Trial Outcomes & Findings for Impact of a built-in Insulin Calculator Feature on Diabetes Control - Pilot Study (NCT NCT01519466)

NCT ID: NCT01519466

Last Updated: 2016-04-01

Results Overview

Masked continuous glucose monitoring data will be collected for two weeks at the start of the study and 2 weeks at the end of the study. Analysis will assess the difference between the assessment and baseline phase for the intervention group. Target blood glucose range is 3.9 to 10.0mmol/l (70 to 180mg/dL)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

55 participants

Primary outcome timeframe

Day 1-15 compared with Day 60-74

Results posted on

2016-04-01

Participant Flow

A total of 55 subjects consented and enrolled into the study. Six of these withdrew before randomisation or failed screening. Forty-nine (49) subjects were randomised and completed the study.

Participant milestones

Participant milestones
Measure
FreeStyle InsuLinx
Subjects will use a FreeStyle InsuLinx blood glucose meter during the study FreeStyle InsuLinx: FreeStyle InsuLinx is a blood glucose meter with a built-in insulin calculator feature.
FreeStyle Freedom Lite
Subjects will use a FreeStyle Freedom Lite blood glucose meter during the study. FreeStyle Freedom Lite: FreeStyle Freedom Lite is a blood glucose meter
Overall Study
STARTED
33
16
Overall Study
COMPLETED
33
16
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Impact of a built-in Insulin Calculator Feature on Diabetes Control - Pilot Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
FreeStyle InsuLinx
n=33 Participants
Subjects will use a FreeStyle InsuLinx blood glucose meter during the study FreeStyle InsuLinx: FreeStyle InsuLinx is a blood glucose meter with a built-in insulin calculator feature.
FreeStyle Freedom Lite
n=16 Participants
Subjects will use a FreeStyle Freedom Lite blood glucose meter during the study. FreeStyle Freedom Lite: FreeStyle Freedom Lite is a blood glucose meter
Total
n=49 Participants
Total of all reporting groups
Age, Continuous
44.4 years
STANDARD_DEVIATION 15.2 • n=93 Participants
43.4 years
STANDARD_DEVIATION 16.7 • n=4 Participants
44.1 years
STANDARD_DEVIATION 15.6 • n=27 Participants
Sex: Female, Male
Female
16 Participants
n=93 Participants
7 Participants
n=4 Participants
23 Participants
n=27 Participants
Sex: Female, Male
Male
17 Participants
n=93 Participants
9 Participants
n=4 Participants
26 Participants
n=27 Participants
Region of Enrollment
Netherlands
8 participants
n=93 Participants
4 participants
n=4 Participants
12 participants
n=27 Participants
Region of Enrollment
Germany
25 participants
n=93 Participants
12 participants
n=4 Participants
37 participants
n=27 Participants
Body Mass Index (BMI)
26.6 kg/m²
STANDARD_DEVIATION 3.6 • n=93 Participants
26.4 kg/m²
STANDARD_DEVIATION 4.4 • n=4 Participants
26.5 kg/m²
STANDARD_DEVIATION 3.8 • n=27 Participants
Duration of Diabetes
18.8 years
STANDARD_DEVIATION 14.1 • n=93 Participants
14.6 years
STANDARD_DEVIATION 8.0 • n=4 Participants
17.4 years
STANDARD_DEVIATION 12.5 • n=27 Participants
Screening HbA1c
7.8 Percentage of Glycosylated Haemoglobin
STANDARD_DEVIATION 0.7 • n=93 Participants
8.1 Percentage of Glycosylated Haemoglobin
STANDARD_DEVIATION 0.6 • n=4 Participants
7.9 Percentage of Glycosylated Haemoglobin
STANDARD_DEVIATION 0.7 • n=27 Participants

PRIMARY outcome

Timeframe: Day 1-15 compared with Day 60-74

Population: One FreeStyle InsuLinx group subject was excluded from the analysis due to a protocol deviation.

Masked continuous glucose monitoring data will be collected for two weeks at the start of the study and 2 weeks at the end of the study. Analysis will assess the difference between the assessment and baseline phase for the intervention group. Target blood glucose range is 3.9 to 10.0mmol/l (70 to 180mg/dL)

Outcome measures

Outcome measures
Measure
FreeStyle InsuLinx
n=32 Participants
Subjects will use a FreeStyle InsuLinx blood glucose meter during the study FreeStyle InsuLinx: FreeStyle InsuLinx is a blood glucose meter with a built-in insulin calculator feature.
FreeStyle Freedom Lite
n=16 Participants
Subjects will use a FreeStyle Freedom Lite blood glucose meter during the study. FreeStyle Freedom Lite: FreeStyle Freedom Lite is a blood glucose meter
Time in Target Blood Glucose Range
Baseline
15.28 hours per day
Standard Deviation 2.76
15.31 hours per day
Standard Deviation 3.15
Time in Target Blood Glucose Range
Final
14.56 hours per day
Standard Deviation 2.99
14.14 hours per day
Standard Deviation 2.36

SECONDARY outcome

Timeframe: Day 1 compared with Day 74

Population: One FreeStyle InsuLinx group subject was excluded from the analysis due to a protocol deviation.

HbA1c will be tested at baseline (day 1) and then again at end of study (approximately day 74). The percentage of glycosylated hemoglobin in Diabetes Control and Complications Trial (DCCT) units was standardized to the newer International Federation of Clinical Chemistry (IFCC) units (mmol/mol).

Outcome measures

Outcome measures
Measure
FreeStyle InsuLinx
n=32 Participants
Subjects will use a FreeStyle InsuLinx blood glucose meter during the study FreeStyle InsuLinx: FreeStyle InsuLinx is a blood glucose meter with a built-in insulin calculator feature.
FreeStyle Freedom Lite
n=16 Participants
Subjects will use a FreeStyle Freedom Lite blood glucose meter during the study. FreeStyle Freedom Lite: FreeStyle Freedom Lite is a blood glucose meter
HbA1c
Baseline
7.87 Percentage of Glycosylated Haemoglobin
Standard Deviation 0.76
8.07 Percentage of Glycosylated Haemoglobin
Standard Deviation 0.76
HbA1c
Final
7.78 Percentage of Glycosylated Haemoglobin
Standard Deviation 0.58
7.98 Percentage of Glycosylated Haemoglobin
Standard Deviation 0.69

SECONDARY outcome

Timeframe: Day 60 compared to day 1

Population: One FreeStyle InsuLinx group subject was excluded from the analysis due to a protocol deviation.

The Diabetes Treatment Satisfaction Questionnaire change (DTSQc) score is used to assess relative change in participant satisfaction from baseline. The questionnaire consists of 8 items, 6 of which (1 and 4 through 8) assess treatment satisfaction. Each item is rated on a 7-point Likert scale (-3 to +3). The scores from the 6 treatment satisfaction items are summed to a Total Treatment Satisfaction Score, which ranges from -18 (much less satisfied) to +18 (much more satisfied). There is one question to assess the change in satisfaction with perceived frequency of Hypoglycaemia and one question to assess change satisfaction with perceived frequency of Hyperglycaemia. Each question is rated on a 7-point Likert scale (-3 to +3), -3 (much less satisfied) to +3 (much more satisfied). The 95% confidence intervals for the FreeStyle InsuLinx group DTSQc scores was calculated using a one-sample t-test.

Outcome measures

Outcome measures
Measure
FreeStyle InsuLinx
n=32 Participants
Subjects will use a FreeStyle InsuLinx blood glucose meter during the study FreeStyle InsuLinx: FreeStyle InsuLinx is a blood glucose meter with a built-in insulin calculator feature.
FreeStyle Freedom Lite
n=16 Participants
Subjects will use a FreeStyle Freedom Lite blood glucose meter during the study. FreeStyle Freedom Lite: FreeStyle Freedom Lite is a blood glucose meter
Change in Diabetes Treatment Satisfaction Questionnaire (DTSQc) Scores From Day 1 to Day 60.
Hyperglycaemia
0.13 Units on a scale
Standard Deviation 1.26
-0.25 Units on a scale
Standard Deviation 1.53
Change in Diabetes Treatment Satisfaction Questionnaire (DTSQc) Scores From Day 1 to Day 60.
Hypoglycaemia
-0.31 Units on a scale
Standard Deviation 1.03
0.13 Units on a scale
Standard Deviation 1.02
Change in Diabetes Treatment Satisfaction Questionnaire (DTSQc) Scores From Day 1 to Day 60.
Treatment Satisfaction
4.36 Units on a scale
Standard Deviation 6.53
2.94 Units on a scale
Standard Deviation 7.92

Adverse Events

FreeStyle InsuLinx

Serious events: 3 serious events
Other events: 8 other events
Deaths: 0 deaths

FreeStyle Freedom Lite

Serious events: 2 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
FreeStyle InsuLinx
n=33 participants at risk
Subjects will use a FreeStyle InsuLinx blood glucose meter during the study FreeStyle InsuLinx: FreeStyle InsuLinx is a blood glucose meter with a built-in insulin calculator feature.
FreeStyle Freedom Lite
n=16 participants at risk
Subjects will use a FreeStyle Freedom Lite blood glucose meter during the study. FreeStyle Freedom Lite: FreeStyle Freedom Lite is a blood glucose meter
Ear and labyrinth disorders
Middle ear effusion
0.00%
0/33 • Adverse events collected from enrolment to completion by last subject (up to 3 months).
6.2%
1/16 • Number of events 1 • Adverse events collected from enrolment to completion by last subject (up to 3 months).
Infections and infestations
Gingiva abcess
0.00%
0/33 • Adverse events collected from enrolment to completion by last subject (up to 3 months).
6.2%
1/16 • Number of events 1 • Adverse events collected from enrolment to completion by last subject (up to 3 months).
Musculoskeletal and connective tissue disorders
Fractured Metacarpus
3.0%
1/33 • Number of events 1 • Adverse events collected from enrolment to completion by last subject (up to 3 months).
0.00%
0/16 • Adverse events collected from enrolment to completion by last subject (up to 3 months).
Skin and subcutaneous tissue disorders
Sensor tip
3.0%
1/33 • Number of events 1 • Adverse events collected from enrolment to completion by last subject (up to 3 months).
0.00%
0/16 • Adverse events collected from enrolment to completion by last subject (up to 3 months).
Skin and subcutaneous tissue disorders
Haematoma
3.0%
1/33 • Number of events 1 • Adverse events collected from enrolment to completion by last subject (up to 3 months).
0.00%
0/16 • Adverse events collected from enrolment to completion by last subject (up to 3 months).

Other adverse events

Other adverse events
Measure
FreeStyle InsuLinx
n=33 participants at risk
Subjects will use a FreeStyle InsuLinx blood glucose meter during the study FreeStyle InsuLinx: FreeStyle InsuLinx is a blood glucose meter with a built-in insulin calculator feature.
FreeStyle Freedom Lite
n=16 participants at risk
Subjects will use a FreeStyle Freedom Lite blood glucose meter during the study. FreeStyle Freedom Lite: FreeStyle Freedom Lite is a blood glucose meter
Respiratory, thoracic and mediastinal disorders
Cold
12.1%
4/33 • Number of events 5 • Adverse events collected from enrolment to completion by last subject (up to 3 months).
12.5%
2/16 • Number of events 3 • Adverse events collected from enrolment to completion by last subject (up to 3 months).
Skin and subcutaneous tissue disorders
Erythema
0.00%
0/33 • Adverse events collected from enrolment to completion by last subject (up to 3 months).
6.2%
1/16 • Number of events 1 • Adverse events collected from enrolment to completion by last subject (up to 3 months).
Endocrine disorders
Hypoglycaemia
9.1%
3/33 • Number of events 3 • Adverse events collected from enrolment to completion by last subject (up to 3 months).
6.2%
1/16 • Number of events 1 • Adverse events collected from enrolment to completion by last subject (up to 3 months).
Infections and infestations
Infection
6.1%
2/33 • Number of events 2 • Adverse events collected from enrolment to completion by last subject (up to 3 months).
6.2%
1/16 • Number of events 1 • Adverse events collected from enrolment to completion by last subject (up to 3 months).

Additional Information

Snr Director, Clinical Development & Regulatory Affairs

Abbott Diabetes Care

Phone: 01993 863164

Results disclosure agreements

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

Restriction type: GT60