NCT03182569

Brief Summary

Use of a flexible subcutaneous catheter improves comfort in patients with DKA compared to the usual treatment with a metal needle.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
20

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Dec 2016

Geographic Reach
1 country

1 active site

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

December 11, 2016

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

March 14, 2017

Completed
3 months until next milestone

First Posted

Study publicly available on registry

June 9, 2017

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 9, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 9, 2018

Completed
Last Updated

April 12, 2018

Status Verified

April 1, 2018

Enrollment Period

1.3 years

First QC Date

March 14, 2017

Last Update Submit

April 11, 2018

Conditions

Outcome Measures

Primary Outcomes (1)

  • Comfort measured by a visual analogue scale for pain

    Comfort measured by a visual analogue scale for pain (10cm = 0 meaning no pain and 10 meaning maximum pain) shown hourly after insulin administration until metabolic stability is achieved.

    between 10 to 14 hours

Secondary Outcomes (2)

  • Associated complications

    24 hours

  • Metabolic stability according to lab determinations

    between 10 to 14 hours

Study Arms (2)

flexible catheter

EXPERIMENTAL

The flexible Subcutaneous catheter for insulin administration

Device: FLEXIBLE CATHETER

hourly rigid needle puncture

ACTIVE COMPARATOR

Hourly rigid needle puncture for Subcutaneous insulin administration

Device: hourly rigid needle puncture

Interventions

flexible catheter
hourly rigid needle puncture

Eligibility Criteria

Age5 Years - 18 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Patients aged 5 to 18 years, admitted with diagnoses of DKA. DKA is defined when patients meets all the following biochemical baseline criteria (before initial hydration):
  • Glucose\> 200 mg / dl
  • pH \< 7.3
  • Bicarbonate \< 15mmol/l.

You may not qualify if:

  • Patients referred from another institution with a different treatment, and those who requires intensive care on admission.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hospital General de Niños Pedro de Elizalde

Buenos Aires, Constitucion, C1270AAN, Argentina

Location

Related Publications (2)

  • Hanas R, Adolfsson P, Elfvin-Akesson K, Hammaren L, Ilvered R, Jansson I, Johansson C, Kroon M, Lindgren J, Lindh A, Ludvigsson J, Sigstrom L, Wiik A, Aman J. Indwelling catheters used from the onset of diabetes decrease injection pain and pre-injection anxiety. J Pediatr. 2002 Mar;140(3):315-20. doi: 10.1067/mpd.2002.122470.

    PMID: 11953729BACKGROUND
  • Beaudoin ML, Torrents M, Tittarelli MF, Hamui M, Ibarra M, Ferraro M, Ferreira JP. Use of a Flexible Catheter for the Administration of Subcutaneous Insulin in Diabetic Ketoacidosis: A Feasibility Controlled Clinical Trial. Hosp Pediatr. 2021 Apr;11(4):396-400. doi: 10.1542/hpeds.2020-0063. Epub 2021 Mar 9.

MeSH Terms

Conditions

Diabetic Ketoacidosis

Condition Hierarchy (Ancestors)

KetosisAcidosisAcid-Base ImbalanceMetabolic DiseasesNutritional and Metabolic DiseasesDiabetes ComplicationsDiabetes MellitusEndocrine System Diseases

Study Officials

  • Laura Beaudoin, MD

    Hospital General de Niños Pedro de Elizalde

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 14, 2017

First Posted

June 9, 2017

Study Start

December 11, 2016

Primary Completion

April 9, 2018

Study Completion

April 9, 2018

Last Updated

April 12, 2018

Record last verified: 2018-04

Locations