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Type 2 DiabetesNCT04319003

Pilot Sugar Reduction Intervention in Kiritimati Teenagers

A study testing Sugar-reduction intervention in people with Type 2 Diabetes and Obesity, run by University of Southern California at 2 sites in 2 countries.

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

Kiritimati is an isolated coral atoll in the Pacific Ocean, and is one of 32 islands that comprise the Republic of Kiribati. Obesity and type 2 diabetes rates are high in Kiribati, but the causes and rates of childhood obesity/diabetes are unknown. Read more about this study

Who is it for?
Ages 10 to 18 yearsHealthy volunteers can take part
Conditions the study is for
Type 2 Diabetes, Obesity
What is being tested?
Sugar-reduction intervention
Could I receive a placebo?
No, everyone receives an active treatment
How many people
63 participants
Where
2 sitesin 2 countries
Study dates
3 Aug 2018to 19 Sep 2018
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 10 to 18 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • Enrolled in one of the two high schools on Kiritimati

Who cannot join

  • > 18 years of age

Trial locations and contacts

2 sites in 2 countries.

2 sites in 2 countries

United States1 site
  • University of Southern California

    Los Angeles, California, 90033

Other trials in United States

Kiribati1 site
  • Kiritimati

    London

About this study

Official title: Surveillance of Obesity and Pre-Diabetes/Diabetes in Kiritimati School Children and Lifestyle Modifications to Reduce Risk

Kiritimati is an isolated coral atoll in the Pacific Ocean, and is one of 32 islands that comprise the Republic of Kiribati. Obesity and type 2 diabetes rates are high in Kiribati, but the causes and rates of childhood obesity/diabetes are unknown. However, it has been hypothesized that high consumption of sugar-sweetened beverages on Kiritimati may be a contributing factor. The investigators therefore conducted a study in Kiritimati in September 2018 with the aim of 1) quantifying obesity and diabetes rates amongst children on Kiritimati and 2) testing the feasibility of a sugar-reduction intervention in Kiritimati schools. The investigators randomized the two high schools on the island to either the control group or the intervention group. The investigators measured height/weight, continuous blood glucose (using flash glucose monitoring), and diet (using 24-hour diet recalls). One week into the study, the intervention school received an intervention, which consisted of installation of a water filter at the school, the provision of water bottles to each student at the school, and a 30-minute educational presentation on the link between sugar consumption and type 2 diabetes. The investigators then measured how blood glucose and diet changed the week following the intervention, and compared this to the control school.

Being tested
Sugar-reduction intervention
Medical subject headings
Diabetes Mellitus, Type 2, Obesity

What participants receive

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

  • Sugar-reduction interventionBehavioural

    The intervention consisted of a) installation of a water filter at the school. b) each participant received a metal water bottle. c) a registered dietitian gave a 30-minute presentation on sugar reduction for the purposes of type 2 diabetes prevention

Study groups in NCT04319003
Study groupRoleWhat they receive
Control SchoolNo interventionThis school did not receive intervention (until after the study was completed)
Intervention SchoolExperimentalThis school received a one-week sugar-reduction intervention
Receives: Behavioral: Sugar-reduction intervention

What is being measured

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

  1. Change in mean blood glucose (mg/dL)

    A continuous glucose monitor was attached to all participants, which collected data for 2 weeks. Mean blood glucose was calculated for each participant using GlyCulator, an online tool for analyzing CGM data.

    Measured: 2 weeks (1 week pre- and 1 week post-intervention)

  2. Change in mean amplitude of glycemic variability (MAGE) (mg/dL)

    A continuous glucose monitor was attached to all participants, which collected data for 2 weeks. Glycemic variability (mean amplitude of glycemic excursions) was calculated for each participant using GlyCulator, an online tool for analyzing CGM data.

    Measured: 2 weeks (1 week pre- and 1 week post-intervention)

  3. Change in standard deviation (mg/dL) of continuous glucose monitor data

    A continuous glucose monitor was attached to all participants, which collected data for 2 weeks. Glycemic variability (standard deviation) was calculated for each participant using GlyCulator, an online tool for analyzing CGM data.

    Measured: 2 weeks (1 week pre- and 1 week post-intervention)

  4. Change in coefficient of variation (percent) of continuous glucose monitor data

    A continuous glucose monitor was attached to all participants, which collected data for 2 weeks. Glycemic variability (coefficient of variation (percent) was calculated for each participant using GlyCulator, an online tool for analyzing CGM data.

    Measured: 2 weeks (1 week pre- and 1 week post-intervention)

  5. Change in J-index of continuous glucose monitor data

    A continuous glucose monitor was attached to all participants, which collected data for 2 weeks. Glycemic variability (J-index) was calculated for each participant using GlyCulator, an online tool for analyzing CGM data.

    Measured: 2 weeks (1 week pre- and 1 week post-intervention)

  6. Change in area under the curve of continuous glucose monitor data

    A continuous glucose monitor was attached to all participants, which collected data for 2 weeks. Glycemic variability (area under the curve) was calculated for each participant using GlyCulator, an online tool for analyzing CGM data.

    Measured: 2 weeks (1 week pre- and 1 week post-intervention)

  7. Change in total sugar consumption (g/day) using 24-hour dietary recalls

    The investigators conducted 24-hour diet recalls and entered data into the NDSR database for comparison of change in total sugar intake between the control and intervention schools (time x group interaction).

    Measured: 2 weeks (1 week pre- and 1 week post-intervention)

  8. Change in added sugar consumption (g/day) using 24-hour dietary recalls

    The investigators conducted 24-hour diet recalls and entered data into the NDSR database for comparison of change in added sugar intake between the control and intervention schools (time x group interaction).

    Measured: 2 weeks (1 week pre- and 1 week post-intervention)

  9. Change in total water consumption (g/day) using 24-hour dietary recalls

    The investigators conducted 24-hour diet recalls and entered data into the NDSR database for comparison of change in total water intake between the control and intervention schools (time x group interaction).

    Measured: 2 weeks (1 week pre- and 1 week post-intervention)

  10. Change in unsweetened water consumption (servings/day) using 24-hour dietary recalls

    The investigators conducted 24-hour diet recalls and entered data into the NDSR database for comparison of change in unsweetened water intake between the control and intervention schools (time x group interaction).

    Measured: 2 weeks (1 week pre- and 1 week post-intervention)

  11. Change in energy (kcal/day) consumption using 24-hour dietary recalls

    The investigators conducted 24-hour diet recalls and entered data into the NDSR database for comparison of change in energy (kcal) intake between the control and intervention schools (time x group interaction).

    Measured: 2 weeks (1 week pre- and 1 week post-intervention)

  12. Change in total carbohydrate (g/day) consumption using 24-hour dietary recalls

    The investigators conducted 24-hour diet recalls and entered data into the NDSR database for comparison of change in total carbohydrate intake between the control and intervention schools (time x group interaction).

    Measured: 2 weeks (1 week pre- and 1 week post-intervention)

  13. Change in percent calories from carbohydrate consumption using 24-hour dietary recalls

    The investigators conducted 24-hour diet recalls and entered data into the NDSR database for comparison of change in % calories from carbohydrate intake between the control and intervention schools (time x group interaction).

    Measured: 2 weeks (1 week pre- and 1 week post-intervention)

  14. Change in percent calories from total sugars consumption using 24-hour dietary recalls

    The investigators conducted 24-hour diet recalls and entered data into the NDSR database for comparison of change in % calories from total sugars intake between the control and intervention schools (time x group interaction).

    Measured: 2 weeks (1 week pre- and 1 week post-intervention)

  15. Change in percent calories from added sugars consumption using 24-hour dietary recalls

    The investigators conducted 24-hour diet recalls and entered data into the NDSR database for comparison of change in % calories from added sugars intake between the control and intervention schools (time x group interaction).

    Measured: 2 weeks (1 week pre- and 1 week post-intervention)

  16. Change in sugary beverage (tioka) consumption using beverage frequency questionnaires

    The investigators conducted beverage frequency questionnaires which asked about consumption of popular beverages on Kiritimati (specifically: "how many days per week do you typically drink this drink?" and "how much each day?") then compared change pre-and post-intervention between the two groups (time x group interaction) in servings/day.

    Measured: 2 weeks (1 week pre- and 1 week post-intervention)

  17. Change in sugary beverage (tang) consumption using beverage frequency questionnaires

    The investigators conducted beverage frequency questionnaires which asked about consumption of popular beverages on Kiritimati (specifically: "how many days per week do you typically drink this drink?" and "how much each day?") then compared change pre-and post-intervention between the two groups (time x group interaction) in servings/day.

    Measured: 2 weeks (1 week pre- and 1 week post-intervention)

  18. Change in sugary beverage (toddy) consumption using beverage frequency questionnaires

    The investigators conducted beverage frequency questionnaires which asked about consumption of popular beverages on Kiritimati (specifically: "how many days per week do you typically drink this drink?" and "how much each day?") then compared change pre-and post-intervention between the two groups (time x group interaction) in servings/day.

    Measured: 2 weeks (1 week pre- and 1 week post-intervention)

  19. Change in sugary beverage (ice block) consumption using beverage frequency questionnaires

    The investigators conducted beverage frequency questionnaires which asked about consumption of popular beverages on Kiritimati (specifically: "how many days per week do you typically drink this drink?" and "how much each day?") then compared change pre-and post-intervention between the two groups (time x group interaction) in servings/day.

    Measured: 2 weeks (1 week pre- and 1 week post-intervention)

  20. Change in sugary beverage (soda) consumption using beverage frequency questionnaires

    The investigators conducted beverage frequency questionnaires which asked about consumption of popular beverages on Kiritimati (specifically: "how many days per week do you typically drink this drink?" and "how much each day?") then compared change pre-and post-intervention between the two groups (time x group interaction) in servings/day.

    Measured: 2 weeks (1 week pre- and 1 week post-intervention)

  21. Change in sugary beverage (juice) consumption using beverage frequency questionnaires

    The investigators conducted beverage frequency questionnaires which asked about consumption of popular beverages on Kiritimati (specifically: "how many days per week do you typically drink this drink?" and "how much each day?") then compared change pre-and post-intervention between the two groups (time x group interaction) in servings/day.

    Measured: 2 weeks (1 week pre- and 1 week post-intervention)

  22. Change in sugary beverage (fruit drinks) consumption using beverage frequency questionnaires

    The investigators conducted beverage frequency questionnaires which asked about consumption of popular beverages on Kiritimati (specifically: "how many days per week do you typically drink this drink?" and "how much each day?") then compared change pre-and post-intervention between the two groups (time x group interaction) in servings/day.

    Measured: 2 weeks (1 week pre- and 1 week post-intervention)

  23. Change in sugary beverage (coffee/tea) consumption using beverage frequency questionnaires

    The investigators conducted beverage frequency questionnaires which asked about consumption of popular beverages on Kiritimati (specifically: "how many days per week do you typically drink this drink?" and "how much each day?") then compared change pre-and post-intervention between the two groups (time x group interaction) in servings/day.

    Measured: 2 weeks (1 week pre- and 1 week post-intervention)

Timeline

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

  1. First posted24 Mar 2020
  2. Study start3 Aug 2018
  3. Primary completion19 Sep 2018
  4. Study completion19 Sep 2018

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
63 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04319003
Sponsor's protocol ID
HS-18-00505
Status last verified
Mar 2020
First submitted
26 Feb 2020
Last updated
26 Mar 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Sugar-reduction intervention in people with Type 2 Diabetes and Obesity, run by University of Southern California at 2 sites in 2 countries.

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 1 inclusion and 1 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 Mar 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States, Kiribati. 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?

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?

Change in mean blood glucose (mg/dL) (time frame: 2 weeks (1 week pre- and 1 week post-intervention)). The study lists 23 primary outcomes in all. 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 Mar 2020.

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