Evaluation of the Therapeutic Efficacy and Safety of Artificial Intelligence-based Decision-making Technology in the Integrated Management of Diabetes Mellitus: a Longitudinal, Open-labeled, Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 400
- 试验地点
- 1
- 主要终点
- HbA1c
研究概览
简要总结
Purpose: To evaluate the efficacy of artificial intelligence (AI)-based decision-making technology in managing glycated hemoglobin (HbA1c) and blood glucose levels compared to the control group.
Methods: For the AI Intervention group, the patients will be trained to independently use the diabetes telemedicine platform application. Each patient will be equipped with a glucometer and exercise bracelet, and the data will be automatically transmitted to the medical server via Bluetooth. The healthcare platform will analyze the uploaded data and provide feedback suggestions on medication, diet, and exercise automatically. The platform will also monitor the medical and lifestyle data of the patients every two weeks, offer feedback based on the analyses, and remind the patient to adhere to the self-management protocol based on the platform. The platform is a digitally integrated healthcare platform that patients can use independently without the need for monitoring and assistance by healthcare professionals. The glucometer and pedometer bracelet will automatically connect to the platform through Bluetooth. The patient lab sheet identification and structured conversion system, AI for food picture identification and calorie calculation systems, and the AI decision-making system are on the cloud server. Patients upload image information, such as lab sheets and meal pictures, through the patient's diabetes mobile health system, and the cloud platform intelligently analyzes the patient's disease, medication, and daily life status to develop personalized solutions according to individual control goals. Free outpatient visits will be provided to both the intervention and control groups every twelve weeks. For the conventional treatment group, patients will receive a free blood glucometer and will have regular outpatient appointments. There is no limit to the number of outpatient visits; however, they are required to regularly monitor and record their blood glucose, diet, and exercise data to ensure that the medical team objectively conduct their diagnosis and treatment activities. The medical team will provide free outpatient visits every 12 weeks, along with advice on medication, diet, and exercise based on the individual's blood glucose level.
Expected results: A significant difference in HbA1c change from baseline to 48 weeks and improved FPG and 2-hour postprandial blood glucose levels in the AI intervention group were observed.
详细描述
Follow-up Plan::
Visit 1(-4W~-1W): Obtain the written informed consents of the patients, conduct the demographic survey, medical record survey, drug history investigation, subject compliance investigation, vital signs checkup, laboratory tests, imaging, and other instrument examinations, as well as evaluate the comorbidities of diabetes.
Visit 2 (D0): Educate the intervention group operating the platform system, evaluating diabetic hypoglycemia events, enhancing patients' self-management abilities, and knowledge mastery. Lab tests will be conducted at 12-week intervals, including Visit 3 (12W), Visit 4 (24W) or Visit 5 (36W), and Visit 6 (48W).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age: ≥18 years，≤75 years;
- •Diagnosed with type 2 diabetes for ≥1 year;
- •7.0% ≤HbA1c ≤11%;
- •Body mass index ≥18.5 kg/m2;
- •Proficient ability to use smart phones;
- •Agreed to utilize a digital integrated healthcare platform for diabetes care and research;
- •Informed consents are obtained from the participants.
排除标准
- •Presence of other types of diabetes, such as type 1 diabetes and gestational diabetes;
- •Severe diabetic complications;
- •Medical history of chronic liver diseases, including hemochromatosis, hepatocellular carcinoma, autoimmune liver disease, cirrhosis, viral hepatitis (including hepatitis A, B, and C), or hepatolenticular degeneration;
- •Kidney injury (serum creatinine ≥1.5 times the upper limit of the reference) ; Serum ALT and AST levels elevated >2-fold;
- •Medical history of mental disorders, such asschizophrenia, depression, or bipolar affective disorder;
- •Excessive alcohol intake or drug abuse in the past 3 months;
- •Use of medications affecting glucose metabolism, such as corticosteroids or ·consumption of immunosuppressive and anti-obesity medications in the past 3 months;
- •Pregnancy, planning for pregnancy, or lactation; or any other conditions unsuitable for trial participation;
- •Participatingor plan to participate in other clinical trials; and other cases that are inappropriate to participate.
研究组 & 干预措施
Artificial Intelligence Intervention Group
The patients will be trained to independently use the diabetes telemedicine platform application. Each patient will be equipped with a glucometer and exercise bracelet, and the data will be automatically transmitted to the medical server via Bluetooth. The healthcare platform will analyze the uploaded data and provide feedback suggestions on medication, diet, and exercise automatically. The platform will also monitor the medical and lifestyle data of the patients every two weeks,offer feedback based on the analyses, and remind the patient to adhere to the self-management protocol based on the platform. Free outpatient visits will be provided to both the intervention and control groups every twelve weeks.
干预措施: artificial intelligence (Other)
Conventional Treatment Group
Patients in the control group will receive a free blood glucometer and will have regular outpatient appointments every 12 weeks..
干预措施: Routine diagnosis and treatment group for diabetes (Other)
结局指标
主要结局
HbA1c
时间窗: 48weeks
Change From Baseline in HbA1c levels at 24 and 48 Weeks
Fasting Blood Glucose (FBG)
时间窗: 48 weeks
Change from baseline in mean fasting blood glucose at 48 weeks
2-hour Postprandial Blood Glucose (2hPPG)
时间窗: 48 weeks
Change from baseline in mean 2-hour postprandial blood glucose at 48 weeks
Hypoglycemic events
时间窗: 48 weeks
Number of hypoglycemic events from baseline to 48 weeks
次要结局
- Healthcare expenses(48weeks)
- Insulin and oral hypoglycemic agent dosing(48 weeks)
- Serum lipids(48 weeks)
- blood pressure(48 weeks)
- BMI(48 weeks)
- body weight(48weeks)
- Fasting C-peptide level(48weeks)