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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: EUCTR
Last refreshed on: 30 June 2019
Main ID:  EUCTR2007-000497-23-GB
Date of registration: 09/03/2007
Prospective Registration: Yes
Primary sponsor: King's College Hospital NHS Foundation Trust
Public title: Do sulphponylureas preserve cortical function during hypoglycaemia in patients with type 1 diabetes and hypoglycaemia unawareness? - Do Sulphonylureas preserve cortical function during hypoglycaemia?
Scientific title: Do sulphponylureas preserve cortical function during hypoglycaemia in patients with type 1 diabetes and hypoglycaemia unawareness? - Do Sulphonylureas preserve cortical function during hypoglycaemia?
Date of first enrolment: 02/05/2007
Target sample size: 10
Recruitment status: Not Recruiting
URL:  https://www.clinicaltrialsregister.eu/ctr-search/search?query=eudract_number:2007-000497-23
Study type:  Interventional clinical trial of medicinal product
Study design: 
Controlled: yes
Randomised: yes
Open: no
Single blind: no
Double blind: yes
Parallel group: no
Cross over: yes
Other: no
If controlled, specify comparator, Other Medicinial Product: no
Placebo: yes
Other: no
 
Phase:  Human pharmacology (Phase I): no Therapeutic exploratory (Phase II): no Therapeutic confirmatory - (Phase III): no Therapeutic use (Phase IV): yes
Countries of recruitment
United Kingdom
Contacts
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Affiliation: 
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Key inclusion & exclusion criteria
Inclusion criteria:
Inclusion criteria
• Age 18-75
• Type 1 diabetes (WHO definition) of at least 5 years duration
• History of impaired awareness of hypoglycaemia (capillary glucose readings < 3.5mmol/l without symptoms on > 3 occasions in the past 3 months (those with intact symptoms will be unlikely to show an improvement and would not really benefit from taking any medication intended just to increase symptoms)

Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range

Exclusion criteria:
Exclusion criteria
• Pregnancy
• Severe systemic illness
• Active malignancy
• Severe complications of diabetes such as severe visual impairment, severe renal impairment, severe symptomatic autonomic neuropathy
• Untreated ischemic heart disease, recent stroke
• Lactose intolerance ( the placebo will contain lactose)
• Very poor diabetes control (HbA1c > 10%)
• Hypersensitivity to sulphonylureas or sulphonamides.
• Liver disease ( increase in ALT / AST > 3x ULN)
• Chronic Kidney Disease stage 4 or 5 ( eGFR < 30ml/min)
• Severe untreated thyroid or adrenal insufficiency ( must be treated and on
stable doses for at least 6 weeks)




Age minimum:
Age maximum:
Gender:
Female: yes
Male: yes
Health Condition(s) or Problem(s) studied
We are testing the hypothesis that closing the K ATP channels using sulphonylureas (glibenclamide) during experimental insulin induced hypoglycaemia can help retain cerebral function and help enhance symptoms of hypoglycaemia in those with type 1 diabetes and hypoglycaemia unawareness.
MedDRA version: 9.1 Level: LLT Classification code 10020997 Term: Hypoglycaemia unawareness
MedDRA version: 9.1 Level: LLT Classification code 10012608 Term: Diabetes mellitus insulin-dependent
Intervention(s)

Trade Name: Glibenclamide
Product Name: Glibenclamide
Product Code: 4543/0282
Pharmaceutical Form: Capsule, hard
INN or Proposed INN: GLIBENCLAMIDE
CAS Number: 10238218
Concentration unit: mg milligram(s)
Concentration type: equal
Concentration number: 10-
Pharmaceutical form of the placebo: Capsule*
Route of administration of the placebo: Oral use

Primary Outcome(s)

Primary end point(s): Glucose threshold for an increase in symptoms for hypoglycaemia
Total increase in symptoms in response to hypoglycaemia
Glucose threshold for an increase in counter-regulatory hormones inresponse to hypoglycaemia
total increase in counter-regulatory hormones in response to hypoglycaemia.
Secondary Objective: To assess the effect of K ATP channel blockade with glibenclamide on cognitive function during experimental hypoglycaemia.
Main Objective: To evaulate the effect of K ATP channel blockade with glibenclamide on the symptomatic and counterregulatory hormonal responses to experimental hypoglycaemia.
Secondary Outcome(s)
Secondary ID(s)
07/Q0703/18
Source(s) of Monetary Support
Secondary Sponsor(s)
King's College London
Ethics review
Status: Approved
Approval date:
Contact:
Results
Results available: Yes
Date Posted: 26/04/2019
Date Completed: 22/02/2014
URL: https://www.clinicaltrialsregister.eu/ctr-search/trial/2007-000497-23/results
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