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CTRI Number  CTRI/2023/03/050967 [Registered on: 22/03/2023] Trial Registered Prospectively
Last Modified On: 18/03/2023
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Single Arm Study 
Public Title of Study   role of glucagon in hypoglycemia 
Scientific Title of Study   Role of alpha and beta cell secretory function in predicting hypoglycemia in patients with Diabetes Mellitus: A hospital based pilot study  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Rohini Rokkam 
Designation  Assistant professor 
Affiliation  AIIMS Raipur 
Address  AIIMS, Tatibandh, Raipur
Department of General Medicine
Raipur
CHHATTISGARH
492099
India 
Phone  08374063614  
Fax    
Email  rohinirokkam@aiimsraipur.edu.in  
 
Details of Contact Person
Scientific Query
 
Name  Rohini Rokkam 
Designation  Assistant professor 
Affiliation  AIIMS Raipur 
Address  AIIMS, Tatibandh, Raipur
Department of General Medicine

CHHATTISGARH
492099
India 
Phone  08374063614  
Fax    
Email  rohinirokkam@aiimsraipur.edu.in  
 
Details of Contact Person
Public Query
 
Name  Rohini Rokkam 
Designation  Assistant professor 
Affiliation  AIIMS Raipur 
Address  AIIMS, Tatibandh, Raipur
Department of General Medicine

CHHATTISGARH
492099
India 
Phone  08374063614  
Fax    
Email  rohinirokkam@aiimsraipur.edu.in  
 
Source of Monetary or Material Support  
All India Institute of Medical Sciences , Raipur 
 
Primary Sponsor  
Name  AIIMS, Raipur 
Address  All India Institute of Medical Sciences, Tatibandh, Raipur, Chhattisgarh 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Rohini Rokkam  AIIMS, Raipur  department of general medicine, AIIMS, Tatibandh
Raipur
CHHATTISGARH 
08374063614

rohinirokkam@aiimsraipur.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IEC, AIIMS, Raipur  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E08-E13||Diabetes mellitus,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  nil  nil 
 
Inclusion Criteria  
Age From  15.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1. A confirmed diagnosis of Diabetes on treatment with insulin with or without oral hypoglycemic agents (OHAs) other than insulin secretagogues
2. Informed consent
 
 
ExclusionCriteria 
Details  1. Pregnancy
2. Chronic kidney disease more than KDIGO stage 3
3. Sepsis
4. Acute coronary syndrome
5. Insulin secretagogue therapy
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
the correlation between basal serum glucagon level and incident hypoglycemia in DM patients on insulin based therapy during a follow up period of 2 weeks.  14 days 
 
Secondary Outcome  
Outcome  TimePoints 
1. The correlation between basal serum glucagon level and time in target range in insulin treated DM patients by using CGMS.
2. The correlation between basal serum C-peptide with time in target range (TIR)
 
14 days 
 
Target Sample Size   Total Sample Size="76"
Sample Size from India="76" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   10/04/2023 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Hypoglycemia is a major limiting factor in Insulin initiation in patients with Diabetes Mellitus. Regulation of blood glucose depends on a fine balance between serum insulin and serum glucagon. With this study we intend to see if baseline serum C-peptide (for endogenous beta cell function) and serum glucagon (for alpha cell function) can predict the risk of hypoglycemia in insulin treated DM patients. After enrolment in the study and due consent, we will be drawing samples at 0, 1h and 3h after a standard meal to assess blood glucose, serum C-peptide and serum glucagon on the first contact with the subject. On the same day, a continuous glucose monitoring device will be applied on the arm of the subject. The patient will be called for follow up after 14 days for removal of the device and recording the data of the device. The frequency of hypoglycemia episodes will be correlated with their basal C-peptide and glucagon levels.

 
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