Intraoperative Nasal Insulin Effect on Plasma and CSF Insulin Concentration and Blood Glucose
NCT02729064 · Status: UNKNOWN · Phase: PHASE1 · Type: INTERVENTIONAL · Enrollment: 141
Last updated 2021-02-24
Summary
Intranasal insulin is reported to improves memory performance in patients suffering from cognitive impairment. The investigators have previously shown that intraoperative insulin administration preserves both short and long-term memory function after cardiac surgery. Applying intranasal insulin bypasses blood-brain barrier and cause elevation of insulin concentrations in the cerebrospinal fluid without major effects on peripheral insulin level. Patients undergoing major surgery are exposed to carbohydrate and insulin metabolism alteration. The goal of the study is to study the effect of intranasal insulin on blood glucose, plasma and cerebrospinal insulin concentration in patients undergoing cardiac surgery or endovascular thoracic aneurysm repair.
Conditions
- Ischemic Heart Disease
- Aortic Aneurysm
Interventions
- DRUG
-
Humulin R
Study subjects will receive intranasal insulin (Humulin R) via a metered nasal dispenser.
- DRUG
-
Normal Saline
Study subjects will receive intranasal placebo (normal saline) via a metered nasal dispenser.
Sponsors & Collaborators
-
Hiroaki Sato, MD., PhD.
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- BASIC_SCIENCE
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-09-30
- Primary Completion
- 2021-09-30
- Completion
- 2021-09-30
Countries
- Canada
Study Locations
More Related Trials
-
Intranasal Insulin Improves Postoperative Neurocognitive Disorders in Elderly Patients
NCT05613491 ·Status: UNKNOWN ·Phase: NA
-
Supraphysiologic Insulin to Improve Outcomes After Surgical Treatment of Unruptured Cerebral Aneurysms
NCT00615381 ·Status: WITHDRAWN ·Phase: NA
-
Outcomes Study of Hyperinsulinemic Glucose Control in Cardiac Surgery
NCT00524472 ·Status: COMPLETED ·Phase: NA
-
Improving Neurologic Outcomes in People With Diabetes Who Are Undergoing Heart Surgery
NCT00836329 ·Status: COMPLETED ·Phase: PHASE3
-
Intensive Insulin Therapy for Strict Glycemic Control in Neurosurgical Patients: Safety and Efficacy
NCT00505505 ·Status: UNKNOWN ·Phase: PHASE4
-
Outcomes With Tight Control of Hyperglycemia in Cardiac Surgery Patients
NCT00282698 ·Status: COMPLETED ·Phase: PHASE3
-
Naloxone, Hypoglycemia and Exercise
NCT03149770 ·Status: COMPLETED ·Phase: PHASE2
-
Intensive Insulin Therapy in Patients Undergoing Coronary Artery Bypass Surgery
NCT01361594 ·Status: COMPLETED ·Phase: PHASE3
-
Blood/Interstitial Glucose Measurements and Cognitive Function During Hypoglycemia and Recovery
NCT01283126 ·Status: COMPLETED ·Phase: NA
-
Cerebral Responses to Insulin Induced Hypoglycemia
NCT02747680 ·Status: COMPLETED ·Phase: NA
-
Efficiency of Two Glucose Sampling Protocols for Maintenance of Euglycemia
NCT00993057 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Insulin-based Strategies to Prevent Hypoglycemia During Exercise
NCT02631265 ·Status: COMPLETED ·Phase: NA
-
Identifying the Brain Substrates of Hypoglycemia Unawareness in Type 1 Diabetes
NCT02866435 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
The Effect of the Hyperinsulinemic Normoglycemic Clamp on Myocardial Function and Utilization of Glucose
NCT01187329 ·Status: COMPLETED ·Phase: NA
-
Intensive Insulin Therapy With Tight Glycemic Control to Improve Outcomes After Endovascular Therapy for Acute Ischemic Stroke
NCT02054429 ·Status: COMPLETED ·Phase: PHASE1
-
Comparing Blood Glucose Control Intraoperative Between Insulin Drip vs. Insulin Boluses Will Provide Valuable Information on the Optimal Method for Achieving Blood Glucose Control Intraoperatively.
NCT07056088 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Insulin for Hyperglycemia in Stroke Trial
NCT04834362 ·Status: COMPLETED ·Phase: PHASE4
-
Glycemic Control to Prevent Cardiac Morbidity in Vascular Surgery
NCT00328094 ·Status: TERMINATED ·Phase: NA
-
Basal Insulin Strategies Before Surgery
NCT03104738 ·Status: COMPLETED ·Phase: NA
-
The Effect of Hypoglycaemia on Brain Lactate Accumulation and Cerebral Blood Flow
NCT02146404 ·Status: COMPLETED ·Phase: NA
-
Degludec Insulin Use in Critically Ill Patients
NCT06056167 ·Status: COMPLETED ·Phase: NA
-
Intravenous Bolus-infusion Versus Sliding Scale of Insulin for Intra-operative Glycemic Control
NCT05136157 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Investigating the Acute Effects of Increasing Glucagon Exposure in Healthy Participants
NCT06921824 ·Status: COMPLETED ·Phase: NA
-
Intraoperative Insulin Administration at Cardiac Surgery for Diabetic Patients
NCT04824586 ·Status: COMPLETED ·Phase: PHASE4
-
Efficacy and Safety of Continuous Intravenous Versus Usual Subcutaneous Insulin in Acute Ischemic Stroke
NCT00472381 ·Status: COMPLETED ·Phase: PHASE2/PHASE3