Actively Recruiting

Phase 2
Phase 3
Age: 18Years - 75Years
All Genders
NCT06955416

REAMBERIN® 1.5% in Rehydration Therapy of Diabetic Ketoacidosis

Led by POLYSAN Scientific & Technological Pharmaceutical Company · Updated on 2025-06-24

312

Participants Needed

3

Research Sites

139 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

A number of scientific papers have been published on the efficacy and safety of adding REAMBERIN® (meglumin sodium succinate), a 1.5% infusion solution, to standard therapy for patients with diabetic ketoacidosis (DKA), which showed that the addition of the medication to DKA therapy at a dose of 10 ml/kg/day or an average of 800.68±151.59 ml on the first day of infusion, leads to a more rapid and successful resolution of DKA, achieving a state of compensation, a more rapid transfer of the patient from the intensive care unit (ICU) and discharge from the hospital. A combined, two-stage, multicenter, randomized, double-blind, phase II/III study with an adaptive design is planned. Stage 1 (phase II) will be a sequential evaluation of 2 doses of the study medication (750 ml and 1500 ml) versus placebo. At the 2nd stage of the study (phase III), additional recruitment of patients will be carried out in two groups in a 1:1 ratio to the experimental group or placebo group, to receive the optimal dose in accordance with the result obtained at stage 1.

CONDITIONS

Official Title

REAMBERIN® 1.5% in Rehydration Therapy of Diabetic Ketoacidosis

Who Can Participate

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Signed informed consent
  • Male and female patients aged 18 to 75 years
  • Confirmed diagnosis of type 1 or type 2 diabetes mellitus
  • Clinical diagnosis of diabetic ketoacidosis at admission
  • Plasma glucose greater than 13.9 mmol/l
  • Metabolic acidosis with venous blood pH less than 7.25
  • Serum bicarbonate less than 18 mmol/l
  • Ketonuria of at least ++
  • Ability to be randomized within 2 hours of hospital admission
Not Eligible

You will not qualify if you...

  • Known hypersensitivity to components of the study drug or standard therapy
  • Blood pH less than or equal to 6.9 or bicarbonate level below 5 mmol/l
  • Previous use of solutions containing reserve alkalinity carriers
  • Conditions requiring emergency surgery
  • Abdominal surgery within the last 14 days
  • Traumatic brain injury with cerebral edema
  • Chronic treatment with steroids, atypical antipsychotics, or chemotherapy
  • Acute kidney injury or chronic kidney disease stage C5
  • Liver injury with enzyme levels more than 5 times the reference
  • Acute pancreatitis
  • Sepsis
  • Severe multiple or combined trauma
  • History of cancer
  • Significant cardiovascular diseases including acute coronary syndrome, stroke, heart failure class III-IV, or severe arrhythmia
  • Body mass index of 40 or higher
  • Alcohol or drug abuse
  • Other specific types of diabetes mellitus
  • Previously diagnosed mental illness
  • Participation in another clinical trial or use of succinic acid supplements within 30 days
  • Pregnancy or breastfeeding
  • SARS-CoV-2 infection
  • Low systolic blood pressure (less than or equal to 70 mmHg) at admission
  • Contraindications to infusion of REAMBERIN or 0.9% sodium chloride solution

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 3 locations

1

State Budgetary Institution of Healthcare of the Arkhangelsk Region "First City Clinical Hospital named after E.E. Volosevich"

Arkhangelsk, Russia

Actively Recruiting

2

Regional budgetary healthcare institution "Ivanovo regional clinical hospital"

Ivanovo, Russia

Actively Recruiting

3

Kuzbass Clinical Hospital of Emergency Medical Care named after M.A. Podgorbunsky

Kemerovo, Russia

Actively Recruiting

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Research Team

A

Alexey Kovalenko, Doc Biol Sci

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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