Transient hyperglycaemia in premature infants
Conditions
Brief summary
The primary outcome is 72 hours glycaemic control on glibenclamide treatment (success of the treatment). This is defined as the non-use of insulin and absence of severe hypoglycaemia (< 1.5 mmol/l) or persistent moderate hypoglycaemia (< 2.6 mmol/l in 2 successive capillary measurements at an interval of more than 3 hours)
Detailed description
• Overall success of the treatment defined by continuation to the end of treatment without insulin use., • Glycaemic profile under glibenclamide (see protocol), • Duration of glibenclamide treatment., • Nutritional intakes and growth (see protocol), • Number of children with at least one episode of moderate (blood glucose < 2.6 mmol/l) or severe (< 1.5 mmol/l) hypoglycaemia within the first 72 hours of treatment and for the duration of treatment, • Number and type of adverse reactions to glibenclamide (see protocol), • Neonatal morbidity assessed at 36 weeks post-menstrual age: intraventricular haemorrhage, periventricular leukomalacia, retinopathy of premature newborns, haemodynamic disorders, necrotising enterocolitis, • Mortality at 36 weeks post-menstrual age, • Number of dose adjustments, • Ease of use assessment score by caregivers, • Plasma concentrations of glibenclamide
Interventions
Sponsors
Eligibility
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is 72 hours glycaemic control on glibenclamide treatment (success of the treatment). This is defined as the non-use of insulin and absence of severe hypoglycaemia (< 1.5 mmol/l) or persistent moderate hypoglycaemia (< 2.6 mmol/l in 2 successive capillary measurements at an interval of more than 3 hours) | — |
Secondary
| Measure | Time frame |
|---|---|
| • Overall success of the treatment defined by continuation to the end of treatment without insulin use., • Glycaemic profile under glibenclamide (see protocol), • Duration of glibenclamide treatment., • Nutritional intakes and growth (see protocol), • Number of children with at least one episode of moderate (blood glucose < 2.6 mmol/l) or severe (< 1.5 mmol/l) hypoglycaemia within the first 72 hours of treatment and for the duration of treatment, • Number and type of adverse reactions to glibenclamide (see protocol), • Neonatal morbidity assessed at 36 weeks post-menstrual age: intraventricular haemorrhage, periventricular leukomalacia, retinopathy of premature newborns, haemodynamic disorders, necrotising enterocolitis, • Mortality at 36 weeks post-menstrual age, • Number of dose adjustments, • Ease of use assessment score by caregivers, • Plasma concentrations of glibenclamide | — |
Countries
France