Basal Plus GLP1-ra on Glycemic Variability in CKD

NCT ID: NCT05218915

Last Updated: 2024-12-03

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

PHASE4

Total Enrollment

95 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-01-28

Study Completion Date

2024-10-30

Brief Summary

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To compare GLP-1 RA plus basal insulin (BGLP) versus basal-bolus (BB) insulin regimens on glycemic variability (GV) and time in range (TIR) in diabetes patients CKD stage 3-4

Detailed Description

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Conditions

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Diabetes Mellitus Diabetic Kidney Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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GLP1-ra plus basal insulin (BGLP)

Dulaglutide and insulin degludec in combination with CGM

Group Type EXPERIMENTAL

Dulaglutide

Intervention Type DRUG

Dulaglutide once weekly subcutaneous

Insulin Degludec

Intervention Type DRUG

Insulin degludec once daily

Continuous glucose monitor

Intervention Type DEVICE

Dexcom G6 CGM system

Basal bolus insulin (BB)

Insulin aspart/lispro and insulin degludec in combination with CGM

Group Type ACTIVE_COMPARATOR

Insulin Degludec

Intervention Type DRUG

Insulin degludec once daily

Continuous glucose monitor

Intervention Type DEVICE

Dexcom G6 CGM system

Interventions

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Dulaglutide

Dulaglutide once weekly subcutaneous

Intervention Type DRUG

Insulin Degludec

Insulin degludec once daily

Intervention Type DRUG

Continuous glucose monitor

Dexcom G6 CGM system

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Type 2 diabetes mellitus diagnosed for at least 6 months
2. Male or female age ≥ 18 years old and ≤ 75 years old.
3. Body mass index between 18 and 40 kg/m2 inclusive
4. HbA1c ≥ 6.5% and ≤ 9.0% at screening
5. Women who are not pregnant, lactating or planning a pregnancy during their participation in the clinical study.
6. Patients with CKD stage 3 or 4 as defined by estimated glomerular filtration rate between 15-59 ml/min/m2 by the modified Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation at screening
7. Willingness, ability and commitment to comply with the testing, procedure and follow-up outlined in this protocol including (but not limited to) and use of pre-specified glucose monitoring devices.
8. In the opinion of the investigator, absence of any physical limitations, addictive diseases, or underlying medical conditions (including mental health) that may preclude the patient from being a suitable study candidate.
9. Written informed consent to participate in the study provided by the patient.
10. Willing and capable of use of a continuous glucose monitor as judged by the investigator

Exclusion Criteria

1. Type 1 diabetes
2. Currently pregnant, as demonstrated by a positive pregnancy test at screening or planning pregnancy
3. Treatment with GLP-1 RA or insulin degludec in the past three months
4. Any active acute or chronic disease or condition that, in the opinion of the investigator, might interfere with the performance of this study.
5. Any active acute or chronic infectious disease that, in the opinion of the investigator, would pose an excessive risk to study staff.
6. Current use or recent exposure to any medication that in the opinion of the investigator could have an influence on the patient's ability to participate in this study or on the performance of the test device.
7. Extensive skin changes/diseases that preclude wearing the CGM on normal skin at the proposed application sites (e.g., extensive psoriasis, recent burns or severe sunburn, extensive eczema, extensive scarring, extensive tattoos, dermatitis herpetiformis).
8. Have a known allergy to medical-grade adhesives
9. Known current or recent alcohol or drug abuse
10. Diabetic ketoacidosis, hyperosmolar hyperglycaemic state or myocardial infarction in the six months prior to screening
11. Patients on renal replacement therapy or likely require kidney transplant or dialysis during the study period
12. Currently participating in another investigational study protocol where the testing or results may interfere with study compliance, diagnostic results, or data collection.
13. An identified protected vulnerable patient (including but not limited to those in detention, or a prisoner).
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Elaine Chow

OTHER

Sponsor Role lead

Responsible Party

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Elaine Chow

Clinical Assistant Professor

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Prince of Wales Hospital

Shatin, , Hong Kong

Site Status

Countries

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Hong Kong

Other Identifiers

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BGLP-DKD

Identifier Type: -

Identifier Source: org_study_id