NCT01892969

Brief Summary

Project Summary We propose an ancillary study to The Heart and Lung Failure Pediatric Insulin Titration trial (HALF PINT), which is investigating the impact of normalizing blood glucose using insulin infusions on clinical outcomes among children with hyperglycemia and heart and lung failure. In this ancillary study, we will measure plasma levels of inflammatory, coagulation, and fibrinolysis proteins and genotype DNA for polymorphisms among patients enrolled in the HALF PINT trial. The results from this ancillary study will help us to understand potential mechanisms through which normalizing blood glucose provides benefit, which may lead to development of new therapeutic strategies in critically ill children

Trial Health

87
On Track

Trial Health Score

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

Enrollment
304

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Oct 2012

Longer than P75 for all trials

Geographic Reach
1 country

25 active sites

Status
completed

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

Study Start

First participant enrolled

October 1, 2012

Completed
9 months until next milestone

First Submitted

Initial submission to the registry

June 26, 2013

Completed
12 days until next milestone

First Posted

Study publicly available on registry

July 8, 2013

Completed
3.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2016

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2016

Completed
Last Updated

July 31, 2020

Status Verified

July 1, 2020

Enrollment Period

3.9 years

First QC Date

June 26, 2013

Last Update Submit

July 29, 2020

Conditions

Outcome Measures

Primary Outcomes (1)

  • Biomarkers of Thrombosis and Inflammation (Interleukin 6 (IL6) and Interleukin 8 (IL8) , Plasminogen Activator Inhibitor -1 (PAI-1))

    The researchers will measure IL-6, IL-8 and PAI-1 on patient plasma using a Luminex based multiplex array. All measurements are in pg/mL. The Slope of change in biomarkers from the time of start of insulin infusion to 2 and 4 days after start of insulin infusion will be used as the outcome measure.

    4 days

Secondary Outcomes (1)

  • Number of participants with Development of Acute Lung Injury (ALI)

    28 days

Study Arms (1)

HEART AND LUNG FAILURE

Patients with Heart failure or Respiratory Failure with Hyperglycemia

Eligibility Criteria

Age14 Days - 18 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)
Sampling MethodNon-Probability Sample
Study Population

Patients Enrolled in the Half Pint Trial to study the efficacy of Tight Glycemic control using Insulin on reducing organ failure and mortality among children with Heart and Lung Failure with Hyperglycemia

You may qualify if:

  • All Patients enrolled in the HALF PINT trial

You may not qualify if:

  • Bleeding Diathesis as manifest by a Most Recent recorded International Normalized ratio (INR) \>3

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (25)

Children's Hospital of Los Angeles

Los Angeles, California, 90027, United States

Location

Mattel Children's Hospital (UCLA)

Los Angeles, California, 90095, United States

Location

Children's Hospital and Research Center of Oakland

Oakland, California, 94609, United States

Location

Children's Hospital of Orange County

Orange, California, 92868, United States

Location

Children's Hospital Colorado - Denver

Aurora, Colorado, 84005, United States

Location

Yale - New Haven Children's Hospital

New Haven, Connecticut, 06520, United States

Location

Nemours/Alfred I. DuPont Hospital for Children

Wilmington, Delaware, 19803, United States

Location

Children's Healthcare of Atlanta (Emory)

Atlanta, Georgia, 30322, United States

Location

Ann & Robert H. Lurie Children's Hospital of Chicago

Chicago, Illinois, 60611, United States

Location

University of Chicago Medicine Comer Children's Hospital

Chicago, Illinois, 60637, United States

Location

Indiana University Riley Hospital for Children

Indianapolis, Indiana, 46202, United States

Location

University of Louisville Children's Hospital

Louisville, Kentucky, 40202, United States

Location

Children's Hospital of Boston

Boston, Massachusetts, 02115, United States

Location

C.S. Mott Children's Hospital - Michigan

Ann Arbor, Michigan, 48109, United States

Location

St. Louis Children's Hospital

St Louis, Missouri, 63110, United States

Location

Dartmouth Hitchcock Medical Center

Manchester, New Hampshire, 03104, United States

Location

Women and Children's Hospital of Buffalo

Buffalo, New York, 14222, United States

Location

Cohen Children's Medical Center of NY/ North Shore LIJ

New Hyde Park, New York, 11743, United States

Location

Maria Fareri Children's Hospital at Westchester Medical Center

Valhalla, New York, 10595, United States

Location

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, 45229, United States

Location

PennState Hershey Medical Center

Hershey, Pennsylvania, 17033, United States

Location

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, 19104, United States

Location

Medical City Children's Dallas

Dallas, Texas, 75230, United States

Location

Children's Medical Center Dallas

Dallas, Texas, 75390, United States

Location

Primary Children's Medical Center

Salt Lake City, Utah, 84102, United States

Location

Related Publications (1)

  • Zinter MS, Markovic D, Asaro LA, Nadkarni VM, McQuillen PS, Sinha P, Matthay MA, Jeschke MG, Agus MSD, Sapru A; CAF-PINT Investigators of the PALISI Network. Tight Glycemic Control, Inflammation, and the ICU: Evidence for Heterogeneous Treatment Effects in Two Randomized Controlled Trials. Am J Respir Crit Care Med. 2023 Apr 1;207(7):945-949. doi: 10.1164/rccm.202210-1988LE. No abstract available.

Biospecimen

Retention: SAMPLES WITH DNA

Blood Samples

MeSH Terms

Conditions

Heart FailureRespiratory Insufficiency

Condition Hierarchy (Ancestors)

Heart DiseasesCardiovascular DiseasesRespiration DisordersRespiratory Tract Diseases

Study Officials

  • Anil Sapru, MD,MAS

    University of California, Los Angeles

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 26, 2013

First Posted

July 8, 2013

Study Start

October 1, 2012

Primary Completion

September 1, 2016

Study Completion

September 1, 2016

Last Updated

July 31, 2020

Record last verified: 2020-07

Locations