Assessing the use of FreeStyle Libre Pro with HbA1c in diabetes management

ISRCTN ISRCTN36033130
DOI https://doi.org/10.1186/ISRCTN36033130
Secondary identifying numbers ADC-UK-PMS-19044
Submission date
11/10/2019
Registration date
14/10/2019
Last edited
21/11/2024
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
Diabetes is a lifelong condition where the amount of sugar in the blood is too high. The aim of this pilot study is to collect glucose data using the FreeStyle Libre Pro Flash Glucose Monitoring System from adults with type 2 diabetes on oral glucose-lowering medication, with or without biphasic insulin

Who can participate?
Patients aged 18 and over with type 2 diabetes on oral glucose-lowering medication, or, oral glucose-lowering medication and biphasic insulin

What does the study involve?
Participants will wear two sensors for up to 14 days (glucose data is not visible during this time). Participants will return to the clinic where the sensors will be removed, and data uploaded

What are the possible benefits & risks of participating?
There is no direct benefit to the participant by taking part in this study. 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 support future post-market clinical studies in this population

Where is the study run from?
1. Leeds Teaching Hospitals NHS Trust (Leeds)
2. Atherstone Surgery (Atherstone)
3. Westcliffe Medical Centre (Shipley)
4. Ashfields Primary Care Centre (Sandbach)
5. Kiltearn Medical Centre (Nantwich)
6. Eynsham Medical Group (Eynsham)
7. Trowbridge Health Centre (Trowbridge)
8. Beacon Medical Group (Plymouth)
9. Salford Royal NHS Foundation Trust (Salford)

When is the study starting and how long is it expected to run for?
Proposed start date 21/10/2019 to proposed end date 03/12/2019

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 (0)1993 863024
Email Pamela.Reid@abbott.com

Study information

Study designProspective open-label multi-centre single-arm pilot study in both hospital and GP practice settings
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)GP practice
Study typeOther
Participant information sheet No participant information sheet available
Scientific titlePilot Study to Assess use of FreeStyle Libre Pro with HbA1c in Determining Diabetes Management
Study objectivesThis pilot study is being conducted to determine whether understanding of diabetes status and management is better with use of HbA1c with FreeStyle Libre Pro than with HbA1c alone
Ethics approval(s)Approved 07/10/2019, NRES Committee: East Midlands – Nottingham 2 Research Ethics Committee (The Old Chapel, Royal Standard Place, Nottingham, NG1 6FS; +44 (0)207 104 8035; NRESCommittee.eastmidlands-nottingham2@nhs.net), ref: 19/EM/0304, IRAS Project ID: 271103
Health condition(s) or problem(s) studiedDiabetes Mellitus (Diabetes)
InterventionParticipants will wear two FreeStyle Libre Pro Flash Glucose Monitoring Sensors for up to 14 days. There is no follow-up period unless the participant experiences an unanticipated adverse device effect (UADE).

Healthcare professionals will complete questionnaires using the HbA1c results alone and also using HbA1c results and the reports generated from the FreeStyle Libre Pro system.

Two sensors are to be applied to allow data collection to continue in case one sensor becomes detached during the study.
Intervention typeDevice
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)FreeStyle Libre Pro Flash Glucose Monitoring Sensor
Primary outcome measureResponses to HCP questionnaire using HbA1c results alone
Responses to a second questionnaire using HbA1c results and the reports generated from the FreeStyle Libre Pro system
Secondary outcome measuresGlycaemic measures, measured using sensor glucose data collected by the FreeStyle Libre Pro Flash Glucose Monitoring System during the two-week study duration.
1. Time in hypoglycaemia (<3.9 mmol/L)
2. Time in hyperglycaemia (>10.0 mmol/L)
3. Time in range (3.9-10.0 mmol/L)
4. Mean glucose, SD glucose and CV glucose
Overall study start date01/08/2019
Completion date23/12/2019

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants45
Total final enrolment44
Key inclusion criteria1. Age at least 18 years
2. Type 2 diabetes, on oral glucose-lowering medication, or, oral glucose-lowering medication and biphasic insulin
Key exclusion criteria1. Currently prescribed basal insulin
2. Currently prescribed bolus insulin
3. Currently prescribed glucagon-like peptide 1 (GLP-1) without being prescribed biphasic insulin
4. 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
5. Has a pacemaker or any other neurostimulators
6. Currently receiving dialysis treatment or planning to receive dialysis during the study
7. Women who are pregnant, plan to become pregnant or become pregnant during the study
8. Participating in another study of a glucose monitoring device or drug that could affect glucose measurements or management
9. Known (or suspected) allergy to medical grade adhesives
10. In the investigator’s opinion the participant is unsuitable to participate due to any other cause/reason
Date of first enrolment21/10/2019
Date of final enrolment09/12/2019

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centres

Leeds Teaching Hospitals NHS Trust
LS9 7TF
United Kingdom
The Atherstone Surgery
CV9 1EU
United Kingdom
Westcliffe Medical Centre
BD18 3EE
United Kingdom
Ashfields Primary Care Centre
CW11 1EQ
United Kingdom
The Kiltearn Medical Centre
CW5 5NX
United Kingdom
Eynsham Medical Group
OX29 4QB
United Kingdom
Trowbridge Health Centre
BA14 8QA
United Kingdom
Beacon Medical Group
PL7 1AD
United Kingdom
Salford Royal NHS Foundation Trust
M6 8HD
United Kingdom

Sponsor information

Abbott Diabetes Care Ltd
Industry

Range Road
Witney
OX29 0YL
United Kingdom

Phone +44 (0)1993 863024
Email Pamela.Reid@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 date23/12/2020
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
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?
HRA research summary 26/07/2023 No No
Basic results 21/11/2024 No No

Additional files

ISRCTN36033130 BasicResults survey.pdf

Editorial Notes

21/11/2024: The basic results have been uploaded as an additional file.
27/01/2020: The following changes have been made:
1. The recruitment end date has been changed from 03/12/2019 to 09/12/2019.
2. The overall trial end date has been changed from 31/12/2019 to 23/12/2019.
3. The intention to publish date has been changed from 31/12/2020 to 23/12/2020.
4. The final enrolment number has been added.
14/10/2019: Trial’s existence confirmed by HRA and HCRW.