Comparative Efficacy of iBGStar Glucose Meter vs. Traditional Glucose Monitoring in Improving Metabolic Control and Compliance Towards Self-Monitoring of Blood Glucose in Young Patients With Type 1 Diabetes
Trial Snapshot
- Phase
- Phase 3
- Status
- Completed
- Sponsor
- Sanofi
- Enrollment
- 186
- Locations
- 1
- Primary Endpoint
- Change in HbA1c levels from baseline
Study Overview
Brief Summary
The purpose of this study is to demonstrate the superiority of iBGstar as a component of the diabetes treatment vs. traditional blood glucose self-monitoring system for improving glycemic control after 6 months in young patients with type 1 diabetes. The study is intended also to demonstrate the superiority of iBGStar as a component of the diabetes treatment vs. usual blood glucose self-monitoring system for improving the compliance to self monitoring of blood glucose after 6 months.
Detailed Description
The planned study duration will be 20 months (5 quarters) with screening/enrollment of 7 months, followed by 2-3 weeks of a qualification phase, a 6 month experimental phase, plus a 6 month follow-up in the post-trial observational phase.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Masking
- None
Eligibility Criteria
- Ages
- 14 Years to 24 Years (Child, Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Type 1 diabetes
- •Males and females
- •Age between 14-24 years
- •Any diabetes duration
- •Cared for by the diabetes center for at least 1 year
- •HbA1c ≥ 8%
- •Basal bolus treatment (any insulin)
- •Poor compliance with Self-Monitoring of Blood Glucose (less than 30% of the recommended Blood Glucose measurements recorded in the glucose meter in the two previous weeks, i.e. <16 Blood Glucose measurements in the last two weeks)
- •Written informed consent obtained from patient or legal representative (for minor)
Exclusion Criteria
- •Treatment with other insulin regimen or Continuous Subcutaneous Insulin Infusion
- •Refusal or inability to give informed consent to participate in the study
- •Patients with short life expectancy
- •Patients with conditions/concomitant diseases making them non evaluable for the primary efficacy endpoint according to physician's judgment
- •Requirement for concomitant treatment that could bias primary evaluation
- •Patients with high likelihood of being unavailable for 6 and/or 12 months visits
- •Subject is the investigator, sub-investigator, research assistant, pharmacist, study coordinator, other study site staff or relative of study site staff thus considered directly involved in the conduct of the study
- •Current addition/abuse of alcohol or drugs
- •Severe visual or dexterity impairment
- •Patients with any mental condition rendering them unable to understand the nature, scope, and possible consequences of the study
- •Pregnant or breast-feeding women
- •Subjects unlikely or unable to comply with the Protocol requirements
Outcomes
Primary Outcomes
Change in HbA1c levels from baseline
Time Frame: baseline to six months
Proportion of participants performing at least 30% of the recommended Self-Monitoring Blood Glucose tests after 6 months from randomization
Time Frame: at 6 months
Secondary Outcomes
- Percentage of participants with HbA1c ≤7.5%(at 6 months and 12 months)
- Average number of recommended Self-Monitoring Blood Glucose tests daily, weekly, and monthly(at 6 months and 12 months)
- Mean fasting plasma glucose (FPG) and postprandial glucose (PPG)(at 6 months and 12 months)
- Mean Glycemic Variability(at 6 months and 12 months)
- Average Insulin Dose(at 6 months and 12 months)
- Number of Daily Injections(at 6 months and 12 months)
- Number of Insulin Dose Adjustments(at 6 months and 12 months)
- Quality of life: Audit of Diabetes Dependent Quality of Life (ADDQOL) (young adults 18-24 years)(at 6 months and 12 months)
- Diabetes Quality of Life (DQOL-Y) (adolescents 14-17 years)(at 6 months and 12 months)
- Participants satisfaction with SMBG meter assessed by Visual Analog Scale (VAS)(at 6 months and 12 months)
- Number overall contacts between centers and participants(up to 12 months)
- Type of overall contacts between centers and participants(up to 12 months)
