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Diabetic RetinopathyDIABeyeIANCT05452993

Screening for Diabetic Retinopathy in Pharmacies With Artificial Intelligence Enhanced Retinophotography

A study testing Analysed Retinophotography in people with Diabetic Retinopathy and Artificial Intelligence, run by University Hospital, Caen at 1 site in France.

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

Diabetic retinopathy is frequent, potentially severe with visual threat, health costly and represents a major public health problem. However, screening compliance for retinopathy remains too low in France, approximately 40% patients with diabetes laking diabetic retinopathy screening for at least 2 years. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Analysed Retinophotography
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
64 participants
Where
1 siteFrance
Study dates
16 Dec 2022to 31 Dec 2024
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adult patients with diabetes
  • Ongoing diabetes treatment (oral hypoglycaemic agents, injectable GLP-1 receptor agonists and insulin)
  • Regular customer of the pharmacy (at least 3 previous visits)
  • Informed consent to participate to the study

Who cannot join

  • Patient unable to read, write or give consent
  • Patient refusing to share results with their general practitioner or ophthalmologist

Trial locations and contacts

1 site in 1 country.

France1 site
  • Caen University Hospital

    Caen

Other trials in France

About this study

Official title: Acceptability and Efficiency of Screening for Diabetic Retinopathy in Pharmacies With Artificial Intelligence Enhanced Retinophotography : a French Pilot Study

Diabetic retinopathy is frequent, potentially severe with visual threat, health costly and represents a major public health problem. However, screening compliance for retinopathy remains too low in France, approximately 40% patients with diabetes laking diabetic retinopathy screening for at least 2 years.

DIABeyeIA is a prospective pilot study evaluating the effectiveness and acceptability of diabetic retinopathy screening in 11 pharmacies in Normandy (north of France) using a non-mydriatic portable retinophotograph enhanced by artificial intelligence software. The main goal of this work is to evaluate a potential increase rate of diabetic retinopathy screening, compared to the actual rate (64% in France). Secondary goals are faisability, satisfaction and economical considerations for implementation of such a new screening program.

Read the detailed description

DIABeyeIA is a 6 months prospective study in 11 pharmacies of Normandy (a french region in north of France), to assess a systematic diabetic retinopathy screening proposed to all patients with diabetes, identified on their usual treatment, who regularly visit their pharmacy.

Participating pharmacies will offer to all their patients with diabetes the opportunity to benefit from this screening when they visit the pharmacy to pick-up their treatment.

If the patient accepts, after written consent and completion of the clinical data form, he will benefit from diabetic retinopathy screening (Arm 1) : two retinophotographies per eye will be performed by the pharmacist and will be immediately interpreted by an artificial intelligence system through an interface made available to pharmacists.

In a few seconds, the system will answer:

  • (i) that there is no diabetic retinopathy. In this case, a letter is sent to the patient, reminding him of the modalities and french recommendations for diabetic retinopathy screening.
  • (ii) that images are doubtful and in this case, they will be re-read by an expert ophthalmologist who will transmit his interpretation to the patient via the pharmacist. In case of threatening damage, an emergency ophthalmologist visit in the university hospital will be proposed to the patient via his pharmacist.

Patients who will not meet inclusion criteria or will refuse the study will be included on the list of refusals/impossibility to participate to the DIABeyeIA study (Arm 2).

In all cases, a letter will be given to the patient by the pharmacist, for his general practitioner and his usual ophthalmologist, in order to inform them of the screening and its result.

Clinical and therapeutic data of each participating patient will be informed by the pharmacist.

Satisfaction questionnaires will be completed by the participating pharmacists at the end of the study and by the patients at the end of the screening.

Being tested
Analysed Retinophotography
Keywords
Diabetic Retinopathy, Artificial Intelligence, Telemedicine, Pharmacy, Retinophotography, Screening, Primary care
Medical subject headings
Diabetic Retinopathy, Diabetes Mellitus

What participants receive

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

  • Analysed RetinophotographyDevice

    taking 2 retinophotographs per eye, and then analysed by AI software to detect Diabetic retinopathy

Study groups in NCT05452993
Study groupRoleWhat they receive
1 - Retinophotography for diabetic retinopathy screeningExperimentalPatients who accepted to participate to this study and had retinophotography for diabetic retinopathy screening.
Receives: Device: Analysed Retinophotography
2 - No screeningNo interventionPatients who did not meet inclusion criteria and/or refused the retinophotographies screening.

What is being measured

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

  1. diabetic retinopathy screening rate

    The screening rate for diabetic retinopathy will be assessed in the 11 participating pharmacies and then compared to literature data (actual diabetic retinopathy screening rate = 64%)

    The screening rate will be calculated as follows :

    Number of patients screened(Arm 1)/(number of patients screened (Arm 1) + number of patients who refused screening or failed screening (Arm2)).

    We hypothesise an improvement of 10 points (≥74%)

    Measured: approximately one year after study start

Secondary outcomes (5)
  1. patients and investigators satisfaction

    Measurement of patients and pharmacists' satisfaction will be assessed with specific questionnaires

    Measured: approximately one year after study start

  2. screening cost

    Cost of screening per patients will be calculated, by dividing total cost of this study by the number of patient screened for diabetic retinopathy.

    Measured: approximately one year after study start

  3. technical feasibility

    The rate of interpretable retinophotographies will be evaluated.

    Measured: approximately one year after study start

  4. lesions stages at screening

    To assess the possibility to identify diabetic retinopathy lesions at earlier stages than the conventional screening strategy

    Measured: approximately one year after study start

  5. consistance between artificial intelligence and ophthalmologist re-read for doubtful images

    To evaluate consistance between artificial intelligence and ophthalmologist re-read for doubtful images

    Measured: approximately one year after study start

Timeline

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

  1. First posted12 Jul 2022
  2. Study start16 Dec 2022
  3. Primary completion5 Dec 2023
  4. Study completion31 Dec 2024

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
Screening
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
64 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05452993
Sponsor's protocol ID
2021-A01929-32
Acronym
DIABeyeIA
Status last verified
Jul 2025
First submitted
3 Jan 2022
Last updated
25 Jul 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Analysed Retinophotography in people with Diabetic Retinopathy and Artificial Intelligence, run by University Hospital, Caen at 1 site in France.

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 2 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 25 Jul 2025. 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 France. 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?

diabetic retinopathy screening rate (time frame: approximately one year after study start). 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 25 Jul 2025.

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