A 12 Month Site Randomized Trial in Adults With Type 2 Diabetes Mellitus and History of Cardiovascular Disease

NCT ID: NCT03936660

Last Updated: 2024-11-21

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

1049 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-07-25

Study Completion Date

2022-12-30

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

COORDINATE-Diabetes is a cluster-randomized clinical trial to test the effectiveness of an innovative, clinic-level educational intervention to improve the management of patients with type 2 diabetes mellitus and cardiovascular disease.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Patients with Type 2 diabetes mellitus and a history of cardiovascular disease will be enrolled in this study. The study will randomize a minimum of 42 US cardiology clinics to an intervention arm vs. control arm. The clinic-level multi-faceted educational intervention will include strategies to develop cardiology and endocrinology partnerships and guideline-recommended care pathways with measurement and feedback to improve the care of patients with type 2 diabetes mellitus and cardiovascular disease.

Patients must be enrolled during a routine visit in a cardiology clinic, and the clinic must have at least 3 physicians and/or APPs on staff with independent patient populations.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Diabetes Mellitus, Type 2 Cardiovascular Diseases

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Control

Clinics provided with existing clinical care guidelines.

Group Type NO_INTERVENTION

No interventions assigned to this group

Intervention

Clinics provided with existing clinical care guidelines as well as a multifaceted educational intervention to support development of an integrated, multi-disciplinary care pathway for patients with T2DM and CVD.

Group Type ACTIVE_COMPARATOR

Intense Education Intervention

Intervention Type OTHER

Clinics provided with existing clinical care guidelines as well as a multifaceted educational intervention to support development of an integrated, multi-disciplinary care pathway for patients with T2DM and CVD.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Intense Education Intervention

Clinics provided with existing clinical care guidelines as well as a multifaceted educational intervention to support development of an integrated, multi-disciplinary care pathway for patients with T2DM and CVD.

Intervention Type OTHER

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Intervention

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Age ≥ 18 years old
* Diagnosis of Type 2 diabetes mellitus (T2DM)
* History of at least one of the following conditions:

1. Coronary artery disease (defined as prior MI, coronary revascularization (CABG or PCI), and/or obstructive CAD (≥50%) as documented by angiography or CTA)
2. Stroke and/or carotid artery stenosis (≥50%)
3. Peripheral Arterial disease (defined as claudication with ABI\<0.9, prior peripheral revascularization, and/or amputation due to circulatory insufficiency)
* Ability to communicate with site staff and understand and provide written informed consent and proof of Health Insurance Portability and Accountability Act (HIPAA) authorization

Exclusion Criteria

* Determined to be highly unlikely to survive and/or to continue follow-up in that clinic for at least 1 year, as identified by site investigator
* GFR\<30 mL/min/1.73m2
* Already on all guideline-recommended therapies for T2DM and CVD
* Absolute contraindication to any of the guideline recommended therapies for T2DM and CVD
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Boehringer Ingelheim

INDUSTRY

Sponsor Role collaborator

Eli Lilly and Company

INDUSTRY

Sponsor Role collaborator

Duke University

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Christopher Granger, MD

Role: PRINCIPAL_INVESTIGATOR

Duke Clinical Research Institute

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Grandview Health/Alabama Cardiovascular Group

Birmingham, Alabama, United States

Site Status

USA Cardiology

Mobile, Alabama, United States

Site Status

Alaska Heart and Vascular Institute

Anchorage, Alaska, United States

Site Status

Dignity Health/DHMG Specialty Medicine

Phoenix, Arizona, United States

Site Status

Stanford University

Stanford, California, United States

Site Status

Blue Coast Cardiology

Vista, California, United States

Site Status

Aurora Denver Cardiology

Denver, Colorado, United States

Site Status

Bridgeport Hospital

Bridgeport, Connecticut, United States

Site Status

Orlando Heart and Vascular Institute

Altamonte Springs, Florida, United States

Site Status

Riverside Medical Center/Synergy Healthcare

Bradenton, Florida, United States

Site Status

Lennar Foundation/Univ. of Miami

Coral Gables, Florida, United States

Site Status

Citrus Cardiology

Inverness, Florida, United States

Site Status

Baptist Health Research Institute

Jacksonville, Florida, United States

Site Status

Advanced Research for Health Improvement, LLC

Naples, Florida, United States

Site Status

Cardiovascular Inst. of Northwest Florida

Panama City, Florida, United States

Site Status

Bayfront Cardiovascular Associates

St. Petersburg, Florida, United States

Site Status

Interventional Cardiac Consultants

Trinity, Florida, United States

Site Status

Emory/Grady Memorial Hospital

Atlanta, Georgia, United States

Site Status

Advocate Heart Institute

Chicago, Illinois, United States

Site Status

Advanced Heart Care Group/Medicoricium LLC

Fairview Heights, Illinois, United States

Site Status

Specialty Physicians of Illinois

Olympia Fields, Illinois, United States

Site Status

UnityPoint Health Cardiovascular Services

Peoria, Illinois, United States

Site Status

Prairie Cardiovascular Consultants

Springfield, Illinois, United States

Site Status

Iowa Heart Center

Des Moines, Iowa, United States

Site Status

Heart Clinic of Louisiana

Marrero, Louisiana, United States

Site Status

The Johns Hopkins University

Baltimore, Maryland, United States

Site Status

Endeavor Medical Research

Alpena, Michigan, United States

Site Status

Cardiology Institute of Michigan

Flint, Michigan, United States

Site Status

Hannibal Regional Medical Group

Hannibal, Missouri, United States

Site Status

Advanced Heartcare LLC

Bridgewater, New Jersey, United States

Site Status

New Jersey Heart

Linden, New Jersey, United States

Site Status

Garden State Heart Care

Manalapan, New Jersey, United States

Site Status

Cardiovascular Associates of the Delaware Valley

Sewell, New Jersey, United States

Site Status

Northwell Health/Lenox Hill Hospital

Manhasset, New York, United States

Site Status

Kernodle Clinic

Burlington, North Carolina, United States

Site Status

Cone Health/LeBauer Brodie Ctr for Cardiovascular Rsch

Greensboro, North Carolina, United States

Site Status

Cape Fear Heart Associates

Wilmington, North Carolina, United States

Site Status

Cardiovascular Health Clinic

Oklahoma City, Oklahoma, United States

Site Status

Guthrie Medical Group

Sayre, Pennsylvania, United States

Site Status

Advanced Cardiology Associates

Greenwood, South Carolina, United States

Site Status

Black Hills Cardiovascular Research

Rapid City, South Dakota, United States

Site Status

Univ. of Texas Southwestern

Dallas, Texas, United States

Site Status

Lonestar Heart and Vascular

Tomball, Texas, United States

Site Status

ProHealth Care Heart and Vascular

Waukesha, Wisconsin, United States

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States

References

Explore related publications, articles, or registry entries linked to this study.

Zinman B, Lachin JM, Inzucchi SE. Empagliflozin, Cardiovascular Outcomes, and Mortality in Type 2 Diabetes. N Engl J Med. 2016 Mar 17;374(11):1094. doi: 10.1056/NEJMc1600827. No abstract available.

Reference Type BACKGROUND
PMID: 26981940 (View on PubMed)

Marso SP, Daniels GH, Brown-Frandsen K, Kristensen P, Mann JF, Nauck MA, Nissen SE, Pocock S, Poulter NR, Ravn LS, Steinberg WM, Stockner M, Zinman B, Bergenstal RM, Buse JB; LEADER Steering Committee; LEADER Trial Investigators. Liraglutide and Cardiovascular Outcomes in Type 2 Diabetes. N Engl J Med. 2016 Jul 28;375(4):311-22. doi: 10.1056/NEJMoa1603827. Epub 2016 Jun 13.

Reference Type BACKGROUND
PMID: 27295427 (View on PubMed)

Sattar N, Petrie MC, Zinman B, Januzzi JL Jr. Novel Diabetes Drugs and the Cardiovascular Specialist. J Am Coll Cardiol. 2017 May 30;69(21):2646-2656. doi: 10.1016/j.jacc.2017.04.014.

Reference Type BACKGROUND
PMID: 28545639 (View on PubMed)

Vinereanu D, Lopes RD, Bahit MC, Xavier D, Jiang J, Al-Khalidi HR, He W, Xian Y, Ciobanu AO, Kamath DY, Fox KA, Rao MP, Pokorney SD, Berwanger O, Tajer C, de Barros E Silva PGM, Roettig ML, Huo Y, Granger CB; IMPACT-AF investigators. A multifaceted intervention to improve treatment with oral anticoagulants in atrial fibrillation (IMPACT-AF): an international, cluster-randomised trial. Lancet. 2017 Oct 14;390(10104):1737-1746. doi: 10.1016/S0140-6736(17)32165-7. Epub 2017 Aug 28.

Reference Type BACKGROUND
PMID: 28859942 (View on PubMed)

American Diabetes Association. 9. Pharmacologic Approaches to Glycemic Treatment: Standards of Medical Care in Diabetes-2019. Diabetes Care. 2019 Jan;42(Suppl 1):S90-S102. doi: 10.2337/dc19-S009.

Reference Type BACKGROUND
PMID: 30559235 (View on PubMed)

American Diabetes Association. 10. Cardiovascular Disease and Risk Management: Standards of Medical Care in Diabetes-2019. Diabetes Care. 2019 Jan;42(Suppl 1):S103-S123. doi: 10.2337/dc19-S010.

Reference Type BACKGROUND
PMID: 30559236 (View on PubMed)

Tannu M, Kaltenbach L, Pagidipati NJ, McGuire DK, Aroda VR, Pop-Busui R, Kondamudi N, Al-Khalidi HR, Lopes RD, Cavender MA, Nelson AJ, Kirk J, Lingvay I, Magwire M, Richardson CR, Webb L, Leyva M, Pandey A, Washington A, Pak J, Gaynor T, Khan W, Weston P, Granger CB, Green J. Effects of an Intervention to Improve Evidence-Based Care for People With Diabetes and Cardiovascular Disease Across Sex, Race, and Ethnicity Subgroups: Insights From the COORDINATE-Diabetes Trial. Circulation. 2024 Jul 16;150(3):180-189. doi: 10.1161/CIRCULATIONAHA.124.068962. Epub 2024 Jun 27.

Reference Type DERIVED
PMID: 38934111 (View on PubMed)

Pagidipati NJ, Nelson AJ, Kaltenbach LA, Leyva M, McGuire DK, Pop-Busui R, Cavender MA, Aroda VR, Magwire ML, Richardson CR, Lingvay I, Kirk JK, Al-Khalidi HR, Webb L, Gaynor T, Pak J, Senyucel C, Lopes RD, Green JB, Granger CB; COORDINATE-Diabetes Site Investigators. Coordinated Care to Optimize Cardiovascular Preventive Therapies in Type 2 Diabetes: A Randomized Clinical Trial. JAMA. 2023 Apr 18;329(15):1261-1270. doi: 10.1001/jama.2023.2854.

Reference Type DERIVED
PMID: 36877177 (View on PubMed)

Provided Documents

Download supplemental materials such as informed consent forms, study protocols, or participant manuals.

Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

Pro00101556

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

TODAY2 Phase 2 Follow-up
NCT02310724 COMPLETED