- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02074384
Patient and Provider Glucose Reporting Preferences Ambulatory Glucose Profile (AGP)
Understanding Patient and Provider Glucose Reporting Preferences in Type 1 Diabetes: Cloud Based Ambulatory Glucose Profile (AGP)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Patient participation in diabetes treatment has relied upon episodic self-monitoring of blood glucose (SMBG). SMBG assists patients and clinicians with adjustments of insulin, identification of hypoglycemia, nutritional intake and activity in order to optimize diabetes control. SMBG however is subject to bias dependent upon the testing frequency and timing. In contrast, continuous glucose monitoring (CGM) systems capture continuous 24-hour glucose data uninterrupted and unbiased. It provides valuable information about daily/nightly alterations in glucose patterns. Unfortunately SMBG, CGM and insulin pump devices have proprietary software with unique data standards, acquisition methods, reports, and graphic displays. These differences make evaluation and comparison of SMBG or CGM data difficult for clinicians and patients. IDC created an Ambulatory Glucose Profile (AGP) report to reduce challenges of device specific reports through a standardized report which is produced from any device with streamlined graphic displays of glucose trends.
The phase 1 project (2012), gathered expert stakeholders (clinical, research, industry, patients) who validated data standards and recommended changes to the CGM-AGP reports. These changes are now integrated into a secure cloud-based infrastructure for AGP reporting.
Phase 2 of this project is a usability and preference study of glucose reporting systems. It will include an in depth study of 6 T1D Ex clinical sites. The T1D Exchange Clinic Network was formed to support the development of a large registry of adults and children with type 1 diabetes for the purpose of conducting multiple studies proposed by T1D Exchange investigators, and other researchers, patients, and companies.
The 6 sites will be selected for an in-depth study utilizing middleware data collection services (Diasend or SweetSpot) to facilitate efficient collection of data from diverse devices. These middleware solutions integrate with the captūrAGP system to automatically produce an AGP report. These sites will test the feasibility of AGP cloud reporting while collecting patient and clinician opinions on report preference. All 6 sites participating in phase 2 will collect patient and clinician preference measures. Two study sites will undergo time in motion (TIM) measurement and workflow mapping of current process. This TIM sub-study includes workflow mapping of current and cloud-based processes utilizing Toyota Lean (Kaizen) methodology. Sites 3 - 6 will receive enhanced designs through the adaptive trial method with learnings applied from sites 1 and 2.
A key deliverable of this study is patient and clinician insight into their utilization of CGM reporting technologies. Recognizing that adoption of technology is often stymied by time constraints, report reliability and ease of interpretation, these variables will be examined. The goal of phase 2 is to analyze the viability of standard reporting and to evaluate preference (patient and clinicians) for and perceived value of different types of glucose pattern reports (AGP vs. device) including clinical practice time saved.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Connecticut
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New Haven, Connecticut, United States, 06511
- Eda Cengiz
-
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Florida
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Tallahassee, Florida, United States, 32308
- Larry Deeb
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Michigan
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Detroit, Michigan, United States, 48202
- Henry Ford
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Minnesota
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Minneapolis, Minnesota, United States, 55416
- Park Nicollet International Diabetes Center
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Mississippi
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Ocean Springs, Mississippi, United States, 39564
- The Diabetes Center, PLLC
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Montana
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Billings, Montana, United States, 59101
- St. Vincent's
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New York
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New York City, New York, United States, 10032
- Columbia University
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Type 1 Diabetics
Exclusion Criteria:
- Less than the age of 7
- Non-English Speaker
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: Continuous Glucose Monitoring
Participants will wear Continuous Glucose Monitoring for two weeks.
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CGM device for measurement of interstitial glucose on a 24/7 continuous cycle.
Other Names:
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Other: Self Monitoring Blood Glucose
Participants will self test for two weeks.
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Participants will use their own SMBG device.
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Other: Clinicians
Clinicians completing study visits.
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Survey of clinicians after study visits
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Portion of Study Participants Reporting Greater Utility From AGP vs. Traditional Glucose Data Reports
Time Frame: At the end of the two week SMBG or CGM period
|
Patients will use either SMBG or CGM for a two week period following their screening visit.
At the end of the two week period they will return to the study site to download their device and have an AGP report printed.
They will then complete a preference and utility survey.
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At the end of the two week SMBG or CGM period
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Richard Bergenstal, MD, Park Nicollet
- Principal Investigator: Deborah Mulllen, PhD, Park Nicollet
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 04356-14-A
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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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