Laboratory evaluation of β-hydroxybutyrate levels in capillary and venous blood

ISRCTN ISRCTN31042751
DOI https://doi.org/10.1186/ISRCTN31042751
IRAS number 275338
Secondary identifying numbers ADC-UK-RES-19045; IRAS 275338
Submission date
13/12/2019
Registration date
20/12/2019
Last edited
21/11/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Background and study aims
Diabetic ketoacidosis (DKA) is a potentially life-threatening complication of diabetes mellitus. DKA is typically diagnosed when testing finds high blood sugar, low blood pH and ketones (including β-hydroxybutyrate) in either the blood or urine. Ketones are substances that your body makes if your cells don't get enough glucose (blood sugar).
The aim of this study is to evaluate the difference between blood β-hydroxybutyrate levels in blood that is flowing away from the heart and flowing towards the heart (after it has passed through tissues).

Who can participate?
Patients aged 16 and over who are potentially ketotic.

What does the study involve?
The participant will give a blood sample by venepuncture (the puncture of a vein) or by a fingerprick and the blood will be tested on the reference method as plasma.
Participants can give a maximum of four blood samples until ketone levels return to normal. Participation in this study will cease prior to hospital discharge.

What are the possible benefits & risks of participating?
There is no direct benefit to the participant taking part in this study. The only risks of participating in this study are associated with blood sample collection. These are small but could include pain, bruising, local infection and fainting.

Where is the study run from?
1. John Radcliffe Hospital, Oxford, UK
2. Royal Surrey County Hospital, Guildford, UK
3. Royal United Hospitals, Bath, UK
4. Royal Cornwall Hospital, Truro, UK
5. Royal Infirmary, Edinburgh, UK

When is the study starting and how long is it expected to run for?
September 2019 to September 2020

Who is funding the study?
The study is funded by Abbott Diabetes Care Ltd, USA

Who is the main contact?
Dr Pamela Reid
Pamela.Reid@abbott.com

Contact information

Dr Pamela Reid
Public

Range Road
Witney
OX29 0YL
United Kingdom

Phone +44 (0)1993 863024
Email Pamela.Reid@abbott.com

Study information

Study designProspective multi-centre single-arm study in hospital settings
Primary study designObservational
Secondary study designEpidemiological study
Study setting(s)Hospital
Study typeOther
Participant information sheet No participant information sheet available
Scientific titleLaboratory evaluation of β-hydroxybutyrate levels in capillary and venous blood
Study hypothesisThis study is being conducted to determine the difference in β-hydroxybutyrate levels in capillary and venous blood, sampled concurrently from people in diabetic ketoacidosis (DKA) or with ketosis.
Ethics approval(s)Approved 26/11/2019, NRES Committee: London - City & East Research Ethics Committee (Bristol Research Ethics Committee Centre, Whitefriars, Level 3, Block B, Lewins Mead, Bristol, BS1 2NT; +44 (0)207 104 8033; nrescommittee.london-cityandeast@nhs.net), ref: 19/LO/1919
ConditionDiabetic ketoacidosis or ketosis
InterventionParticipants will have venous and capillary blood collected, which may be repeated:
- A maximum of 4 times
- Or, until ketone levels return to normal
- Or, participants are discharged from hospital
Intervention typeOther
Primary outcome measureCapillary blood β-hydroxybutyrate levels and venous blood β-hydroxybutyrate levels as measured on the Randox Ranbut laboratory reference method using Bland-Altman analysis at each visit
Secondary outcome measuresNone
Overall study start date01/09/2019
Overall study end date30/09/2020

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants35
Participant inclusion criteria1. Aged 16 years or over
2. Potentially ketotic, or in diabetic ketoacidosis
Participant exclusion criteria1. Already participated in this study
2. Concomitant medical condition which in the investigator’s opinion could interfere with the study or present a risk to the safety or welfare of the participant or study staff
3. Infected with hepatitis B virus (Hep B), hepatitis C virus (Hep C), or human immunodeficiency virus (HIV)
Recruitment start date06/01/2020
Recruitment end date30/09/2020

Locations

Countries of recruitment

  • England
  • Scotland
  • United Kingdom

Study participating centres

John Radcliffe Hospital
Oxford
OX3 9DU
United Kingdom
Royal Surrey County Hospital
Guildford
GU2 7XX
United Kingdom
Royal United Hospitals
Bath
BA1 3NG
United Kingdom
Royal Cornwall Hospital
Truro
TR1 3LJ
United Kingdom
Royal Infirmary
Edinburgh
EH16 4TJ
United Kingdom

Sponsor information

Abbott (United Kingdom)
Industry

Range Road
Witney
OX29 0YL
United Kingdom

Phone +44 (0)1993 863024
Email Pamela.Reid@abbott.com
Website http://www.abbott.co.uk/
ROR logo "ROR" https://ror.org/03wnay029

Funders

Funder type

Industry

Abbott Diabetes Care
Private sector organisation / For-profit companies (industry)
Location
United States of America

Results and Publications

Intention to publish date30/09/2021
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPossible presentation at a diabetes conference, and/or publication in a peer-reviewed journal. Estimated timeline is one year from trial end date.
IPD sharing planThe datasets generated during and/or analysed during the study will be available upon request from Pamela Reid (Pamela.Reid@abbott.com).

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
HRA research summary 28/06/2023 No No
Basic results 21/11/2024 No No

Additional files

ISRCTN31042751 BasicResults.pdf

Editorial Notes

21/11/2024: The basic results have been uploaded as an additional file.
27/08/2020: The following changes were made to the trial record:
1. The recruitment end date was changed from 31/08/2020 to 30/09/2020.
2. The overall end date was changed from 31/08/2020 to 30/09/2020.
3. The intention to publish date was changed from 31/08/2021 to
4. The plain English summary was updated to reflect these changes.
08/07/2020: The following changes were made to the trial record:
1. The recruitment end date was changed from 30/06/2020 to 31/08/2020.
2. The overall end date was changed from 30/06/2020 to 31/08/2020.
3. The intention to publish date was changed from 30/06/2021 to 31/08/2021.
4. The plain English summary was updated to reflect these changes.
07/04/2020: The following changes were made to the trial record:
1. The recruitment end date was changed from 31/03/2020 to 30/06/2020.
2. The overall end date was changed from 31/03/2020 to 30/06/2020.
3. The intention to publish date was changed from 31/03/2021 to 30/06/2021.
4. The plain English summary was updated to reflect these changes.
12/03/2020: The following changes have been made:
1. The recruitment end date has been changed from 28/02/2020 to 31/03/2020.
2. The overall trial end date has been changed from 28/02/2020 to 31/03/2020.
3. The intention to publish date has been changed from 28/02/2021 to 31/03/2021.
4. The plain English summary has been updated to reflect the changes above.
19/12/2019: Trial's existence confirmed by London - City & East Research Ethics Committee.