Effect of Formoterol on the Counterregulatory Hormonal Response to Hypoglycemia in Type 1 Diabetes.
The Effect of the Beta 2 Agonist, Formoterol, on Recovery From Hypoglycemia
2 other identifiers
interventional
14
1 country
1
Brief Summary
Insulin treatment often causes the blood glucose levels to fall too low. The body usually responds to low blood glucose levels by releasing hormones which act against the insulin to help correct the low blood glucose levels. However, this hormone response can be altered in people with diabetes. Currently there are no therapeutic agents that can be used to improve the recovery from hypoglycemia (low blood sugar). The aim of this study is to determine whether a formoterol inhaler can be used to improve and accelerate the recovery from hypoglycemia in patients with type 1 diabetes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Aug 2010
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2010
CompletedFirst Submitted
Initial submission to the registry
September 1, 2010
CompletedFirst Posted
Study publicly available on registry
September 3, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2014
CompletedResults Posted
Study results publicly available
March 29, 2016
CompletedMarch 29, 2016
February 1, 2016
4 years
September 1, 2010
January 28, 2016
February 26, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Glucagon (pg/mL)
Glucagon levels will be measured throughout the study to assess whether there are changes during hypoglycemia with inhaled formoterol. These levels will be checked every 20 minutes during the 120 minute study session. Results are presented at the Basal, Euglycemia (30 minutes) and Hypoglycemia (105-120 minutes) stages.
up to 120 minutes
Epinephrine (pg/mL)
Epinephrine levels will be measured throughout the study to assess whether there are changes during hypoglycemia with inhaled formoterol. These levels will be checked every 20 minutes during the 120 minute study session. Results are presented at the Basal, Euglycemia (30 minutes) and Hypoglycemia (105-120 minutes) stages
up to 120 minutes
Norepinephrine (pg/mL)
Norepinephrine levels will be measured throughout the study to assess whether there are changes during hypoglycemia with inhaled formoterol. These levels will be checked every 20 minutes during the 120 minute study session. Results are presented at the Basal, Euglycemia (30 minutes) and Hypoglycemia (105-120 minutes) stages
up to 120 minutes
Secondary Outcomes (1)
Blood Glucose Levels (Average)
Up to 120 minutes
Study Arms (2)
Type 1 Diabetics
ACTIVE COMPARATORThe active group were participants with type 1 diabetes.
Healthy Volunteers
OTHERThe control group were participants without diabetes, matched by sex, age and BMI to the active comparator group.
Interventions
Formoterol inhaler, 12mcg capsules, 4 capsules for one administration
Participants in both arms received placebo on 1 of the 2 visits.
Eligibility Criteria
You may qualify if:
- type 1 diabetes (well controlled, 2-3 hypoglycemic episodes/wk)
- age 18-50
- BMI 18-30
You may not qualify if:
- pregnancy
- significant diabetes complications
- liver disease, cirrhosis
- cardiac disease
- neurological disorder
- autonomic neuropathy
- kidney disease
- lactose intolerance
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Yale University School of Medicine
New Haven, Connecticut, 06520, United States
Related Publications (1)
Belfort-DeAguiar RD, Naik S, Hwang J, Szepietowska B, Sherwin RS. Inhaled Formoterol Diminishes Insulin-Induced Hypoglycemia in Type 1 Diabetes. Diabetes Care. 2015 Sep;38(9):1736-41. doi: 10.2337/dc14-2472. Epub 2015 Jul 7.
PMID: 26153273RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Robert Sherwin, MD
- Organization
- Department of Internal Medicine and Endocrinology, Yale University School of Medicine, New Haven, CT
Study Officials
- PRINCIPAL INVESTIGATOR
Robert Sherwin, MD
Yale University
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 1, 2010
First Posted
September 3, 2010
Study Start
August 1, 2010
Primary Completion
August 1, 2014
Study Completion
August 1, 2014
Last Updated
March 29, 2016
Results First Posted
March 29, 2016
Record last verified: 2016-02