Diabetes Mellitus, Type 2Phase 3NCT00287807
Effect of Self-monitoring of Blood Glucose in Patients With Type 2 Diabetes Mellitus Not Using Insulin
A Phase 3 study testing Self-monitoring of blood glucose (SMBG) in people with Diabetes Mellitus, Type 2, run by Medical Research Foundation, The Netherlands at 1 site in Netherlands.
Trial summary
Self-monitoring of blood glucose (SMBG) is one of the important instruments in diabetes management. Most patients with type 1 diabetes and patients with type 2 using insulin, frequently measure their blood glucose in case of possible hypoglycemia, but also to evaluate the insulin treatment and get information about… Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Diabetes Mellitus, Type 2
- What is being tested?
- Self-monitoring of blood glucose (SMBG)
- Type of treatment
- Lifestyle or therapy programme
- How many people
- 60 participants
- Where
- 1 siteNetherlands
- Study dates
- Feb 2006to Oct 2008
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Type 2 diabetes
- HbA1c 7 - 8,5% at previous and present annual check-up
- Use of 1 or 2 different oral blood glucose lowering drugs
- In case of two oral blood glucose lowering drugs, they should not both have a maximum dosage
- Sufficient knowledge of the Dutch language to understand the requirements for the study
Who cannot join
- Change in oral blood glucose lowering drugs in the past three months
- Use of insulin
- Use of device for self-monitoring of blood glucose at the start of the study, or in the preceding 6 months
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Self-monitoring of Blood Glucose in Patients With Type 2 Diabetes Mellitus Who Are Not Using Insulin. A Randomized Controlled Trial
Self-monitoring of blood glucose (SMBG) is one of the important instruments in diabetes management. Most patients with type 1 diabetes and patients with type 2 using insulin, frequently measure their blood glucose in case of possible hypoglycemia, but also to evaluate the insulin treatment and get information about how to change the insulin regimen, if necessary. Without SMBG it is almost impossible to achieve this goal.
The purpose of this study is to determine if self-monitoring in patients with type 2 diabetes not using insulin results in better glycemic control.
Read the detailed description
Study Objectives:
Primary: What is the effect of SMBG in patients with type 2 diabetes who are not using insulin on Glycemic control (as measured with glycosylated hemoglobin (HbA1c)?
Secondary: What is the effect of SMBG in patients with type 2 diabetes who are not using insulin on the following parameters:
- Health status
- Diabetes related complaints
- Patient satisfaction
- Cumulative incidence of (necessity to start) insulin therapy / maximum dosage of oral blood glucose lowering drugs
- Dosage of oral blood glucose lowering drugs
- Bodyweight (BMI)
Two treatment protocols are proposed. Treatment A consists of self-monitoring of blood glucose and treatment B consists of usual care. Patients in the A-group are instructed to measure their blood glucose values 4 times a day (1 fasting plasma glucose concentration and 3 post-meal glucose concentrations), two times a week, on one week day, and one weekend day (no more, no less). Patients should record these glucose values in a diary. Patient will get one page with information in Dutch. No further education than for handling the device and interpreting the values is given, so that besides this intervention, there will be no differences compared with the control group like other forms of education.
The duration fo the trial will be 12 months.
- Conditions
- Diabetes Mellitus, Type 2
- Being tested
- Self-monitoring of blood glucose (SMBG)
- Keywords
- Diabetes mellitus, type 2, Blood Glucose Self-Monitoring, life style
- Medical subject headings
- Diabetes Mellitus, Type 2
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Self-monitoring of blood glucose (SMBG)Behavioural
2 times a week (one in weekend and one during week) self measurement of blood glucose: fasting and three times post prandial
What is being measured
The primary outcome is the main question the study is designed to answer.
Glycemic control; HbA1c at baseline, 3 months, 6 months, 9 months and 1 year (endpoint)
Measured: baseline, 3 months, 6 months, 9 months and 1 year (endpoint)
Secondary outcomes (6)
Quality of life; score on scale at baseline, 6 months and endpoint
Measured: baseline, 6 months and endpoint
Diabetes related complaints; score at baseline, 6 months and endpoint
Measured: baseline, 6 months and endpoint
Treatment satisfaction; score on scale at baseline, 6 months and endpoint
Measured: baseline, 6 months and endpoint
Incidence of (necessity to start) insulin therapy; at endpoint
Measured: anywhere during the study
dosage of oral blood glucose lowering drugs; at baseline, 6 months and endpoint
Measured: baseline, 6 months and endpoint
bodyweight; Bodymass index at baseline and endpoint
Measured: baseline and endpoint
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Feb 2006 (estimated)
- Study startFeb 2006
- Primary completionOct 2008
- Study completionOct 2008
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Diabetes Mellitus, Type 2Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 60 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Medical Research Foundation, The Netherlands
- Sponsor type
- University, hospital or other
- Collaborators
- Langerhans Foundation, the Netherlands
- Responsible party
- Principal investigator, Nanne Kleefstra, Medical Research Foundation, The Netherlands
- Investigators
- Henk J Bilo, MD; PhD, Principal investigator, Isala Clinics, medical research foundation
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00287807
- Sponsor's protocol ID
- IC-06-02-SL
- Status last verified
- Sep 2011
- First submitted
- 30 Jan 2006
- Last updated
- 26 Sep 2011
- Results posted
- No
Study at a glance
From the registry record, last updated by the sponsor on 26 Sep 2011. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Self-monitoring of Blood Glucose in Patients With Type 2 Diabetes Mellitus Who Are Not Using Insulin. A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT00287807
- Acronym / sponsor ID
- IC-06-02-SL
- Conditions
- Diabetes Mellitus, Type 2
- Keywords
- Diabetes mellitus, type 2, Blood Glucose Self-Monitoring, life style
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 60 participants (estimated)
- Lead sponsor
- Medical Research Foundation, The NetherlandsUniversity, hospital or other
- Collaborators
- Langerhans Foundation, the Netherlands
- Study start
- Feb 2006
- Primary completion
- Oct 2008 (actual)
- Study completion
- Oct 2008 (actual)
- First posted
- 7 Feb 2006 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Self-monitoring of blood glucose (SMBG) is one of the important instruments in diabetes management. Most patients with type 1 diabetes and patients with type 2 using insulin, frequently measure their blood glucose in case of possible hypoglycemia, but also to evaluate the insulin treatment and get information about how to change the insulin regimen, if necessary. Without SMBG it is almost impossible to achieve this goal.
The purpose of this study is to determine if self-monitoring in patients with type 2 diabetes not using insulin results in better glycemic control.
Detailed description
Study Objectives:
Primary: What is the effect of SMBG in patients with type 2 diabetes who are not using insulin on Glycemic control (as measured with glycosylated hemoglobin (HbA1c)?
Secondary: What is the effect of SMBG in patients with type 2 diabetes who are not using insulin on the following parameters:
- Health status
- Diabetes related complaints
- Patient satisfaction
- Cumulative incidence of (necessity to start) insulin therapy / maximum dosage of oral blood glucose lowering drugs
- Dosage of oral blood glucose lowering drugs
- Bodyweight (BMI)
Two treatment protocols are proposed. Treatment A consists of self-monitoring of blood glucose and treatment B consists of usual care. Patients in the A-group are instructed to measure their blood glucose values 4 times a day (1 fasting plasma glucose concentration and 3 post-meal glucose concentrations), two times a week, on one week day, and one weekend day (no more, no less). Patients should record these glucose values in a diary. Patient will get one page with information in Dutch. No further education than for handling the device and interpreting the values is given, so that besides this intervention, there will be no differences compared with the control group like other forms of education.
The duration fo the trial will be 12 months.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Type 2 diabetes
- HbA1c 7 - 8,5% at previous and present annual check-up
- Use of 1 or 2 different oral blood glucose lowering drugs
- In case of two oral blood glucose lowering drugs, they should not both have a maximum dosage
- Sufficient knowledge of the Dutch language to understand the requirements for the study
Key exclusion criteria (3 listed)
- Change in oral blood glucose lowering drugs in the past three months
- Use of insulin
- Use of device for self-monitoring of blood glucose at the start of the study, or in the preceding 6 months
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Self-monitoring of blood glucose (SMBG)2 times a week (one in weekend and one during week) self measurement of blood glucose: fasting and three times post prandial | Behavioural | – |
Primary outcome
Glycemic control; HbA1c at baseline, 3 months, 6 months, 9 months and 1 year (endpoint)
Time frame: baseline, 3 months, 6 months, 9 months and 1 year (endpoint)
6 secondary outcomes
Quality of life; score on scale at baseline, 6 months and endpoint
Time frame: baseline, 6 months and endpoint
Diabetes related complaints; score at baseline, 6 months and endpoint
Time frame: baseline, 6 months and endpoint
Treatment satisfaction; score on scale at baseline, 6 months and endpoint
Time frame: baseline, 6 months and endpoint
Incidence of (necessity to start) insulin therapy; at endpoint
Time frame: anywhere during the study
dosage of oral blood glucose lowering drugs; at baseline, 6 months and endpoint
Time frame: baseline, 6 months and endpoint
bodyweight; Bodymass index at baseline and endpoint
Time frame: baseline and endpoint
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Sep 2011.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Henk J Bilo, MD; PhD principal investigator
Isala Clinics, medical research foundation
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Self-monitoring of blood glucose (SMBG) in people with Diabetes Mellitus, Type 2, run by Medical Research Foundation, The Netherlands at 1 site in Netherlands.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 26 Sep 2011. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Netherlands. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Glycemic control; HbA1c at baseline, 3 months, 6 months, 9 months and 1 year (endpoint) (time frame: baseline, 3 months, 6 months, 9 months and 1 year (endpoint)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Sep 2011.