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Type 2 DiabetesNCT04161170

Digital Integrated Healthcare Platform in Patients With Type 2 Diabetes

A study testing Digital integrated healthcare platform in people with Type 2 Diabetes, run by Samsung Medical Center at 1 site in South Korea.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

In this three multicenter clinical trial, investigators will study the efficacy of digital integrated healthcare platform and CGMS (continuous glucose monitoring system) on diabetes management in patients with Type 2 diabetes. Read more about this study

Who is it for?
Ages 19 to 70 yearsHealthy volunteers can take part
Conditions the study is for
Type 2 Diabetes
What is being tested?
Digital integrated healthcare platform
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
294 participants
Where
1 siteSouth Korea
Study dates
20 Nov 2019to 31 Dec 2021
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 19 to 70 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • 19~70 aged patients with type 2 diabetes
  • Patients who have not taken diabetic medications for more than 4 weeks and patients who have taken at least one type of oral hypoglycemic agents at same dosage for more than 12 weeks
  • Those who have glycated hemoglobin within 7.0% to 8.5% within the last 3 months
  • overweight or obese: BMI (body mass index) ≥ 23 kg / m2
  • Those who have agreed to use medical record and participate research by applying the digital integrated healthcare platform
  • Those who voluntarily signed the consent form after listening the explanation of the clinical trial.

Who cannot join

  • Diabetes other than type 2 diabetes, including type 1 diabetes and gestational diabetes
  • Those who are receiving insulin or GLP-1 agonist other than oral hypoglycemic agents
  • Uncontrolled chronic liver disease (hemochromatosis, liver cancer, autoimmune liver disease, cirrhosis of the liver, viral hepatitis-includes all A, B and C, Wilson's disease)
  • Those with acute renal failure (up to 1.5 times higher than existing serum creatinine)
  • Those with mental illness (schizophrenia, depression, bipolar disorder, etc.)
  • Those who are currently taking weight loss agents
Show all 10Show fewer
  • Those who had alcohol or drug addiction within the last three months
  • Those who are taking medications that may affect glucose metabolism (eg, corticosteroids, immunoreactive drugs, etc.)
  • Those who are pregnant or lactating and planning to become pregnant during the clinical trial (women of childbearing age may agree to the contraceptive plan).
  • Those who are deemed inappropriate for participation in clinical trials

Trial locations and contacts

1 site in 1 country.

Jae Hyeon Kim, MD PhD contact

+82-2-3410-1580

jaehyeonmd.kim@samsung.com

South Korea1 site, 1 recruiting
  • Samsung Medical Center

    Seoul, 135-710

    Jae Hyeon Kim, M.D.,Ph. D, 82-2-3410-1580, jaehyeonmd.kim@samsung.com

    Recruiting

Other trials in South Korea

About this study

Official title: Validation of Diabetes Management Effectiveness of Digital Integrated Healthcare Platform Utilizing AI-based Dietary Management Solution and Real-time Continuous Glucose Monitoring System

In this three multicenter clinical trial, investigators will study the efficacy of digital integrated healthcare platform and CGMS (continuous glucose monitoring system) on diabetes management in patients with Type 2 diabetes. The platform is based on monitoring and intervention by medical staff using AI (aritificial intelligence)-based diet management solution.

The study group includes 3 groups; a total of 294 participants with 1:1:1 randomized allocation: Control group A (no intervention and conventional diabetes management with regular outpatiant clinic visit every 3 months), Interventional group B (applying digital integrated healthcare platform by themselves, no monitoring and intervention by medical staff), and Interventional group C (applying digital integrated healthcare platform based on monitoring and intervention by medical staff using AI-based diet management solution and applying CGMS).

This parallel study will be conducted for 48 weeks.

Read the detailed description

The reason why it is difficult to improve the lifestyle of patients with diabetes using existing digital healthcare applications (apps) is that there is a limit of sustainability that most people do not continue to use digital healthcare apps, thus, it can be possible only with monitoring and intervention by medical staff.

Not only users, but also medical staff can access integrated biometric data on the digital integrated healthcare platform so that individual patient-specific management systems that monitor and intervene can continuously motivate patients to manage themselves. Also, it could be a prerequisite for the successful management of patients with diabetes using digital healthcare apps, many existing apps have been identified as failure cases in previous studies. In this clinical trial, investigators will study the efficacy of digital integrated healthcare platform based on monitoring and intervention by medical staff using AI (aritifical intelligence)-based diet management solution.

In addition, in this clinical trial, the latest medical device, real-time continuous glucose monitoring system (CGMS) will be applied to monitor blood glucose levels. It has been reported that glucose level is well controlled when the number of self blood glucose measurement is performed frequently, but in practice, patients have time and space limitation in self blood glucose measurement, and it is difficult to change the management pattern of patients by encouraging self blood glucose measurement. Therefore, by applying a CGMS every three months, not only the patient but also the medical staff can access the 24-hour blood glucose values, and can actively participate in the blood sugar management of the patients. Therefore, investigators plan to conduct clinical trial using digital integrated healthcare platform using AI-based diet management solution and real-time CGMS

Conditions
Type 2 Diabetes
Being tested
Digital integrated healthcare platform
Keywords
Continuous glucose monitoring system, Artificial intelligence, Diabetes, Digital healthcare, Education
Medical subject headings
Diabetes Mellitus, Type 2, Diabetes Mellitus

What participants receive

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

  • Digital integrated healthcare platformDevice

    Digital Integrated Healthcare Platform Utilizing AI-based Dietary Management Solution and Real-time Continuous Glucose Monitoring system

Study groups in NCT04161170
Study groupRoleWhat they receive
Control ANo interventionno intervention conventional diabetes treatment and clinic visit every 3 months
Intervention BActive comparatorapply digital integrated healthcare platform clinic visit every 3 months
Receives: Device: Digital integrated healthcare platform
Intervention CExperimentalapply digital integrated healthcare platform, CGMS, and medical team monitoring, and education clinic visit every 3 months
Receives: Device: Digital integrated healthcare platform

What is being measured

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

  1. Change of HbA1c (glycated hemoglobin) at 6months from baseline

    Change of HbA1c (glycated hemoglobin) at 6months from baseline

    Measured: Change of HbA1c (glycated hemoglobin) at 6months from baseline

Secondary outcomes (26)
  1. HbA1c

    glycated hemoglobin

    Measured: glycated hemoglobin at baseline, 3, 6, 12 months

  2. number of intervention for education in interventinal group C

    The number of educational intervention by digital integrated healthcare platform

    Measured: number of intervention for education in interventinal group C at baseline, 3, 6, 12 months

  3. hypoglycemic events

    the number of hypoglycemic events

    Measured: hypoglycemic events at baseline, 3, 6, 12 months

  4. adverse events

    the number and types of hypoglycemic events

    Measured: adverse events at baseline, 3, 6, 12 months

  5. patient satisfaction questionnaire score

    patient satisfaction questionnaire score includes 8 questions and each question has score range 0 (min) - 6 (max). For questions number 2 and 3, higher score mean worse outcome in hypoglycemia but for the rest of questions, higher scores mean better outcome in diabetes management.

    Measured: patient satisfaction questionnaire score at baseline, 3, 6, 12 months

  6. body weight

    body weight

    Measured: body weight at baseline, 3, 6, 12 months

  7. BMI (body mass index)

    BMI (body mass index)

    Measured: BMI at baseline, 3, 6, 12 months

  8. body fat (%)

    body fat (%)

    Measured: body fat (%) at baseline, 3, 6, 12 months

  9. step count

    step count

    Measured: average step count at baseline, 3, 6, 12 months

  10. burned calories

    burned calories

    Measured: average burned calories at baseline, 3, 6, 12 months

  11. walking distances

    walking distances

    Measured: average walking distances at baseline, 3, 6, 12 months

  12. intake calories

    intake calories

    Measured: intake calories at baseline, 3, 6, 12 months

  13. fasting glucose level

    fasting glucose level

    Measured: average fasting glucose level at baseline, 3, 6, 12 months

  14. total cholesterol level

    total cholesterol level

    Measured: total cholesterol level at baseline, 3, 6, 12 months

  15. HDL cholesterol level

    HDL cholesterol level

    Measured: HDL cholesterol level at baseline, 3, 6, 12 months

  16. Triglycerides level

    Triglycerides level

    Measured: Triglycerides level at baseline, 3, 6, 12 months

  17. LDL cholesterol level

    LDL cholesterol level

    Measured: LDL cholesterol level at baseline, 3, 6, 12 months

  18. mean glucose level by CGMS (continuous glucose monitoring system) in interventional group C

    mean glucose level by CGMS in interventional group C

    Measured: mean glucose level by CGMS at baseline, 3, 6, 12 months

  19. glycemic variability by CGMS in interventional group C

    glycemic variability by CGMS in interventional group C

    Measured: glycemic variability by CGMS at baseline, 3, 6, 12 months

  20. standard deviation by CGMS in interventional group C

    standard deviation by CGMS in interventional group C

    Measured: standard deviation by CGMS at baseline, 3, 6, 12 months

  21. average applying time of CGMS in interventional group C

    average applying time of CGMS in interventional group C

    Measured: average applying time of CGMS at baseline, 3, 6, 12 months

  22. time in range of <54mg/dL by CGMS in interventional group C

    time in range of <54mg/dL by CGMS in interventional group C

    Measured: time in range of <54mg/dL by CGMS at baseline, 3, 6, 12 months

  23. time in range of <70mg/dL by CGMS in interventional group C

    time in range of <70mg/dL by CGMS in interventional group C

    Measured: time in range of <70mg/dL by CGMS at baseline, 3, 6, 12 months

  24. time in range of 70-180 mg/dL by CGMS in interventional group C

    time in range of 70-180 mg/dL by CGMS in interventional group C

    Measured: time in range of 70-180 mg/dL by CGMS at baseline, 3, 6, 12 months

  25. time in range of >180 mg/dL by CGMS in interventional group C

    time in range of >180 mg/dL by CGMS in interventional group C

    Measured: time in range of >180 mg/dL by CGMS at baseline, 3, 6, 12 months

  26. time in range of >250 mg/dL by CGMS in interventional group C

    time in range of >250 mg/dL by CGMS in interventional group C

    Measured: time in range of >250 mg/dL by CGMS at baseline, 3, 6, 12 months

Timeline

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

  1. First posted13 Nov 2019
  2. Study start20 Nov 2019
  3. Primary completion31 Aug 2021 (estimated)
  4. Study completion31 Dec 2021 (estimated)

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
Parallel groups
Model description
Control group A: no intervention Interventional group B: digital integrated healthcare platform Interventional group C: digital integrated healthcare platform + CGMS apply + medical team monitoring + educational intervation
Masking
None (open label)
Enrolment
294 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04161170
Sponsor's protocol ID
2019-05-028-007
Status last verified
Jan 2020
First submitted
8 Nov 2019
Last updated
18 Jan 2020
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Lee YB, Kim G, Jun JE, Park H, Lee WJ, Hwang YC, Kim JH. An Integrated Digital Health Care Platform for Diabetes Management With AI-Based Dietary Management: 48-Week Results From a Randomized Controlled Trial. Diabetes Care. 2023 May 1;46(5):959-966. doi: 10.2337/dc22-1929.

    PubMed 36821833
  • Park SW, Kim G, Hwang YC, Lee WJ, Park H, Kim JH. Validation of the effectiveness of a digital integrated healthcare platform utilizing an AI-based dietary management solution and a real-time continuous glucose monitoring system for diabetes management: a randomized controlled trial. BMC Med Inform Decis Mak. 2020 Jul 10;20(1):156. doi: 10.1186/s12911-020-01179-x.

    PubMed 32650771

Questions about this trial

What is this clinical trial studying?

A study testing Digital integrated healthcare platform in people with Type 2 Diabetes, run by Samsung Medical Center at 1 site in South Korea.

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 10 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 18 Jan 2020. 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 South Korea. 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.

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?

Contact Jae Hyeon Kim, MD PhD (+82-2-3410-1580, jaehyeonmd.kim@samsung.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change of HbA1c (glycated hemoglobin) at 6months from baseline (time frame: Change of HbA1c (glycated hemoglobin) at 6months from baseline). 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 NCT04161170, 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 18 Jan 2020.

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