Trial Outcomes & Findings for Low Indexes of Metabolism - Information to Teams (LIMIT) (NCT NCT02476578)

NCT ID: NCT02476578

Last Updated: 2020-04-09

Results Overview

Impact on overall-survival

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

8584 participants

Primary outcome timeframe

1 year

Results posted on

2020-04-09

Participant Flow

Some of the participants may fit more than one criterion, as explained in the Eligibility section. Hence 7 subgroups are created: A) Fit only alert 1. B) Fit only alert 2. C) Fit only alert 3. D) Fit both alert 1. and alert 2. E) Fit both alert 1. and alert 3. F) Fit both alert 2. and alert 3. G) Fit all alerts: 1. , 2. and 3.

Participant milestones

Participant milestones
Measure
Intervention Email
An email is sent, alerting the primary care providers about low values of BMI, HbA1c% or cholesterol and advising to consider appropriate dietary and medical revision. Email: Automated Email to the primary doctor and nurse, with the details of the patient, the condition found and the relevant measures to consider.
Control
No email is sent.
Overall Study
STARTED
4310
4274
Overall Study
Died Before Email Was Sent
35
43
Overall Study
Left Before End of Trial
6
13
Overall Study
COMPLETED
4269
4218
Overall Study
NOT COMPLETED
41
56

Reasons for withdrawal

Reasons for withdrawal
Measure
Intervention Email
An email is sent, alerting the primary care providers about low values of BMI, HbA1c% or cholesterol and advising to consider appropriate dietary and medical revision. Email: Automated Email to the primary doctor and nurse, with the details of the patient, the condition found and the relevant measures to consider.
Control
No email is sent.
Overall Study
Died before Email was sent (<9.11.2015)
35
43
Overall Study
Lost to Follow-up
6
13

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention Email
n=4269 Participants
An email is sent, alerting the primary care providers about low values of BMI, HbA1c% or cholesterol and advising to consider appropriate dietary and medical revision. Email: Automated Email to the primary doctor and nurse, with the details of the patient, the condition found and the relevant measures to consider.
Control
n=4218 Participants
No email is sent.
Total
n=8487 Participants
Total of all reporting groups
Age, Continuous
80.6 years
STANDARD_DEVIATION 4.7 • n=4269 Participants
80.8 years
STANDARD_DEVIATION 4.9 • n=4218 Participants
80.7 years
STANDARD_DEVIATION 4.8 • n=8487 Participants
Sex: Female, Male
Female
2484 Participants
n=4269 Participants
2445 Participants
n=4218 Participants
4929 Participants
n=8487 Participants
Sex: Female, Male
Male
1785 Participants
n=4269 Participants
1773 Participants
n=4218 Participants
3558 Participants
n=8487 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
Israel
4269 participants
n=4269 Participants
4218 participants
n=4218 Participants
8487 participants
n=8487 Participants
Body Mass Index (BMI)
28.7 kg/m^2
STANDARD_DEVIATION 5.9 • n=4269 Participants
28.8 kg/m^2
STANDARD_DEVIATION 5.9 • n=4218 Participants
28.8 kg/m^2
STANDARD_DEVIATION 5.9 • n=8487 Participants
HbA1c% Mean (Standard Deviation)
6.51 %
STANDARD_DEVIATION 1.05 • n=3185 Participants • Baseline HbA1c% in known for all participants in groups B,D,F,G. However, it is known only for some participants in groups A,C,E. (See: Eligibility section)
6.46 %
STANDARD_DEVIATION 1.00 • n=3117 Participants • Baseline HbA1c% in known for all participants in groups B,D,F,G. However, it is known only for some participants in groups A,C,E. (See: Eligibility section)
6.49 %
STANDARD_DEVIATION 1.02 • n=6302 Participants • Baseline HbA1c% in known for all participants in groups B,D,F,G. However, it is known only for some participants in groups A,C,E. (See: Eligibility section)
Total Cholesterol Mean (Standard Deviation)
154.61 mg/dL
STANDARD_DEVIATION 33.88 • n=4262 Participants • Baseline Cholesterol is known for all participants in groups C,E,F,G. However, it is known only for some participants in groups A,B,D. See: Eligibility section.
154.23 mg/dL
STANDARD_DEVIATION 33.60 • n=4209 Participants • Baseline Cholesterol is known for all participants in groups C,E,F,G. However, it is known only for some participants in groups A,B,D. See: Eligibility section.
154.42 mg/dL
STANDARD_DEVIATION 33.74 • n=8471 Participants • Baseline Cholesterol is known for all participants in groups C,E,F,G. However, it is known only for some participants in groups A,B,D. See: Eligibility section.

PRIMARY outcome

Timeframe: 1 year

Impact on overall-survival

Outcome measures

Outcome measures
Measure
Intervention Email
n=4269 Participants
An email is sent, alerting the primary care providers about low values of BMI, HbA1c% or cholesterol and advising to consider appropriate dietary and medical revision. Email: Automated Email to the primary doctor and nurse, with the details of the patient, the condition found and the relevant measures to consider.
Control
n=4218 Participants
No email is sent.
Death From Any Cause
285 Participants
245 Participants

SECONDARY outcome

Timeframe: 1 year

Percentage of patients evaluated by a nurse and counseled by a dietitian

Outcome measures

Outcome measures
Measure
Intervention Email
n=4269 Participants
An email is sent, alerting the primary care providers about low values of BMI, HbA1c% or cholesterol and advising to consider appropriate dietary and medical revision. Email: Automated Email to the primary doctor and nurse, with the details of the patient, the condition found and the relevant measures to consider.
Control
n=4218 Participants
No email is sent.
Impact on Evaluation Rate
3387 Participants
3337 Participants

SECONDARY outcome

Timeframe: 1 year

Population: Data were not collected

Medical expenses to the medical insurer, including hospitalizations, consultations, examinations, devices and medicines.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 1 year

Population: Data were not collected.

A composite measure of doses of prescribed anti-diabetic and cholesterol-lowering medicines - According to relevant alert by email.

Outcome measures

Outcome data not reported

Adverse Events

Intervention Email

Serious events: 0 serious events
Other events: 0 other events
Deaths: 285 deaths

Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 245 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Nir Tsabar

CLALIT HEALTH SERVICES

Phone: +97246049512

Results disclosure agreements

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