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Dose Ranging Study of Recombinant Human Insulin-Like Growth Factor I in Children With Hyperinsulinism

This study is ongoing, but not recruiting participants.

Sponsors and Collaborators: FDA Office of Orphan Products Development
Children's Hospital of Philadelphia
Information provided by: FDA Office of Orphan Products Development
ClinicalTrials.gov Identifier: NCT00004699
  Purpose

OBJECTIVES:

I. Determine the dose of recombinant human insulin-like growth factor I that minimizes or decreases the need for exogenous glucose support without causing hypoglycemia.


Condition Intervention
Hyperinsulinism
Drug: insulin-like growth factor I

Drug Information available for:   Insulin    Insulin-like growth factor I    Mecasermin rinfabate   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Efficacy Study

Further study details as provided by FDA Office of Orphan Products Development:

Estimated Enrollment:   8
Study Start Date:   May 1998

Detailed Description:

PROTOCOL OUTLINE: This is a dose escalation study. Patients receive an escalating dose of recombinant human insulin-like growth factor I (IGF-I). IGF-I is given subcutaneously twice a day. The dose of IGF-I is increased each day for 4 days. Glucose is administered intravenously, when necessary, to prevent hypoglycemia.

Following the study treatment patients resume prior medication and may undergo surgery.

  Eligibility
Ages Eligible for Study:   up to 3 Months
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

PROTOCOL ENTRY CRITERIA:

--Disease Characteristics--

  • Diagnosis of hyperinsulinism (i.e., evidence of fasting hypoglycemia with inadequate suppression of insulin, normal pituitary and adrenal function, and increased insulin action)
  • Intractable hypoglycemia (i.e., persistent IV glucose requirement for maintaining glucose levels greater than 60 mg/dL)
  • Failed standard treatment regimen of diazoxide, octreotide, and frequent feedings to control hypoglycemia
  • No other major medical problems
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00004699

Sponsors and Collaborators
FDA Office of Orphan Products Development
Children's Hospital of Philadelphia

Investigators
Study Chair:     Pinchas Cohen     Children's Hospital of Philadelphia    
  More Information


Study ID Numbers:   199/13381, CHP-FDR001181-DR
First Received:   February 24, 2000
Last Updated:   June 23, 2005
ClinicalTrials.gov Identifier:   NCT00004699
Health Authority:   United States: Federal Government

Keywords provided by FDA Office of Orphan Products Development:
endocrine disorders  
hyperinsulinism  
rare disease  

Study placed in the following topic categories:
Hyperinsulinism
Metabolic Diseases
Rare Diseases
Endocrine System Diseases
Endocrinopathy
Metabolic disorder
Glucose Metabolism Disorders
Insulin

Additional relevant MeSH terms:
Hypoglycemic Agents
Physiological Effects of Drugs
Pharmacologic Actions

ClinicalTrials.gov processed this record on December 03, 2008




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