Type 1 DiabetesPhase 3TELEDIAB-1NCT00629304
Multicenter Assessment of the PDA-FIT System in Type 1 Diabetic Patients
A Phase 3 study testing VISITS + PDA-FIT system and PDA-FIT System + telephone follow-up in people with Type 1 Diabetes, run by Centre d'Etudes et de Recherche pour l'Intensification du Traitement du Diabète at 18 sites in France.
Trial summary
TELEDIAB-1 is a national, multicenter, controlled, randomised trial. The Primary objective of the TELEDIAB-1 study is to demonstrate that the PDA-FIT system (PDA-Phone and/or telemonitoring) is able to improve metabolic control of chronically uncontrolled type 1 diabetic patients, despite intensive insulin therapy… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Type 1 Diabetes
- What is being tested?
- VISITS + PDA-FIT system and PDA-FIT System + telephone follow-up
- Type of treatment
- Medical device
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 180 participants
- Where
- 18 sitesFrance
- Study dates
- Sep 2007to Aug 2009
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- type 1 diabetes mellitus for ≥ 12 months or more (including C-peptide negative secondary diabetes)
- age > 18 y.o.
- intensive insulin basal-bolus therapy for ≥ 6 months. At inclusion, patients should be treated, either with a combination of a basal, long-acting insulin and insulin rapid analog before each meal, or with rapid insulin analog delivered with a pump
- chronically uncontrolled diabetes with HbA1c ≥ 8 % during the past 12 months and at inclusion
Who cannot join
- patient with unstable associated evolutive pathology
- patient who need a more frequent diabetic follow up (than in the protocol)
- patient with a education teaching within the 3 months before inclusion
- patient with a hemoglobinopathy
- patient with toxicomania, alcoholism or psychological troubles
- type 2 diabetes patients
Show all 9Show fewer
- patient who don't need strict metabolic objectives
- pregnant or parturient women
- person with no freedom (prisoner)
Trial locations and contacts
18 sites in 1 country.
18 sites in 1 country
France18 sites
Centre Hospitalier de Belfort Montbéliard
Belfort, Belfort, 90016
CHU Jean Minjoz
Besançon, Besancon, 25030
CH SUD Francilien
Corbeil-Essonnes, Corbeil Essonnes, 91100
University Hospital Grenoble
Grenoble, Grenoble, 38043
CHRU Lille
Lille, Lille, 59037
Hopital Edouard Herriot
Lyon, Lyon, 69003
CHU Marseille Hôpitaux Sud
Marseille, Marseille, 13274
Chu Montpellier
Montpellier, Montpellier, 34295
CHU Hôpital Jeanne d'Arc
Nancy, Nancy, 54201
CHU Nantes
Nantes, Nantes, 44093
Hopital Hotel Dieu
Paris, Paris, 75004
Hopital COCHIN
Paris, Paris, 75014
HOPITAL Saint Louis
Paris, Paris, 75475
Hopital Haut Leveque
Pessac, Pessac, 33604
CHU Rennes
Rennes, Rennes, 35056
Hopital Bellevue
Saint-Etienne, Saint Etienne, 42055
Centre Hospitalier Strasbourg
Strasbourg, Strasbourg, 67000
CHU Toulouse
Toulouse, Toulouse, 31403
About this study
Official title: Multicenter Assessment of the PDA-FIT System in Type 1 Diabetic Patients With Chronic Failure of Intensive Insulin Therapy and Conventional Care. The TELEDIAB-1 STUDY
TELEDIAB-1 is a national, multicenter, controlled, randomised trial. The Primary objective of the TELEDIAB-1 study is to demonstrate that the PDA-FIT system (PDA-Phone and/or telemonitoring) is able to improve metabolic control of chronically uncontrolled type 1 diabetic patients, despite intensive insulin therapy (multiple daily injections with basal-bolus insulin or insulin pump), as compared with conventional care.
Main judgment criteria: comparison of HbA1c means between the 3 groups at 6 months
Read the detailed description
Secondary Objectives :
- To assess the improvement of blood glucose control and quality of life in patients using the PDA-FIT system
- To assess the improvement in diabetes care provided by the use of the PDA-FIT system
- Satisfaction of patients and physicians towards the PDA-FIT system
- Conditions
- Type 1 Diabetes
- Being tested
- placebo, VISITS + PDA-FIT system, PDA-FIT System + telephone follow-up
- Keywords
- type 1 diabetes, PDA phone (Personal Digital Assistant), HbA1c
- Medical subject headings
- Diabetes Mellitus, Type 1
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
placeboDevice
Also called paper support for glycemia, face to face visits at 3 and 6 months, without PDA-FIT system
Patients will have face to face visits at 3 and 6 months and no PDA-FIT system. Patients will record glycemia on paper support.
VISITS + PDA-FIT systemDevice
Also called face to face visits at 3 and 6 months, PDA-FIT system
patients will have face to face visits at 3 and 6 months + PDA-FIT system
PDA-FIT System + telephone follow-upDevice
Also called face to face visit at 6 months, telephone visits each 2 weeks, PDA-FIT system
patients will received PDA-FIT system + a telephone follow up (12 phone calls) and a face to face visit at 6 months
| Study group | Role | What they receive |
|---|---|---|
| 1 | Placebo comparator | standard visit at 3 and 6 months Receives: Device: placebo |
| 2 | Active comparator | PDA-FIT system + standard visit at 3 and 6 months Receives: Device: VISITS + PDA-FIT system |
| 3 | Active comparator | PDA-FIT system + 12 telephone visits + standard visit at 6 months Receives: Device: PDA-FIT System + telephone follow-up |
What is being measured
The primary outcome is the main question the study is designed to answer.
Comparison of HbA1c mean between the 3 groups
Measured: at 6 months
Secondary outcomes (12)
Absolute HbA1c differences (M0-M6)
Measured: inclusion and M6
HbA1c changes at M0, M3 and M6
Measured: inclusion, M3 and M6
Percentage of patients reaching HbA1c <7.5% at 6 months
Measured: 6 months
Mean of blood glucose values as provided by glucose meters during the 14 days prior to inclusion and prior to the 6 months-visit
Measured: 14 days prior to inclusion and prior to M6
Frequency of severe hypoglycaemic episodes and ketoacidosis episodes during the study period
Measured: study period
Frequency of symptomatic benign hypoglycaemic episodes during the week prior to inclusion and prior to the 6 months-visit
Measured: week before inclusion and prior to M6
8-point blood glucose profiles at inclusion and 6 months
Measured: inclusion and M6
Quality of life at inclusion and 6 months, using the DHP scale and the Satisfaction item of the DQOL questionnaire
Measured: inclusion and M6
Improvement in diabetes care, as assessed by the change in blood glucose testing frequency, reflected by the glucose meter memory
Measured: study period
Time spent by physicians with patients during visits (either face to face visits or phone call visits) and time spent by patients during transport, waiting time and lost working time
Measured: study period
Satisfaction of patients and physicians with the system and willingness to carry on the use of the system in routine care
Measured: 6 months
Effective number of patients carrying on the use of the system in routine care, at their own expense and in agreement with their physician
Measured: 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Mar 2008 (estimated)
- Study startSep 2007
- Primary completionMar 2009
- Study completionAug 2009
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Type 1 DiabetesStudies 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
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 180 participants (actual)
Sponsor and investigators
- Lead sponsor
- Centre d'Etudes et de Recherche pour l'Intensification du Traitement du Diabète
- Sponsor type
- University, hospital or other
- Collaborators
- University Hospital, Grenoble
- Responsible party
- Sponsor
- Investigators
- Pierre Yves BENHAMOU, MD PHD, Study chair, University Hospital, Grenoble
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00629304
- Sponsor's protocol ID
- DCIC 07 08
- Acronym
- TELEDIAB-1
- Status last verified
- Aug 2009
- First submitted
- 26 Feb 2008
- Last updated
- 9 Feb 2012
- Results posted
- No
- Data monitoring committee
- No
Publications
Charpentier G, Benhamou PY, Dardari D, Clergeot A, Franc S, Schaepelynck-Belicar P, Catargi B, Melki V, Chaillous L, Farret A, Bosson JL, Penfornis A; TeleDiab Study Group. The Diabeo software enabling individualized insulin dose adjustments combined with telemedicine support improves HbA1c in poorly controlled type 1 diabetic patients: a 6-month, randomized, open-label, parallel-group, multicenter trial (TeleDiab 1 Study). Diabetes Care. 2011 Mar;34(3):533-9. doi: 10.2337/dc10-1259. Epub 2011 Jan 25.
PubMed 21266648
Study at a glance
From the registry record, last updated by the sponsor on 9 Feb 2012. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Multicenter Assessment of the PDA-FIT System in Type 1 Diabetic Patients With Chronic Failure of Intensive Insulin Therapy and Conventional Care. The TELEDIAB-1 STUDY
- ClinicalTrials.gov ID
- NCT00629304
- Acronym / sponsor ID
- TELEDIAB-1 / DCIC 07 08
- Conditions
- Type 1 Diabetes
- Keywords
- type 1 diabetes, PDA phone (Personal Digital Assistant), HbA1c
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 180 participants (actual)
- Lead sponsor
- Centre d'Etudes et de Recherche pour l'Intensification du Traitement du DiabèteUniversity, hospital or other
- Collaborators
- University Hospital, Grenoble
- Study start
- Sep 2007
- Primary completion
- Mar 2009 (actual)
- Study completion
- Aug 2009 (actual)
- First posted
- 5 Mar 2008 (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.
TELEDIAB-1 is a national, multicenter, controlled, randomised trial. The Primary objective of the TELEDIAB-1 study is to demonstrate that the PDA-FIT system (PDA-Phone and/or telemonitoring) is able to improve metabolic control of chronically uncontrolled type 1 diabetic patients, despite intensive insulin therapy (multiple daily injections with basal-bolus insulin or insulin pump), as compared with conventional care.
Main judgment criteria: comparison of HbA1c means between the 3 groups at 6 months
Detailed description
Secondary Objectives :
- To assess the improvement of blood glucose control and quality of life in patients using the PDA-FIT system
- To assess the improvement in diabetes care provided by the use of the PDA-FIT system
- Satisfaction of patients and physicians towards the PDA-FIT system
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| 1 | Placebo comparator | Device: placebostandard visit at 3 and 6 months |
| 2 | Active comparator | Device: VISITS + PDA-FIT systemPDA-FIT system + standard visit at 3 and 6 months |
| 3 | Active comparator | Device: PDA-FIT System + telephone follow-upPDA-FIT system + 12 telephone visits + standard visit at 6 months |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- type 1 diabetes mellitus for ≥ 12 months or more (including C-peptide negative secondary diabetes)
- age > 18 y.o.
- intensive insulin basal-bolus therapy for ≥ 6 months. At inclusion, patients should be treated, either with a combination of a basal, long-acting insulin and insulin rapid analog before each meal, or with rapid insulin analog delivered with a pump
- chronically uncontrolled diabetes with HbA1c ≥ 8 % during the past 12 months and at inclusion
Key exclusion criteria (9 listed)
- patient with unstable associated evolutive pathology
- patient who need a more frequent diabetic follow up (than in the protocol)
- patient with a education teaching within the 3 months before inclusion
- patient with a hemoglobinopathy
- patient with toxicomania, alcoholism or psychological troubles
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 |
|---|---|---|
| placeboAlso: paper support for glycemia, face to face visits at 3 and 6 months, without PDA-FIT systemPatients will have face to face visits at 3 and 6 months and no PDA-FIT system. Patients will record glycemia on paper support. | Device | 1 |
| VISITS + PDA-FIT systemAlso: face to face visits at 3 and 6 months, PDA-FIT systempatients will have face to face visits at 3 and 6 months + PDA-FIT system | Device | 2 |
| PDA-FIT System + telephone follow-upAlso: face to face visit at 6 months, telephone visits each 2 weeks, PDA-FIT systempatients will received PDA-FIT system + a telephone follow up (12 phone calls) and a face to face visit at 6 months | Device | 3 |
Primary outcome
Comparison of HbA1c mean between the 3 groups
Time frame: at 6 months
12 secondary outcomes
Absolute HbA1c differences (M0-M6)
Time frame: inclusion and M6
HbA1c changes at M0, M3 and M6
Time frame: inclusion, M3 and M6
Percentage of patients reaching HbA1c <7.5% at 6 months
Time frame: 6 months
Mean of blood glucose values as provided by glucose meters during the 14 days prior to inclusion and prior to the 6 months-visit
Time frame: 14 days prior to inclusion and prior to M6
Frequency of severe hypoglycaemic episodes and ketoacidosis episodes during the study period
Time frame: study period
Frequency of symptomatic benign hypoglycaemic episodes during the week prior to inclusion and prior to the 6 months-visit
Time frame: week before inclusion and prior to M6
8-point blood glucose profiles at inclusion and 6 months
Time frame: inclusion and M6
Quality of life at inclusion and 6 months, using the DHP scale and the Satisfaction item of the DQOL questionnaire
Time frame: inclusion and M6
Improvement in diabetes care, as assessed by the change in blood glucose testing frequency, reflected by the glucose meter memory
Time frame: study period
Time spent by physicians with patients during visits (either face to face visits or phone call visits) and time spent by patients during transport, waiting time and lost working time
Time frame: study period
Satisfaction of patients and physicians with the system and willingness to carry on the use of the system in routine care
Time frame: 6 months
Effective number of patients carrying on the use of the system in routine care, at their own expense and in agreement with their physician
Time frame: 6 months
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 9 Feb 2012.
- Derived from this study: PubMed 21266648Charpentier G, Benhamou PY, Dardari D, Clergeot A, Franc S, Schaepelynck-Belicar P, Catargi B, Melki V, Chaillous L, Farret A, Bosson JL, Penfornis A; TeleDiab Study Group. The Diabeo software enabling individualized insulin dose adjustments combined with telemedicine support improves HbA1c in poorly controlled type 1 diabetic patients: a 6-month, randomized, open-label, parallel-group, multicenter trial (TeleDiab 1 Study). Diabetes Care. 2011 Mar;34(3):533-9. doi: 10.2337/dc10-1259. Epub 2011 Jan 25.
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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.
Pierre Yves BENHAMOU, MD PHD study chair
University Hospital, Grenoble
18 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing VISITS + PDA-FIT system and PDA-FIT System + telephone follow-up in people with Type 1 Diabetes, run by Centre d'Etudes et de Recherche pour l'Intensification du Traitement du Diabète at 18 sites in France.
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 4 inclusion and 9 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 9 Feb 2012. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 18 sites in France. 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. Some participants in this study may receive a placebo. 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?
Comparison of HbA1c mean between the 3 groups (time frame: at 6 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00629304, which also lists 1 linked publication.
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 9 Feb 2012.