| E.1 Medical condition or disease under investigation |
| E.1.1 | Medical condition(s) being investigated |
| Hyperglycaemic patients |
| Patienten mit erhöhten Blutzuckerwerten |
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| E.1.1.1 | Medical condition in easily understood language |
| Patients with high blood glucose |
| Patienten mit erhöhten Blutzuckerwerten |
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| E.1.1.2 | Therapeutic area | Diseases [C] - Nutritional and Metabolic Diseases [C18] |
| MedDRA Classification |
| E.1.3 | Condition being studied is a rare disease | No |
| E.2 Objective of the trial |
| E.2.1 | Main objective of the trial |
| To determine the feasibility of a randomized controlled trial investigating tight glycaemic control versus usual glycaemic management in subjects undergoing allogenic stem cell transplantation and after episodes of graft versus host reactions. |
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| E.2.2 | Secondary objectives of the trial |
-To investigate the feasibility of the GlucoTab system in patients with steroid induced hyperglycaemia (values in target, hypo- and hyperglycaemic events) -To evaluate acceptance and satisfaction of medical and nursing staff
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| E.2.3 | Trial contains a sub-study | No |
| E.3 | Principal inclusion criteria |
•Age between 18 and 60 years •Patients after allogeneic stem cell transplantation who are hospitalized for GVHD and have overt hyperglycaemia requiring glucose lowering treatment •Signed informed consent
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| E.4 | Principal exclusion criteria |
•Known or suspected allergy to certain insulin types, named in the user manual •Total parenteral nutrition •Any mental condition rendering the patient incapable of giving his consent
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| E.5 End points |
| E.5.1 | Primary end point(s) |
| The aim of this pilot study is to investigate whether tight glycaemic control by use of the GlucoTab device in subjects after HCT who develop GVHD is feasible to improve glycaemic control as compared to usual practice and to gain the required data on complication rates to finally plan a definitive multicenter trial to investigate the impact of a standardized, computer aided tight glycaemic control on complication rates and mortality in haematological patients. |
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| E.5.1.1 | Timepoint(s) of evaluation of this end point |
| Length of Gluco Tab Treatment |
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| E.5.2 | Secondary end point(s) |
•Number of hypoglycaemic episodes requiring third party help •Number of blood glucose measurements per day •Number of missed blood glucose measurements per day •Number of additionally required blood glucose measurements •Insulin dose - basal, bolus and corrective insulin dose per day •Number of insulin injections per day •Number and reasons for non-performance of insulin injections per day •Relevant concomitant medication (corticosteroids, parenteral bolus nutrition)
Usability •Adherence to the insulin dose suggestion of the GlucoTab system •User satisfaction with the GlucoTab system regarding the user interface and the provided functionality •Malfunctions of the GlucoTab system •Other usability parameters like user workload and support of treatment workflow
Efficacy •Mean daily blood glucose as calculated by premeal and bedtime blood glucose values: Overall and per treatment day •Mean pre-breakfast blood glucose, mean pre-lunch blood glucose, mean pre-dinner blood glucose, mean bedtime blood glucose •Mean pre-enrolment blood glucose •Number and percentage of the following ranges: 0-<40 mg/dl, 40-<70 mg/dl, 70-<100 mg/dl, 100-140 mg/dl, >140-<180 mg/dl, 180-<300 mg/dl, ≥ 300 mg/dl. •Time of glucose measurements in the following ranges: 0-<40 mg/dl, 40-<70 mg/dl, 70-<100 mg/dl, 100-140 mg/dl, >140-<180 mg/dl, 180-<300 mg/dl, ≥ 300 mg/dl
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| E.5.2.1 | Timepoint(s) of evaluation of this end point |
| Length of hospital stay and gluco tab treatment |
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| E.6 and E.7 Scope of the trial |
| E.6 | Scope of the trial |
| E.6.1 | Diagnosis | No |
| E.6.2 | Prophylaxis | No |
| E.6.3 | Therapy | Yes |
| E.6.4 | Safety | Yes |
| E.6.5 | Efficacy | Yes |
| E.6.6 | Pharmacokinetic | No |
| E.6.7 | Pharmacodynamic | No |
| E.6.8 | Bioequivalence | No |
| E.6.9 | Dose response | No |
| E.6.10 | Pharmacogenetic | No |
| E.6.11 | Pharmacogenomic | No |
| E.6.12 | Pharmacoeconomic | No |
| E.6.13 | Others | No |
| E.7 | Trial type and phase |
| E.7.1 | Human pharmacology (Phase I) | No |
| E.7.1.1 | First administration to humans | No |
| E.7.1.2 | Bioequivalence study | No |
| E.7.1.3 | Other | No |
| E.7.1.3.1 | Other trial type description | |
| E.7.2 | Therapeutic exploratory (Phase II) | No |
| E.7.3 | Therapeutic confirmatory (Phase III) | No |
| E.7.4 | Therapeutic use (Phase IV) | Yes |
| E.8 Design of the trial |
| E.8.1 | Controlled | Yes |
| E.8.1.1 | Randomised | Yes |
| E.8.1.2 | Open | Yes |
| E.8.1.3 | Single blind | No |
| E.8.1.4 | Double blind | No |
| E.8.1.5 | Parallel group | Yes |
| E.8.1.6 | Cross over | No |
| E.8.1.7 | Other | No |
| E.8.2 | Comparator of controlled trial |
| E.8.2.1 | Other medicinal product(s) | No |
| E.8.2.2 | Placebo | No |
| E.8.2.3 | Other | Yes |
| E.8.2.3.1 | Comparator description |
| Different usual insulin management |
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| E.8.2.4 | Number of treatment arms in the trial | 2 |
| E.8.3 |
The trial involves single site in the Member State concerned
| No |
| E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
| E.8.4.1 | Number of sites anticipated in Member State concerned | 2 |
| E.8.5 | The trial involves multiple Member States | No |
| E.8.6 Trial involving sites outside the EEA |
| E.8.6.1 | Trial being conducted both within and outside the EEA | No |
| E.8.6.2 | Trial being conducted completely outside of the EEA | No |
| E.8.7 | Trial has a data monitoring committee | No |
| E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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| E.8.9 Initial estimate of the duration of the trial |
| E.8.9.1 | In the Member State concerned years | 2 |
| E.8.9.1 | In the Member State concerned months | |
| E.8.9.1 | In the Member State concerned days | |