Impact of SomaSignal Tests on the Choice of Glucose-lowering Medications
Impact of SomaSignal Tests on the Choice of Glucose-lowering Medications: An Adaptive Implementation Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Neda Rasouli, MD
- Phone Number: 3037244651
- Email: neda.rasouli@cuanschutz.edu
Study Contact Backup
- Name: Aanchal Gupta, MD Candidate-2022
- Phone Number: 303-724-1292
- Email: aanchal.gupta@ucdenver.edu
Study Locations
-
-
Colorado
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Aurora, Colorado, United States, 80045
- Aanchal Gupta
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria: Provider
- Licensed provider actively practicing medicine at a UC Health clinic that routinely provides medical treatment for patients with type 2 diabetes
Inclusion Criteria: Patient
- Patients receiving care at a UC Health system
- Age 40 years or older
- Type 2 Diabetes
- Eligible for (per drug label/guidelines) at least one of the following classes: SGLT2i, PCSK9i, GLP-1 RA
- Able to provide consent
Exclusion Criteria:
- Use of SGLT2i , GLP1RA and PCSK9i within the 3 months prior to enrollment
- Systemic Lupus Erythematous (SLE)*
- Pregnancy (as determined by self report)
- Intolerance or contraindication for use of both GLP1RA and SGLT2i
History of, an active, or untreated malignancy, in remission from a clinically significant malignancy (other than basal or squamous cell skin cancer, in situ carcinomas of the cervix, or in situ prostate cancer) for less than 5 years prior to, or are receiving or planning to receive therapy for cancer, at screening
- Samples provided by patients with SLE may fail to produce results or may produce inaccurate results because autoantibodies in the patient plasma may interact with the DNA-based reagents used in the assay
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Group 1: SomaSignal Informed Medical Management (CVDT2D test, informed)
Blood draw for cardiovascular CVDT2D test at baseline and 6 months (+/- 30 days).
SomaSignal Test results will be sent to the providers and then shared with study participants.
Participants' medical record will be reviewed, and they may be contacted within 30 days after baseline and 6-month visits to review changes in treatment strategy (nothing, add/remove medication, etc.) made at visit.
|
Providers and patients will be informed of CVD-T2D test results that predict the risk of cardiovascular events over the next 4 years after their first research visit.
Other Names:
|
|
Placebo Comparator: Group 2: Standard of Care (CVDT2D test, uninformed)
Similar to group 1 but SomaSignal CV test results will not be provided to participants until after the intervention period.
|
Providers and patients will be informed of CVD-T2D test results that predict the risk of cardiovascular events over the next 4 years after their second research visit.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Prescription rates of cardioprotective medications in the informed group vs uniformed group at Baseline
Time Frame: Baseline
|
Determine whether risk stratification results from SomaLogic's CVDT2D test leads to risk concordant changes in prescriptions and/or medical management through a patient and provider completed questionnaire.
Questionnaire is a binary measurement of "prescribed medicine?"
with possible answers "Yes" or "No".
Number of participants prescribed medication will be reported.
|
Baseline
|
|
Prescription rates of cardioprotective medications in the informed group vs uniformed group at Month 6
Time Frame: 6 months
|
Determine whether risk stratification results from SomaLogic's CVDT2D test leads to risk concordant changes in prescriptions and/or medical management through a patient and provider completed questionnaire.
Questionnaire is a binary measurement of "prescribed medicine?"
with possible answers "Yes" or "No".
Number of participants prescribed medication will be reported.
|
6 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in protein predicted risk: SomaLogic CVDT2D test
Time Frame: Baseline, 6 months
|
Longitudinal changes in protein-predicted risk as measured by SomaLogic CVDT2D test over 6 months
|
Baseline, 6 months
|
|
Change in protein predicted risk: biomarkers
Time Frame: Baseline, 6 months
|
Longitudinal changes in protein-predicted risk as measured by conventional biomarkers of risk over 6 months
|
Baseline, 6 months
|
|
Standard of care risk assessment: body mass index (BMI) at baseline
Time Frame: Baseline
|
Body mass index (BMI) measures a person's weight in kilograms divided by the square of the person's height in meters.
Scores between 18.5 and 24.9 indicate a healthy weight.
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Baseline
|
|
Standard of care risk assessment: body mass index (BMI) at 6 months
Time Frame: 6 months
|
Body mass index (BMI) measures a person's weight in kilograms divided by the square of the person's height in meters.
Scores between 18.5 and 24.9 indicate a healthy weight.
|
6 months
|
|
Standard of care risk assessment: Atherosclerotic Cardiovascular Disease risk calculator (ASCVD) at baseline
Time Frame: Baseline
|
The Atherosclerotic Cardiovascular Disease risk calculator (ASCVD) measures the estimated risk of cardiovascular disease over the next ten years.
Possible scores range from <5% to >/=20%, with higher scores indicating a worse outcome.
|
Baseline
|
|
Standard of care risk assessment: Atherosclerotic Cardiovascular Disease risk calculator (ASCVD) at 6 months
Time Frame: 6 months
|
The Atherosclerotic Cardiovascular Disease risk calculator (ASCVD) measures the estimated risk of cardiovascular disease over the next ten years.
Possible scores range from <5% to >/=20%, with higher scores indicating a worse outcome.
|
6 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Neda Rasouli, MD, University of Colorado, Denver
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 (Actual)
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
- 21-4510
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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