Page last updated: 2024-10-25

diazoxide and Hyperplasia

diazoxide has been researched along with Hyperplasia in 16 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.

Hyperplasia: An increase in the number of cells in a tissue or organ without tumor formation. It differs from HYPERTROPHY, which is an increase in bulk without an increase in the number of cells.

Research Excerpts

ExcerptRelevanceReference
"When treatment with diazoxide and somatostatin for persistent hyperinsulinaemic hypoglycaemia of infancy failed, subtotal pancreatectomy was performed on a neonate on day 41."1.30Histochemical, clinical, and in vitro beta cell responses in a neonate with persistent hyperinsulinaemic hypoglycaemia of infancy. ( Hjelm, NM; Liew, CT; Panesar, NS; Poon, CW; Wong, GW, 1998)
"To avoid mental retardation, surgical intervention should not be considered as a last resort."1.26Near-total pancreatectomy in persistent infantile hypoglycemia. ( Moazam, F; Rodgers, BM; Rosenbloom, AL; Talbert, JL, 1982)

Research

Studies (16)

TimeframeStudies, this research(%)All Research%
pre-199012 (75.00)18.7374
1990's3 (18.75)18.2507
2000's1 (6.25)29.6817
2010's0 (0.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
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
Moazam, F1
Rodgers, BM1
Talbert, JL1
Rosenbloom, AL1
Oliete García, F1
Herrera Andújar, P1
Pérez Carmona, NJ1
Balboa de Paz, F1
Panesar, NS1
Poon, CW1
Liew, CT1
Wong, GW1
Hjelm, NM1
Fournet, JC1
Verkarre, V1
De Lonlay, P1
Rahier, J1
Brunelle, F1
Robert, JJ1
Nihoul-Fékété, C1
Saudubray, JM1
Junien, C1
Panizon, F1
Ventura, A1
Andreani, D1
Tamburrano, S1
Tamburrano, G1
Natoli, C1
Schikman, CH1
Chertow, BS1
Fariss, BL1
Crowder, WL1
Maclaren, NK1
Gutberlet, RL1
Frost, JL1
Mason, GR1
Cornblath, M1
Bjerke, HS1
Kelly, RE1
Geffner, ME1
Fonkalsrud, EW1
Bell, WE1
Samaan, NA1
Longnecker, DS1
Onoe, K1
Kobashi, K1
Fujinaka, S1
Yamamoto, T1
Hamajo, T1
Pagliara, AS1
Karl, IE1
Haymond, M1
Kipnis, DM1
Yoshinaga, T1
Isshiki, G1
Okuno, G1
Ueda, T1
Ogawa, S1
Loubatières, AL1
Brunetti, P1
Santeusanio, F1
Arena, D1
Palumbo, R1
Puxeddu, A1
De Ciuceis, P1
Calabrese, G1

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

Reviews

3 reviews available for diazoxide and Hyperplasia

ArticleYear
[Juvenile endocrine hypoglycemia].
    Minerva medica, 1979, Jun-16, Volume: 70, Issue:28

    Topics: Adenoma; Child, Preschool; Diazoxide; Folic Acid; Fructose-1,6-Diphosphatase Deficiency; Gluconeogen

1979
[Hypoglycemia and its countermeasures].
    Nihon rinsho. Japanese journal of clinical medicine, 1969, Volume: 27, Issue:8

    Topics: Acute Disease; Adenoma, Islet Cell; Adrenalectomy; Adrenocorticotropic Hormone; Adult; Animals; Bloo

1969
Hypoglycemia in infancy and childhood. II.
    The Journal of pediatrics, 1973, Volume: 82, Issue:4

    Topics: Adrenal Cortex Hormones; Adrenal Gland Diseases; Amino Acids; Carbohydrate Metabolism, Inborn Errors

1973

Other Studies

13 other studies available for diazoxide and Hyperplasia

ArticleYear
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
Near-total pancreatectomy in persistent infantile hypoglycemia.
    Archives of surgery (Chicago, Ill. : 1960), 1982, Volume: 117, Issue:9

    Topics: Adenoma; Adenoma, Islet Cell; Diazoxide; Female; Humans; Hyperplasia; Hypoglycemia; Infant; Infant,

1982
[Hyperinsulinism probably caused by diffuse pancreatic hyperplasia].
    Anales espanoles de pediatria, 1980, Volume: 13, Issue:11

    Topics: Child, Preschool; Diazoxide; Humans; Hyperinsulinism; Hyperplasia; Hypoglycemia; Male; Pancreas; Psy

1980
Histochemical, clinical, and in vitro beta cell responses in a neonate with persistent hyperinsulinaemic hypoglycaemia of infancy.
    Archives of disease in childhood. Fetal and neonatal edition, 1998, Volume: 79, Issue:2

    Topics: 1-Methyl-3-isobutylxanthine; Cells, Cultured; Diazoxide; Diuretics; Glucose; Humans; Hyperinsulinism

1998
Loss of imprinted genes and paternal SUR1 mutations lead to hyperinsulinism in focal adenomatous hyperplasia.
    Annales d'endocrinologie, 1998, Volume: 59, Issue:6

    Topics: Adenoma, Islet Cell; ATP-Binding Cassette Transporters; Chromosomes, Human, Pair 11; Diazoxide; Drug

1998
[The insulinomas].
    Minerva medica, 1979, Jun-16, Volume: 70, Issue:28

    Topics: Adenoma, Islet Cell; Diazoxide; Glucagon; Humans; Hyperplasia; Insulin; Insulin Secretion; Pancreati

1979
Paradoxical enhancement of tolbutamide-induced insulin release by diazoxide in a patient with islet cell hyperplasia.
    Acta paediatrica Scandinavica, 1978, Volume: 67, Issue:5

    Topics: Blood Glucose; Child; Diazoxide; Glucagon; Glucose Tolerance Test; Humans; Hyperplasia; Hypoglycemia

1978
Neonatal pancreatic beta-cell hyperplasia: report of a case with failure of diazoxide and benefit of early subtotal pancreatectomy.
    Pediatrics, 1976, Volume: 57, Issue:6

    Topics: Diazoxide; Female; Humans; Hyperinsulinism; Hyperplasia; Hypoglycemia; Infant, Newborn; Infant, Newb

1976
Surgical management of islet cell dysmaturation syndrome in young children.
    Surgery, gynecology & obstetrics, 1990, Volume: 171, Issue:4

    Topics: Adenoma; Combined Modality Therapy; Diazoxide; Humans; Hyperinsulinism; Hyperplasia; Hypoglycemia; I

1990
Hypoglycemia due to organic hyperinsulinism in infancy.
    Archives of neurology, 1970, Volume: 23, Issue:4

    Topics: Adenoma, Islet Cell; Adrenal Cortex Hormones; Diazoxide; Female; Humans; Hyperinsulinism; Hyperplasi

1970
A-cell deficiency and B-cell hyperplasia of Langerhans' islet as a cause of leucine sensitive hypoglycemia.
    Endokrinologie, 1968, Volume: 53, Issue:3

    Topics: Blood Glucose; Diazoxide; Epinephrine; Glucose Tolerance Test; Humans; Hyperplasia; Hypoglycemia; In

1968
Complementary arguments in favor of the betacytotrophic action of the hypglycemic sulfonamides.
    Advances in metabolic disorders, 1970, Volume: 1

    Topics: Animals; Diabetes Mellitus; Diazoxide; Dogs; Glucose; Hyperplasia; Hypoglycemia; Hypoglycemic Agents

1970
[Hyperglycemic and insulin-depressing effect of diazoxide in a case of hyperinsulinism caused by beta-insular hyperplasia].
    La Clinica terapeutica, 1971, Feb-15, Volume: 56, Issue:3

    Topics: Aged; Blood Glucose; Diazoxide; Female; Humans; Hyperplasia; Hypoglycemia; Insulin; Insulin Secretio

1971