Patient Centered Multi-Agent Decision Support System (PCM-DSS) for Healthcare Providers

NCT ID: NCT07063420

Last Updated: 2025-11-13

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

RECRUITING

Clinical Phase

NA

Total Enrollment

18 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-10-28

Study Completion Date

2026-07-31

Brief Summary

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Decision Support System (Software) for multi antidiabetic drug therapy use in type 2 diabetes (T2D).

Detailed Description

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The purpose of this study is to test the safety and feasibility of using a patient centered decision support system (software) aim for healthcare providers to treat people with type 2 diabetes under multi antidiabetic drug therapy.

Conditions

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Type 2 Diabetes Treated With Insulin

Keywords

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Patient Centered Multi-Agent Decision Support System (PCM-DSS) Continuous Glucose Monitor (CGM) Insulin pen

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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CGM + Patient Centered Multi-Agent Decision Support System (PCM-DSS) (TREAT2)

Participants will use their personal insulin pen and study continuous glucose monitor (CGM). Participants will adjust therapy guided by the study physician who receives the TREAT2D Report for a 16-week period. TREAT2D Report is generated by the Patient Centered Multi-Agent Decision Support System (PCM-DSS). Participant will then complete a 2-week Maintenance Phase where therapy established during the Intervention Phase will be maintained.

Group Type EXPERIMENTAL

Continuous Glucose Monitor (CGM) + Patient Centered Multi-Agent Decision Support System (PCM-DSS)

Intervention Type OTHER

Continuous Glucose Monitor (CGM) + Patient Centered Multi-Agent Decision Support System (PCM-DSS) PCM-DSS

CGM + Usual Care (Physician)

Participants will use a study CGM and their personal insulin pen. They will have their insulin therapy guided by the study physician for a 16-week period. Participants will be contacted by study personnel as per standard care to adjust their therapy if needed. Participants will then complete a 2-week Maintenance Phase where therapy established during the Intervention Phase will be maintained.

Group Type PLACEBO_COMPARATOR

Continuous Glucose Monitor (CGM) + Usual Care

Intervention Type OTHER

Continuous Glucose Monitor (CGM) + Usual Care (Physician)

Interventions

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Continuous Glucose Monitor (CGM) + Patient Centered Multi-Agent Decision Support System (PCM-DSS)

Continuous Glucose Monitor (CGM) + Patient Centered Multi-Agent Decision Support System (PCM-DSS) PCM-DSS

Intervention Type OTHER

Continuous Glucose Monitor (CGM) + Usual Care

Continuous Glucose Monitor (CGM) + Usual Care (Physician)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Age ≥18.0 years old at time of consent.
2. Clinical diagnosis, based on investigator assessment, of type 2 diabetes for at least 6 months.
3. Hemoglobin A1c (HbA1c) ≥ 7.0%.
4. Currently using an approved long-acting insulin for at least 3 months (e.g., insulin glargine, insulin degludec).
5. Treated or about to be treated with multi-drug therapies for T2D.
6. If using a CGM, willingness to wear an additional study CGM during the duration of the study.
7. Access to the internet and willingness to upload data during the study as needed.
8. If female and sexually active, must agree to use a form of contraception to prevent pregnancy while a participant in the study. A negative serum or urine pregnancy test will be required for all females who self-report that they are of childbearing potential. Participants who become pregnant will be discontinued from the study. Also, participants who during the study develop and express the intention to become pregnant within the timespan of the study will be discontinued.

Exclusion Criteria

1. Currently using rapid insulin for at least three months (e.g., insulin aspart, insulin lispro, insulin regular).
2. Currently being treated for a seizure disorder.
3. A known medical condition that in the judgment of the investigator might interfere with the completion of the protocol, such as but not limited to, the following examples:

1. Seizure disease
2. Decompensated cardiac disease
4. Inpatient psychiatric treatment in the past 6 months
5. Presence of a known adrenal disorder
6. Currently pregnant or intent to become pregnant during the trial.
7. Anticipated surgical, interventional procedures or prolonged periods of fasting during this study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Daniel Chernavvsky, MD

OTHER

Sponsor Role lead

University of Virginia

OTHER

Sponsor Role collaborator

Responsible Party

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Daniel Chernavvsky, MD

Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Ralf Nass, MD

Role: PRINCIPAL_INVESTIGATOR

University of Virginia Center for Diabetes Technology

Locations

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University of Virginia Center for Diabetes Technology

Charlottesville, Virginia, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Carlene Alix

Role: CONTACT

Phone: (434) 249-8961

Email: [email protected]

Laura Kollar, RN

Role: CONTACT

Phone: (434) 982-6479

Email: [email protected]

Facility Contacts

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Ralf Nass, MD

Role: primary

Other Identifiers

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302621

Identifier Type: -

Identifier Source: org_study_id