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Kaartweergave

Glycemic Improvement With Team, Technology, Education and Peer Resources in Type 1 Diabetes-GLITTER Study 3.000

Rekruterend
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De klinische studie NCT07097805 is een interventioneel studie bij Type 1 diabetes (T1D) met de status rekruterend. Het doel is om 3.000 deelnemers te includeren vanaf 1 januari 2025. De studie wordt geleid door Second Xiangya Hospital of Central South University en de voltooiing is gepland op 1 maart 2028. Laatste update op ClinicalTrials.gov: 31 juli 2025.
Beknopte samenvatting
The GLITTER study is comprised of four key components: Team, Technology, Education, and Peer Resources. The aim of the GLITTER Study is to improve the metabolic control rate in patients with type 1 diabetes through a comprehensive management approach.
Uitgebreide beschrijving
Patients with type 1 diabetes (T1D) face significant glycemic fluctuations, posing substantial challenges in disease management. Current clinical evidence indicates that although interventions such as structured education programs, peer support, and novel diabetes technologies demonstrate positive outcomes when applied individually, the glycemic target attainment rate remains suboptimal, with fewer than 30% achieving...Toon meer
Officiële titel

Glycemic Improvement With Team, Technology, Education and Peer Resources in Type 1 Diabetes-GLITTER Study

Aandoeningen
Type 1 diabetes (T1D)
Andere studie-ID's
  • KYZ20240193
NCT-ID
Startdatum (Werkelijk)
2025-01-01
Laatste update geplaatst
2025-07-31
Verwachte einddatum
2028-03-01
Inschrijving (Geschat)
3.000
Studietype
Interventioneel
FASE
N.v.t.
Status
Rekruterend
Trefwoorden
Type 1 diabetes
Comprehensive management
Primaire doel
Ondersteunende zorg
Toewijzing
N.v.t.
Interventiemodel
Enkele groep
Blindering
Geen (Open-label)
Armen / Interventies
Deelnemersgroep/StudiearmInterventie/Behandeling
OverigeT1D Patients
All patients diagnosed with type 1 diabetes of all ages.
GLITTER comprehensive management
The GLITTER comprehensive management represents a management approach that effectively combines multidisciplinary professional team care, diabetes technology empowerment, structured education steering, and peer support.
Primaire uitkomst
UitkomstmaatBeschrijving van de uitkomstmaatTijdsbestek
Change in HbA1c
The primary outcome is the Change in Glycated Hemoglobin A1C (HbA1c). HbA1c is a physiological marker of the percentage of red blood cells that have glycated (bonded with a sugar). HbA1c is used to measure changes in average blood sugar over the past three months.
Trough study completion, an average of 1 year
Secundaire uitkomst
UitkomstmaatBeschrijving van de uitkomstmaatTijdsbestek
Percentage of patients using continuous glucose monitors
The percentage of participants who initiate and maintain active use of a continuous glucose monitor (CGM) trough study completion. Active use is defined as wearing the CGM sensor and having recorded glucose data available. Confirmation will be based on CGM device data download or patient self-reported daily wear logs verified by research staff or electronic adherence monitoring from the CGM cloud platform.
Trough study completion, an average of 1 year
Percentage of patients using insulin pump
Proportion of enrolled patients maintaining active insulin pump use during follow-up, defined as consistent pump utilization confirmed by either: 1. Device data download demonstrating functional use; or 2. Clinician-verified patient logbook records with corroborating evidence.
Trough study completion, an average of 1 year
Diabetes-related complications
Diabetes-related complications encompass microvascular disorders (diabetic retinopathy, nephropathy, neuropathy), macrovascular complications (coronary artery disease, cerebrovascular disease, peripheral arterial disease), neuropathic complications (peripheral neuropathy, autonomic neuropathy), diabetic foot syndrome, and acute metabolic events (severe hypoglycemia, ketoacidosis, hyperosmolar hyperglycemic state, diabetic lactic acidosis).
Trough study completion, an average of 1 year
Urine Albumin-to-Creatinine Ratio
Normal: \<30 mg/g;Microalbuminuria: 30-300 mg/g;Macroalbuminuria: \>300 mg/g
Trough study completion, an average of 1 year
Change in titer of autoantibodies
Islet autoantibodies represent serological markers of autoimmune destruction targeting pancreatic β-cell antigens, serving as pivotal biomarkers for T1D pathogenesis.
Trough study completion, an average of 1 year
Change in C-peptide
C-peptide are measured before and 2-hour after a mixed meal tolerance test at each follow-up of this study.
Trough study completion, an average of 1 year
Change in blood glucose
Blood glucose are measured before and 2-hour after a mixed meal tolerance test at each follow-up of this study.
Trough study completion, an average of 1 year
Systolic blood pressure
Systolic blood pressure
Trough study completion, an average of 1 year
Diastolic blood pressure
Diastolic blood pressure
Trough study completion, an average of 1 year
Change in lipid profiles
Including triglyceride, total cholesterol, HDL-cholesterol and LDL-cholesterol
Trough study completion, an average of 1 year
Self-Management of Type 1 Diabetes for Chinese Adults
The Self-Management of Type 1 Diabetes for Chinese Adults (SMOD-CA) scale is a validated instrument specifically designed to assess the self-management behaviors and capabilities of adults with type 1 diabetes in the Chinese population. The SMOD-CA consists of 30 items. Responses are rated on a five-point scale, with higher scores indicating better self-management ability. The total score ranges from 0 to 120.
Trough study completion, an average of 1 year
23-item Chinese Version of Self-Report Measure of Self-Management of Type 1 Diabetes for Adolescents
The 23-item Chinese Version of Self-Report Measure of Self-Management of Type 1 Diabetes for Adolescents (C-SMOD-A-23) is a validated and simplified instrument designed to assess the self-management behaviors and capabilities of adolescents with type 1 diabetes.
Trough study completion, an average of 1 year
Chinese version of the Diabetes Quality of Life for Youth Scale Short Form
The Chinese version of the Diabetes Quality of Life for Youth Scale Short Form (C-DQOLY-SF) is a psychometrically tested instrument designed to assess the quality of life in adolescents with type 1 diabetes. The scale consists of 25 items that measure various aspects of life satisfaction, diabetes impact, and diabetes-related worry.
Trough study completion, an average of 1 year
Athens Insomnia Scale
The Athens Insomnia Scale (AIS) is a self-assessment tool used to evaluate the presence and severity of insomnia symptoms. The total score provides a quantitative measure of insomnia severity, with higher scores indicating more significant sleep disturbances.
Trough study completion, an average of 1 year
Depression Self-Rating Scale for Children
The Depression Self-Rating Scale for Children (DSRSC) is a standardized psychological assessment tool designed to measure depressive symptoms in children and adolescents. This self-report inventory allows young individuals to rate the frequency and severity of various depressive feelings and behaviors they may be experiencing.
Trough study completion, an average of 1 year
Diagnosis and measurement of the severity of depression: Patient Health Questionnaire
The Patient Health Questionnaire (PHQ-9) will be used to assess depressive symptoms, including suicidal ideation, over the last two weeks (9 questions). Items are scored 0-3, resulting in a total score of 0-27. Higher scores indicate more symptoms of depression.
Trough study completion, an average of 1 year
Generalized Anxiety Disorder 7-item scale
The Generalized Anxiety Disorder 7-item scale (GAD-7) consists of seven items. Each item asks respondents to rate how often they have been bothered by specific anxiety-related symptoms over the past two weeks.
Trough study completion, an average of 1 year
WHO-5 Well-Being Index
The WHO-5 Well-Being Index (WHO-5) is a brief, self-report questionnaire designed to assess subjective well-being. The WHO-5 consists of five simple and straightforward items. Each item is rated on a 6-point Likert scale, ranging from 0 (not present) to 5 (constantly present). The total score is calculated by summing the responses to all five items, resulting in a score that ranges from 0 to 25. Higher scores indicate better well-being.
Trough study completion, an average of 1 year
Mini-EAT
The Mini-Eating Assessment Tool, is a brief dietary assessment scale designed to evaluate the quality of an individual's diet. It is a concise tool that aims to provide a quick yet effective measure of dietary habits and nutrition intake.
Trough study completion, an average of 1 year
Deelname-assistent
Geschiktheidscriteria

Leeftijd van deelnemers
Kind, Volwassene, Oudere volwassene
Geslachten die in aanmerking komen voor de studie
Allen

1. Patients with type 1 diabetes of all age groups, regardless of disease duration.

The diagnosis criteria for type 1 diabetes are met by fulfilling any one point from the first two criteria plus any one point from the third criterion.

  1. Clinically diagnosed as Type 1 Diabetes by a specialist physician.

  2. Meet any one of the following criteria:

    A. Age of onset <15 years B. No obesity at the time of onset C. diabetic ketoacidosis onset D. Maximum random C-peptide <200 pmol/L

  3. Meet any one of the following criteria:

A. Initiation and continuation of insulin therapy after diagnosis (excluding pancreas or islet transplantation) B. Positive for islet cell antibodies

Second Xiangya Hospital of Central South University logoSecond Xiangya Hospital of Central South University
Verantwoordelijke instantie
Xia Li, Hoofdonderzoeker, Professor, Second Xiangya Hospital of Central South University
Centraal Contactpersoon
Contact: Xia Li, +86 13974885753, [email protected]
10 Studielocaties in 1 landen

Beijing Municipality

Department of Endocrinology and Metabolism, Peking University People's Hospital, Beijing, Beijing Municipality, China
Xiaoling Cai, Contact
Rekruterend
Department of Endocrinology, Beijing Tongren Hospital, Capital Medical University, Beijing, Beijing Municipality, China
Chang Liu, Contact
Rekruterend

Guangdong

Department of Endocrinology and Metabolism, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China
Jinhua Yan, Contact
Rekruterend
Department of Endocrinology, Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen, Guangdong, China
Haiyan Li, Contact
Rekruterend

Henan

Endocrinology and Metabolism Center, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Luoyang, Henan, China
Hongwei Jiang, Contact
Rekruterend

Hunan

Institute of Metabolism and Endocrinology, Second Xiangya Hospital of Centra South University, Changsha, Hunan, 410011, China
Xia Li, Contact, +86 13974885753, [email protected]
Rekruterend

Jiangsu

Department of Endocrinology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, 210029, China
Mei Zhang, Contact
Rekruterend

Liaoning

Department of Endocrinology and Metabolism, Institute of Endocrinology, The First Affiliated Hospital of China Medical University, Shenyang, Liaoning, China
Yanli Cao, Contact
Rekruterend

Sichuan

Department of Endocrinology and Metabolism, Laboratory of Diabetes and metabolism research, West China Hospital, Sichuan University, Chengdu, Sichuan, China
Nanwei Tong, Contact
Rekruterend

Zhejiang

Department of Endocrinology, Children's Hospital of Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, Zhejiang, China
Junfen Fu, Contact
Rekruterend