Type 2 Diabetes MellitusPhase 4OPENINGNCT01338376
Organization Program of DiabEtes INsulIN ManaGement
A Phase 4 study testing Structured Education, Conventional Diabetes Education and Scilin®M30 in people with Type 2 Diabetes Mellitus, run by Chinese Diabetes Society at 1 site in China.
Trial summary
Diabetes is a common, costly condition associated with significant morbidity and mortality. Diabetes self-management education, the process of teaching individuals to manage their diabetes, has been considered an important part. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Type 2 Diabetes Mellitus
- What is being tested?
- Structured Education, Conventional Diabetes Education and Scilin®M30
- Type of treatment
- Injection or infusion, Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,500 participants
- Where
- 1 siteChina
- Study dates
- Mar 2011to May 2012
- Phase
- Phase 4
- 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
- Written Informed Consent obtained before any trial-related activities Type 2 DM subjects;
- Age > 18 years old,male or female;
- Continuous treated with two or more oral antidiabetic drugs (OADs) for the last 3 months,and the current HbA1c>7.5%;
- Cooperative with structured management;
Who cannot join
- Subjects with type 1 diabetes;
- Gestational diabetes mellitus and other specific types DM;
- Those who are unwilling to sign in ICF;
- Subjects with repeated hypoglycemia;
- Subjects with BMI>30kg/m2;
- Impaired liver function,defined as alanine aminotransferase (ALAT)>= 2.5 or alkaline phosphatase (ALP)>= 2 times upper referenced limit times upper normal limit;
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- Females of childbearing age who are pregnant, breast-feeding or have the intention of becoming pregnant or not using adequate contraceptive methods throughout the trial (adequate contraceptive measures as required by local law or practice);
- Mental incapacity, unwillingness, or language barrier precluding adequate understanding or cooperation;
- Any other clinically significant condition or major systemic diseases, including serious coronary heart disease, cardiovascular disease, myocardial infarction within the past 12 months; severe neurology or psychology or psychiatric diseases; serious infection; actively disseminated intravascular coagulation;
- Malignant neoplastic diseases (except carcinoma in situ);
- Current addiction to alcohol or other addictive substances;
Trial locations and contacts
1 site in 1 country.
China1 site, 1 recruiting
- Recruiting
Peking University First Hospital
Beijing, Beijing Municipality, 100034
Peking University First Hospital, 3A grade, +86 10 83572211, dyyy@bddyyy.com.cn
About this study
Official title: Organization Program of DiabEtes INsulIN ManaGement: An Open, Multi-center, Prospective, Randomized, 16-week, Controlled Clinical Study
Diabetes is a common, costly condition associated with significant morbidity and mortality. Diabetes self-management education, the process of teaching individuals to manage their diabetes, has been considered an important part. The intensive education has the capacity to deliver effective interventions to a large number of people. The investigators may be able to redirect our efforts to diabetes care and education strategies that will have a positive impact on the optimization of glycemic control and the prevention of long-term complications of diabetes, reducing the subsequent human and health care costs.
Read the detailed description
This is a prospective, randomized, open-label, controlled clinical study. 1500 subjects with Type 2 DM will be enrolled and be randomized into Structured Education Group and Conventional Education Group in 1:1 ratio. Subjects in both of the groups will be treated with Scilin®M30 twice daily (30 minutes before breakfast and dinner). All the previous oral antidiabetic drugs (OAD(s)) will be discontinued except metformin and alpha-Glucosidase Inhibitors. The physician will determine the starting dose (0.3 IU/kg~0.4IU/kg), as well as later changes to dose according to insulin titration algorithm. The treatment duration will last 16 weeks.
- Conditions
- Type 2 Diabetes Mellitus
- Being tested
- Structured Education, Conventional Diabetes Education, Scilin®M30
- 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.
Structured EducationBehavioural
All of the educators who are responsible for the intensive group will be trained with the standard contents before the study kick-off.
- Educator Activities: insulin injection, SMBG instruction, self-learned manuals, periodic assessment for subjects, subject counseling, self-care education (healthy eating, exercise, weight control), prevention and treatment of hypoglycemia complication education ,newsletter delivered by SMS
- Physician Activity: frequent insulin titration
Conventional Diabetes EducationBehavioural
The activities of the educators who are responsible for conventional group are identical with their routine clinical practice.
- Educator Activities: insulin injection, SMBG instruction, healthy eating , prevention and treatment of hypoglycemia
- Physician Activity: less frequent insulin titration
Scilin®M30Drug
Subjects will be treated with Scilin®M30 twice daily
| Study group | Role | What they receive |
|---|---|---|
| Structured Education Group | Experimental | Subjects received structured diabetes education Receives: Behavioral: Structured Education; Drug: Scilin®M30 |
| Conventional Care Group: | Active comparator | Subjects received conventional diabetes education Receives: Behavioral: Conventional Diabetes Education; Drug: Scilin®M30 |
What is being measured
The primary outcome is the main question the study is designed to answer.
HbA1c
Investigate glycemic control as measured by HbA1c change
Measured: Screen,16weeks
Secondary outcomes (8)
Assess diabetes self-management ability by Diabetes Management Self-Efficacy (C-DMSES)
Measured: Screen,16weeks
Diabetes self-management skills Diabetes self-management skills Assess diabetes self-care ability by Diabetes Self-Management (SDSCA)
Measured: Screen,16weeks
The satisfaction degree of structured management
Measured: Screen,2weeks,4weeks,8weeks,12weeks,16weeks
total daily insulin dose
Measured: 1week,2weeks,3weeks,4weeks,6weeks,8weeks,12weeks,16weeks
7-points of glucose
glucose before breakfast;glucose two hours after breakfast;glucose before lunch;glucose two hours after lunch;glucose before dinner;glucose two hours after dinner;glucose before sleep
Measured: Screen,16weeks
body weight
Measured: baseline,2weeks,4weeks,8weeks,12weeks,16weeks
Medication compliance
Measured: Screen,16weeks
The incidence of Hypoglycemia
Measured: 1week,2weeks,3weeks,4weeks,6weeks,8weeks,12weeks,16weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Apr 2011 (estimated)
- Study startMar 2011
- Primary completionMar 2012 (estimated)
- Study completionMay 2012 (estimated)
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 2 Diabetes MellitusStudies 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 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 1,500 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Chinese Diabetes Society
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Guo Xiao Hui, Professor, Principal investigator, Peking University First Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01338376
- Sponsor's protocol ID
- Scilin20110124
- Acronym
- OPENING
- Status last verified
- Apr 2011
- First submitted
- 15 Apr 2011
- Last updated
- 12 Oct 2011
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Guo XH, Ji LN, Lu JM, Liu J, Lou QQ, Liu J, Shen L, Zhang MX, Lv XF, Gu MJ. Efficacy of structured education in patients with type 2 diabetes mellitus receiving insulin treatment. J Diabetes. 2014 Jul;6(4):290-7. doi: 10.1111/1753-0407.12100. Epub 2013 Nov 26.
PubMed 24279284
Study at a glance
From the registry record, last updated by the sponsor on 12 Oct 2011. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Organization Program of DiabEtes INsulIN ManaGement: An Open, Multi-center, Prospective, Randomized, 16-week, Controlled Clinical Study
- ClinicalTrials.gov ID
- NCT01338376
- Acronym / sponsor ID
- OPENING / Scilin20110124
- Conditions
- Type 2 Diabetes Mellitus
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 1,500 participants (estimated)
- Lead sponsor
- Chinese Diabetes SocietyUniversity, hospital or other
- Study start
- Mar 2011
- Primary completion
- Mar 2012 (estimated)
- Study completion
- May 2012 (estimated)
- First posted
- 19 Apr 2011 (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.
Diabetes is a common, costly condition associated with significant morbidity and mortality. Diabetes self-management education, the process of teaching individuals to manage their diabetes, has been considered an important part. The intensive education has the capacity to deliver effective interventions to a large number of people. The investigators may be able to redirect our efforts to diabetes care and education strategies that will have a positive impact on the optimization of glycemic control and the prevention of long-term complications of diabetes, reducing the subsequent human and health care costs.
Detailed description
This is a prospective, randomized, open-label, controlled clinical study. 1500 subjects with Type 2 DM will be enrolled and be randomized into Structured Education Group and Conventional Education Group in 1:1 ratio. Subjects in both of the groups will be treated with Scilin®M30 twice daily (30 minutes before breakfast and dinner). All the previous oral antidiabetic drugs (OAD(s)) will be discontinued except metformin and alpha-Glucosidase Inhibitors. The physician will determine the starting dose (0.3 IU/kg~0.4IU/kg), as well as later changes to dose according to insulin titration algorithm. The treatment duration will last 16 weeks.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Structured Education Group | Experimental | Behavioral: Structured Education, Drug: Scilin®M30Subjects received structured diabetes education |
| Conventional Care Group: | Active comparator | Behavioral: Conventional Diabetes Education, Drug: Scilin®M30Subjects received conventional diabetes education |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Written Informed Consent obtained before any trial-related activities Type 2 DM subjects;
- Age > 18 years old,male or female;
- Continuous treated with two or more oral antidiabetic drugs (OADs) for the last 3 months,and the current HbA1c>7.5%;
- Cooperative with structured management;
Key exclusion criteria (11 listed)
- Subjects with type 1 diabetes;
- Gestational diabetes mellitus and other specific types DM;
- Those who are unwilling to sign in ICF;
- Subjects with repeated hypoglycemia;
- Subjects with BMI>30kg/m2;
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 |
|---|---|---|
| Structured EducationAll of the educators who are responsible for the intensive group will be trained with the standard contents before the study kick-off. * Educator Activities: insulin injection, SMBG instruction, self-learned manuals, periodic assessment for subjects, subject counseling, self-care education (healthy eating, exercise, weight control), prevention and treatment of hypoglycemia complication education ,newsletter delivered by SMS * Physician Activity: frequent insulin titration | Behavioural | Structured Education Group |
| Conventional Diabetes EducationThe activities of the educators who are responsible for conventional group are identical with their routine clinical practice. * Educator Activities: insulin injection, SMBG instruction, healthy eating , prevention and treatment of hypoglycemia * Physician Activity: less frequent insulin titration | Behavioural | Conventional Care Group: |
| Scilin®M30Subjects will be treated with Scilin®M30 twice daily | Drug | Conventional Care Group:, Structured Education Group |
Primary outcome
HbA1c
Time frame: Screen,16weeks
Investigate glycemic control as measured by HbA1c change
8 secondary outcomes
Assess diabetes self-management ability by Diabetes Management Self-Efficacy (C-DMSES)
Time frame: Screen,16weeks
Diabetes self-management skills Diabetes self-management skills Assess diabetes self-care ability by Diabetes Self-Management (SDSCA)
Time frame: Screen,16weeks
The satisfaction degree of structured management
Time frame: Screen,2weeks,4weeks,8weeks,12weeks,16weeks
total daily insulin dose
Time frame: 1week,2weeks,3weeks,4weeks,6weeks,8weeks,12weeks,16weeks
7-points of glucose
Time frame: Screen,16weeks
body weight
Time frame: baseline,2weeks,4weeks,8weeks,12weeks,16weeks
Medication compliance
Time frame: Screen,16weeks
The incidence of Hypoglycemia
Time frame: 1week,2weeks,3weeks,4weeks,6weeks,8weeks,12weeks,16weeks
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Oct 2011.
- Derived from this study: PubMed 24279284Guo XH, Ji LN, Lu JM, Liu J, Lou QQ, Liu J, Shen L, Zhang MX, Lv XF, Gu MJ. Efficacy of structured education in patients with type 2 diabetes mellitus receiving insulin treatment. J Diabetes. 2014 Jul;6(4):290-7. doi: 10.1111/1753-0407.12100. Epub 2013 Nov 26.
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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.
Guo Xiao Hui, Professor principal investigator
Peking University First Hospital
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Structured Education, Conventional Diabetes Education and Scilin®M30 in people with Type 2 Diabetes Mellitus, run by Chinese Diabetes Society at 1 site in China.
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 11 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: status not confirmed, as of the sponsor's last update on 12 Oct 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 China. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
HbA1c (time frame: Screen,16weeks). 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 NCT01338376, 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 12 Oct 2011.