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Kaartweergave

Usefulness of Continuous Glucose Monitoring in MODY Diagnosis (UCMODY) 500 Observationeel

Afgerond
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De klinische studie NCT05918484 (UCMODY) was een observationeel studie bij Type 1 diabetes, MODY en is nu afgerond. Er werd gestreefd naar inclusie van 500 deelnemers vanaf 1 juli 2023. De studie werd geleid door Castilla-La Mancha Health Service en was gepland te worden voltooid op 31 januari 2025. Laatste update op ClinicalTrials.gov: 10 februari 2025.
Beknopte samenvatting
Observational study about usefulness of intermittently scanned continuous glucose monitoring (isCGM) in the diagnosis of maturity-onset of the young (MODY) patients.
Uitgebreide beschrijving
Cross-sectional retrospective analysis of all patients with type 1 diabetes (T1D) in Castilla-La Mancha (south-central Spanish region) using intermittently scanned continuous glucose monitoring (isCGM). This study aimed to asses the usefulness of isCGM in the diagnosis of MODY patients that were previously wrongly diagnosed as T1D patients.

The following glycometrics were taking into account as MODY predictors: time...

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Officiële titel

Usefulness of Intermittently Scanned Continuous Glucose Monitoring in the Diagnosis of Maturity-onset Diabetes of the Young (MODY) Patients

Aandoeningen
Type 1 diabetesMODY
Publicaties
Wetenschappelijke artikelen en onderzoekspapers gepubliceerd over deze klinische studie:
Andere studie-ID's
  • UCMODY
  • C-621
NCT-ID
Startdatum (Werkelijk)
2023-07-01
Laatste update geplaatst
2025-02-10
Verwachte einddatum
2025-01-31
Inschrijving (Geschat)
500
Studietype
Observationeel
Status
Afgerond
Armen / Interventies
Deelnemersgroep/StudiearmInterventie/Behandeling
Type 1 diabetes patients
All type 1 diabetes patients using intermittently scanned continuous glucose monitoring (isCGM) in Castilla-La Mancha (Spain).
Intermittenly scanned continuous glucose monitoring
Use of Intermittenly scanned continuous glucose monitoring (FreeStyle Libre) and meeting the glycometric data criteria: * Time in range 70-180 mg/L \>70% * Glycemic management index \<7% * Coefficient of variation \<36%
MODY genetic diagnostic test
Those patients fulfilling the glycometric data criteria and with clinical MODY suspicion: * diagnosis before 35 years of age * first-degree family history of diabetes. * negative pancreatic autoimmunity (Ac GAD, IA-2A and Ac ZnT8) * preserved pancreatic beta cell function defined as C-peptide \> 0.2 ng/mL in the presence of plasma glycemia \>140 mg/dL). Those patients who meet the previous criteria will proceed to ...Toon meer
Primaire uitkomst
UitkomstmaatBeschrijving van de uitkomstmaatTijdsbestek
Positive predictive value
Positive predictive value of the combination of the glucometric variables TIR\>70%, GMI \<7% and CV \<36% in the diagnosis of MODY. Units % (min 0, max 100)
14 days
Negative predictive value
Negative predictive value of the combination of the glucometric variables TIR\>70%, GMI \<7% and CV \<36% in the diagnosis of MODY. Units % (min 0, max 100)
14 days
Sensitive
Sensitive of the combination of the glucometric variables TIR\>70%, GMI \<7% and CV \<36% in the diagnosis of MODY. Units % (min 0, max 100)
14 days
Specificity
Specificity of the combination of the glucometric variables TIR\>70%, GMI \<7% and CV \<36% in the diagnosis of MODY. Units % (min 0, max 100)
14 days
Secundaire uitkomst
UitkomstmaatBeschrijving van de uitkomstmaatTijdsbestek
Percetage of wrongly diagnosed type 1 diabetes patients
To assess the percentage of MODY patients with misdiagnosis of DM1. Units % (min 0, max 100)
14 days
Time in range of interstitial glucose in MODY patients
To assess the percetage of time in range (70-180 mg/dL, 3.9-10 mmol/L) of interstitial glucose in patients finally diagnosed as MODY. Units % (min 0, max 100)
14 days
Time above range of interstitial glucose in MODY patients.
To assess the percentage of time above range (\>180 mg/dL, \>10 mmol/L) of patients finally diagnosed as MODY. Units % (min 0, max 100)
14 days
Time beloww range of interstitial glucose in MODY patients.
To assess the percentage of time bellow range (\<70 mg/dL, \<3.9 mmol/L) of patients finally diagnosed as MODY. Units % (min 0, max 100)
14 days
Coefficient of variation of interstitial glucose in MODY patients.
To assess the coefficient of variations of patients finally diagnosed as MODY. Units % (min 0, max 100)
14 days
isCGM daily scan frequency in MODY patients
To analyze the use of iCGM in patients finally diagnosed as MODY through daily frequency of scanning (number daily scans, min 0-max 100).
14 days
Percentage of iCGM in MODY patients
To analyze the percentage of iCGM use in patients finally diagnosed as MODY (% time in use, units %, mix 0- max 100).
14 days
Geschiktheidscriteria

Leeftijd van deelnemers
Volwassene, Oudere volwassene
Minimumleeftijd
18 Years
Geslachten die in aanmerking komen voor de studie
Allen
  • Presence of T1D.
  • Age equal or higher than 18 years old.
  • In treatment with isCGM system.
  • Active data in Libreview.
  • isCGM use >70% of the possible time of use (isCGM data quality criteria).
  • Time in range >70%, glucose management index <7% and coefficiente of variation <36% in the last 14 days glucometric recording.

  • Not receiving treatment with isCGM.
  • Diagnosis of T1D in the last three years.
  • Gestation in progress or programmed pregnancy.
Castilla-La Mancha Health Service logoCastilla-La Mancha Health Service
Geen contactgegevens beschikbaar
9 Studielocaties in 1 landen

Albacete

Albacete University Hospital, Albacete, Albacete, 02006, Spain

Ciudad Real

La Mancha-Centro Hospital, Alcázar de San Juan, Ciudad Real, 13600, Spain
Santa Barbara Hospital, Puertollano, Ciudad Real, 13500, Spain
Valdepeñas General Hospital, Valdepeñas, Ciudad Real, 13300, Spain

Cuenca

Virgen de la Luz University Hospital, Cuenca, Cuenca, 16002, Spain

Guadalajara

Guadalajara University Hospital, Guadalajara, Guadalajara, 19002, Spain

Malaga

Maria Jose Picon, Málaga, Malaga, 29010, Spain

Toledo

Virgen del Prado Hospital, Talavera de la Reina, Toledo, 45600, Spain
Toledo University Hospital, Toledo, Toledo, 45007, Spain