Continuous Glucose Monitoring & Management In Type 2 Diabetes (T2D)

NCT ID: NCT03620357

Last Updated: 2021-03-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

72 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-09-05

Study Completion Date

2020-11-04

Brief Summary

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A Study to assess if patients with Type 2 diabetes (T2D) who have suboptimal glycemic control using multiple oral agents are able to make lifestyle changes resulting in improved glycemic control by use of real-time continuous glucose monitoring (RT-CGM) and targeted learning modules versus self monitored blood glucose (SMBG) testing.

Detailed Description

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The study is referred to as "Continuous Glucose Monitoring and Management in Type 2 Diabetes" also known as The COMMITED Study" and will assess if patients with Type 2 diabetes (T2D) who have suboptimal glycemic control using 2 or more multiple oral agents are able to make lifestyle changes resulting in improved glycemic control by use of real-time continuous glucose monitoring and targeted learning modules.

At time of enrollment, participants will undergo a run-in period of blinded CGM for a duration of 10 days to collect baseline data. Baseline Patient Report Outcome (PRO) surveys will be administered at the start of run-in.

The study design includes a run-in phase, a study phase and a follow up visit. During the study phase, participants will be randomized into two groups - CGM Group or SMBG Group. For the RT-CGM Group, the study comprises of 4 scheduled clinic visits at baseline (after Run-In), week 4, week 8, and week 12 to collect data on episodic RT-CGM use. During these visits, RT-CGM insertions will take place at baseline, week 4 and week 8 clinic visits, with each wear period lasting a duration of 10 days. For the SMBG Group, the study comprises of 3 scheduled clinic visits at baseline (after Run-In), week 8 (to collect data on episodic blinded CGM use) and week 12. CGM insertions will take place at week 8 with a wear period of 10 days. Both groups will have HbA1c collected at week 0 and week 12. The same PRO surveys administered at start of run-in will be administered again at week 12. There will not be therapeutic changes during the study phase unless needed for safety.

There will be phone/remote visits by a study site clinician at weeks 2, 6 and 10 in both groups to review the SMBG or CGM data. During these remote visits, there will be discussions about what the subjects have learned from their glucose monitoring and what the study clinician has observed.

All subjects will be scheduled for a follow up visit at Month 9 to obtain local lab or POC HbA1c. Diabetes medications (classifications only) will also be collected.

Conditions

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Diabetes Mellitus, Type 2

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Prospective, randomized, multicenter, two-arm pilot study.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Continuous Glucose Monitor (CGM) Group

Group Type EXPERIMENTAL

CGM

Intervention Type DEVICE

CGM Group: Dexcom G6 CGM

SMBG Group

Group Type ACTIVE_COMPARATOR

SMBG

Intervention Type DEVICE

SMBG Group: Blood Glucose Meter

Interventions

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CGM

CGM Group: Dexcom G6 CGM

Intervention Type DEVICE

SMBG

SMBG Group: Blood Glucose Meter

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Age at least 30 years
* Diagnosis of T2D treated with 2 or more oral anti-diabetic medications
* HbA1c ≥ 7.8 and ≤10.5% by local lab or POC

Exclusion Criteria

* Using insulin
* Pregnancy
* Estimated glomerular filtration rate (eGFR) \<30 mL/min/1.73m2
Minimum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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DexCom, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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David Price, MD

Role: STUDY_DIRECTOR

DexCom, Inc.

Locations

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Diabetes/Lipid Management and Research Center

Huntington Beach, California, United States

Site Status

Temecula Valley Endocrinology

Temecula, California, United States

Site Status

Atlanta Diabetes Associates

Atlanta, Georgia, United States

Site Status

MODEL Clinical Research (Towson)

Baltimore, Maryland, United States

Site Status

Diabetes & Endocrine Associates, PC

Omaha, Nebraska, United States

Site Status

Las Vegas Endocrinology

Henderson, Nevada, United States

Site Status

The Docs

Las Vegas, Nevada, United States

Site Status

Palm Research Center

Las Vegas, Nevada, United States

Site Status

Diabetes and Glandular Disease Clinic

San Antonio, Texas, United States

Site Status

LMC Manna Research

Toronto, Ontario, Canada

Site Status

Countries

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United States Canada

Other Identifiers

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PTL903076

Identifier Type: -

Identifier Source: org_study_id

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