Home » Trials » SLCTR/2011/009


Treatment with a prefixed metformin regimen to reduce insulin requirements in Gestational Diabetes Mellitus

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SLCTR Registration Number

SLCTR/2011/009


Date of Registration

24 Jun 2011

The date of last modification

Mar 03, 2019


Trial Status



Application Summary


Scientific Title of Trial

Treatment with a prefixed metformin regimen to reduce insulin requirements in Gestational Diabetes Mellitus


Public Title of Trial

Treatment with metformin to reduce insulin requirements in Diabetes in Pregnancy


Disease or Health Condition(s) Studied

Gestational diabetes mellitus


Scientific Acronym

None


Public Acronym

None


Brief title

None


Universal Trial Number

None


Any other number(s) assigned to the trial and issuing authority

531/10 (Ethical review comittee, University of Sri Jayawardanepura)


Trial Details


What is the research question being addressed?

1.To assess the reduction of insulin requirement in women with gestational diabetes mellitus by using a prefixed Metformin dose of 500mg eight hourly

2.To compare the cost saving by reduction of insulin requirement ?


Type of study

Interventional


Study design

Allocation

Randomized controlled trial


Masking

Masking not used


Control

Active


Assignment

Parallel


Purpose

Treatment


Study Phase

Not Available


Intervention(s) planned

Those who are diagnosed to be having GDM after 20 weeks of POG, needing additional treatment apart from diet and exercise will be recruited in to the study, depending on Blood Sugar Series valuesThe target values are preprandial value of 3.5–5.9 mmol and a 1 hour postprandial value of less than 7.8 mmol/litre They will be randomized using simple randomization into two groups Group 01- Metformin group - will be started on oral metformin 500mg eight hourly with 3 main meals Group 02-Insulin alone group For group 01, a repeat BSS will be done a week later and if further treatment needed insulin is added to achieve control For group 02, only insulin is used to achieve control. For both groups 2 weekly BSS will be done and insulin adjustments will be done accordingly to maintain fasting and postprandial venous blood sugar values within acceptable range


Inclusion criteria

Pregnant mothers who are diagnosed to be having GDM after 20 weeks needing additional treatment other than diet and exercise are recruited in to the study


Exclusion criteria

Those women with GDM before 20 weeks, Those with evidence of IUGR or hypertensive disease at the time of recruitment, Multiple pregnancies, Those who refuse consent for the study, Patients with elevated liver and renal function tests, will be excluded



Primary outcome(s)

1.

The reduction in insulin requirement per patient

[

At the end of the study

]

Secondary outcome(s)

1.

Cost reduction in treatment in GDM

[

At the end of the study

]

Target number/sample size

40 in each arm


Countries of recruitment

Sri Lanka


Anticipated start date

2011-06-30


Anticipated end date

2012-06-30


Date of first enrollment


Date of study completion


Recruitment status

Pending


Funding source

None (Investigator funded)


Regulatory approvals



State of Ethics Review Approval


Status

Approved


Date of Approval

2011-05-26


Approval number

531/10


Details of Ethics Review Committee

Name: Ethics Review Committee, Faculty of Medical Sciences, University of Sri Jayewardenepura
Institutional Address:Gangodawila, Nugegoda Sri Lanka
Telephone:+94-112758000 (Extension: 4075)
Email: erc.fms.usjp@gmail.com

Contact & Sponsor Information


Contact person for Scientific Queries/Principal Investigator

Dr. Dhammika Silva
Senior lecturer
Department of Obstetrics and Gynaecology, University of Sri Jayawardanepura
011-2852695/96, 011-2801480


dammikesilva@yahoo.com

Contact Person for Public Queries

Dr. Dhammika Silva
Senior lecturer
Department of Obstetrics and Gynaecology, University of Sri Jayawardanepura
011-2852695/96




Primary study sponsor/organization

None





Secondary study sponsor (If any)

None





Trial Completion details


Do the investigators plan to share identified individual clinical trial participant-level data (IPD)?


IPD sharing plan description


Study protocol available


Protocol version and date

Not Available


Protocol URL

Not Available


Results summary available

No


Date of posting results


Date of study completion


Final sample size


Date of first publication


Link to results


Brief summary of results