Trial Outcomes & Findings for Evaluating Use of Continuous Glucose Monitors in a Short-term 2x2-Crossover Study (NCT NCT04424888)

NCT ID: NCT04424888

Last Updated: 2022-12-08

Results Overview

Temperature impacts the glucose level recorded by the Freestyle Libre glucose sensors. The thermostat of the Freestyle Libre glucose sensors can be assessed.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

6 participants

Primary outcome timeframe

Through study completion, an average of 5 weeks

Results posted on

2022-12-08

Participant Flow

Recruitment through local biotechnology community network over the time period of 3/15/18-3/16/18.

Participant milestones

Participant milestones
Measure
WB-011 / Placebo
3 capsules administered twice daily with morning and evening meal. Continuous Glucose Monitor: Abbott Freestyle Libre(™) Glucose Sensors were used throughout the study. Each period lasted two weeks, separated by a washout period of no-less than 3 days. First period - WB-011: WB-011 medical food product. Second period - Placebo: Placebo Capsules identical to those containing WB-011.
Placebo / WB-011
3 capsules administered twice daily with morning and evening meal. Continuous Glucose Monitor: Abbott Freestyle Libre(™) Glucose Sensors were used throughout the study. Each period lasted two weeks, separated by a washout period of no-less than 3 days. First period - Placebo: Placebo Capsules identical to those containing WB-011. Second period - WB-011: WB-011 medical food product.
First Intervention
STARTED
3
3
First Intervention
COMPLETED
3
3
First Intervention
NOT COMPLETED
0
0
Washout
STARTED
3
3
Washout
COMPLETED
3
3
Washout
NOT COMPLETED
0
0
Second Intervention
STARTED
3
3
Second Intervention
COMPLETED
3
3
Second Intervention
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Evaluating Use of Continuous Glucose Monitors in a Short-term 2x2-Crossover Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
WB-011 / Placebo
n=3 Participants
3 capsules administered twice daily with morning and evening meal. Continuous Glucose Monitor: Abbott Freestyle Libre(™) Glucose Sensors were used throughout the study. Each period lasted two weeks, separated by a washout period of no-less than 3 days. First period - WB-011: WB-011 medical food product. Second period - Placebo: Placebo Capsules identical to those containing WB-011.
Placebo / WB-011
n=3 Participants
3 capsules administered twice daily with morning and evening meal. Continuous Glucose Monitor: Abbott Freestyle Libre(™) Glucose Sensors were used throughout the study. Each period lasted two weeks, separated by a washout period of no-less than 3 days. First period - Placebo: Placebo Capsules identical to those containing WB-011. Second period - WB-011: WB-011 medical food product.
Total
n=6 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
3 Participants
n=5 Participants
3 Participants
n=7 Participants
6 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
3 participants
n=5 Participants
3 participants
n=7 Participants
6 participants
n=5 Participants

PRIMARY outcome

Timeframe: Through study completion, an average of 5 weeks

Population: Technical problems with measurement of temperature data resulting in unreliable data that were uninterpretable. Therefore the endpoint was dropped.

Temperature impacts the glucose level recorded by the Freestyle Libre glucose sensors. The thermostat of the Freestyle Libre glucose sensors can be assessed.

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: Change from baseline to 2 weeks

Population: Intent to treat

Change in area under interstitial glucose concentration versus time curve (AUC) during standardized self-administered 2-hour Meal Tolerance Test.

Outcome measures

Outcome measures
Measure
WB-011
n=6 Participants
3 capsules administered twice daily with morning and evening meal for 2 weeks WB-011: WB-011 medical food product. Continuous Glucose Monitor: Abbott Freestyle Libre(™) Glucose Sensors were used throughout the study.
Placebo
n=6 Participants
3 capsules administered twice daily with morning and evening meal for 2 weeks Placebo: Placebo Capsules identical to those containing WB-011. Continuous Glucose Monitor: Abbott Freestyle Libre(™) Glucose Sensors were used throughout the study.
2-hour Interstitial Glucose Area Under the Curve (AUC)
118.2167 min * mg/dL
Standard Deviation 1334.929
613.3667 min * mg/dL
Standard Deviation 604.2183

SECONDARY outcome

Timeframe: Change from baseline to 2 weeks

Population: Intent to treat

Weight measured via Scale

Outcome measures

Outcome measures
Measure
WB-011
n=6 Participants
3 capsules administered twice daily with morning and evening meal for 2 weeks WB-011: WB-011 medical food product. Continuous Glucose Monitor: Abbott Freestyle Libre(™) Glucose Sensors were used throughout the study.
Placebo
n=5 Participants
3 capsules administered twice daily with morning and evening meal for 2 weeks Placebo: Placebo Capsules identical to those containing WB-011. Continuous Glucose Monitor: Abbott Freestyle Libre(™) Glucose Sensors were used throughout the study.
Change in Body Mass
-0.2 kilograms
Standard Deviation 2.131666
-1.72 kilograms
Standard Deviation 2.138224

SECONDARY outcome

Timeframe: Change from baseline to 2 weeks

Population: Intent to treat; one subject did not provide stool samples.

Fecal quantitative PCR of product strain will be measured throughout the study if subject provide stool samples. Mass Fraction is measured and the delta between the start and end of each period is computed.

Outcome measures

Outcome measures
Measure
WB-011
n=5 Participants
3 capsules administered twice daily with morning and evening meal for 2 weeks WB-011: WB-011 medical food product. Continuous Glucose Monitor: Abbott Freestyle Libre(™) Glucose Sensors were used throughout the study.
Placebo
n=5 Participants
3 capsules administered twice daily with morning and evening meal for 2 weeks Placebo: Placebo Capsules identical to those containing WB-011. Continuous Glucose Monitor: Abbott Freestyle Libre(™) Glucose Sensors were used throughout the study.
Change in Fecal Quantitative PCR Measures of Probiotic Strain Concentration
Anaerobutyricum hallii
0.000371 ng / ng
Standard Deviation 0.000585
-0.000118 ng / ng
Standard Deviation 0.000230
Change in Fecal Quantitative PCR Measures of Probiotic Strain Concentration
Akkermansia muciniphila
0.0000143 ng / ng
Standard Deviation 0.0000102
-0.00000194 ng / ng
Standard Deviation 0.00000367
Change in Fecal Quantitative PCR Measures of Probiotic Strain Concentration
Bifidobacterium infantis
0.0000220 ng / ng
Standard Deviation 0.0000259
-0.00000286 ng / ng
Standard Deviation 0.00000639
Change in Fecal Quantitative PCR Measures of Probiotic Strain Concentration
Clostridium beijerinckii
0 ng / ng
Standard Deviation 0
0 ng / ng
Standard Deviation 0
Change in Fecal Quantitative PCR Measures of Probiotic Strain Concentration
Clostridium butyricum
0.0000000313 ng / ng
Standard Deviation 0.00000100
-0.00000131 ng / ng
Standard Deviation 0.00000294

SECONDARY outcome

Timeframe: Through study completion, an average of 5 weeks

Population: Intent to treat

To measure the lifespan of CGM sensors, we recorded how many sensors were worn per participant during the study. Sensors were replaced either at the end of the recommended 10-day period, or when they were accidentally removed.

Outcome measures

Outcome measures
Measure
WB-011
n=6 Participants
3 capsules administered twice daily with morning and evening meal for 2 weeks WB-011: WB-011 medical food product. Continuous Glucose Monitor: Abbott Freestyle Libre(™) Glucose Sensors were used throughout the study.
Placebo
3 capsules administered twice daily with morning and evening meal for 2 weeks Placebo: Placebo Capsules identical to those containing WB-011. Continuous Glucose Monitor: Abbott Freestyle Libre(™) Glucose Sensors were used throughout the study.
Expected Lifespan of Continuous Glucose Monitoring (CGM) Sensors
3 Number of sensors
Standard Deviation 0

SECONDARY outcome

Timeframe: 2 weeks, (First intervention or second intervention)

Population: All participants

Average number of pictures per day using the smartphone application per period, used to measure study fatigue.

Outcome measures

Outcome measures
Measure
WB-011
n=6 Participants
3 capsules administered twice daily with morning and evening meal for 2 weeks WB-011: WB-011 medical food product. Continuous Glucose Monitor: Abbott Freestyle Libre(™) Glucose Sensors were used throughout the study.
Placebo
n=6 Participants
3 capsules administered twice daily with morning and evening meal for 2 weeks Placebo: Placebo Capsules identical to those containing WB-011. Continuous Glucose Monitor: Abbott Freestyle Libre(™) Glucose Sensors were used throughout the study.
Number of Pictures Per Day
5.85 Average number of photos per day
Standard Deviation 2.72
5.46 Average number of photos per day
Standard Deviation 2.46

SECONDARY outcome

Timeframe: 2 weeks, (First intervention or second intervention)

Population: All participants.

Average number of hours between CGM-sensor scans using the smartphone application during the study period. The subjects were instructed to scan at least every eight hours because the CGM-sensor does not save the data after eight hours without scanning.

Outcome measures

Outcome measures
Measure
WB-011
n=6 Participants
3 capsules administered twice daily with morning and evening meal for 2 weeks WB-011: WB-011 medical food product. Continuous Glucose Monitor: Abbott Freestyle Libre(™) Glucose Sensors were used throughout the study.
Placebo
n=6 Participants
3 capsules administered twice daily with morning and evening meal for 2 weeks Placebo: Placebo Capsules identical to those containing WB-011. Continuous Glucose Monitor: Abbott Freestyle Libre(™) Glucose Sensors were used throughout the study.
Time Between CGM-sensor Scans
2.91 hours
Standard Deviation 1.99
4.53 hours
Standard Deviation 2.17

SECONDARY outcome

Timeframe: Through study completion, an average of 5 weeks.

Population: Two participants did not complete the questionnaire.

Questionnaire to assess usability of the CGM-sensor using the smartphone application. Question was: "Would you recommend others to a study like this? On a scale of 1-10 with 1 being no and 10 being absolutely"

Outcome measures

Outcome measures
Measure
WB-011
n=4 Participants
3 capsules administered twice daily with morning and evening meal for 2 weeks WB-011: WB-011 medical food product. Continuous Glucose Monitor: Abbott Freestyle Libre(™) Glucose Sensors were used throughout the study.
Placebo
3 capsules administered twice daily with morning and evening meal for 2 weeks Placebo: Placebo Capsules identical to those containing WB-011. Continuous Glucose Monitor: Abbott Freestyle Libre(™) Glucose Sensors were used throughout the study.
CGM-Smartphone Usability Feedback
8.25 Units on a scale
Standard Deviation 1.258306

Adverse Events

WB-011

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

Placebo

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

James Bullard, PhD, Chief Technical Officer

Pendulum Therapeutics

Phone: (844) 912-2256

Results disclosure agreements

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