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Continuous Glucose Monitoring for Neonatal Hypoglycemia

N/A
Recruiting
Led By Jeffrey R. Kaiser, MD, MA
Research Sponsored by Milton S. Hershey Medical Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be younger than 18 years old
Must not have
Birth weight <2kg
Systemic sepsis, viral syndromes
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 3 times per day for 1-7 days
Awards & highlights
No Placebo-Only Group

Summary

This trial will test the feasibility, safety, and precision of a continuous glucose monitor in at-risk newborns to see if it decreases the amount of painful procedures and episodes of hypoglycemia missed by intermittent sampling.

Who is the study for?
This trial is for newborns under 48 hours old who are at risk of low blood sugar and admitted to the Newborn Nursery or NICU. This includes babies born to diabetic mothers, those larger or smaller than average for their gestational age, late preterm infants, or any undergoing routine glucose screening. Babies with certain skin diseases, immune disorders, severe congenital anomalies, very low birth weight (<2kg), systemic infections, or in critical condition cannot participate.
What is being tested?
The study tests a Continuous Glucose Monitoring Device (Dexcom G7) placed on the thigh of at-risk newborns to continuously record glucose levels. It aims to reduce pain from frequent heel sticks used in current standard care and improve detection of hypoglycemia. The device will be worn up to 7 days alongside regular medical care procedures.
What are the potential side effects?
Potential side effects include irritation, infection, bleeding at the site where the CGM device is attached. These will be monitored by nurses multiple times daily for safety.

Eligibility Criteria

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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My birth weight was under 2kg.
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I do not have an ongoing infection or viral illness.
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My skin is healthy enough for medical device placement.
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I have a skin condition that could increase my risk, like severe blistering or peeling.
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I have a genetic or immune disease like severe immunodeficiency or a metabolic error.
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I have a skin infection like staph, strep, or herpes.
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I have a defect in my abdominal wall.
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My child has been diagnosed with a genetic disorder or severe birth defect.
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I have been diagnosed with brain damage due to lack of oxygen.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~3 times per day for 1-7 days
This trial's timeline: 3 weeks for screening, Varies for treatment, and 3 times per day for 1-7 days for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Agreement of blood glucose concentrations from CGM vs intermittent monitoring
Difference in number of episodes of hypoglycemia diagnosed with CGM vs intermittent glucose monitoring
Difference in number of needle sticks with CGM vs intermittent glucose monitoring
+1 more
Secondary study objectives
Number of participants with adverse outcomes at the device site

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

1Treatment groups
Experimental Treatment
Group I: Continuous Glucose MonitoringExperimental Treatment1 Intervention
All participants will have the continuous glucose monitoring device placed.

Find a Location

Who is running the clinical trial?

Milton S. Hershey Medical CenterLead Sponsor
508 Previous Clinical Trials
2,796,264 Total Patients Enrolled
Children's Miracle NetworkOTHER
22 Previous Clinical Trials
1,689 Total Patients Enrolled
DexCom, Inc.Industry Sponsor
144 Previous Clinical Trials
35,385 Total Patients Enrolled
2 Trials studying Neonatal Hypoglycemia
215 Patients Enrolled for Neonatal Hypoglycemia

Media Library

Continuous Glucose Monitoring Device Clinical Trial Eligibility Overview. Trial Name: NCT04386005 — N/A
Neonatal Hypoglycemia Research Study Groups: Continuous Glucose Monitoring
Neonatal Hypoglycemia Clinical Trial 2023: Continuous Glucose Monitoring Device Highlights & Side Effects. Trial Name: NCT04386005 — N/A
Continuous Glucose Monitoring Device 2023 Treatment Timeline for Medical Study. Trial Name: NCT04386005 — N/A
~32 spots leftby Jun 2026