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Hypermetabolism clinical trials

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NCT ID: NCT01666665 Terminated - Insulin Resistance Clinical Trials

Mechanisms of Improved Wound Healing and Protein Synthesis of Insulin and Metformin

Start date: November 2012
Phase: Phase 2/Phase 3
Study type: Interventional

Massive pediatric burns are associated with a persistent and sustained hypermetabolic response characterized by elevated levels of circulating catecholamine's, cortisol, and glucagon's, which can cause extreme muscle wasting, immunodeficiency, and delay in wound healing. Insulin and metformin have demonstrated anabolic activity with minimal associated side effects. However, it is unknown whether the beneficial effects arise from tight euglycemic control or direct effect of insulin action. We hypothesize that during acute hospitalization, administration of metformin at a dose titrated to maintain blood glucose between 80-180 mg/dl will accelerate wound healing and recovery in children with severe thermal injury and will have beneficial long-term effects on muscle strength, immune function, and wound healing.