Determining variation in glucose levels in people with impaired glucose tolerance (prediabetes)

ISRCTN ISRCTN15304729
DOI https://doi.org/10.1186/ISRCTN15304729
Secondary identifying numbers ADC-UK-PMS-19041
Submission date
03/05/2019
Registration date
22/05/2019
Last edited
10/06/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background & study aims
The number of people with diabetes continues to rise throughout the world. In addition, there has been a similar rise in impaired glucose tolerance or prediabetes, which is a risk factor for developing type 2 diabetes. The aim of this pilot study is to collect glucose data using the FreeStyle Libre Pro Flash Glucose Monitoring System from adults with impaired glucose tolerance.

Who can participate?
Patients aged 18 and over with an HbA1c of 5.7-6.4% (39-47 mmol/mol).

What does the study involve?
Participants will wear two FreeStyle Libre Pro Sensors for up to 14 days (glucose data is not visible during this time). Participants will also be supplied with a fitness tracker and a tablet; an app will be pre-installed on the tablet and participants will be requested to record dietary intake for three days.
Participants will return to clinic for Sensor removal and data upload (Sensor and tracker), they will then wear a FreeStyle Libre Sensor for up to 14 days (glucose data will be visible during this time). Participants will be requested to complete a questionnaire at the end of the study.

What are the possible benefits & risks of participating?
The study gives participants with impaired glucose tolerance the opportunity to experience sensor technology using the FreeStyle Libre Pro and FreeStyle Libre Systems. The only risks associated with the study are from obtaining venous blood samples, these are small but could include pain, bruising, local infection and fainting. Data collected may be used to inform future pivotal clinical study designs in this population.

Where is the study run from?
1. Hathaway Medical Centre, Chippenham
2. Claremont Medial Practice, Exmouth
3. Albany House Medical Centre, Wellingborough
4. The Adam Practice, Hamworthy
5. Atherstone Surgery, Atherstone

When is the study starting and how long is it expected to run for?
28/05/2019 to 31/07/2019

Who is funding the study?
The study is funded by Abbott Diabetes Care Ltd

Who is the main contact?
Dr Pamela Reid

Contact information

Dr Pamela Reid
Public

Abbott Diabetes Care
Range Road
Witney
OX29 0YL
United Kingdom

Phone +44 1993 863024
Email Pamela.Reid@abbott.com

Study information

Study designProspective multi-centre single-arm pilot study
Primary study designInterventional
Secondary study designSingle-arm pilot study
Study setting(s)GP practice
Study typeOther
Participant information sheet No participant information sheet available
Scientific titleA pilot study to determine glycaemic variability in people with impaired glucose tolerance (prediabetes)
Study acronymSAGE
Study objectivesThis pilot study is being conducted to determine the amount of glycaemic variability (measured by %CV glucose) in people with impaired glucose tolerance (prediabetes).
Ethics approval(s)Approved 17/05/2019, NRES Committee: South West – Cornwall and Plymouth Research Ethics Committee (Level 3, Block B, Whitefriars, Lewins Mead, Bristol, BS1 2NT; +44 (0)207 104 8048; nrescommittee.southwest-cornwall-plymouth@nhs.net), ref: 19/SW/0087
Health condition(s) or problem(s) studiedImpaired glucose tolerance
InterventionParticipants will wear two FreeStyle Libre Pro Flash Glucose Monitoring Sensors for up to 14 days, followed by FreeStyle Libre for up to 14 days. During the Libre Pro sensor wear, participants will wear a fitness tracker (throughout the two weeks) and record dietary intake (for three days).

There is no follow-up period unless the participant experiences an unanticipated adverse device effect (ADE).
Intervention typeDevice
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)FreeStyle Libre Pro Flash Glucose Monitoring Sensor, FreeStyle Libre
Primary outcome measureGlycaemic variability (%CV glucose), measured using sensor glucose data collected by the FreeStyle Libre Pro Flash Glucose Monitoring System during the first two-weeks of the study.
Secondary outcome measuresOther glycaemic measures such as time in range (3.9-10.0 mmol/L [70-180 mg/dL]), measured using sensor glucose data collected by the FreeStyle Libre Pro Flash Glucose Monitoring System during the first two-weeks of the study.
Overall study start date01/01/2019
Completion date31/08/2019

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants40
Total final enrolment43
Key inclusion criteria1. Aged 18 years or over.
2. Most recent HbA1c 5.7-6.4% (39-47 mmol/mol), recorded in medical notes in last 12 months.
Key exclusion criteria1. Recorded diagnosis of diabetes.
2. Concomitant disease or condition that may compromise patient safety including and not limited to; cystic fibrosis, severe mental illness, a diagnosed or suspected eating disorder or any uncontrolled long term medical condition.
3. Has a pacemaker or any other neurostimulators.
4. Currently receiving dialysis treatment or planning to receive dialysis during the study.
5. Women who are pregnant, plan to become pregnant or become pregnant during the study.
6. Participating in another study of a glucose monitoring device or drug that could affect glucose measurements or management.
7. Known (or suspected) allergy to medical grade adhesives.
8. In the investigator’s opinion, unsuitable to participate due to any other cause/reason.
Date of first enrolment28/05/2019
Date of final enrolment27/07/2019

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centres

Hathaway Medical Centre
SN14 6GT
United Kingdom
Claremont Medial Practice
EX8 2JF
United Kingdom
Albany House Medical Centre
NN8 4RW
United Kingdom
The Adam Practice
BH15 4JQ
United Kingdom
Atherstone Surgery
CV9 1EU
United Kingdom

Sponsor information

Abbott Diabetes Care Ltd
Industry

Range Road
Witney
OX29 0YL
United Kingdom

Phone +44 1993 863164
Email Joe.Bugler@abbott.com
ROR logo "ROR" https://ror.org/03wnay029

Funders

Funder type

Industry

Abbott Diabetes Care
Private sector organisation / For-profit companies (industry)
Location
United States of America

Results and Publications

Intention to publish date31/07/2020
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryData sharing statement to be made available at a later date
Publication and dissemination planPossible presentation at a diabetes conference, and/or publication in a peer-reviewed journal. Estimated timeline is one year from trial end date.
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from Pamela Reid.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Abstract results 01/06/2020 01/07/2022 Yes No
HRA research summary 28/06/2023 No No
Abstract results 25/08/2020 10/06/2024 No No

Editorial Notes

10/06/2024: Abstract reference added.
01/07/2022: Abstract reference added.
16/08/2019: The following changes were made to the trial record:
1. The recruitment end date was changed from 15/07/2019 to 27/07/2019.
2. The overall trial end date was changed from 31/07/2019 to 31/08/2019.
3. The total final enrolment was added.
22/05/2019: Trial's existence confirmed by the South West - Cornwall & Plymouth Research Ethics Committee.