NCT01817777

Brief Summary

MTF116086 is an open-label, randomised, parallel-design study in subjects with type II diabetes. The study is site-based, with local pharmacies serving as the sites and pharmacists as principal investigators for the sites. All subjects will enter an initial 8-week observational phase during which purchase behaviour and compliance with usual metformin use will be observed and recorded. At the end of the observational phase, subjects will be randomised to one of the two arms (metformin small pack vs. metformin large pack) for a 20-week interventional phase. The medication in the interventional phase is provided to the subjects free of charge. HbA1c will be collected for all subjects during Week 0, Week 8, and Week 28. Subjects will be asked questions about their tablet compliance, their satisfaction with the pack size they received and reasons for missing doses throughout the interventional phase by the pharmacist. The pharmacy visit on Week 28 will be end of the study.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
31

participants targeted

Target at below P25 for phase_4 diabetes-mellitus-type-2

Timeline
Completed

Started May 2013

Shorter than P25 for phase_4 diabetes-mellitus-type-2

Geographic Reach
1 country

7 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 21, 2013

Completed
4 days until next milestone

First Posted

Study publicly available on registry

March 25, 2013

Completed
1 month until next milestone

Study Start

First participant enrolled

May 1, 2013

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2014

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2014

Completed
8 months until next milestone

Results Posted

Study results publicly available

September 30, 2014

Completed
Last Updated

January 9, 2017

Status Verified

November 1, 2016

Enrollment Period

9 months

First QC Date

March 21, 2013

Results QC Date

September 25, 2014

Last Update Submit

November 18, 2016

Conditions

Keywords

Socioeconomic categoryMedication complianceMetforminsmall pack

Outcome Measures

Primary Outcomes (1)

  • Change From Baseline in HbA1c Values at Week 28

    HbA1c was tested with a point-of-care device, which required a finger prick to obtain blood and provided an immediate result upon analysis in the device. HbA1c was tested at pharmacy visits corresponding to three time points: enrollment (Week 0), Baseline (Week 8), and End of Study (Week 28). The difference in the mean change from Baseline was to be calculated between the treatment arms (small pack minus large pack), and the 2-sided 95% confidence interval for the difference in mean change in HbA1c was to be calculated. However, because the study was terminated early, and the sample size was reduced, the statistical hypotheses defined in the protocol were not tested due to insufficient power. Therefore, the final analyses were limited to descriptive statistics. The percentage HbA1c is a measure of how much of the hemoglobin in the blood has become glycated (chemically bounded to glucose).

    Baseline (Week 8) and Week 28

Secondary Outcomes (8)

  • Mean Percent Compliance Throughout the Interventional Phase

    From Randomization to Week 28

  • Mean Percent Compliance Throughout the Observational Phase, Per Treatment They Were Randomized to in the Interventional Phase

    From enrollment to Week 8

  • Number of Participants Who Took Zero Metformin Pills for the Indicated Number of Days

    Week 28

  • Number of Participants With Diabetes Disease Management Modifications

    Week 28

  • Number of Participants Who Required a Non-routine Health Care Professional Visit for Diabetes

    Week 28

  • +3 more secondary outcomes

Study Arms (2)

Metformin Small Pack Arm

EXPERIMENTAL

All subjects in the study will be initially followed for an 8-week observational phase during which subjects will visit the pharmacy and purchase metformin following their usual routines. After 8-weeks subjects will be randomised to one of the 2 treatments arms. Subjects in the metformin small pack arm will receive medication free of charge in a small pack. Dosing of metformin will not be dictated by the protocol. Subjects will remain on their prescribed dose of metformin throughout the study, unless a change is recommended by their physician.

Drug: Metformin Small Pack

Metformin Large Pack Arm

EXPERIMENTAL

All subjects in the study will be initially followed for an 8-week observational phase during which subjects will visit the pharmacy and purchase metformin following their usual routines. After 8-weeks subjects will be randomised to one of the 2 treatments arms. Subjects in the metformin large pack arm will receive medication free of charge in a large, monthly pack. Dosing of metformin will not be dictated by the protocol. Subjects will remain on their prescribed dose of metformin throughout the study, unless a change is recommended by their physician.

Drug: Metformin Large Pack

Interventions

A single small pack of metformin will consist of a blister package containing 10 pills with a patient information leaflet in local language. The small packs will be available at each site in the following doses: 500 mg, 850 mg, and 1000 mg. The small pack size of metformin is not yet marketed. Small pack metformin will be provided by GSK as GSK brand metformin.

Metformin Small Pack Arm

The large pack will consist of 1 month's supply of metformin.

Metformin Large Pack Arm

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Males and females of age \>=18 years
  • Diagnosis of type II diabetes
  • HbA1c value no higher than 9.0%
  • Evidence of physician-supplied prescription for metformin use
  • Stable dose of metformin for 3 months prior to enrolment
  • Written informed consent from the subject

You may not qualify if:

  • Current use of any anti-diabetic medication other than metformin

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (7)

GSK Investigational Site

Correintes, Argentina

Location

GSK Investigational Site

Corrientes, Argentina

Location

GSK Investigational Site

Mendoza, 5515, Argentina

Location

GSK Investigational Site

Mendoza, 5539, Argentina

Location

GSK Investigational Site

Mendoza, Argentina

Location

GSK Investigational Site

Provincia de Buenos Aires, 1754, Argentina

Location

GSK Investigational Site

San Miguel de Tucumán, T 4000IOE, Argentina

Location

Related Links

MeSH Terms

Conditions

Diabetes Mellitus, Type 2Medication Adherence

Condition Hierarchy (Ancestors)

Diabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System DiseasesPatient CompliancePatient Acceptance of Health CareTreatment Adherence and ComplianceHealth BehaviorBehavior

Results Point of Contact

Title
GSK Response Center
Organization
GlaxoSmithKline

Study Officials

  • GSK Clinical Trials

    GlaxoSmithKline

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 21, 2013

First Posted

March 25, 2013

Study Start

May 1, 2013

Primary Completion

February 1, 2014

Study Completion

February 1, 2014

Last Updated

January 9, 2017

Results First Posted

September 30, 2014

Record last verified: 2016-11

Data Sharing

IPD Sharing
Will share

Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

Available IPD Datasets

Annotated Case Report Form (116086)Access
Clinical Study Report (116086)Access
Individual Participant Data Set (116086)Access
Informed Consent Form (116086)Access
Study Protocol (116086)Access
Dataset Specification (116086)Access
Statistical Analysis Plan (116086)Access

Locations