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

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임상시험 NCT02282397 (DIaMonD)은(는) 당뇨병에 대해 알아본 중재연구입니다. 현재 상태는 완료입니다. 연구는 2014년 9월 1일에 시작되어 316명의 참여자와 함께 진행되었습니다. DexCom, Inc.이(가) 진행한 이 연구는 2016년 11월 1일에 마무리되었습니다. ClinicalTrials.gov의 가장 최근 정보는 2017년 5월 15일에 갱신되었습니다.
간단한 개요
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.
상세한 설명
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...

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공식 제목

Multiple Daily Injections and Continuous Glucose Monitoring in Diabetes

질환명
당뇨병
출판물
이 임상시험에 대해 발표된 과학 논문 및 연구 자료.
기타 연구 식별자
  • DIaMonD
  • PTL-901148
NCT 번호
실제 연구 시작일
2014-09
최신 업데이트 게시
2017-05-15
예상 연구 완료일
2016-11
계획된 등록 인원
316
연구종류
중재연구
단계/상
해당 없음
상태
완료
키워드
Diabetes Mellitus
주요 목적
진단
설계 할당
무작위배정
중재 모델
평행설계
맹검 (마스킹)
없음 (오픈 라벨)
시험군 / 개입
참가자 그룹/시험군개입/치료
비개입Phase 1: SMBG
Type 1 or Type 2 diabetes mellitus subjects using SMBG testing and usual care for diabetes management. No intervention to be administered
해당 없음
기타Phase 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.
연속 혈당 모니터
RT-CGM are adjunctive devices with glucose trend graphs and user-configurable low and high glucose alerts.
비개입Phase 2: CGM/MDI
Type 1 Diabetes Mellitus subjects using RT-CGM and injections for diabetes management.
해당 없음
비개입Phase 2: CGM/CSII
Type 1 Diabetes Mellitus subjects using RT-CGM and CSII for diabetes management.
해당 없음
주요결과변수
결과변수측정값 설명시간 범위
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
이차결과변수
결과변수측정값 설명시간 범위
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
적격성 기준

연령대
성인, 노인
최소 연령
25 Years
참여 가능한 성별
전체
  • 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
연락처 정보가 없습니다.
30 2개국에 임상시험 장소

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