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NCT01369069: SHINE
Stroke Hyperglycemia Insulin Network Effort (SHINE) Trial
Phase 3 trial testing IV insulin to maintain target glucose concentration of 80-130 mg/dL in Acute Ischemic Stroke in 1,151 participants. Completed in 19 November 2018.
19 November 2018
Quick facts
| Lead sponsor | University of Virginia |
|---|---|
| Phase | Phase 3 |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | double |
| Primary purpose | treatment |
| Enrollment | 1,151 |
| Start date | 1 April 2012 |
| Primary completion | 19 November 2018 |
| Estimated completion | 19 November 2018 |
| Sites | 70 locations across United States |
Drugs / interventions tested
- IV insulin to maintain target glucose concentration of 80-130 mg/dL — full drug profile →
- Standard Care control - sliding scale insulin to keep glucose less than 180 mg/dL — full drug profile →
Conditions studied
- Acute Ischemic Stroke — all drugs for Acute Ischemic Stroke →
- Diabetes — all drugs for Diabetes →
- Hyperglycemia — all drugs for Hyperglycemia →
Sponsor
University of Virginia
Who can join
18 and older, any sex, with Acute Ischemic Stroke or Diabetes. Patients with the condition only — healthy volunteers not accepted.
What's being measured
Primary outcomes are the specific endpoints the trial is designed to prove or disprove.
-
Number of Participants With a Favorable Modified Rankin Scale (Yes/No)
Time frame: 90 days (-14/+30 days)
Favorable for the primary efficacy outcome is defined as modified Rankin Scale (mRS) score of 0 in patients with mild stroke (baseline NIHSS 3-7), mRS 0 or 1 in patients with moderate stroke (baseline NIHSS 8-14), and mRS 0, 1 or 2 in patients with severe stroke (baseline NIHSS 15-22) at 90 days with a pre-specified range of acceptable days of 76 -120 days. The mRS is a stroke outcome scale used t -
Number of Participants With Severe Hypoglycemia (Blood Glucose < 40mg/dL)
Time frame: 72 hours
Severe hypoglycemia (blood glucose \< 40mg/dL) is the primary safety outcome and will be measured during the 72 hour treatment period.
Sponsor's own description
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.
Publications & conference data
8 peer-reviewed publications reference this trial (live from Europe PMC):
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Intensive vs Standard Treatment of Hyperglycemia and Functional Outcome in Patients With Acute Ischemic Stroke: The SHINE Randomized Clinical Trial.
Johnston KC, Bruno A, Pauls Q, Hall CE, et al · · 2019 · cited 294× · PMID 31334795 · DOI 10.1001/jama.2019.9346 -
Intranasal Insulin and Insulin-Like Growth Factor 1 as Neuroprotectants in Acute Ischemic Stroke.
Lioutas VA, Alfaro-Martinez F, Bedoya F, Chung CC, et al · · 2015 · cited 82× · PMID 26040423 · DOI 10.1007/s12975-015-0409-7 -
The Stroke Hyperglycemia Insulin Network Effort (SHINE) trial protocol: a randomized, blinded, efficacy trial of standard vs. intensive hyperglycemia management in acute stroke.
Bruno A, Durkalski VL, Hall CE, Juneja R, et al · · 2014 · cited 63× · PMID 23506245 · DOI 10.1111/ijs.12045 -
Insulin for glycaemic control in acute ischaemic stroke.
Bellolio MF, Gilmore RM, Ganti L. · · 2014 · cited 52× · PMID 24453023 · DOI 10.1002/14651858.cd005346.pub4 -
Considering hyperglycemia and thrombolysis in the Stroke Hyperglycemia Insulin Network Effort (SHINE) trial.
Southerland AM, Johnston KC. · · 2012 · cited 20× · PMID 22994224 · DOI 10.1111/j.1749-6632.2012.06731.x -
The Stroke Hyperglycemia Insulin Network Effort (SHINE) trial: an adaptive trial design case study.
Connor JT, Broglio KR, Durkalski V, Meurer WJ, et al · · 2015 · cited 17× · PMID 25885963 · DOI 10.1186/s13063-015-0574-8 -
Admission hyperglycemia and outcome after intravenous thrombolysis: is there a difference among the stroke-subtypes?
Miedema I, Luijckx GJ, Brouns R, De Keyser J, et al · · 2016 · cited 14× · PMID 27422152 · DOI 10.1186/s12883-016-0617-0 -
Glucose Control and Risk of Symptomatic Intracerebral Hemorrhage Following Thrombolysis for Acute Ischemic Stroke: A SHINE Trial Analysis.
Southerland AM, Mayer SA, Chiota-McCollum NA, Bolte AC, et al · · 2024 · cited 11× · PMID 38626363 · DOI 10.1212/wnl.0000000000209323
Verify or expand the search:
- PubMed search for NCT01369069
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
- medRxiv preprints
- Google Scholar
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Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT01369069 (US National Library of Medicine, public domain)
- Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by University of Virginia
- Last refreshed: 13 December 2019
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01369069.
Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing