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Continuous Glucose Monitoring Combined With Computer Algorithm for Intensive Insulin Therapy in Cardiosurgical Patients

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ClinicalTrials.gov Identifier: NCT00996099
Recruitment Status : Completed
First Posted : October 16, 2009
Last Update Posted : October 16, 2009
Sponsor:
Information provided by:
Charles University, Czech Republic

Brief Summary:
The purpose of this study is to evaluate the safety and efficacy of a system combining continuous glucose measurement with a computer-based algorithm for insulin delivery in patients undergoing elective cardiac surgery.

Condition or disease Intervention/treatment Phase
Hyperglycemia Cardiac Surgery Device: Continuous glucose monitoring system combined with enhanced model predictive control algorithm for intensive insulin treatment Other: Intensive insulin therapy using standard protocol Not Applicable

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 24 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Feasibility Study of the Use of Continuous Glucose Monitoring Combined With Computer-based eMPC Algorithm for Tight Glucose Control in Cardiosurgical ICU
Study Start Date : September 2008
Actual Primary Completion Date : August 2009

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Active Comparator: CGM-eMPC Device: Continuous glucose monitoring system combined with enhanced model predictive control algorithm for intensive insulin treatment
Glucose measured with a real-time continuous glucose monitoring system served as an input for the enhanced model predictive control algorithm adjusting insulin infusion every 15 minutes for the first 24 hours after elective cardiac surgery

Control Other: Intensive insulin therapy using standard protocol
Insulin dosage according to the standard protocol for intensive insulin delivery used at Department of Cardiothoracic Surgery, General University Hospital, Prague.




Primary Outcome Measures :
  1. Percentage of glycemic values in the A and B zone of Clarke Error Grid Analysis (a tool for assessing the accuracy of glucose meters) [ Time Frame: first 24 hours after cardiac surgery ]

Secondary Outcome Measures :
  1. Entire study average glycemia level; time within, above and below the target range throughout the whole study period and after reaching the target range [ Time Frame: first 24 hours after cardiac surgery ]


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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • elective cardiac surgery

Exclusion Criteria:

  • insulin allergy
  • mental incapacity
  • language barrier

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00996099


Locations
Czech Republic
General University Hospital
Prague, Czech Republic, 128 00
Sponsors and Collaborators
Charles University, Czech Republic
Investigators
Principal Investigator: Martin Haluzik, Prof, D.Sc. 3rd Department of Medicine, General University Hospital, Prague

Responsible Party: prof. M. Haluzik, MD, D.Sc., 3rd Department of Medicine, Charles University, Prague
ClinicalTrials.gov Identifier: NCT00996099     History of Changes
Other Study ID Numbers: CGM-eMPC
First Posted: October 16, 2009    Key Record Dates
Last Update Posted: October 16, 2009
Last Verified: October 2009

Keywords provided by Charles University, Czech Republic:
continuous glucose monitoring
intensive insulin therapy
critically ill
cardiac surgery
hyperglycemia of critically ill

Additional relevant MeSH terms:
Hyperglycemia
Glucose Metabolism Disorders
Metabolic Diseases
Insulin, Globin Zinc
Insulin
Hypoglycemic Agents
Physiological Effects of Drugs