

June 1, 2012

Enrollment Period

1 year

First QC Date

March 4, 2010

Last Update Submit

June 17, 2012

Conditions

Keywords

Intensive Insulin TherapyGlucose controlAcute Coronary SyndromeIntensive Care

Outcome Measures

Primary Outcomes (1)

  • Differences in daily blood glucose mean concentration between treatment groups

    18 months

Secondary Outcomes (1)

  • Evaluating the performance of the insulin drip protocol to maintain target glucose control(TGC)

    18 month

Study Arms (2)

Insulin

ACTIVE COMPARATOR

Intensive Insulin Therapy

Drug: Regular Insulin

Regular Insulin

OTHER

Sub Cutaneous Regular Insulin

Drug: Regular Insulin

Interventions

1,8U Regular insulin/h from 180mg/dL of blood glucose increasing each hour according to capillary blood glucose. Between 100-150mg/dL keep infusion and bellow 100mg/dL stop infusion

Also known as: Novolin R
Insulin

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male or female
  • Age 18 or older
  • Evidence of AMI within the last 24 h (troponin-T \>0.1mcg/l) or electrographic criteria of ST-segment elevation in two limb leads)
  • Evidence of Unstable Angina
  • Blood glucose \>180mg/dL at admission with or without preexisting diabetes
  • Willing to give informed consent
  • Access to telephone communications after hospital discharge

You may not qualify if:

  • Under 18 years of age
  • Pregnant or lactating female
  • Diabetes ketoacidosis
  • Heart failure
  • Cardiogenic shock

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Emory University School of Medicine

Atlanta, Georgia, 30303, United States

Location

Hospital Cruz Vermelha Brasileira-Filial do Estado do Paraná

Curitiba, Paraná, 80420-011, Brazil

Location

MeSH Terms

Conditions

Acute Coronary Syndrome

Interventions

Insulin

Condition Hierarchy (Ancestors)

Myocardial IschemiaHeart DiseasesCardiovascular DiseasesVascular Diseases

Intervention Hierarchy (Ancestors)

ProinsulinInsulinsPancreatic HormonesPeptide HormonesHormonesHormones, Hormone Substitutes, and Hormone AntagonistsPeptidesAmino Acids, Peptides, and Proteins

Study Officials

  • Silmara AO Leite, PhD, MD

    Universidade Positivo

    PRINCIPAL INVESTIGATOR
  • Guilhermo E Umpierrez, MD

    Emory University

    STUDY CHAIR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
PhD

Study Record Dates

First Submitted

March 4, 2010

First Posted

June 28, 2010

Study Start

August 1, 2012

Primary Completion

August 1, 2013

Study Completion

December 1, 2013

Last Updated

June 19, 2012

Record last verified: 2012-06

Locations