Mechanisms of Hypoglycemia Associated Autonomic Dysfunction, Q4-Atomoxetine
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Purpose
This study is aimed at determining if the drug Atomoxetine (Strattera-used to treat Attention Deficit Hyperactivity Disorder(ADHD) has effects on the body's ability to defend itself against low blood sugar.
| Condition | Intervention |
|---|---|
|
Type 1 Diabetes |
Drug: Atomoxetine Drug: Placebo |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Crossover Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | Mechanisms of Hypoglycemia Associated Autonomic Dysfunction, Q4-Atomoxetine |
- Change in level of catecholamines in blood from baseline [ Time Frame: 6 weeks ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 56 |
| Study Start Date: | May 2009 |
| Estimated Study Completion Date: | December 2014 |
| Estimated Primary Completion Date: | December 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: 1 |
Drug: Atomoxetine
80 mg oral dose, once per day for 6 weeks
Other Name: Strattera
|
| Placebo Comparator: 2 |
Drug: Placebo
80 mg dose once per day for 6 weeks
|
Detailed Description:
The purpose of this study is to see if the drug atomoxetine (Strattera) has effects on the body's ability to defend itself against low blood sugar. Normally, when blood sugar levels drop below normal, the body creates a series of responses, which increase the sugar inside the body to bring blood sugar levels back to normal. The hormone epinephrine is a key defense against low blood sugar in people with diabetes. Atomoxetine has been shown to increase this hormone level. Thus, any approaches to increase levels of this key defense during low blood sugar may have great value.
Eligibility| Ages Eligible for Study: | 18 Years to 50 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Healthy individuals aged 18-50 years
- Type 1 Diabetes individuals aged 18-50 years
- BMI <40 kg/m2
- Females of childbearing potential with negative urine pregnancy test
- Volunteers over 40 years of age, a cardiac stress test with no clinically significant conduction or ischemic changes
Exclusion Criteria:
The following groups of subjects will be excluded from the study:
- Pregnant women
- Subjects unable to give voluntary informed consent
- Subjects on anticoagulant drugs or with known bleeding diatheses
- Subjects with uncontrolled hypertension, heart disease, cerebrovascular incidents
- Subjects taking MAOIs
- Subjects with narrow angle glaucoma
- Subjects with diagnosed psychiatric disorders
- Subjects with allergy to atomoxetine, heparin, or lidocaine
Physical Exam Exclusion Criteria:
- Uncontrolled severe hypertension (i.e., blood pressure greater than 150/95)
- Clinically significant Cardiac Abnormalities (e.g. Heart Failure, Arrhythmias, ischemic tachycardia, S-T segment deviations, etc.) from history or from cardiac stress testing in subjects > 40 years old.
- Pneumonia
- Hepatic Failure/Jaundice
- Renal Failure
- Acute Cerebrovascular/ Neurological deficit
- Fever greater than 38.0 C
Screening Laboratory Tests Exclusion Criteria Blood values as defined in protocol
Contacts and Locations| Contact: Donna Tate, MS | 410-706-5643 | dtate@medicine.umaryland.edu |
| United States, Maryland | |
| Univerisity of Maryland, Baltimore | Recruiting |
| Baltimore, Maryland, United States, 21201 | |
| Contact: Donna Tate 410-706-5642 | |
| Principal Investigator: | Stephen N. Davis, MD | University of Maryland, Baltimore County |
More Information
No publications provided
| Responsible Party: | Stephen N. Davis, Professor, University of Maryland |
| ClinicalTrials.gov Identifier: | NCT00780650 History of Changes |
| Other Study ID Numbers: | HP-00044873 |
| Study First Received: | October 24, 2008 |
| Last Updated: | May 3, 2013 |
| Health Authority: | United States: Institutional Review Board |
Additional relevant MeSH terms:
|
Diabetes Mellitus, Type 1 Hypoglycemia Diabetes Mellitus Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases Autoimmune Diseases Immune System Diseases |
Atomoxetine Adrenergic Uptake Inhibitors Adrenergic Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Neurotransmitter Uptake Inhibitors Physiological Effects of Drugs |
ClinicalTrials.gov processed this record on June 17, 2013