Trial Outcomes & Findings for INTERPRET - International Report on Routine Practice of Sensor-enabled Pump Therapy (NCT NCT00790088)

NCT ID: NCT00790088

Last Updated: 2019-02-20

Results Overview

To calculate the percentage of time that sensors were used during 3 months: the total number of recorded sensor readings during 3 months was divided by the theoretical number of sensor readings that would be observed if sensor was worn every day of using pump to deliver insulin during the same period (ie, observed readings / (theoretical 288 readings per day x nber of days with insulin use)) and multiplied by 100

Recruitment status

COMPLETED

Target enrollment

274 participants

Primary outcome timeframe

every 3 months

Results posted on

2019-02-20

Participant Flow

At baseline, few patients had to be excluded from analyses due to major protocol deviations such as missing patient informed consent, CSII therapy for less than 6 months, prior experience with SAP therapy, and no eCRF data information available. Hence 263 patients were eligible for analyses at baseline.

Participant milestones

Participant milestones
Measure
Sensor-augmented Pump
CSII patient who were prescribed the use of continuous glucose monitoring (CGM) for at least 10% of the time
Overall Study
STARTED
274
Overall Study
Eligible for Data Analysis
263
Overall Study
COMPLETED
235
Overall Study
NOT COMPLETED
39

Reasons for withdrawal

Reasons for withdrawal
Measure
Sensor-augmented Pump
CSII patient who were prescribed the use of continuous glucose monitoring (CGM) for at least 10% of the time
Overall Study
Protocol Violation
11
Overall Study
Withdrawal by Subject
17
Overall Study
Lost to Follow-up
7
Overall Study
Physician Decision
4

Baseline Characteristics

INTERPRET - International Report on Routine Practice of Sensor-enabled Pump Therapy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sensor-augmented Pump
n=263 Participants
CSII patient who were prescribed the use of continuous glucose monitoring (CGM) for at least 10% of the time
Age, Continuous
28.04 years
STANDARD_DEVIATION 15.72 • n=5 Participants
Age, Customized
<=7 years
28 participants
n=5 Participants
Age, Customized
8 - 12
21 participants
n=5 Participants
Age, Customized
13-17
35 participants
n=5 Participants
Age, Customized
18-24
27 participants
n=5 Participants
Age, Customized
>24
152 participants
n=5 Participants
Sex: Female, Male
Female
164 Participants
n=5 Participants
Sex: Female, Male
Male
99 Participants
n=5 Participants
Region of Enrollment
Serbia
20 participants
n=5 Participants
Region of Enrollment
Slovenia
20 participants
n=5 Participants
Region of Enrollment
Spain
22 participants
n=5 Participants
Region of Enrollment
Lithuania
14 participants
n=5 Participants
Region of Enrollment
Austria
4 participants
n=5 Participants
Region of Enrollment
Israel
14 participants
n=5 Participants
Region of Enrollment
Italy
18 participants
n=5 Participants
Region of Enrollment
Slovakia
4 participants
n=5 Participants
Region of Enrollment
France
22 participants
n=5 Participants
Region of Enrollment
Poland
39 participants
n=5 Participants
Region of Enrollment
Hungary
17 participants
n=5 Participants
Region of Enrollment
Belgium
20 participants
n=5 Participants
Region of Enrollment
Denmark
28 participants
n=5 Participants
Region of Enrollment
Sweden
12 participants
n=5 Participants
Region of Enrollment
Czechia
9 participants
n=5 Participants

PRIMARY outcome

Timeframe: every 3 months

To calculate the percentage of time that sensors were used during 3 months: the total number of recorded sensor readings during 3 months was divided by the theoretical number of sensor readings that would be observed if sensor was worn every day of using pump to deliver insulin during the same period (ie, observed readings / (theoretical 288 readings per day x nber of days with insulin use)) and multiplied by 100

Outcome measures

Outcome measures
Measure
Whole Population
n=263 Participants
all available data from eligible patients at baseline
Frequency as Percentage of Sensor Usage
Baseline - 3 months
37 % of time
Standard Deviation 29
Frequency as Percentage of Sensor Usage
3 months - 6 months
31 % of time
Standard Deviation 28
Frequency as Percentage of Sensor Usage
6 months - 9 months
28 % of time
Standard Deviation 28
Frequency as Percentage of Sensor Usage
9 months - 12 months
27 % of time
Standard Deviation 28
Frequency as Percentage of Sensor Usage
baseline - 12 months
30 % of time
Standard Deviation 26

PRIMARY outcome

Timeframe: every 3 months

Outcome measures

Outcome measures
Measure
Whole Population
n=263 Participants
all available data from eligible patients at baseline
HbA1c
Baseline
8.1 percent
Standard Deviation 1.4
HbA1c
3Months
7.87 percent
Standard Deviation 1.2
HbA1c
6Months
7.9 percent
Standard Deviation 1.17
HbA1c
9Months
7.98 percent
Standard Deviation 1.14
HbA1c
12Months
8.05 percent
Standard Deviation 1.23

PRIMARY outcome

Timeframe: every 3 months

Outcome measures

Outcome measures
Measure
Whole Population
n=263 Participants
all available data from eligible patients at baseline
Percentage of Patients Achieving HbA1c < 7%
6 months
18.22 percent of patients
Percentage of Patients Achieving HbA1c < 7%
9 months
17.72 percent of patients
Percentage of Patients Achieving HbA1c < 7%
12 months
16.02 percent of patients
Percentage of Patients Achieving HbA1c < 7%
Baseline
18.25 percent of patients
Percentage of Patients Achieving HbA1c < 7%
3 months
18.5 percent of patients

PRIMARY outcome

Timeframe: every 3 months

Outcome measures

Outcome measures
Measure
Whole Population
n=263 Participants
all available data from eligible patients at baseline
Percentage of Patients Achieving HbA1c < 7.5%
Baseline
28.52 percent of patients
Percentage of Patients Achieving HbA1c < 7.5%
3 months
36.22 percent of patients
Percentage of Patients Achieving HbA1c < 7.5%
6 months
32.79 percent of patients
Percentage of Patients Achieving HbA1c < 7.5%
9 months
31.65 percent of patients
Percentage of Patients Achieving HbA1c < 7.5%
12 months
33.33 percent of patients

SECONDARY outcome

Timeframe: at baseline, after 6 and after 12 months

sub-group of patients (adults only in Hungary and Denmark) were asked to answer the fear of hypoglycemia validated questionnaires. The total HFS-II questionnaire is represented by 33 items. The respondents rank the responses on a 5- point Likert scale where zero is never and four is always.The total HFS-II score ranges from 0 to 132. Lower score at 6 months or 12 months compared to baseline represents a better outcome. The HFS-II questionnaire is divided into 2 subscales: the behavior and the worry subscales. The behavior score is represented by 15 items and ranges from 0 to 60. Lower score at 6 months or 12 months compared to baseline represents a better outcome.

Outcome measures

Outcome measures
Measure
Whole Population
n=40 Participants
all available data from eligible patients at baseline
Fear of Hypoglycemia Survey (HFS-II) - Total Score and Behavior Score
Total score at baseline
37 Score
Standard Deviation 25.94
Fear of Hypoglycemia Survey (HFS-II) - Total Score and Behavior Score
Total score at 6Months
32.74 Score
Standard Deviation 21.24
Fear of Hypoglycemia Survey (HFS-II) - Total Score and Behavior Score
Total score at 12Months
28.95 Score
Standard Deviation 20.11
Fear of Hypoglycemia Survey (HFS-II) - Total Score and Behavior Score
Behavior Score at baseline
16.03 Score
Standard Deviation 10.71
Fear of Hypoglycemia Survey (HFS-II) - Total Score and Behavior Score
Behavior score at 6Months
14.56 Score
Standard Deviation 9.06
Fear of Hypoglycemia Survey (HFS-II) - Total Score and Behavior Score
Behavior score at 12Months
13.35 Score
Standard Deviation 8.81

SECONDARY outcome

Timeframe: at baseline, after 6 and after 12 months

sub-group of patients (adults only) were asked to answer the fear of hypoglycemia validated questionnaires. The respondents rank the responses on a 5- point Likert scale where zero is never and four is always. The worry subscale is the mean of 18 items which evaluate the worry score (range from 0 to 72). Lower score at 6 months or 12 months compared to baseline represents a better outcome.

Outcome measures

Outcome measures
Measure
Whole Population
n=61 Participants
all available data from eligible patients at baseline
Fear of Hypoglycemia Survey (HFS-II) - Worry Score
Worry score at baseline
23.39 Score
Standard Deviation 15.65
Fear of Hypoglycemia Survey (HFS-II) - Worry Score
Worry score at 6Months
20.65 Score
Standard Deviation 15.37
Fear of Hypoglycemia Survey (HFS-II) - Worry Score
Worry score at 12Months
18.40 Score
Standard Deviation 14.84

SECONDARY outcome

Timeframe: at baseline, after 3 and after 12 months

A sub-group of patients (adults) were asked to complete the Diabetes Treatment Satisfaction Questionnaire (DTSQs) The treatment satisfaction is measured by means of the Diabetes Treatment Satisfaction Questionnaire, status version (DTSQs, Bradley, 1990). It consists of a six-item scale assessing treatment satisfaction (TS) and two items assessing perceived frequency of hyperglycaemia and hypoglycaemia. The DTSQs items are scored on a scale from 6 to 0. The scale total is computed by adding the six items 1, 4, 5, 6, 7, and 8, to produce the Treatment Satisfaction scale total, which has a min of 0 and a max of 36. Higher score at 6 month or 12 months compared to baseline represents a better outcome. Items 2 (perceived frequency of hyperglycaemia) and 3 (perceived frequency of hypoglycaemia) are treated individually in data analysis. Lower score at 6 months or 12 months compared to baseline represents a better outcome.

Outcome measures

Outcome measures
Measure
Whole Population
n=66 Participants
all available data from eligible patients at baseline
Diabetes Treatment Satisfaction Questionnaire Status Version (DTSQs)
Diatbetes Treatment satisfaction score at baseline
31.42 score
Standard Deviation 3.15
Diabetes Treatment Satisfaction Questionnaire Status Version (DTSQs)
Treatment satisfaction score at 3Months
30.80 score
Standard Deviation 4.33
Diabetes Treatment Satisfaction Questionnaire Status Version (DTSQs)
Treatment satisafaction score at 12Months
32 score
Standard Deviation 3.29
Diabetes Treatment Satisfaction Questionnaire Status Version (DTSQs)
Perceived Frequency Hypoglycaemia at baseline
2.18 score
Standard Deviation 1.28
Diabetes Treatment Satisfaction Questionnaire Status Version (DTSQs)
Perceived Frequency Hypoglycaemia at 3Months
2.5 score
Standard Deviation 1.32
Diabetes Treatment Satisfaction Questionnaire Status Version (DTSQs)
Perceived Frequency Hypoglycaemia at 12Months
2.03 score
Standard Deviation 1.16
Diabetes Treatment Satisfaction Questionnaire Status Version (DTSQs)
Perceived Frequency Hyperglycaemia at baseline
2.83 score
Standard Deviation 1.30
Diabetes Treatment Satisfaction Questionnaire Status Version (DTSQs)
Perceived Frequency Hyperglycaemia at 3Months
2.67 score
Standard Deviation 1.17
Diabetes Treatment Satisfaction Questionnaire Status Version (DTSQs)
Perceived Frequency Hyperglycaemia at 12Months
2.35 score
Standard Deviation 1.33

Adverse Events

Sensor-augmented Pump

Serious events: 24 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Sensor-augmented Pump
n=263 participants at risk
CSII patient who were prescribed the use of continuous glucose monitoring (CGM) for at least 10% of the time
Endocrine disorders
Diabetic ketoacidosis
1.1%
3/263 • Number of events 3 • During the 12Months follow-up
Only Serious adverse events were collected
Endocrine disorders
Severe hypoglycemia
3.4%
9/263 • Number of events 13 • During the 12Months follow-up
Only Serious adverse events were collected
Endocrine disorders
Other diabetes-related AE
2.3%
6/263 • Number of events 6 • During the 12Months follow-up
Only Serious adverse events were collected
Endocrine disorders
Non Diabetes-related serious adverse events
2.3%
6/263 • Number of events 6 • During the 12Months follow-up
Only Serious adverse events were collected

Other adverse events

Adverse event data not reported

Additional Information

Dr Odile Carrette

Medtronic Int. Trading SaRL

Phone: +41218038119

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60