Continuous Glucose MonitoringNCT06400641
Study on the Feasibility of Continuous Glucose Monitoring(CGM) for Improving Blood Glucose Control in Severe Patients
An observational study of Continuous Glucose Monitoring, run by Chinese Medical Association at 1 site in China.
Trial summary
Compared to traditional blood glucose monitoring (TGM), CGM can accurately capture asymptomatic hyperglycemia and hypoglycemia events that are missed by TGM, accounting for 33% and 90% of cases, respectively. Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Continuous Glucose Monitoring
- How many people
- 360 participants
- Where
- 1 siteChina
- Study dates
- 1 Feb 2023to 1 Dec 2024
- How long will I take part?
- 2 Months
- Phase
- Observational
- 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 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: critically ill patient
Who may be able to join
- Age≥ 18 years and < 80 years
- ICU stay ≤48 hours
- Expected ICU stay > 24 hours
- APACHE II score≥ 8
Who cannot join
- local infection within the sensor placement area
- Laparotomy within lower abdomen
- Participated in this study before
- In other clinical trails.
Trial locations and contacts
1 site in 1 country.
Wenkui Yu, Professor contact
China1 site, 1 recruiting
- Recruiting
Nanjing Drum Tower Hospital
Nanjing, Jiangsu, 210000
Tao Gao, doctor, 86-025-83106666, ggttt001@163.com
taog1983@aliyun.com
About this study
Official title: CGM for Improving Blood Glucose Control in Severe Patients and the Feasibility of Automatic Drug Delivery in Combination With Insulin Pumps: A Prospective Multi-center Randomized Controlled Study
Compared to traditional blood glucose monitoring (TGM), CGM can accurately capture asymptomatic hyperglycemia and hypoglycemia events that are missed by TGM, accounting for 33% and 90% of cases, respectively. Real-time CGM provides instantaneous glucose levels and can also generate alarms for hypoglycemia and hyperglycemia based on preset glucose ranges, assisting patients in making timely adjustments to their glucose levels. Clinical studies have found that glucose control guided by real-time CGM is better, and the decrease in glycosylated hemoglobin levels is positively correlated with the frequency of CGM use. More importantly, although glucose variability can be calculated using conventional blood glucose measurements taken every four to six hours, to further assess precise changes in glucose levels, more detailed and accurate continuous data are required. In this respect, CGM has unparalleled advantages over traditional blood glucose monitoring.While the use of CGM in critically ill patients is still controversial.
Read the detailed description
We conducted this clinical study to compare the effectiveness of CGM and traditional blood glucose monitoring in guiding blood glucose control in critically ill patients, and to clarify the feasibility of using CGM for critically ill patients. We also aimed to explore the possible factors that affect CGM in critically ill patients.
- Conditions
- Continuous Glucose Monitoring
- Keywords
- blood glucose, insulin
- Medical subject headings
- Insulin Resistance
What is being measured
The primary outcome is the main question the study is designed to answer.
CGM measurement
Test
Measured: Days within the 1st week after ICU entrance
Whole blood or fingertip blood glucose measurement
Test
Measured: Days within the 1st week after ICU entrance
ICU stay
Days
Measured: During the ICU stay
28-day mortality rate
Mortality
Measured: 28 days after ICU entrance
60-day mortality rate
Mortality
Measured: 60 days after ICU entrance
Mortality rate during ICU stay
Mortality
Measured: Days from ICU entrance to ICU discharge
Secondary outcomes (3)
Serum C-peptide
Test
Measured: Days within the 1st week after ICU entrance
Insulin levels
Test
Measured: Days within the 1st week after ICU entrance
Thyroid hormones and other relevant hormone levels were measured
Test
Measured: The 1st day and the 7th day after ICU entrance
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 May 2024
- Study start1 Feb 2023
- Primary completion1 Dec 2024 (estimated)
- Study completion1 Dec 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Continuous Glucose MonitoringStudies 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
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 360 participants (estimated)
- Target duration
- 2 Months
Sponsor and investigators
- Lead sponsor
- Chinese Medical Association
- Sponsor type
- Research network
- Responsible party
- Sponsor
- Investigators
- Wenkui Yu, Professor, Principal investigator, The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06400641
- Sponsor's protocol ID
- ACCURATE study
- Status last verified
- Feb 2024
- First submitted
- 20 Feb 2024
- Last updated
- 6 May 2024
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 6 May 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- CGM for Improving Blood Glucose Control in Severe Patients and the Feasibility of Automatic Drug Delivery in Combination With Insulin Pumps: A Prospective Multi-center Randomized Controlled Study
- ClinicalTrials.gov ID
- NCT06400641
- Acronym / sponsor ID
- ACCURATE study
- Conditions
- Continuous Glucose Monitoring
- Keywords
- blood glucose, insulin
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 360 participants (estimated)
- Lead sponsor
- Chinese Medical AssociationResearch network
- Study start
- 1 Feb 2023 (actual)
- Primary completion
- 1 Dec 2024 (estimated)
- Study completion
- 1 Dec 2024 (estimated)
- First posted
- 6 May 2024 (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.
Compared to traditional blood glucose monitoring (TGM), CGM can accurately capture asymptomatic hyperglycemia and hypoglycemia events that are missed by TGM, accounting for 33% and 90% of cases, respectively. Real-time CGM provides instantaneous glucose levels and can also generate alarms for hypoglycemia and hyperglycemia based on preset glucose ranges, assisting patients in making timely adjustments to their glucose levels. Clinical studies have found that glucose control guided by real-time CGM is better, and the decrease in glycosylated hemoglobin levels is positively correlated with the frequency of CGM use. More importantly, although glucose variability can be calculated using conventional blood glucose measurements taken every four to six hours, to further assess precise changes in glucose levels, more detailed and accurate continuous data are required. In this respect, CGM has unparalleled advantages over traditional blood glucose monitoring.While the use of CGM in critically ill patients is still controversial.
Detailed description
We conducted this clinical study to compare the effectiveness of CGM and traditional blood glucose monitoring in guiding blood glucose control in critically ill patients, and to clarify the feasibility of using CGM for critically ill patients. We also aimed to explore the possible factors that affect CGM in critically ill patients.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Target follow-up
- 2 Months
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- critically ill patient
Key inclusion criteria (4 listed)
- Age≥ 18 years and < 80 years
- ICU stay ≤48 hours
- Expected ICU stay > 24 hours
- APACHE II score≥ 8
Key exclusion criteria (4 listed)
- local infection within the sensor placement area
- Laparotomy within lower abdomen
- Participated in this study before
- In other clinical trails.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
CGM measurement
Time frame: Days within the 1st week after ICU entrance
Test
Whole blood or fingertip blood glucose measurement
Time frame: Days within the 1st week after ICU entrance
Test
ICU stay
Time frame: During the ICU stay
Days
28-day mortality rate
Time frame: 28 days after ICU entrance
Mortality
60-day mortality rate
Time frame: 60 days after ICU entrance
Mortality
Mortality rate during ICU stay
Time frame: Days from ICU entrance to ICU discharge
Mortality
3 secondary outcomes
Serum C-peptide
Time frame: Days within the 1st week after ICU entrance
Insulin levels
Time frame: Days within the 1st week after ICU entrance
Thyroid hormones and other relevant hormone levels were measured
Time frame: The 1st day and the 7th day after ICU entrance
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 May 2024.
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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.
Wenkui Yu, Professor contact
Wenkui Yu, Professor principal investigator
The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Continuous Glucose Monitoring, run by Chinese Medical Association at 1 site in China.
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 4 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 6 May 2024. 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 China. 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 Tao Gao, no (+86-025-83106666, ggttt001@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
CGM measurement (time frame: Days within the 1st week after ICU entrance). The study lists 6 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 6 May 2024.