- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05874635
Signos DM2 Empowerment Study (SIGNOS-CGM-EMPOWER-201-2022)
May 24, 2023 updated by: Stephanie Kim, M.D., MPH, Signos Inc
Use of Signos mHealth Platform in Participants With Non-Insulin Dependent Type 2 Diabetes: Weight and Blood Glucose
The use of continuous glucose monitoring (CGM) in earlier data has inspired behavioral changes leading to improved adherence to an exercise plan in individuals and eating habits in people with diabetes.
Mobile health (mHealth) platforms provide satisfactory, easy-to-use tools to help participants in the pursuit of weight change goals.
We hypothesize that the use of CGM data and the Signos mHealth platform will assist with weight control in a population of people with type 2 diabetes mellitus who are not using insulin.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
The scope of this study is to enroll existing and new Signos non-insulin dependent type 2 diabetes mellitus users in a volunteer study that utilizes a continuous glucose monitor (CGM) and mobile health application [Signos] to optimize general wellness and body weight and composition.
This is a no more than minimal risk study.
Study Type
Interventional
Enrollment (Estimated)
20000
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Study Administration
- Phone Number: 6502634502
- Email: [email protected]
Study Locations
-
United States
-
California
-
Palo Alto, California, United States, 94306
- Recruiting
- Signos
-
Contact:
- Study Administrator
- Phone Number: 650-263-4502
- Email: [email protected]
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Yes
Description
Inclusion Criteria:
- Medical diagnosis of Type 2 Diabetes; determined by review of subject-provided most recent Hg A1c.
- Subject is under current care of a primary care provider or specialist
- Clearance by medical provider to participate in diet, physical activity, and lifestyle changes
- 18 years and above
- Own a smartphone and be willing to install the Signos App to personally receive text messages or have access to a web-based survey to self-report their weight.
- Willingness to complete quality of life questionnaires or other in-app surveys.
- Willingness to use CGM device
- Able to speak and read English
- Be a Signos mHealth (mobile/web-based) user
Exclusion Criteria:
- Medical diagnosis of Type 1 Diabetes
- Type 2 Diabetes currently using insulin or most recent A1c ≥10%
- Severe hypoglycemia <54 mg/dl resulting in seizure or unconsciousness, or requiring assistance/EMS/hospitalization - within 3 months prior to enrollment
- Current medical diagnosis of an eating disorder (such as anorexia nervosa or bulimia)
- Medical conditions (e.g., such as seizure disorder) requiring a specific medical diet.
- Inborn error of metabolism such as phenylketonuria (PKU), glycogen storage disease, fructose intolerance, Maple Sugar Urine Disease (MSUD).
- History of 10 or more soft tissue skin infections (such as cellulitis or abscesses)
- Intolerable skin reaction from adhesive
- Currently taking any of the following medications: Clozapine, Hydroxyurea, or any form of insulin.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Signos digital health app and CGM
For all consented participants, the Signos app will use CGM data to provide recommendations customized to users for promoting general health and wellness.
|
Continuous glucose monitoring automatically tracks blood glucose levels, also called blood sugar, throughout the day and night.
You can see your glucose level anytime at a glance.
You can also review how your glucose changes over a few hours or days to see trends.
Seeing glucose levels in real time can help you make more informed decisions throughout the day about how to balance your food and physical activity.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
App engagement
Time Frame: During enrollment in the trial for a maximum of 5 years, including a 1 year follow up period, for a maximum of 6 years.
|
Meals logged, Exercises logged, Activities completed
|
During enrollment in the trial for a maximum of 5 years, including a 1 year follow up period, for a maximum of 6 years.
|
Glucose Metrics via Continuous Glucose Measurement (CGM)
Time Frame: During enrollment in the trial for a maximum of 5 years, including a 1 year follow up period, for a maximum of 6 years.
|
Glucose measured in mg/dl
|
During enrollment in the trial for a maximum of 5 years, including a 1 year follow up period, for a maximum of 6 years.
|
Change in weight in pounds
Time Frame: During enrollment in the trial for a maximum of 5 years, including a 1 year follow up period, for a maximum of 6 years.
|
Change in number of pounds
|
During enrollment in the trial for a maximum of 5 years, including a 1 year follow up period, for a maximum of 6 years.
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Zeevi D, Korem T, Zmora N, Israeli D, Rothschild D, Weinberger A, Ben-Yacov O, Lador D, Avnit-Sagi T, Lotan-Pompan M, Suez J, Mahdi JA, Matot E, Malka G, Kosower N, Rein M, Zilberman-Schapira G, Dohnalova L, Pevsner-Fischer M, Bikovsky R, Halpern Z, Elinav E, Segal E. Personalized Nutrition by Prediction of Glycemic Responses. Cell. 2015 Nov 19;163(5):1079-1094. doi: 10.1016/j.cell.2015.11.001.
- Hall H, Perelman D, Breschi A, Limcaoco P, Kellogg R, McLaughlin T, Snyder M. Glucotypes reveal new patterns of glucose dysregulation. PLoS Biol. 2018 Jul 24;16(7):e2005143. doi: 10.1371/journal.pbio.2005143. eCollection 2018 Jul.
- Adams OP. The impact of brief high-intensity exercise on blood glucose levels. Diabetes Metab Syndr Obes. 2013;6:113-22. doi: 10.2147/DMSO.S29222. Epub 2013 Feb 27.
- Baron AD. Impaired glucose tolerance as a disease. Am J Cardiol. 2001 Sep 20;88(6A):16H-9H. doi: 10.1016/s0002-9149(01)01832-x.
- Brown A, McArdle P, Taplin J, Unwin D, Unwin J, Deakin T, Wheatley S, Murdoch C, Malhotra A, Mellor D. Dietary strategies for remission of type 2 diabetes: A narrative review. J Hum Nutr Diet. 2022 Feb;35(1):165-178. doi: 10.1111/jhn.12938. Epub 2021 Sep 1.
- Chin SO, Keum C, Woo J, Park J, Choi HJ, Woo JT, Rhee SY. Successful weight reduction and maintenance by using a smartphone application in those with overweight and obesity. Sci Rep. 2016 Nov 7;6:34563. doi: 10.1038/srep34563.
- Ebbeling CB, Knapp A, Johnson A, Wong JMW, Greco KF, Ma C, Mora S, Ludwig DS. Effects of a low-carbohydrate diet on insulin-resistant dyslipoproteinemia-a randomized controlled feeding trial. Am J Clin Nutr. 2022 Jan 11;115(1):154-162. doi: 10.1093/ajcn/nqab287. Erratum In: Am J Clin Nutr. 2022 Jan 11;115(1):310.
- Ehrhardt N, Al Zaghal E. Behavior Modification in Prediabetes and Diabetes: Potential Use of Real-Time Continuous Glucose Monitoring. J Diabetes Sci Technol. 2019 Mar;13(2):271-275. doi: 10.1177/1932296818790994. Epub 2018 Aug 1.
- The Lancet Diabetes Endocrinology. Metabolic health: a priority for the post-pandemic era. Lancet Diabetes Endocrinol. 2021 Apr;9(4):189. doi: 10.1016/S2213-8587(21)00058-9. Epub 2021 Mar 4. No abstract available.
- Galderisi A, Giannini C, Weiss R, Kim G, Shabanova V, Santoro N, Pierpont B, Savoye M, Caprio S. Trajectories of changes in glucose tolerance in a multiethnic cohort of obese youths: an observational prospective analysis. Lancet Child Adolesc Health. 2018 Oct;2(10):726-735. doi: 10.1016/S2352-4642(18)30235-9. Epub 2018 Aug 24.
- Gonzalez-Rodriguez M, Pazos-Couselo M, Garcia-Lopez JM, Rodriguez-Segade S, Rodriguez-Garcia J, Tunez-Bastida C, Gude F. Postprandial glycemic response in a non-diabetic adult population: the effect of nutrients is different between men and women. Nutr Metab (Lond). 2019 Jul 17;16:46. doi: 10.1186/s12986-019-0368-1. eCollection 2019.
- Guyenet SJ, Schwartz MW. Clinical review: Regulation of food intake, energy balance, and body fat mass: implications for the pathogenesis and treatment of obesity. J Clin Endocrinol Metab. 2012 Mar;97(3):745-55. doi: 10.1210/jc.2011-2525. Epub 2012 Jan 11.
- Hamley S, Kloosterman D, Duthie T, Dalla Man C, Visentin R, Mason SA, Ang T, Selathurai A, Kaur G, Morales-Scholz MG, Howlett KF, Kowalski GM, Shaw CS, Bruce CR. Mechanisms of hyperinsulinaemia in apparently healthy non-obese young adults: role of insulin secretion, clearance and action and associations with plasma amino acids. Diabetologia. 2019 Dec;62(12):2310-2324. doi: 10.1007/s00125-019-04990-y. Epub 2019 Sep 6.
- Hyde PN, Sapper TN, Crabtree CD, LaFountain RA, Bowling ML, Buga A, Fell B, McSwiney FT, Dickerson RM, Miller VJ, Scandling D, Simonetti OP, Phinney SD, Kraemer WJ, King SA, Krauss RM, Volek JS. Dietary carbohydrate restriction improves metabolic syndrome independent of weight loss. JCI Insight. 2019 Jun 20;4(12):e128308. doi: 10.1172/jci.insight.128308. eCollection 2019 Jun 20.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
May 11, 2023
Primary Completion (Estimated)
May 10, 2028
Study Completion (Estimated)
May 10, 2029
Study Registration Dates
First Submitted
May 16, 2023
First Submitted That Met QC Criteria
May 16, 2023
First Posted (Actual)
May 25, 2023
Study Record Updates
Last Update Posted (Actual)
May 26, 2023
Last Update Submitted That Met QC Criteria
May 24, 2023
Last Verified
May 1, 2023
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Metabolic Diseases
- Endocrine System Diseases
- Diabetes Mellitus
- Overnutrition
- Nutrition Disorders
- Overweight
- Body Weight
- Hyperinsulinism
- Body Weight Changes
- Hyperglycemia
- Obesity
- Diabetes Mellitus, Type 2
- Metabolic Syndrome
- Weight Loss
- Glucose Intolerance
- Insulin Resistance
- Obesity, Abdominal
- Glucose Metabolism Disorders
Other Study ID Numbers
- 201-2022
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
Yes
product manufactured in and exported from the U.S.
No
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 [email protected]. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Diabetes Mellitus, Type 2
-
NCT05881200Not yet recruiting
-
NCT05883072RecruitingDiabetes Mellitus, Type 2 Diabetes Diabetic Retinopathy
-
NCT05881213Not yet recruiting
-
NCT05881447Not yet recruitingCardiovascular Diseases HIV Infections Obesity Chronic Kidney Diseases Type 2 Diabetes Mellitus Anemia Arterial Hypertension
-
NCT05882071Not yet recruitingDiabetes Mellitus, Type 2
-
NCT05878587RecruitingKnee Osteoarthritis Type II Diabetes
-
NCT05875259RecruitingHypertension Diabetes Mellitus, Type 2
-
NCT05874726Not yet recruitingHypertension Obesity Diabetes Mellitus, Type 2 Diabetes Mellitus Cancer Overweight Gastroesophageal Reflux Sleep Apnea Hyperlipidemias GERD
-
NCT05872269Not yet recruitingObesity Metabolic Syndrome Dyslipidemias Type 2 Diabetes NAFLD
Clinical Trials on Continuous Glucose Monitor Device
-
NCT05121844RecruitingMetabolic Syndrome Weight Loss Glucose Intolerance Pre-diabetes Central Obesity Metabolic Glucose Disorders
-
NCT04825366RecruitingType 1 Diabetes Hypoglycemia Unawareness
-
NCT03290768Completed
-
NCT03252964Completed