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תצוגת כרטיסים

Multiple Daily Injections and Continuous Glucose Monitoring in Diabetes (DIaMonD) 316

הושלם
פרטי הניסויים הקליניים זמינים בעיקר באנגלית. רדאר קליני AI יכול לעזור! לחץ על 'הסבר את המחקר' כדי לצפות ולשוחח על מידע מהמחקר בשפה המועדפת עליך.
הניסוי הקליני NCT02282397 (DIaMonD) היה מחקר מסוג התערבותי עבור סוכרת, שכעת הושלם. המחקר התחיל ב-1 בספטמבר 2014 ותוכנן לכלול 316 משתתפים. המחקר נוהל על ידי DexCom, Inc. ותאריך הסיום היה 1 בנובמבר 2016. מידע זה עודכן לאחרונה באתר ClinicalTrials.gov ב-15 במאי 2017.
סיכום קצר
Evaluate if addition and use of real time continuous glucose monitoring (RT-CGM) improves glycemic outcome of patients using multiple daily injections (MDI) and self monitoring blood glucose (SMBG) testing, who are not at target glycemic control.
תיאור מפורט
The study design includes two cohorts that will be treated separately. Phase 1 will include two diabetes cohorts (Type 1 diabetes mellitus and Type 2 diabetes mellitus) who will be randomized independently into two groups, Group 1-CGM and Group 2-SMBG.

The Group-1 CGM cohort who have Type 1 diabetes mellitus will be eligible for Phase 2. Phase 2 will include a separate independent randomization of either MDI therapy...

הצג עוד
כותרת רשמית

Multiple Daily Injections and Continuous Glucose Monitoring in Diabetes

מצבים רפואיים
סוכרת
פרסומים
מאמרים מדעיים וניירות מחקר שפורסמו על ניסוי קליני זה:
מזהי מחקר נוספים
  • DIaMonD
  • PTL-901148
מספר NCT
תחילת המחקר (בפועל)
2014-09
עדכון אחרון שפורסם
2017-05-15
סיום המחקר (מוערך)
2016-11
משתתפים (מתוכנן)
316
סוג המחקר
התערבותי
שלב
לא ישים
סטטוס
הושלם
מילות מפתח
Diabetes Mellitus
מטרה ראשית
אבחנה
הקצאת טיפול
אקראי
דגם מתערב
קבוצות מקבילות
עיוורון
אין (מחקר פתוח)
זרועות / התערבויות
קבוצת משתתפים/זרועהתערבות/טיפול
ללא טיפולPhase 1: SMBG
Type 1 or Type 2 diabetes mellitus subjects using SMBG testing and usual care for diabetes management. No intervention to be administered
לא ישים
אחרPhase 1: CGM
Type 1 or Type 2 diabetes mellitus subjects using RT-CGM and SMBG testing for diabetes management. RT-CGM (Continuous Glucose Monitoring) is the intervention.
ניטור רציף של גלוקוז
RT-CGM are adjunctive devices with glucose trend graphs and user-configurable low and high glucose alerts.
ללא טיפולPhase 2: CGM/MDI
Type 1 Diabetes Mellitus subjects using RT-CGM and injections for diabetes management.
לא ישים
ללא טיפולPhase 2: CGM/CSII
Type 1 Diabetes Mellitus subjects using RT-CGM and CSII for diabetes management.
לא ישים
מדדי תוצאה ראשיים
מדד תוצאהתיאור המדידהטווח זמן
Phase 1 (T1DM) - A1C
Change in A1C from baseline to 24 weeks
6 months
Phase 1 (T2DM) - A1C
Change in A1C from baseline to 24 weeks
6 months
Phase 2 (T1DM)
Change in % time in range 70-180 mg/dL from Phase 2 baseline to Phase 2 28 weeks
6 months
מדדי תוצאה משניים
מדד תוצאהתיאור המדידהטווח זמן
Phase 1 (T1DM) - A1C Outcomes
% of subjects with A1C less than 7%
6 months
Phase 1 (T1DM) - A1C Outcomes
% of subjects with A1C less than 7.5%
6 months
Phase 1 (T1DM) - A1C Outcomes
% of subjects with a relative reduction in A1C greater than or equal to 10%
6 months
Phase 1 (T1DM) - A1C Outcomes
% of subjects with a reduction in A1C greater than or equal to 1%
6 months
Phase 1 (T1DM) - A1C Outcomes
% of subjects with a reduction in A1C greater than or equal to 1% or A1C less than 7%
6 months
Phase 1 (T1DM) - CGM Outcomes
Mean glucose (overall, daytime, and nighttime separately)
6 months
Phase 1 (T1DM) - CGM Outcomes
Glucose variability (overall, daytime, and nighttime separately)
6 months
Phase 1 (T1DM) - CGM Outcomes
% time in range 70-180 mg/dL (overall, daytime, and nighttime separately)
6 months
Phase 1 (T1DM) - CGM Outcomes
% time less than 70 mg/dL (overall, daytime, and nighttime separately)
6 months
Phase 1 (T1DM) - CGM Outcomes
% time less than 60 mg/dL (overall, daytime, and nighttime separately)
6 months
Phase 1 (T1DM) - CGM Outcomes
% time less than 50 mg/dL (overall, daytime, and nighttime separately)
6 months
Phase 1 (T1DM) - CGM Outcomes
% time greater than 180 mg/dL (overall, daytime, and nighttime separately)
6 months
Phase 1 (T1DM) - CGM Outcomes
% time greater than 250 mg/dL (overall, daytime, and nighttime separately)
6 months
Phase 1 (T1DM) - CGM Outcomes
% time greater than 300 mg/dL (overall, daytime, and nighttime separately)
6 months
Phase 1 (T1DM) - Hypoglycemia Awareness
Change in Clarke Hypoglycemia Unawareness score from baseline to 24 weeks
6 months
Phase 1 (T1DM) - SMBG Outcome
Change in SMBG frequency from baseline to 24 weeks
6 months
Phase 1 (T1DM) - QoL Outcomes
Quality of life changes from baseline to 24 weeks
6 months
Phase 1 (T1DM) - Cost Effectiveness
Cost effectiveness measured by the incremental cost-effectiveness ratio (ICER)
6 months
Phase 1 (T1DM) - Adverse Events
Change in the number of SH events from baseline to 24 weeks
6 months
Phase 1 (T1DM) - Adverse Events
Change in the number of DKA events from baseline to 24 weeks
6 months
Phase 1 (T1DM) - Body Weight
Change in body weight from baseline to 24 weeks
6 months
Phase 1 (T1DM) - Insulin Use Outcomes
Change in total daily insulin from baseline to 24 weeks
6 months
Phase 1 (T1DM) - Insulin Use Outcomes
Basal to bolus insulin ratio
6 months
Phase 1 (T1DM) - Insulin Use Outcomes
Change in the number of boluses/day from baseline to 24 weeks
6 months
Phase 1 (T2DM) - A1C Outcomes
% of subjects with A1C less than 7%
6 months
Phase 1 (T2DM) - A1C Outcomes
% of subjects with A1C less than 7.5%
6 months
Phase 1 (T2DM) - A1C Outcomes
% of subjects with a relative reduction in A1C greater than or equal to 10%
6 months
Phase 1 (T2DM) - A1C Outcomes
% of subjects with a reduction in A1C greater than or equal to 1% or A1C less than 7%
6 months
Phase 1 (T2DM) - A1C Outcomes
% of subjects with a reduction in A1C greater than or equal to 1%
6 months
Phase 1 (T2DM) - CGM Outcomes
Mean glucose (overall, daytime, and nighttime separately)
6 months
Phase 1 (T2DM) - CGM Outcomes
Glucose variability (overall, daytime, and nighttime separately)
6 months
Phase 1 (T2DM) - CGM Outcomes
% time in range 70-180 mg/dL (overall, daytime, and nighttime separately)
6 months
Phase 1 (T2DM) - CGM Outcomes
% time less than 70 mg/dL (overall, daytime, and nighttime separately)
6 months
Phase 1 (T2DM) - CGM Outcomes
% time less than 60 mg/dL (overall, daytime, and nighttime separately)
6 months
Phase 1 (T2DM) - CGM Outcomes
% time less than 50 mg/dL (overall, daytime, and nighttime separately)
6 months
Phase 1 (T2DM) - CGM Outcomes
% time greater than 180 mg/dL (overall, daytime, and nighttime separately)
6 months
Phase 1 (T2DM) - CGM Outcomes
% time greater than 250 mg/dL (overall, daytime, and nighttime separately)
6 months
Phase 1 (T2DM) - CGM Outcomes
% time greater than 300 mg/dL (overall, daytime, and nighttime separately)
6 months
Phase 1 (T2DM) - CGM Outcomes
Area above curve 70 mg/dL (overall, daytime, and nighttime separately)
6 months
Phase 1 (T2DM) - CGM Outcomes
Area under curve 180 mg/dL (overall, daytime, and nighttime separately)
6 months
Phase 1 (T2DM) - Hypoglycemia Awareness
Change in Clarke Hypoglycemia Unawareness score from baseline to 24 weeks
6 months
Phase 1 (T2DM) - SMBG
Change in SMBG frequency from baseline to 24 weeks
6 months
Phase 1 (T2DM) - QoL Outcomes
Quality of life changes from baseline to 24 weeks
6 months
Phase 1 (T2DM) - Cost Effectiveness
Cost effectiveness measured by the incremental cost-effectiveness ratio (ICER)
6 months
Phase 1 (T2DM) - Adverse Events
Change in the number of SH Events from baseline to 24 weeks
6 months
Phase 1 (T2DM) - Adverse Events
Change in the number of DKA Events from baseline to 24 weeks
6 months
Phase 1 (T2DM) - Body Weight
Change in body weight from baseline to 24 weeks
6 months
Phase 1 (T2DM) - Insulin Use Outcomes
Change in total daily insulin from baseline to 24 weeks
6 months
Phase 1 (T2DM) - Insulin Use Outcomes
Basal to bolus insulin ratio
6 months
Phase 1 (T2DM) - Insulin Use Outcomes
Change in the number of boluses/day from baseline to 24 weeks
6 months
Phase 2 (T1DM) - A1C Outcomes
Change in A1C from Phase 2 baseline to Phase 2 28 weeks
6 months
Phase 2 (T1DM) - A1C Outcomes
% of subjects with A1C less than 7%
6 months
Phase 2 (T1DM) - A1C Outcomes
% of subjects with A1C less than 7.5%
6 months
Phase 2 (T1DM) - A1C Outcomes
% of subjects with a relative reduction in A1C greater than or equal to 10%
6 months
Phase 2 (T1DM) - A1C Outcomes
% of subjects with a reduction in A1C greater than or equal to 1%
6 months
Phase 2 (T1DM) - A1C Outcomes
% of subjects with a reduction in A1C greater than or equal to 1% or A1C less than 7%
6 months
Phase 2 (T1DM) - CGM Outcomes
Mean glucose (overall, daytime, and nighttime separately)
6 months
Phase 2 (T1DM) - CGM Outcomes
Glucose variability (overall, daytime, and nighttime separately)
6 months
Phase 2 (T1DM) - CGM Outcomes
% time less than 70 mg/dL (overall, daytime, and nighttime separately)
6 months
Phase 2 (T1DM) - CGM Outcomes
% time less than 60 mg/dL (overall, daytime, and nighttime separately)
6 months
Phase 2 (T1DM) - CGM Outcomes
% time less than 50 mg/dL (overall, daytime, and nighttime separately)
6 months
Phase 2 (T1DM) - CGM Outcomes
% time greater than 180 mg/dL (overall, daytime, and nighttime separately)
6 months
Phase 2 (T1DM) - CGM Outcomes
% time greater than 250 mg/dL (overall, daytime, and nighttime separately)
6 months
Phase 2 (T1DM) - CGM Outcomes
% time greater than 300 mg/dL (overall, daytime, and nighttime separately)
6 months
Phase 2 (T1DM) - CGM Outcomes
Area above curve 70 mg/dL (overall, daytime, and nighttime separately)
6 months
Phase 2 (T1DM) - CGM Outcomes
Area above curve 180 mg/dL (overall, daytime, and nighttime separately)
6 months
Phase 2 (T1DM) - Hypoglycemia Awareness
Change in Clarke Hypoglycemia Unawareness score from Phase 2 baseline to Phase 2 28 weeks
6 months
Phase 2 (T1DM) - CGM Use
Change in frequency of CGM use from Phase 2 baseline to Phase 2 28 weeks
6 months
Phase 2 (T1DM) - SMBG
Change in SMBG frequency from Phase 2 baseline to Phase 2 28 weeks
6 months
Phase 2 (T1DM) - QoL Outcomes
Quality of life changes from Phase 2 baseline to Phase 2 28 weeks
6 months
Phase 2 (T1DM) - Cost Effectiveness
Cost effectiveness measured by the incremental cost-effectiveness ratio (ICER)
6 months
Phase 2 (T1DM) - Adverse Events
Change in the number of SH Events from Phase 2 baseline to Phase 2 28 weeks
6 months
Phase 2 (T1DM) - Adverse Events
Change in the number of DKA Events from Phase 2 baseline to Phase 2 28 weeks
6 months
Phase 2 (T1DM) - Body Weight
Change in body weight from Phase 2 baseline to Phase 2 28 weeks
6 months
Phase 2 (T1DM) - Insulin Use Outcomes
Change in total daily insulin from Phase 2 baseline to Phase 2 28 weeks
6 months
Phase 2 (T1DM) - Insulin Use Outcomes
Basal to bolus insulin ratio
6 months
Phase 2 (T1DM) - Insulin Use Outcomes
Change in the number of boluses/day from Phase 2 baseline to Phase 2 28 weeks
6 months
קריטריוני זכאות

גילאים מוערכים למחקר
מבוגר, גיל שלישי
גיל מינימלי למחקר
25 Years
מגדרים מוערכים למחקר
הכל
  • Age 25 years or older
  • Diagnosis of Type 1 diabetes mellitus or insulin-requiring Type 2 diabetes mellitus
  • Followed regularly by a physician or diabetes educator
  • Using multiple daily injections
  • stable control of diabetes
  • willing to wear a device such as pump or continuous glucose monitor

  • recent or planned use of non-insulin injectable hypoglycemic agents
  • Pregnancy or planning to become pregnant during the study
  • Medical conditions that make it inappropriate or unsafe to target an A1C of <7%
  • Renal disease with Glomerular Filtration Rate <45
  • Extensive skin changes/disease that precludes wearing the sensor on normal skin
  • Known allergy to medical-grade adhesives
  • Recent hospitalization or emergency room visit in the 6 months prior to screening resulting in primary diagnosis of uncontrolled diabetes
DexCom, Inc. logoDexCom, Inc.
Jaeb Center for Health Research logoJaeb Center for Health Research
אין נתוני קשר.
30 מיקומי המחקר ב-2 מדינות

California

Marin Endocrine Care & Research, Greenbrae, California, 94904, United States
Coastal Metabolic Research Centre, Ventura, California, 93003, United States

Florida

East Coast Institute for Research, LLC, Jacksonville, Florida, 32204, United States
East Coast Institute for Research, LLC, Jacksonville, Florida, 32216, United States

Georgia

Laureate Medical Group at Northside, LLC, Atlanta, Georgia, 30308, United States
Atlanta Diabetes Associates, Atlanta, Georgia, 30318, United States
Columbus Regional Research Institute, Columbus, Georgia, 31904, United States
Physicians Research Associates, LLC, Lawrenceville, Georgia, 30046, United States
Endocrine Research Solutions, Roswell, Georgia, 30076, United States

Idaho

Rocky Mountain Diabetes & Osteoporosis Center, Idaho Falls, Idaho, 83404, United States

Iowa

Iowa Diabetes & Endocrinology Research Center, Des Moines, Iowa, 50314, United States

Massachusetts

Joslin Diabetes Center, Boston, Massachusetts, 02215, United States

Michigan

Henry Ford Health System, Detroit, Michigan, 48202, United States

Minnesota

International Diabetes Center, Minneapolis, Minnesota, 55416, United States

Missouri

Washington University in St. Louis, St Louis, Missouri, 63110, United States

Nebraska

Diabetes & Endocrine Associates, PC, Omaha, Nebraska, 68114, United States

Nevada

Accent Clinical Research, Las Vegas, Nevada, 89106, United States

New York

Albany Medical College, Albany, New York, 12206, United States

North Carolina

Mountain Diabetes and Endocrine Center, Asheville, North Carolina, 28803, United States

Oregon

Legacy Research Institute, Portland, Oregon, 97225, United States
Oregon Health & Science University, Portland, Oregon, 97239, United States

Texas

Amarillo Medical Specialists, LLP, Amarillo, Texas, 79106, United States
Research Institute of Dallas, Dallas, Texas, 75231, United States
Diabetes and Glandular Disease, San Antonio, Texas, 78229, United States
Consano Clinical Research, San Antonio, Texas, 78258, United States

Utah

Advanced Research Associates, Ogden, Utah, 84405, United States
Granger Medical Clinic, Riverton, Utah, 84065, United States

Ontario

LMC Clinical Research, Barrie, Ontario, L4M 7G1, Canada
LMC Clinical Research, Thornhill, Ontario, L4J 8L7, Canada
LMC Clinical Research, Toronto, Ontario, M4G 3E8, Canada