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Efficacy of a Chronic Care Model Supported by Self Monitoring of Blood Glucose With BGStar Over Usual Care in Improving Glycemic Control in Patients With Type 2 Diabetes Not Treated With Insulin (SELF CARE)

2017年5月2日 更新者:Sanofi

Randomized Clinical Trial on the Efficacy of Self-Monitoring Blood Glucose in the Context of a Chronic Care Model for Type 2 Diabetes Patients Treated With Oral Agents Only

To demonstrate the superiority of a chronic care model (SINERGIA model) supported by the Self Monitoring of Blood Glucose with BGStar over usual care in improving glycemic control at 12 months in patients with type 2 diabetes not treated with insulin.

研究概览

地位

完全的

条件

详细说明

The planned study duration is 36 months (9 quarters). The estimated duration of screening/enrollment will be 12 months, followed by the 12-month experimental phase, plus the 12-month follow-up in the observational phase.

研究类型

介入性

注册 (实际的)

241

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

      • Andria (BA)、意大利
        • Investigational Site Number 016
      • Avezzano、意大利
        • Investigational Site Number 011
      • Bergamo、意大利、24128
        • Investigational Site Number 006
      • Brescia、意大利
        • Investigational Site Number 002
      • Catania、意大利、95122
        • Investigational Site Number 022
      • Cusano Milanino、意大利
        • Investigational Site Number 001
      • Livorno、意大利
        • Investigational Site Number 013
      • Lucca、意大利
        • Investigational Site Number 015
      • Mariano Comense、意大利
        • Investigational Site Number 004
      • Messina、意大利
        • Investigational Site Number 017
      • Milano、意大利
        • Investigational Site Number 008
      • Napoli、意大利
        • Investigational Site Number 018
      • Potenza、意大利
        • Investigational Site Number 021
      • Ragusa、意大利
        • Investigational Site Number 020
      • Ravenna、意大利
        • Investigational Site Number 014
      • Rimini、意大利、47900
        • Investigational Site Number 012
      • Roma、意大利
        • Investigational Site Number 009
      • Terlizzi (BA)、意大利
        • Investigational Site Number 019
      • Torino、意大利
        • Investigational Site Number 007
      • Udine、意大利
        • Investigational Site Number 003

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

45年 及以上 (成人、年长者)

接受健康志愿者

有资格学习的性别

全部

描述

Inclusion Criteria:

  • Males and females
  • Age ≥ 45 years
  • Type 2 diabetes
  • First access at the diabetes clinic
  • Any diabetes duration
  • HbA1c >7.0 and ≤ 9.0%
  • Already treated with any oral antidiabetic agent (OAD) or requiring the initiation of therapy with OAD
  • Patients not using SMBG or using SMBG with a frequency ≤1 test/week
  • Written informed consent

Exclusion Criteria:

Treatment with insulin or need to start insulin regimens or continuous sub-cutaneous insulin infusion at the first access; Refusal or inability to give informed consent to participate in the study;

Conditions / situations such as:

  • Patients with short life expectancy;
  • Patients with conditions/concomitant diseases making them non evaluable for the primary efficacy endpoint according to physician's judgment;
  • Requirement for concomitant treatment that could bias primary evaluation (i.e. corticosteroid treatment);
  • Patient is the Investigator or any Sub-Investigator, research assistant, pharmacist, study coordinator, other study site staff or relative of study site staff thus considered directly involved in the conduct of the study;
  • Current addition/abuse of alcohol or drugs;
  • Patients with any mental condition rendering them unable to understand the nature, scope, and possible consequences of the study;
  • Pregnant or breast-feeding women;
  • Patients living too far from investigational center or other conditions reducing the adherence to the protocol; Subjects unlikely or unable to comply with the Protocol requirements (e.g. illiterate, uncooperative, unable to return for follow-up visit, unable to use BGStar unlikely to complete the study)

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:治疗
  • 分配:随机化
  • 介入模型:并行分配
  • 屏蔽:无(打开标签)

武器和干预

参与者组/臂
干预/治疗
实验性的:A (BGStar)
Patients will be educated within the context of the SINERGIA educational program to understand how to manage their own diabetes on the basis of their Self Monitoring of Blood Glucose values obtained with BGStar. Patients will be requested two 6-points profiles monthly.
有源比较器:B (traditional approach)
Usual approach for the disease management. Patients in Group B will receive usual education and, at any time during the study duration, if needed, will be instructed on Self Monitoring of Blood Glucose, performed with any glucose meter.

研究衡量的是什么?

主要结果指标

结果测量
大体时间
Change in HbA1c levels from baseline
大体时间:baseline to 12 months
baseline to 12 months

次要结果测量

结果测量
大体时间
Percentage of participants with HbA1c ≤7.0%
大体时间:at 12 months and 24 months
at 12 months and 24 months
Variation in body weight from baseline
大体时间:at 12 months and 24 months
at 12 months and 24 months
Variation in waist circumference from baseline
大体时间:at 12 months and 24 months
at 12 months and 24 months
Variation in blood pressure from baseline
大体时间:at 12 months and 24 months
at 12 months and 24 months
Variation in lipid profile from baseline
大体时间:at 12 months and 24 months
at 12 months and 24 months
Quality of life: SF12 (Health Survey) questionnaire
大体时间:at 12 months and 24 months
at 12 months and 24 months
ADDQOL (Audit of Diabetes-Dependent Quality of Life)
大体时间:at 12 months and 24 months
at 12 months and 24 months
DTSQ (Diabetes Treatment Satisfaction Questionnaire)
大体时间:at 12 months and 24 months
at 12 months and 24 months
ABIM-14 (American Board of Internal Medicine satisfaction questionnaire)
大体时间:at 12 months and 24 months
at 12 months and 24 months
PDM (Patient involvement in the Decision Making process) questionnaire
大体时间:at 12 months and 24 months
at 12 months and 24 months
PHCO (Patient Health Care Orientation) questionnaire
大体时间:at 12 months and 24 months
at 12 months and 24 months
Participants satisfaction with SMBG meter assessed by Visual Analog Scale (VAS)
大体时间:at 12 months and 24 months
at 12 months and 24 months

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

调查人员

  • 研究主任:Clinical Science & Operations、Sanofi

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2012年6月27日

初级完成 (实际的)

2015年7月30日

研究完成 (实际的)

2015年7月30日

研究注册日期

首次提交

2014年3月6日

首先提交符合 QC 标准的

2014年3月6日

首次发布 (估计)

2014年3月7日

研究记录更新

最后更新发布 (实际的)

2017年5月3日

上次提交的符合 QC 标准的更新

2017年5月2日

最后验证

2017年5月1日

更多信息

与本研究相关的术语

其他研究编号

  • BGSTA_L_05978

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

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