Glooko mHealth Advantage Study
The Glooko Diabetes Mobile Monitoring and Management Advantage Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
California
-
Concord, California, United States, 94520
- John Muir Physician Network Clinical Research Center
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Elk Grove, California, United States, 95758
- Sutter Health
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San Diego, California, United States, 92121
- Scripps Whittier Diabetes Institute
-
-
Montana
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Billings, Montana, United States, 59101
- Billings Clinic
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subject has voluntarily signed and dated an informed consent form, approved by an Institutional Review Board/Independent Ethics Committee, and provided Health Insurance Portability and Accountability Act (HIPAA) or other privacy authorization prior to any participation in study.
- Subject has self-reported type 2 diabetes.
- Subject has HbA1c ≥ 7.5% and ≤ 12.5% measured within 30 days of screening visit.
- Subject is on a stable diabetes therapeutic regimen of two or more diabetic medications (e.g., metformin plus one other antihyperglycemic agent) and/or insulin therapy for at least 2 months before screening visit. Dose changes or adjustments made within 2 months is acceptable as long as the patient has been on the medication regimen for 2 months or longer.
- Subject is ≥ 18 and ≤ 75 years of age.
- Subject is a male or non-pregnant, non-lactating female, at least 6 weeks postpartum prior to screening visit. A urine pregnancy test is required for all female subjects unless she is not of childbearing potential, defined as postmenopausal for at least one year prior to screening visit or surgically sterile (bilateral tubal ligation, bilateral oophorectomy, or hysterectomy).
If female is of childbearing potential, is practicing one of the following methods of birth control (and will continue through the duration of the study):
- Condoms, sponge, diaphragm, or intrauterine device;
- Oral or parenteral contraceptives for 3 months prior to screening visit;
- Vasectomized partner;
- Total abstinence from sexual intercourse
- Subject is able to speak, read and write in English
- Subject has a Glooko compatible smartphone/device with an active data plan or access to Wi-Fi and downloaded at least one mobile application on their phone on their own.
- Subject has performed self-monitoring of blood glucose at least five (5) times within two (2) weeks prior to screening visit.
Exclusion Criteria:
- Subject has type 1 diabetes.
- Subject has advanced disease (physical or psychological) that would prevent them from being able to comply with study tasks and considered exclusionary by the study physicians.
- Subject has been on medication or therapy within the last 2 months that severely affects blood glucose levels (e.g. corticosteroids).
- Subject has visual impairment which severely limits his/her ability to see or use the mobile application.
- Subject is a participant in another clinical study that has not been approved as a concomitant study by Glooko.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
NO_INTERVENTION: Standard of Care
Subjects in this arm will visit their physician once every 3 months and will receive usual care.
|
|
|
EXPERIMENTAL: Remote Monitoring
Subjects in this arm will visit their physician once every 3 months and will receive usual care.
In addition, in between clinic visits, subjects will measure their blood glucose (BG) readings at least once a day and share their BG readings with their CDE using Glooko's mobile application.
Once a week, the CDE will review the subject's BG readings on Glooko's population tracker and reach out to the subjects if he/she experienced clinical incident(s).
During the conversation, the CDE will either recommend medication or lifestyle modification to address the clinical incident.
|
Standard of care and Remote monitoring
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in HbA1c from baseline
Time Frame: 24 weeks
|
Change in HbA1c from baseline
|
24 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in HbA1c from baseline
Time Frame: 12 weeks
|
Change in HbA1c from baseline
|
12 weeks
|
|
Percentage of patients achieving </=7%
Time Frame: 12 and 24 weeks
|
Percentage of patients achieving </=7%
|
12 and 24 weeks
|
|
Basal insulin dose(Change from baseline)
Time Frame: 12 and 24 weeks
|
Basal insulin dose(Change from baseline)
|
12 and 24 weeks
|
|
Bolus insulin dose(Change from baseline)
Time Frame: 12 and 24 weeks
|
Bolus insulin dose(Change from baseline)
|
12 and 24 weeks
|
|
Change in Total insulin dose(Change from baseline)
Time Frame: 12 and 24 weeks
|
Change in Total insulin dose(Change from baseline)
|
12 and 24 weeks
|
|
Weight(Change from baseline)
Time Frame: 12 and 24 weeks
|
Weight(Change from baseline)
|
12 and 24 weeks
|
|
Problem Areas in Diabetes score(Change from baseline)
Time Frame: 12 and 24 weeks
|
Problem Areas in Diabetes score(Change from baseline)
|
12 and 24 weeks
|
|
Rate of hypoglycemic events (blood glucose level <70mg/dL)
Time Frame: 12 and 24 weeks
|
Rate of hypoglycemic events (blood glucose level <70mg/dL)
|
12 and 24 weeks
|
|
Self-monitoring blood glucose frequency
Time Frame: 12 and 24 weeks
|
Self-monitoring blood glucose frequency
|
12 and 24 weeks
|
|
Mean blood glucose concentration(Change from baseline)
Time Frame: 12 and 24 weeks
|
Mean blood glucose concentration(Change from baseline)
|
12 and 24 weeks
|
|
Number of ER visits(Change from baseline)
Time Frame: 12 and 24 weeks
|
Number of ER visits(Change from baseline)
|
12 and 24 weeks
|
|
Number of hospitalizations(Change from baseline)
Time Frame: 12 and 24 weeks
|
Number of hospitalizations(Change from baseline)
|
12 and 24 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- UK Prospective Diabetes Study Group. Tight blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes: UKPDS 38. UK Prospective Diabetes Study Group. BMJ. 1998 Sep 12;317(7160):703-13. Erratum In: BMJ 1999 Jan 2;318(7175):29.
- American Diabetes Association. Economic costs of diabetes in the U.S. in 2012. Diabetes Care. 2013 Apr;36(4):1033-46. doi: 10.2337/dc12-2625. Epub 2013 Mar 6.
- Quinn CC, Shardell MD, Terrin ML, Barr EA, Ballew SH, Gruber-Baldini AL. Cluster-randomized trial of a mobile phone personalized behavioral intervention for blood glucose control. Diabetes Care. 2011 Sep;34(9):1934-42. doi: 10.2337/dc11-0366. Epub 2011 Jul 25. Erratum In: Diabetes Care. 2013 Nov;36(11):3850.
- Huang ES, Basu A, O'Grady M, Capretta JC. Projecting the future diabetes population size and related costs for the U.S. Diabetes Care. 2009 Dec;32(12):2225-9. doi: 10.2337/dc09-0459.
- Cowie CC, Rust KF, Ford ES, Eberhardt MS, Byrd-Holt DD, Li C, Williams DE, Gregg EW, Bainbridge KE, Saydah SH, Geiss LS. Full accounting of diabetes and pre-diabetes in the U.S. population in 1988-1994 and 2005-2006. Diabetes Care. 2009 Feb;32(2):287-94. doi: 10.2337/dc08-1296. Epub 2008 Nov 18. Erratum In: Diabetes Care. 2011 Oct;34(10):2338.
- Standards of medical care in diabetes--2015: summary of revisions. Diabetes Care. 2015 Jan;38 Suppl:S4. doi: 10.2337/dc15-S003. No abstract available.
- Fisher L, Glasgow RE, Mullan JT, Skaff MM, Polonsky WH. Development of a brief diabetes distress screening instrument. Ann Fam Med. 2008 May-Jun;6(3):246-52. doi: 10.1370/afm.842.
- Welch GW, Jacobson AM, Polonsky WH. The Problem Areas in Diabetes Scale. An evaluation of its clinical utility. Diabetes Care. 1997 May;20(5):760-6. doi: 10.2337/diacare.20.5.760.
Study record dates
Study Major Dates
Study Start (ACTUAL)
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- GL1
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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