Using the FreeStyle Libre system to monitor blood glucose in insulin-treated patients undergoing dialysis

ISRCTN ISRCTN79538756
DOI https://doi.org/10.1186/ISRCTN79538756
IRAS number 251963
Secondary identifying numbers ADC-UK-PMS-18038
Submission date
16/11/2018
Registration date
10/12/2018
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 performance data on the masked FreeStyle Libre Flash Glucose Monitoring System with adults with type 1 or 2 diabetes on haemodialysis. FreeStyle Libre Flash Glucose Monitoring System is a device designed for people with diabetes to monitor their blood sugar.

Who can participate?
Patients aged 18 and over with type 1 or 2 diabetes on haemodialysis

What does the study involve?
Participants will wear a masked Sensor for up to 14 days. Participants will be requested to obtain four fingerprick BG readings per day whilst wearing the Sensor (using the built-in test strip port in the Reader). Participants will be asked to scan the Sensor with the Reader at the same time as each fingerprick BG test, and at regular intervals.
Participants will return to the clinic for Visit 2 where the Sensor 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 capillary blood sample collection, these are small but could include pain, bruising, local infection and fainting. Data collected may be used to support future pivotal trial designs in this population.

Where is the study run from
Churchill Hospital, Oxford & Queen Elizabeth Hospital, Birmingham (UK)

When is the study starting and how long is it expected to run for?
November 2018 to March 2019

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

Who is the main contact?
Dr Pamela Reid
Pamela.reid@abbott.com

Contact information

Dr Pamela Reid
Public

Range Road
Witney
OX29 0YL
United Kingdom

Study information

Study designInterventional prospective multi-centre single-arm pilot study
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Hospital
Study typeOther
Participant information sheet No participant information sheet available
Scientific titleFreeStyle Libre flash glucose monitoring system use in insulin-treated patients undergoing dialysis: a pilot study
Study acronymFLUIDS
Study objectivesDetermining whether the performance of the FreeStyle Libre system is different when used by people with diabetes undergoing haemodialysis vs data previously collected on the non-dialysis diabetes population.
Ethics approval(s)NRES Committee: Yorkshire & The Humber - Bradford Leeds Research Ethics Committee, 08/10/2018, 18/YH/0398
Health condition(s) or problem(s) studiedDiabetes mellitus (type 1 or type 2)
InterventionParticipants will wear a Masked FreeStyle Libre Glucose Monitoring Sensor for 14 days and perform four fingerprick readings per day for each day of sensor wear using the built-in test strip port. There is no follow-up period unless the participant experiences an adverse device effect.
Intervention typeDevice
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Masked FreeStyle Libre Glucose Monitoring Sensor
Primary outcome measure1. The accuracy of the system will be measured for the duration the subject is wearing the device (up to 14 days). Each blood glucose result recorded on the reader will be paired with the nearest Sensor glucose result.
2. The safety of the device in the diabetic population sub-group will be measured using the number and percentage of participants experiencing adverse events during the study from the point of consent until the end of the study.
Secondary outcome measures-
Overall study start date01/09/2018
Completion date05/03/2019

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants25
Total final enrolment26
Key inclusion criteria1. Aged 18 years or over
2. Type 1 or type 2 diabetes
3. Requiring insulin therapy
4. Willing and able to test their blood glucose levels via fingerprick at least four times a day using the FreeStyle Libre System
5. In the investigator’s opinion, technically capable of using the study device
6. On stable haemodialysis (i.e. treatment using dialysis has been in progress for a minimum of 90 days)
Key exclusion criteria1. Concomitant disease or condition that may compromise patient safety including and not limited to cystic fibrosis, severe mental illness, known or suspected eating disorder or any uncontrolled long term medical condition
2. Currently prescribed oral steroid therapy for any acute or chronic condition
3. Female participant known to be pregnant
4. Have a pacemaker or any other neurostimulators
5. Known (or suspected) allergy to medical grade adhesives
6. In the investigator’s opinion, is unsuitable to participate due to any other reason
Date of first enrolment13/12/2018
Date of final enrolment30/03/2019

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centres

Oxford University Hospital
Oxford
OX3 9DU
United Kingdom
Queen Elizabeth Hospital
Birmingham
B15 2WB
United Kingdom

Sponsor information

Abbott Diabetes Care Ltd
Industry

Range Road
Witney
OX29 0YL
United Kingdom

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 date
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planCurrent publication and dissemination plan as of 21/11/2024:
There is no longer a plan to publish the results in a journal.

Previous publication and dissemination plan:
Possible presentation at a diabetes conference, and/or publication in a peer-reviewed journal.
IPD sharing planThe datasets generated during and/or analysed during the current study will be available upon request from Pamela Reid (Pamela.reid@abbott.com).

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
HRA research summary 28/06/2023 No No
Basic results 21/11/2024 21/11/2024 No No

Additional files

ISRCTN79538756_BasicResults_21Nov24.pdf

Editorial Notes

21/11/2024: Basic results and total final enrolment added. Publication and dissemination plan updated.
02/07/2019: The following changes have been made:
1. The recruitment start date has been changed from 30/11/2018 to 13/12/2018.
2. The overall trial end date has been changed from 30/03/2019 to 05/03/2019.
18/12/2018: Internal review.