Efficacy of FSGM Cloud-based Remote Intervention for Insulin-dEpendent Diabetic Patients (FRIEND)
Efficacy of Remote Intervention by Medical Staff Based on a Cloud System of Continuous Glucose Monitoring Data in Patients With Insulin-dependent Diabetes Using a Flash Sensor-based Glucose Monitoring (FSGM)
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
- Previous studies have been reported on the efficacy of CGM or FSGM and education on glucose control in insulin-dependent diabetes patients.
- This study aims to investigate whether it is more effective to receive remote intervention by medical staff based on a cloud system, than only to use FSGM and receive general education on FSGM.
- Trial design : parallel group, allocation ratio 1:1, a superiority study design
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
-
-
Gyeonggi-do
-
Seongnam, Gyeonggi-do, Korea, Republikken, 13496
- CHA Bundang Medical Center
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-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Men or women aged 19 to 75 years old
- Patients with type 1 diabetes
- Patients on multiple daily insulin-injection or continuous subcutaneous insulin infusion therapy for more than 1 year
- Patients with HbA1c ≥ 7.0% at screening
- Patients willing to use a FSGM system
- Patients with informed consent
Exclusion Criteria:
- Gestational diabetes patients
- Patients within 1 year of diabetic diagnosis
- Patients taking drugs for severe cognitive impairment or psychiatric problems
- Patients who received oral or parenteral corticosteroid therapy for more than 7 consecutive days within 1 month before screening test
- Patients with severe infection, before and after surgery, and severe trauma
- Patients on dialysis at the end of renal failure
- Patients who have a history of substance abuse or alcoholism within 12 weeks through patient history taking, diagnosis records, and past treatment records
- Pregnant or lactating women
- Participating in other clinical trials under R&D other than this clinical trial, or if other clinical trial drugs are administered within 4 weeks before the trial
- Patients who are using a CGMS/FSGM or who have been using it within 12 weeks
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Ingen indgriben: No intervention by medical staff
The patients who start FSGM and receive general education on FSGM only.
|
|
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Eksperimentel: Intervention by medical staff based on a cloud system
The patients who start FSGM and receive general education on FSGM and remote intervention based on a cloud system.
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Remote intervention by medical staff (between Visit 1 and Visit 2; Week 2, 4, 6, 8, 10) : analyzing continuous glucose monitoring data for last two weeks in the cloud system - Intervention contents
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Changes in glycemic control measured by HbA1c
Tidsramme: 3 months
|
Difference between baseline HbA1c and follow-up HbA1c
|
3 months
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Changes in the time in range
Tidsramme: 3 months
|
Difference in the duration of glucose values between 70 mg/dL and 180 mg/dL between baseline and the 3-month follow-up
|
3 months
|
|
Changes in the duration of hyperglycemic episodes
Tidsramme: 3 months
|
Difference in the duration of hyperglycemic glucose values (>180, 250 mg/dL) (baseline vs. follow-up)
|
3 months
|
|
Changes in the duration of hypoglycemic episodes
Tidsramme: 3 months
|
Difference in the duration of hypoglycemic glucose values (<70, 54 mg/dL) (baseline vs. follow-up)
|
3 months
|
|
Changes in hypoglycemic episodes
Tidsramme: 3 months
|
Difference between the frequency of hypoglycemic glucose values (<70, 54 mg/dL) (baseline vs. follow-up)
|
3 months
|
|
Changes in the mean glucose values
Tidsramme: 3 months
|
Difference in the mean glucose values (baseline vs. follow-up)
|
3 months
|
|
Changes in the frequency of use of trend arrows
Tidsramme: 3 months
|
Difference in the frequency of use of trend arrows (baseline vs. follow-up)
|
3 months
|
|
Changes in the mean number of scans
Tidsramme: 3 months
|
Difference in the mean number of scans per day (baseline vs. follow-up)
|
3 months
|
|
Changes in the insulin dose
Tidsramme: 3 months
|
Difference in the insulin dose (baseline vs. follow-up)
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3 months
|
|
Changes in the lipid parameter
Tidsramme: 3 months
|
Difference in the levels of total cholesterol, triglycerides, HDL cholesterol, LDL cholesterol (baseline vs. follow-up)
|
3 months
|
|
Changes in blood pressure
Tidsramme: 3 months
|
Difference in systolic blood pressure and diastolic blood pressure (baseline vs. follow-up)
|
3 months
|
|
Changes in body weight
Tidsramme: 3 months
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Difference in body weight (baseline vs. follow-up)
|
3 months
|
|
Lifestyle changes in diet
Tidsramme: 3 months
|
Difference in the average number of meals and snacks per day (baseline vs. follow-up)
|
3 months
|
|
Lifestyle changes in the number of exercises
Tidsramme: 3 months
|
Difference in the average number of exercises per week (baseline vs. follow-up)
|
3 months
|
|
Lifestyle changes in the duration of exercises
Tidsramme: 3 months
|
Difference in the average duration of exercises per week (baseline vs. follow-up)
|
3 months
|
|
Changes in the patient absolute satisfaction with treatment assessed by questionnaires
Tidsramme: 3 months
|
Difference in Diabetes Treatment Satisfaction Questionnaire Status (DTSQs) scores (baseline vs. follow-up)
|
3 months
|
|
Changes in the patient relative satisfaction with treatment assessed by questionnaires
Tidsramme: 3 months
|
Difference in Diabetes Treatment Satisfaction Questionnaire Change (DTSQc) scores (baseline vs. follow-up)
|
3 months
|
|
Changes in depression assessed by questionnaires
Tidsramme: 3 months
|
Difference in Patient Health Questionnaire-9 (PHQ-9) scores (baseline vs. follow-up)
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3 months
|
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Changes in anxiety assessed by questionnaires
Tidsramme: 3 months
|
Difference in General Anxiety Disorder-7 (GAD-7) scores (baseline vs. follow-up)
|
3 months
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Publikationer og nyttige links
Generelle publikationer
- Laffel LM, Kanapka LG, Beck RW, Bergamo K, Clements MA, Criego A, DeSalvo DJ, Goland R, Hood K, Liljenquist D, Messer LH, Monzavi R, Mouse TJ, Prahalad P, Sherr J, Simmons JH, Wadwa RP, Weinstock RS, Willi SM, Miller KM; CGM Intervention in Teens and Young Adults with T1D (CITY) Study Group; CDE10. Effect of Continuous Glucose Monitoring on Glycemic Control in Adolescents and Young Adults With Type 1 Diabetes: A Randomized Clinical Trial. JAMA. 2020 Jun 16;323(23):2388-2396. doi: 10.1001/jama.2020.6940.
- Pratley RE, Kanapka LG, Rickels MR, Ahmann A, Aleppo G, Beck R, Bhargava A, Bode BW, Carlson A, Chaytor NS, Fox DS, Goland R, Hirsch IB, Kruger D, Kudva YC, Levy C, McGill JB, Peters A, Philipson L, Philis-Tsimikas A, Pop-Busui R, Shah VN, Thompson M, Vendrame F, Verdejo A, Weinstock RS, Young L, Miller KM; Wireless Innovation for Seniors With Diabetes Mellitus (WISDM) Study Group. Effect of Continuous Glucose Monitoring on Hypoglycemia in Older Adults With Type 1 Diabetes: A Randomized Clinical Trial. JAMA. 2020 Jun 16;323(23):2397-2406. doi: 10.1001/jama.2020.6928.
- Hermanns N, Ehrmann D, Schipfer M, Kroger J, Haak T, Kulzer B. The impact of a structured education and treatment programme (FLASH) for people with diabetes using a flash sensor-based glucose monitoring system: Results of a randomized controlled trial. Diabetes Res Clin Pract. 2019 Apr;150:111-121. doi: 10.1016/j.diabres.2019.03.003. Epub 2019 Mar 4.
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 2021-03-032-001
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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