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Insulin Detemir Versus NPH Insulin In Hospitalized Patients With Diabetes

Plain-language guide to NCT00590226: phase 4 randomized trial of Insulin Detemir and NPH Insulin (isophane), 130 participants. Who took part, design and what was measured.

Key Facts

Registry ID
NCT00590226
Phase
phase 4
Status
completed
Start
2006-12
Completion (planned or actual)
2008-01
Participants
130 (actual)
Design
randomized, open label (everyone knows who gets what), treatment
Conditions studied
Type 2 Diabetes
Results posted
yes

What This Study Did, in Plain Language

What Was Tested

The trial (phase 4) is built around Insulin Detemir and NPH Insulin (isophane).

It is not known; however, what is the best insulin regimen in hospitalized patients.

It had two arms (groups): detremir + aspart insulin (experimental) and NPH + regular insulin (active comparator).

The registry classes the interventions as drug.

Who Took Part

Enrollment: 130 actual participants took part.

It was open to people of any sex aged from 18 years up to 70 years.

Healthy volunteers were not accepted; participants needed the condition being studied.

Examples of who could join: Males or females between the ages of 18 and 70 years admitted to a general medical service. A known history of type 2 diabetes mellitus \> 3 months, receiving any combination of oral antidiabetic agents (sulfonylureas, metformin, thiazolidinediones) and/or insulin therapy.

The full record lists 3 inclusion and 8 exclusion criteria; among the exclusions: subjects with a history of acute hyperglycemic crises such as diabetic ketoacidosis and hyperosmolar hyperglycemic state, or ketonuria \[63\]; history of drug or alcohol abuse within the last 2 years; mental condition rendering the subject unable to understand the nature, scope, and possible consequences of the study.

How the Study Was Run

It was run as a randomized, parallel-group and open-label study.

The participants were allocated by chance, so the Insulin Detemir group and the comparison group should start out alike.

Groups ran in parallel: each of the participants stayed in one arm throughout.

Being open-label, the Insulin Detemir study did not mask who received what.

It started in 2006-12 with completion listed for 2008-01.

It ran at 2 sites in United States (2).

Its stated primary purpose is treatment.

What Was Measured

Primary outcome: Mean AM BG (mg/dl) (time frame: during hospitalization).

It also tracked 1 secondary outcome, for example Number of Patients With Hypoglycemic Events.

What This Means in Plain Language

Put simply, this is a phase 4, randomized trial of Insulin Detemir and NPH Insulin (isophane) in 130 people.

The trial is marked completed; results are posted on the registry, and this page does not restate them.

More context: the Insulin Detemir compound page and the NPH Insulin (isophane) compound page, all human trials.

Our Notes on the Compounds

Insulin Detemir: A long-acting basal insulin analog sold as Levemir.

NPH Insulin (isophane): An intermediate-acting insulin made by combining insulin with protamine; also called isophane or NPH insulin (Humulin N, Novolin N).

Related Pages

Source: ClinicalTrials.gov record. This explanation is written by PeptideWhiz from the public record. For research and education only. Not medical advice; no dosing information is given.