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Diabetes Mellitus, Type 1NCT02790645

Telemedicine Program in Type 1 Diabetes and CSII

A study testing Group 2a. Telemedicine program and Group 1b.Telemedicine program in people with Diabetes Mellitus, Type 1, run by Fundación Pública Andaluza para la Investigación de Málaga en Biomedicina y Salud.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Diabetes mellitus is a chronic disease of high socio-health relevance for their clinical and economic implications (risk of complications, disability ...) (healthcare costs). Strict glycemic control and intensive treatment and support have shown long-term patient with type 1 diabetes mellitus (DM1) improved health. Read more about this study

Who is it for?
Ages 16 to 85 years
Conditions the study is for
Diabetes Mellitus, Type 1
What is being tested?
Group 2a. Telemedicine program and Group 1b.Telemedicine program
Could I receive a placebo?
No, everyone receives an active treatment
How many people
51 participants
Where
No sites listed yet
Study dates
Sep 2012to 19 Sep 2016
Phase
Interventional
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 16 to 85 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Type 1 diabetes over 2 years of development with C plasma levels <0.5 ng / ml, and ISCI treated for> 6 months peptide.
  • Age between 16 and 65 years (inclusive).
  • HbA1c <10%.
  • Absence of concomitant drug therapy that could affect blood glucose levels.
  • Absence of chronic renal failure, abnormal liver function tests, thyroid disease active (except properly replaced hypothyroidism).
  • Absence of acute decompensation Ketotic at baseline.

Who cannot join

  • type 2 diabetes.
  • type 1 diabetes treated with multiple daily insulin injections.
  • Women pregnant or planning pregnancy.
  • severe macrovascular or microvascular complications
  • disabling psychological disorders.
  • No collaboration (not signed informed consent).

About this study

Official title: Randomized Crossover Clinical Trial in Patients With Type 1 Diabetes Treated With Continuous Subcutaneous Insulin Infusion to Assess the Impact of Telemedicine vs. Conventional Medical Care. Integral Clinical Impact and Cost

Diabetes mellitus is a chronic disease of high socio-health relevance for their clinical and economic implications (risk of complications, disability ...) (healthcare costs). Strict glycemic control and intensive treatment and support have shown long-term patient with type 1 diabetes mellitus (DM1) improved health. The intensive insulin therapy involves the administration of insulin through 3 or more injections per day (MDI), or through a continuous subcutaneous insulin infusion (CSII). New technologies applied to the treatment of DM1, such as telemedicine, could bring benefits to patients. The available scientific evidence to date shows that telemedicine systems have beneficial or neutral effects on glycemic control, expressed in terms of HbA1c in patients with type 1 diabetes treated with MDI or CSII. They have also shown not to worsen the quality of life and reduce the costs associated with the care of these subjects. However, studies published to date are generally short follow-up, small sample size, and have not evaluated other biological parameters such as glycemic variability, inflammatory markers and markers of oxidative stress as well as a psychological assessment including depression, anxiety, Diabetes-related distress and fear of hypoglycemia. It has been designed a randomized crossover 18 months in order to study the effect of a telemedicine program in a group of subjects with DM1 in CSII on clinical variables of metabolic control variables, including parameters of glycemic variability, markers of inflammation and oxidative stress, psychological variables and quality of life, and associated costs.

Read the detailed description

Randomized crossover clinical trial about the impact of a telemedicine program (Emminens Conecta® System, Roche Diagnostics SL) vs. the conventional medical follow-face of 18 months for the care of patients with DM1 intensive treatment with CSII (Accu-Chek Spirit®, Roche SL).

Two groups: one group with interactive clinical monitoring through a telemedicine platform (TM) and other conventional medical follow-up group (SMC) during 6 months. Being a crossover trial, both groups passing through both conditions (TM and SMC) during 6 months.

Being tested
Group 2a. Telemedicine program, Group 1a. Control, Group 1b.Telemedicine program, Group 2b. Control
Keywords
Type 1 diabetes, Health technologies, Continuous subcutaneous insulin infusion, Telemedicine, Glycemic variability, Inflammatory markers,, Oxidative stress, Depression, Quality of life, Cost-effectiveness
Medical subject headings
Diabetes Mellitus, Type 1, Depression

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Group 2a. Telemedicine programOther

    CSII (Accu-Chek Spirit®) and medical monitoring via telematics application (Emminens Conecta® System, Roche Diagnostics SL) (TM) (6 months).

  • Group 1a. ControlOther

    Treatment with CSII (Accu-Chek Spirit®) and follow-face doctor visits (conventional treatment -SMC-) (6 months).

  • Group 1b.Telemedicine programOther

    After a washout period of 3 months and the crossing, Group 1 begins with medical monitoring via telematics application (Emminens Conecta® System, Roche Diagnostics SL) (TM) (6 months).

  • Group 2b. ControlOther

    After a washout period of 3 months and the crossing, Group 2 begins with face doctor visits (conventional treatment -SMC-) (6 months) .

Study groups in NCT02790645
Study groupRoleWhat they receive
Group 1a. ControlOtherTreatment with CSII (Accu-Chek Spirit®) and follow-face doctor visits (conventional treatment -SMC-) (6 months).
Receives: Other: Group 1a. Control
Group 2a. Telemedicine programOtherCSII (Accu-Chek Spirit®) and medical monitoring via telematics application (Emminens Conecta® System, Roche Diagnostics SL) (TM) (6 months).
Receives: Other: Group 2a. Telemedicine program
Group 1b. Telemedicine programOtherAfter a washout period of 3 months and the crossing, Group 1 begins with medical monitoring via telematics application (Emminens Conecta® System, Roche Diagnostics SL) (TM) (6 months).
Receives: Other: Group 1b.Telemedicine program
Group 2b. ControlOtherAfter a washout period of 3 months and the crossing, Group 2 begins with face doctor visits (conventional treatment -SMC-) (6 months).
Receives: Other: Group 2b. Control

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Assessment of clinical and metabolic parameters (glycosylated hemoglobin-HbA1c- and glycemic variability-SD-).

    Measured: Baseline: Group 1 and 2

  2. Assessment of clinical and metabolic parameters (glycosylated hemoglobin-HbA1c- and glycemic variability-SD-).

    Measured: 6 months: Control (Group1a+Group 2b) vs Telemedicine ( Group 2a+ Group1b)

Secondary outcomes (28)
  1. Assessment of inflammatory markers (hs-CRP).

    Measured: Baseline: Group 1 and 2

  2. Assessment of inflammatory markers (IL-6).

    Measured: Baseline: Group 1 and 2

  3. Assessment of inflammatory markers (TNF-α).

    Measured: Baseline: Group 1 and 2

  4. Assessment of inflammatory markers (MCP-1).

    Measured: Baseline: Group 1 and 2

  5. Assessment of inflammatory markers (hs-CRP).

    Measured: 6 months: Control (Group1a+Group 2b) vs Telemedicine ( Group 2a+ Group1b)

  6. Assessment of inflammatory markers (IL-6).

    Measured: 6 months: Control (Group1a+Group 2b) vs Telemedicine ( Group 2a+ Group1b)

  7. Assessment of inflammatory markers (TNF-α).

    Measured: 6 months: Control (Group1a+Group 2b) vs Telemedicine ( Group 2a+ Group1b)

  8. Assessment of inflammatory markers (MCP-1).

    Measured: 6 months: Control (Group1a+Group 2b) vs Telemedicine ( Group 2a+ Group1b)

  9. Assessment of redox markers (CAT).

    Measured: Baseline: Group 1 and 2

  10. Assessment of redox markers (TBARS).

    Measured: Baseline: Group 1 and 2

  11. Assessment of redox markers (oxidized LDL).

    Measured: Baseline: Group 1 and 2

  12. Assessment of redox markers (CAT).

    Measured: 6 months: Control (Group1a+Group 2b) vs Telemedicine ( Group 2a+ Group1b)

  13. Assessment of redox markers (TBARS).

    Measured: 6 months: Control (Group1a+Group 2b) vs Telemedicine ( Group 2a+ Group1b)

  14. Assessment of redox markers (oxidized LDL).

    Measured: 6 months: Control (Group1a+Group 2b) vs Telemedicine ( Group 2a+ Group1b)

  15. Assessment of quality of life with the DQOL

    Measured: Baseline: Group 1 and 2

  16. Assessment of quality of life with the DQOL

    Measured: 6 months: Control (Group1a+Group 2b) vs Telemedicine ( Group 2a+ Group1b)

  17. Assessment of depression with the BDI-II

    Measured: Baseline: Group 1 and 2

  18. Assessment of depression with the BDI-II

    Measured: 6 months: Control (Group1a+Group 2b) vs Telemedicine ( Group 2a+ Group1b)

  19. Assessment of anxiety with the STAI

    Measured: Baseline: Group 1 and 2

  20. Assessment of anxiety with the STAI

    Measured: 6 months: Control (Group1a+Group 2b) vs Telemedicine ( Group 2a+ Group1b)

  21. Assessment of distress related to diabetes with the DDS

    Measured: Baseline: Group 1 and 2

  22. Assessment of distress related to diabetes with the DDS

    Measured: 6 months: Control (Group1a+Group 2b) vs Telemedicine ( Group 2a+ Group1b)

  23. Assessment of treatment satisfaction with the DTSQ

    Measured: Baseline: Group 1 and 2

  24. Assessment of treatment satisfaction with the DTSQ

    Measured: 6 months: Control (Group1a+Group 2b) vs Telemedicine ( Group 2a+ Group1b)

  25. Assessment of fear of hypoglycemia with the FH-15

    Measured: Baseline: Group 1 and 2

  26. Assessment of fear of hypoglycemia with the FH-15

    Measured: 6 months: Control (Group1a+Group 2b) vs Telemedicine ( Group 2a+ Group1b)

  27. Assessment of cost-effectiveness with a structured interview designed by our research group of direct and indirect costs.

    Measured: Baseline: Group 1 and 2; 6 months: Control (Group1a+Group 2b) vs Telemedicine ( Group 2a+ Group1b)

  28. Assessment of cost-effectiveness with a structured interview designed by our research group of direct and indirect costs.

    Measured: 6 months: Control (Group1a+Group 2b) vs Telemedicine ( Group 2a+ Group1b)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Jun 2016 (estimated)
  2. Study startSep 2012
  3. Primary completionApr 2016
  4. Study completion19 Sep 2016

Resources

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 N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
51 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02790645
Sponsor's protocol ID
CSII TELEMEDICINE PROGRAM
Status last verified
Feb 2016
First submitted
9 Feb 2016
Last updated
13 Jul 2017
Results posted
No
Data monitoring committee
No

Publications

  • Jansa M, Vidal M, Viaplana J, Levy I, Conget I, Gomis R, Esmatjes E. Telecare in a structured therapeutic education programme addressed to patients with type 1 diabetes and poor metabolic control. Diabetes Res Clin Pract. 2006 Oct;74(1):26-32. doi: 10.1016/j.diabres.2006.03.005. Epub 2006 Apr 18.

    PubMed 16621113
  • Blanchet KD. Telehealth and diabetes monitoring. Telemed J E Health. 2008 Oct;14(8):744-6. doi: 10.1089/tmj.2008.8483. No abstract available.

    PubMed 18954243

Questions about this trial

What is this clinical trial studying?

A study testing Group 2a. Telemedicine program and Group 1b.Telemedicine program in people with Diabetes Mellitus, Type 1, run by Fundación Pública Andaluza para la Investigación de Málaga en Biomedicina y Salud.

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 6 inclusion and 6 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 13 Jul 2017. Status can change between updates, so confirm with the study contact before making plans.

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.

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?

Assessment of clinical and metabolic parameters (glycosylated hemoglobin-HbA1c- and glycemic variability-SD-). (time frame: Baseline: Group 1 and 2). The study lists 2 primary outcomes in all. 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 NCT02790645, which also lists 2 linked publications.

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 13 Jul 2017.

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