At a glance
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Stroke Hyperglycemia Insulin Network Effort (SHINE) Trial
In Brief
A Phase 3 clinical trial evaluating IV insulin to maintain target glucose concentration of 80-130 mg/dL and Standard Care control - sliding scale insulin to keep glucose less than 180 mg/dL for Acute Ischemic Stroke and 2 related conditions. Completed, enrolled 1,151 participants across 70 sites.
Detailed Summary
The Stroke Hyperglycemia Insulin Network Effort (SHINE) Trial is a multicenter, randomized, controlled clinical trial of 1400 patients that will include approximately 60 enrolling sites. The study hypotheses are that treatment of hyperglycemic acute ischemic stroke patients with targeted glucose concentration (80mg/dL - 130 mg/dL) will be safe and result in improved 3 month outcome after stroke.
Study Details
Timeline
Interventions
Intervention is to keep glucose concentration 80-130 mg/dL for up to 72 hours after randomization. IV insulin drip will be used to maintain glucose target.
Sliding scale sub q insulin given will be given up to 4 times per day based on glucose concentration. It will be given only if glucose concentration greater than or equal to 180 mg/dL.