Diabetes Mellitus, Type 2NCT05150041
The Efficacy of Guardian Connect to Modify Lifestyle in Patients With Type 2 Diabetes Mellitus
A study testing Guardian connect and iPro2 in people with Diabetes Mellitus, Type 2, run by Kangbuk Samsung Hospital at 1 site in South Korea.
Trial summary
It has been demonstrated by many different researches that for patients to work on their lifestyle modifications, it is important that the patients know their exact blood glucose levels. Read more about this study
- Who is it for?
- Ages 30 to 65 years
- Conditions the study is for
- Diabetes Mellitus, Type 2
- What is being tested?
- Guardian connect and iPro2
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- 1 siteSouth Korea
- Study dates
- 7 Apr 2020to 7 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 30 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male and female patients between 30 - 65 years old(based on birthdays)
- Type 2 Diabetes Mellitus patients
- Patients who have been taking three types of oral hypoglycemic agent for at least 12 weeks
- Patients whose selection test show HbA1c as 7.5 ~ 10%
- Patients who are willing to use the RT-CGM
- Patients who have signed the letter of consent
Who cannot join
- Type 1 Diabetes Mellitus patients
- Gestational Diabetes patients
- Patients who have undergone continuous or intermittent insulin treatments for more than 7 days within 12 weeks from the selection test date.
- Patients who underwent oral or non-oral corticosteroid treatment for more than 7 continuous days 1 month before the selection test date.
- Patients with history of hyperplastic diabetic retinosis
- Patients with serious case of infection, scheduled for surgery, history of recent surgery, severe injury
Show all 11Show fewer
- Patients with history of malignant tumor in five years
- Patients whose records show history of drug abuse or alcoholism within 12 weeks from the questionnaire, medical report and past treatment reports
- Female patients who are pregnant or breast -feeding
- Patients who are participating in other clinical researches other than the current clinical research or who have taken other clinical test drugs within 4 weeks
- Patients who are unfit to partake in this clinical research as determined by the researcher
Trial locations and contacts
1 site in 1 country.
About this study
Official title: A Pilot Study for the Efficacy of Guardian Connect to Modify Lifestyle in Patients With Type 2 Diabetes Mellitus
It has been demonstrated by many different researches that for patients to work on their lifestyle modifications, it is important that the patients know their exact blood glucose levels. Unlike the HbA1c which can only be determined at the hospital, improvements in blood glucose levels were detected in both the Type 1 Diabetes Mellitus patients who use insulin as well as Type 2 Diabetes Mellitus patients with SMBG(self-monitoring of blood glucose) which is the method used by patients to measure the blood glucose level at home on their own. Where SMBG needed blood to be collected from the fingertips, it has now passed the continuous glucose monitoring(CGM) stage where blood drawing is no longer required and is now replaced by the real-time CGM(RT-CGM) where blood glucose level can be checked real time. Type 2 Diabetes Mellitus patients who do not use preprandial rapid insulin were divided into SMBG group and intermittent RT-CGM user group and their blood glucose level decrease monitored for 3 months. After 3 months, HbA1c in SMBG group decreased 0.5% compared to the baseline while 1.0% decreased in RT-CGM group. The research was extended 40 weeks to make the total research period to 52 weeks and the results still showed that there were significant decrease in the RT-CGM group. However, up to this day, there are no researches that can show that there are additional decrease in the blood glucose level in Type 2 Diabetes Mellitus patients with use of RT-CGM in the group where sufficient blood glucose management cannot be achieved through use of three oral drug combination therapy to lower the blood glucose level.
This research seeks to find out if there are any decreases in the blood glucose level by using RT-CGM at 6 month period in Type 2 Diabetes Mellitu patient group whose blood glucose level cannot significantly be managed after the three oral hypoglycemic agent combination therapy.
Read the detailed description
- Pilot, Prospective, open label, multicenter, 3 arm, randomized, feasibility study
- Divided into below three groups iPRo2 only (Control group) / iPRo2 + RT-CGM 1 week treatment (Treatment group 1) / iPRo2 + RT-CGM 1 week on /3 weeks off (2 cycles) (Treatment group 2)
- Conditions
- Diabetes Mellitus, Type 2
- Being tested
- Guardian connect, iPro2
- Keywords
- Diabetes self-management education
- 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.
Guardian connectDevice
- Treatment group 1 will go through target lifestyle coaching including diet and exercise and will have 1 session of RT-CGM after which they will undergo 24 weeks of follow-up period.
- Treatment group 2 will go through target life coaching including diet and exercise and will have 2 sessions(CGM 1week, 12week after measuring HbA1c) of RT-CGM after which they will undergo 24 weeks of follow-up period.
iPro2Device
- Treatment group 1 will go through target lifestyle coaching including diet and exercise and will have 1 session of RT-CGM after which they will undergo 24 weeks of follow-up period.
- Treatment group 2 will go through target life coaching including diet and exercise and will have 2 sessions(CGM 1week, 12week after measuring HbA1c) of RT-CGM after which they will undergo 24 weeks of follow-up period.
| Study group | Role | What they receive |
|---|---|---|
| iPRo2 only (Control group) | Active comparator | - The Control group will go through target lifestyle coaching including diet and exercise and they will undergo 24 weeks of follow-up period. Receives: Device: iPro2 |
| iPRo2 + RT-CGM 1 week treatment (Treatment group 1) | Experimental | Treatment group 1 will go through target lifestyle coaching including diet and exercise and will have 1 session of RT-CGM after which they will undergo 24 weeks of follow-up period. Receives: Device: Guardian connect; Device: iPro2 |
| iPRo2 + RT-CGM 1 week on /3 weeks off (2cycles) (Treatment 2) | Experimental | - Treatment group 2 will go through target life coaching including diet and exercise and will have 2 sessions(CGM 1week, 12week after measuring HbA1c) of RT-CGM after which they will undergo 24 weeks of follow-up period. Receives: Device: Guardian connect; Device: iPro2 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in HbA1c(%)
This study aimed to see HbA1c(%) changes from baseline and 6month time frame.
Measured: at 6 month
Secondary outcomes (5)
the target blood sugar (blood glucose) range
Comparing indicators such as CGM glycological matrices, Time in Range, etc. at 6 months period to the baseline in each group. Time in range is the amount of time you spend in the target blood sugar (blood glucose) range-between 70 and 180 mg/dL as a normal.
Measured: at 6 month
changes in blood pressure(mmHg)
Comparing the changes in blood pressure to the baseline in each group at 6 month period.
Measured: at 6 month
changes in lipid parameter(mg/dl)
Comparing the changes in lipid parameter to the baseline in each group at 6 month period.
Measured: at 6 month
changes in body weight(kg)
Comparing the changes in body weight to the baseline in each group at 6 month period.
Measured: at 6 month
changes in patient satisfaction level
Comparing the changes in patient satisfaction level to the baseline in each group at 6 month period. (assessed by The Summary of Diabetes Self-Care Activities Measure,
Measured: at 6 month
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Dec 2021
- Study start7 Apr 2020
- Primary completion7 Dec 2021
- Study completion7 Dec 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Diabetes Mellitus, Type 2Studies 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 N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 60 participants (actual)
Sponsor and investigators
- Lead sponsor
- Kangbuk Samsung Hospital
- Sponsor type
- University, hospital or other
- Collaborators
- Medtronic
- Responsible party
- Principal investigator, Cheol-Young Park, Kangbuk Samsung Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05150041
- Sponsor's protocol ID
- KBSMC 2019-04-021
- Status last verified
- Mar 2022
- First submitted
- 9 Oct 2019
- Last updated
- 8 Mar 2022
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 8 Mar 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Pilot Study for the Efficacy of Guardian Connect to Modify Lifestyle in Patients With Type 2 Diabetes Mellitus
- ClinicalTrials.gov ID
- NCT05150041
- Acronym / sponsor ID
- KBSMC 2019-04-021
- Conditions
- Diabetes Mellitus, Type 2
- Keywords
- Diabetes self-management education
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 60 participants (actual)
- Lead sponsor
- Kangbuk Samsung HospitalUniversity, hospital or other
- Collaborators
- Medtronic
- Study start
- 7 Apr 2020 (actual)
- Primary completion
- 7 Dec 2021 (actual)
- Study completion
- 7 Dec 2021 (actual)
- First posted
- 8 Dec 2021 (actual)
- 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.
It has been demonstrated by many different researches that for patients to work on their lifestyle modifications, it is important that the patients know their exact blood glucose levels. Unlike the HbA1c which can only be determined at the hospital, improvements in blood glucose levels were detected in both the Type 1 Diabetes Mellitus patients who use insulin as well as Type 2 Diabetes Mellitus patients with SMBG(self-monitoring of blood glucose) which is the method used by patients to measure the blood glucose level at home on their own. Where SMBG needed blood to be collected from the fingertips, it has now passed the continuous glucose monitoring(CGM) stage where blood drawing is no longer required and is now replaced by the real-time CGM(RT-CGM) where blood glucose level can be checked real time. Type 2 Diabetes Mellitus patients who do not use preprandial rapid insulin were divided into SMBG group and intermittent RT-CGM user group and their blood glucose level decrease monitored for 3 months. After 3 months, HbA1c in SMBG group decreased 0.5% compared to the baseline while 1.0% decreased in RT-CGM group. The research was extended 40 weeks to make the total research period to 52 weeks and the results still showed that there were significant decrease in the RT-CGM group. However, up to this day, there are no researches that can show that there are additional decrease in the blood glucose level in Type 2 Diabetes Mellitus patients with use of RT-CGM in the group where sufficient blood glucose management cannot be achieved through use of three oral drug combination therapy to lower the blood glucose level.
This research seeks to find out if there are any decreases in the blood glucose level by using RT-CGM at 6 month period in Type 2 Diabetes Mellitu patient group whose blood glucose level cannot significantly be managed after the three oral hypoglycemic agent combination therapy.
Detailed description
- Pilot, Prospective, open label, multicenter, 3 arm, randomized, feasibility study
- Divided into below three groups iPRo2 only (Control group) / iPRo2 + RT-CGM 1 week treatment (Treatment group 1) / iPRo2 + RT-CGM 1 week on /3 weeks off (2 cycles) (Treatment group 2)
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| iPRo2 only (Control group) | Active comparator | Device: iPro2- The Control group will go through target lifestyle coaching including diet and exercise and they will undergo 24 weeks of follow-up period. |
| iPRo2 + RT-CGM 1 week treatment (Treatment group 1) | Experimental | Device: Guardian connect, Device: iPro2Treatment group 1 will go through target lifestyle coaching including diet and exercise and will have 1 session of RT-CGM after which they will undergo 24 weeks of follow-up period. |
| iPRo2 + RT-CGM 1 week on /3 weeks off (2cycles) (Treatment 2) | Experimental | Device: Guardian connect, Device: iPro2- Treatment group 2 will go through target life coaching including diet and exercise and will have 2 sessions(CGM 1week, 12week after measuring HbA1c) of RT-CGM after which they will undergo 24 weeks of follow-up period. |
Who may qualify
- Ages
- 30 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Male and female patients between 30 - 65 years old(based on birthdays)
- Type 2 Diabetes Mellitus patients
- Patients who have been taking three types of oral hypoglycemic agent for at least 12 weeks
- Patients whose selection test show HbA1c as 7.5 ~ 10%
- Patients who are willing to use the RT-CGM
Key exclusion criteria (11 listed)
- Type 1 Diabetes Mellitus patients
- Gestational Diabetes patients
- Patients who have undergone continuous or intermittent insulin treatments for more than 7 days within 12 weeks from the selection test date.
- Patients who underwent oral or non-oral corticosteroid treatment for more than 7 continuous days 1 month before the selection test date.
- Patients with history of hyperplastic diabetic retinosis
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 |
|---|---|---|
| Guardian connect* Treatment group 1 will go through target lifestyle coaching including diet and exercise and will have 1 session of RT-CGM after which they will undergo 24 weeks of follow-up period. * Treatment group 2 will go through target life coaching including diet and exercise and will have 2 sessions(CGM 1week, 12week after measuring HbA1c) of RT-CGM after which they will undergo 24 weeks of follow-up period. | Device | iPRo2 + RT-CGM 1 week on /3 weeks off (2cycles) (Treatment 2), iPRo2 + RT-CGM 1 week treatment (Treatment group 1) |
| iPro2* Treatment group 1 will go through target lifestyle coaching including diet and exercise and will have 1 session of RT-CGM after which they will undergo 24 weeks of follow-up period. * Treatment group 2 will go through target life coaching including diet and exercise and will have 2 sessions(CGM 1week, 12week after measuring HbA1c) of RT-CGM after which they will undergo 24 weeks of follow-up period. | Device | iPRo2 + RT-CGM 1 week on /3 weeks off (2cycles) (Treatment 2), iPRo2 + RT-CGM 1 week treatment (Treatment group 1), iPRo2 only (Control group) |
Primary outcome
Change in HbA1c(%)
Time frame: at 6 month
This study aimed to see HbA1c(%) changes from baseline and 6month time frame.
5 secondary outcomes
the target blood sugar (blood glucose) range
Time frame: at 6 month
changes in blood pressure(mmHg)
Time frame: at 6 month
changes in lipid parameter(mg/dl)
Time frame: at 6 month
changes in body weight(kg)
Time frame: at 6 month
changes in patient satisfaction level
Time frame: at 6 month
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 8 Mar 2022.
- Individual participant dataSharing planned: No
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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.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Guardian connect and iPro2 in people with Diabetes Mellitus, Type 2, run by Kangbuk Samsung Hospital 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 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: finished, as of the sponsor's last update on 8 Mar 2022. 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?
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 HbA1c(%) (time frame: at 6 month). 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 8 Mar 2022.