Trial Outcomes & Findings for Virtual Diabetes Specialty Clinic: A Study Evaluating Remote Initiation of Continuous Glucose Monitoring (NCT NCT04765358)

NCT ID: NCT04765358

Last Updated: 2024-04-16

Results Overview

Percentage of red blood cells with glucose coated hemoglobin

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

235 participants

Primary outcome timeframe

26 weeks

Results posted on

2024-04-16

Participant Flow

Participant milestones

Participant milestones
Measure
All Participants
All participants were provided with a commercially available CGM system. Training and data collection for the study was completed remotely. After initial CGM training (initiation of unblinded CGM use or initial training with virtual clinic) was completed, participants were followed by the virtual clinic team for approximately six months. Psychosocial screening questionnaires were administered at enrollment and during follow up. The virtual clinical team member followed up with the study participant if there was an elevated score on the psychosocial screening questionnaires. After the initial six months of follow up, participants who decided to continue to use CGM were asked to extend follow up and complete questionnaires, submit HbA1c samples, and share data. During the extended follow up phase, participants were able to contact the virtual clinic with questions or to request assistance as needed. Virtual Clinic: CGM, Clinical Care Support and Behavioral Health Support
Overall Study
STARTED
235
Overall Study
COMPLETED
234
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
All Participants
All participants were provided with a commercially available CGM system. Training and data collection for the study was completed remotely. After initial CGM training (initiation of unblinded CGM use or initial training with virtual clinic) was completed, participants were followed by the virtual clinic team for approximately six months. Psychosocial screening questionnaires were administered at enrollment and during follow up. The virtual clinical team member followed up with the study participant if there was an elevated score on the psychosocial screening questionnaires. After the initial six months of follow up, participants who decided to continue to use CGM were asked to extend follow up and complete questionnaires, submit HbA1c samples, and share data. During the extended follow up phase, participants were able to contact the virtual clinic with questions or to request assistance as needed. Virtual Clinic: CGM, Clinical Care Support and Behavioral Health Support
Overall Study
Withdrawal by Subject
1

Baseline Characteristics

Virtual Diabetes Specialty Clinic: A Study Evaluating Remote Initiation of Continuous Glucose Monitoring

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Participants
n=234 Participants
All participants were provided with a commercially available CGM system. Training and data collection for the study was completed remotely. After initial CGM training (initiation of unblinded CGM use or initial training with virtual clinic) was completed, participants were followed by the virtual clinic team for approximately six months. Psychosocial screening questionnaires were administered at enrollment and during follow up. The virtual clinical team member followed up with the study participant if there was an elevated score on the psychosocial screening questionnaires. After the initial six months of follow up, participants who decided to continue to use CGM were asked to extend follow up and complete questionnaires, submit HbA1c samples, and share data. During the extended follow up phase, participants were able to contact the virtual clinic with questions or to request assistance as needed. Virtual Clinic: CGM, Clinical Care Support and Behavioral Health Support
Age, Continuous
47 years
STANDARD_DEVIATION 14 • n=99 Participants
Sex: Female, Male
Female
123 Participants
n=99 Participants
Sex: Female, Male
Male
111 Participants
n=99 Participants
Race/Ethnicity, Customized
White
187 Participants
n=99 Participants
Race/Ethnicity, Customized
African American
20 Participants
n=99 Participants
Race/Ethnicity, Customized
Asian
8 Participants
n=99 Participants
Race/Ethnicity, Customized
American Indian-Alaskan Native
1 Participants
n=99 Participants
Race/Ethnicity, Customized
Other
11 Participants
n=99 Participants
Race/Ethnicity, Customized
Do not wish to answer
7 Participants
n=99 Participants
Hemoglobin A1c
63 mmol/mol
STANDARD_DEVIATION 17.5 • n=99 Participants
Time Spent with Glucose 70-<180 mg/dL
49 percentage of 24 hour period
STANDARD_DEVIATION 25 • n=99 Participants

PRIMARY outcome

Timeframe: 26 weeks

Percentage of red blood cells with glucose coated hemoglobin

Outcome measures

Outcome measures
Measure
All Participants
n=226 Participants
All participants were provided with a commercially available CGM system. Training and data collection for the study was completed remotely. After initial CGM training (initiation of unblinded CGM use or initial training with virtual clinic) was completed, participants were followed by the virtual clinic team for approximately six months. Psychosocial screening questionnaires were administered at enrollment and during follow up. The virtual clinical team member followed up with the study participant if there was an elevated score on the psychosocial screening questionnaires. After the initial six months of follow up, participants who decided to continue to use CGM were asked to extend follow up and complete questionnaires, submit HbA1c samples, and share data. During the extended follow up phase, participants were able to contact the virtual clinic with questions or to request assistance as needed. Virtual Clinic: CGM, Clinical Care Support and Behavioral Health Support
Hemoglobin A1C (HbA1c)
54 mmol/mol
Standard Deviation 10.9

SECONDARY outcome

Timeframe: 26 weeks

Percentage of 24 hour period with blood glucose in target range of 70-180 mg/dL

Outcome measures

Outcome measures
Measure
All Participants
n=234 Participants
All participants were provided with a commercially available CGM system. Training and data collection for the study was completed remotely. After initial CGM training (initiation of unblinded CGM use or initial training with virtual clinic) was completed, participants were followed by the virtual clinic team for approximately six months. Psychosocial screening questionnaires were administered at enrollment and during follow up. The virtual clinical team member followed up with the study participant if there was an elevated score on the psychosocial screening questionnaires. After the initial six months of follow up, participants who decided to continue to use CGM were asked to extend follow up and complete questionnaires, submit HbA1c samples, and share data. During the extended follow up phase, participants were able to contact the virtual clinic with questions or to request assistance as needed. Virtual Clinic: CGM, Clinical Care Support and Behavioral Health Support
Time Spent With Glucose 70-180 mg/dL
63 percentage of 24 hour period
Standard Deviation 18

Adverse Events

All Participants

Serious events: 16 serious events
Other events: 22 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
All Participants
n=234 participants at risk
All participants were provided with a commercially available CGM system. Training and data collection for the study was completed remotely. After initial CGM training (initiation of unblinded CGM use or initial training with virtual clinic) was completed, participants were followed by the virtual clinic team for approximately six months. Psychosocial screening questionnaires were administered at enrollment and during follow up. The virtual clinical team member followed up with the study participant if there was an elevated score on the psychosocial screening questionnaires. After the initial six months of follow up, participants who decided to continue to use CGM were asked to extend follow up and complete questionnaires, submit HbA1c samples, and share data. During the extended follow up phase, participants were able to contact the virtual clinic with questions or to request assistance as needed. Virtual Clinic: CGM, Clinical Care Support and Behavioral Health Support
Endocrine disorders
Severe hypoglycemia
6.8%
16/234 • Number of events 17 • 26 Weeks

Other adverse events

Other adverse events
Measure
All Participants
n=234 participants at risk
All participants were provided with a commercially available CGM system. Training and data collection for the study was completed remotely. After initial CGM training (initiation of unblinded CGM use or initial training with virtual clinic) was completed, participants were followed by the virtual clinic team for approximately six months. Psychosocial screening questionnaires were administered at enrollment and during follow up. The virtual clinical team member followed up with the study participant if there was an elevated score on the psychosocial screening questionnaires. After the initial six months of follow up, participants who decided to continue to use CGM were asked to extend follow up and complete questionnaires, submit HbA1c samples, and share data. During the extended follow up phase, participants were able to contact the virtual clinic with questions or to request assistance as needed. Virtual Clinic: CGM, Clinical Care Support and Behavioral Health Support
General disorders
Hospitalization
9.4%
22/234 • Number of events 32 • 26 Weeks

Additional Information

Robin Gal

Jaeb Center for Health Research

Phone: 813-975-8690

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place