Page last updated: 2024-10-25

diazoxide and Dumping Syndrome

diazoxide has been researched along with Dumping Syndrome in 3 studies

Diazoxide: A benzothiadiazine derivative that is a peripheral vasodilator used for hypertensive emergencies. It lacks diuretic effect, apparently because it lacks a sulfonamide group.
diazoxide : A benzothiadiazine that is the S,S-dioxide of 2H-1,2,4-benzothiadiazine which is substituted at position 3 by a methyl group and at position 7 by chlorine. A peripheral vasodilator, it increases the concentration of glucose in the plasma and inhibits the secretion of insulin by the beta- cells of the pancreas. It is used orally in the management of intractable hypoglycaemia and intravenously in the management of hypertensive emergencies.

Dumping Syndrome: Gastrointestinal symptoms resulting from an absent or nonfunctioning pylorus.

Research

Studies (3)

TimeframeStudies, this research(%)All Research%
pre-19901 (33.33)18.7374
1990's0 (0.00)18.2507
2000's1 (33.33)29.6817
2010's1 (33.33)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Thondam, SK1
Nair, S1
Wile, D1
Gill, GV1
Patti, ME1
McMahon, G1
Mun, EC1
Bitton, A1
Holst, JJ1
Goldsmith, J1
Hanto, DW1
Callery, M1
Arky, R1
Nose, V1
Bonner-Weir, S1
Goldfine, AB1
Morris, R1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Pramlintide (Symlin) for the Treatment of Hypoglycemia Following Gastric Bypass Surgery[NCT01841359]Phase 422 participants (Actual)Interventional2010-02-02Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Continuous Glucose Monitoring Maximum Sensor Glucose Values Prior to (Baseline) and During Pramlintide Therapy.

(NCT01841359)
Timeframe: During 8 week period of participation, V1-V2 (baseline CGM data over 3 days); V3-V4 (CGM data during treatment with three times per day (TID) pramlintide over 3 days)

Interventionmg/dL (Mean)
Baseline (Prior to Treatment With Pramlintide) CGM #1172
Pramlintide CGM #2188

Continuous Glucose Monitoring Minimum Sensor Glucose Prior to (Baseline) and During Pramlintide Therapy.

(NCT01841359)
Timeframe: During 8 week period of participation, V1-V2 (baseline CGM data over 3 days); V3-V4 (CGM data during treatment with TID pramlintide over 3 days)

Interventionmg/dL (Mean)
Baseline (Prior to Treatment With Pramlintide) CGM #154
Pramlintide CGM #256.6

Dumping Score During Mixed Meal Testing at Baseline and During Treatment With Pramlintide

Dumping score was calculated using changes in pulse and hematocrit. Higher scores indicate more severe dumping. Scores ranged from -196 to 186. (NCT01841359)
Timeframe: Levels assessed on the two days of mixed meal testing: the first occurring at baseline; and the second following 8 weeks of treatment with pramlintide.

Interventiondumping score (Mean)
Baseline (Prior to Pramlintide Treatment) Mixed Meal #128.89
Pramlintide - Mixed Meal #272.04

Hypoglycemia - Percentage of Time Sensor Glucose Levels < 70 mg/dL Prior to (Baseline) and During Pramlintide Therapy.

Assessment of clinical response to pramlintide treatment, as indicated by paired comparison of the frequency of glucose values under 70 mg/dl (expressed as percentage of time) assessed by continuous glucose monitoring. (NCT01841359)
Timeframe: During 8 week period of participation, V1-V2 (baseline CGM data over 3 days); V3-V4 (CGM data during treatment with TID pramlintide over 3 days)

Interventionpercent time sensor glucose less than 70 (Mean)
Baseline (Prior to Treatment With Pramlintide) CGM #18.85
Pramlintide CGM #25.60

Nadir Plasma Glucose Levels During Mixed Meal Testing at Baseline and During Treatment With Pramlintide

(NCT01841359)
Timeframe: Levels assessed on the two days of mixed meal testing: the first occurring at baseline; and the second following 8 weeks of treatment with pramlintide.

Interventionmg/dL (Mean)
Baseline (Prior to Pramlintide Treatment) Mixed Meal #167.18
Pramlintide - Mixed Meal #269.9

Number of Days With Minimum Sensor Glucose < 54 mg/dL as Measured by Continuous Glucose Monitoring.

(NCT01841359)
Timeframe: During 8 week period of participation, V1-V2 (baseline CGM data over 3 days); V3-V4 (CGM data during treatment with TID pramlintide over 3 days)

Interventiondays (Mean)
Baseline (Prior to Treatment With Pramlintide) CGM #11.31
Pramlintide CGM #20.56

Number of Participants Requiring Rescue Treatment for Severe Hypoglycemia During Mixed Meal Testing (Visit 2 Baseline vs. Visit 4 Post-pramlintide Dosing)

(NCT01841359)
Timeframe: Assessed on the two days of mixed meal testing: the first occurring at baseline; and the second following 8 weeks of treatment with pramlintide.

Interventionnumber of participants (Number)
Baseline (Prior to Pramlintide Treatment) Mixed Meal #16
Pramlintide - Mixed Meal #24

Plasma Glucose Levels in Response to Mixed Meal Testing - Area Under the Curve for Plasma Glucose

"Baseline and post-treatment with pramlintide mixed meal testing plasma glucose values, area under the curve (AUC), calculated with the trapezoidal method.~Plasma glucose was measured at timepoints (minutes): -5 (baseline), 10 minutes, 20 minutes, 30 minutes, 60 minutes, 90 minutes, 120 minutes." (NCT01841359)
Timeframe: Levels assessed on the two days of mixed meal testing: the first occurring at baseline; and the second following 8 weeks of treatment with pramlintide.

Interventionmg*min/dL (Geometric Mean)
Baseline (Prior to Pramlintide Treatment) Mixed Meal #12828
Pramlintide - Mixed Meal #22893

Plasma Insulin Levels in Response to Mixed Meal Testing - Area Under the Curve for Plasma Insulin

"Pre- and post-treatment mixed meal testing plasma insulin levels area under the curve (AUC) was calculated with the trapezoidal method.~Plasma insulin was measured at timepoints (minutes): -5 (baseline), 10 minutes, 20 minutes, 30 minutes, 60 minutes, 90 minutes, 120 minutes." (NCT01841359)
Timeframe: Levels assessed on the two days of mixed meal testing: the first occurring at baseline; and the second following 8 weeks of treatment with pramlintide.

InterventionuIU*min/mL (Geometric Mean)
Baseline (Prior to Pramlintide Treatment) Mixed Meal #13393
Pramlintide - Mixed Meal #23501

Satiety Score During Mixed Meal Testing at 120 Minutes

Satiety was analyzed using a visual analogue scale (1, very hungry to 10, not hungry), administered 120 minutes following ingestion of mixed meal. (NCT01841359)
Timeframe: Levels assessed on the two days of mixed meal testing at the 120 min time point: the first occurring at baseline (prior to treatment with pramlintide), and the second following 8 weeks of treatment with pramlintide.

Interventionsatiety score (Mean)
Baseline (Prior to Pramlintide Treatment) Mixed Meal #14.57
Pramlintide - Mixed Meal #25.43

Time to Nadir Plasma Glucose During Mixed Meal Testing at Baseline and During Treatment With Pramlintide

(NCT01841359)
Timeframe: Assessed on the two days of mixed meal testing: the first occurring at baseline; and the second following 8 weeks of treatment with pramlintide.

Interventionminutes (Mean)
Baseline (Prior to Pramlintide Treatment) Mixed Meal #164.29
Pramlintide - Mixed Meal #266.43

Other Studies

3 other studies available for diazoxide and Dumping Syndrome

ArticleYear
Diazoxide for the treatment of hypoglycaemic dumping syndrome.
    QJM : monthly journal of the Association of Physicians, 2013, Volume: 106, Issue:9

    Topics: Aged; Aged, 80 and over; Diazoxide; Dumping Syndrome; Esophageal Achalasia; Female; Humans; Hypoglyc

2013
Severe hypoglycaemia post-gastric bypass requiring partial pancreatectomy: evidence for inappropriate insulin secretion and pancreatic islet hyperplasia.
    Diabetologia, 2005, Volume: 48, Issue:11

    Topics: Adult; Aged; Diazoxide; Diet Therapy; Dumping Syndrome; Female; Gastric Bypass; Humans; Hyperplasia;

2005
Dumping attacks.
    South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde, 1977, Sep-24, Volume: 52, Issue:14

    Topics: Diazoxide; Dumping Syndrome; Female; Humans; Middle Aged

1977