An Evaluation of Novel Glucose Sensing Technology on Hypoglycaemia in Type 1 Diabetes (IMPACT)
IMPACT
Randomised Controlled Study to Evaluate the Impact of Novel Glucose Sensing Technology on Hypoglycaemia in Type 1 Diabetes
1 other identifier
interventional
328
5 countries
23
Brief Summary
The purpose of this study is to evaluate the impact of the Abbott Sensor Based Glucose Monitoring System on hypoglycaemia compared to Self Monitoring Blood Glucose (SMBG) testing using a randomised controlled study design in adults with Type 1 diabetes using insulin.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Sep 2014
23 active sites
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
Study Start
First participant enrolled
September 1, 2014
CompletedFirst Submitted
Initial submission to the registry
September 3, 2014
CompletedFirst Posted
Study publicly available on registry
September 5, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2015
CompletedResults Posted
Study results publicly available
April 10, 2017
CompletedApril 10, 2017
February 1, 2017
1.1 years
September 3, 2014
January 6, 2017
February 27, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Time Spent <70 mg/dL
Difference in time \<70 mg/dL between intervention and control group assessed in days 194 to 208 adjusting for baseline (days 1 to 15).
Baseline and Days 194 to 208
Secondary Outcomes (8)
HbA1c at 6 Months
Baseline and Day 208
Time Spent <55 mg/dL and <40 mg/dL
Baseline and Days 194 to 208
Frequency of Episodes <70 mg/dL, <55 mg/dL and <40 mg/dL
Baseline and Days 194-208
Time Spent >180 mg/dL and >240 mg/dL
Baseline and Days 194 to 208
Time in Range
Baseline and Days 194 to 208
- +3 more secondary outcomes
Study Arms (2)
Sensor Based Glucose Monitoring System
EXPERIMENTALStandard sensing system use for 6 months.
Standard Blood Glucose Monitoring
ACTIVE COMPARATORSubjects randomised to the control group will be given blood glucose meters for monitoring for the 6 months study duration.
Interventions
Subjects will wear the Abbott Sensor Based Glucose Monitoring System (unmasked) for 6 months to monitor their glucose levels. All subjects will wear a masked Abbott Sensor Based Glucose Monitoring System, for 14 days prior to randomisation (Sensor glucose measurements not visible during this time).
Subjects will use an Abbott Blood Glucose Monitoring System (standard blood glucose meter) for 6 months to monitor their glucose levels. A 14-day masked wear of the Abbott Sensor Based Glucose Monitoring System is included for these subjects at the 3 and 6 month time point, to collect glycaemic variability data for comparison to the intervention group of the study (Sensor glucose measurements not visible during this time). All subjects will wear a masked Abbott Sensor Based Glucose Monitoring System, for 14 days prior to randomisation (Sensor glucose measurements not visible during this time).
Eligibility Criteria
You may qualify if:
- Diagnosed with Type 1 diabetes for ≥ 5 years
- On their current insulin regimen for ≥ 3 months prior to study entry
- Screening HbA1c result ≤ 7.5% (58 mmol/mol)
- Reports self testing of blood glucose levels on a regular basis equivalent to a minimum of 3 times daily for at least 2 months prior to study entry
- In the investigator's opinion the subject is considered technically capable of using the Abbott Sensor Based Glucose Monitoring System
- Aged 18 years or over.
You may not qualify if:
- Subject has been diagnosed with hypoglycaemic unawareness (i.e. subject has a diagnosis of impaired awareness of hypoglycaemia recorded in their medical notes OR in the investigator's opinion the subject currently experiences less than minimal warning symptoms for impending hypoglycaemia)
- Subject is currently prescribed animal insulin
- Subject is currently prescribed oral steroid therapy or is likely to require oral steroid therapy for any acute or chronic condition during the study
- Has known allergy to medical grade adhesives
- Currently participating in another device or drug study that could affect glucose measurements or glucose management
- Currently using a Continuous Glucose Monitoring (CGM) device or has used one within the previous 4 months
- Currently using Sensor augmented pump therapy
- Is planning to use a CGM device at any time during the study
- A female subject who is pregnant or planning to become pregnant within the study duration
- A breast feeding mother
- Currently receiving dialysis treatment or planning to receive dialysis during the study
- Has a pacemaker
- Has experienced an acute myocardial infarction within previous 6 months
- Has a concomitant disease or condition that may compromise subject safety including; unstable coronary heart disease, cystic fibrosis, serious psychiatric disorder, or any other uncontrolled medical condition
- Has experienced an episode of confirmed or suspected diabetic ketoacidosis (DKA) in the previous 6 months
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (23)
VIVIT-Institut am Akad. Lehrkrankenhaus Feldkirch, Innere Medizin und Kardiologie
Feldkirch, 6807, Austria
Medizinische Universität Graz Abteilung für Innere Medizin, Klin. Abteilung für Endokrinologie und Stoffwechsel
Graz, 8036, Austria
Medizinische Universität Innsbruck
Innsbruck, 6020, Austria
Diakonissen-Krankenhaus Salzburg
Salzburg, 5020, Austria
Klinik fuer Innere Medizin III Medizinische Universitaet Wien
Vienna, 1090, Austria
Wilhelminenspital Medzin 5
Vienna, 1160, Austria
Diabetes Klinik Bad Mergentheim
Bad Mergentheim, 97980, Germany
Zentrum für Diabetologie Hamburg Bergedorf
Hamburg, 21029, Germany
Diabetes-Zentrum Hannover-Nord
Hanover, 30165, Germany
Diabetes Center Quakenbruck
Quakenbrück, 49610, Germany
Versdias GmbH
Sūlzbach-Rosenberg, 92237, Germany
Vrije Universiteit Medisch Centrum
Amsterdam, 1007 MB, Netherlands
Onze Lieve Vrouwe gasthuis ( OLVG)
Amsterdam, 1090 HM, Netherlands
Amphia Ziekenhuis
Breda, 4800 RK, Netherlands
Bethesda Diabetes Research Center
Hoogeveen, 7909 AA, Netherlands
Medisch Centrum Haaglanden
The Hague, 2512 VA, Netherlands
St. Antonius Ziekenhuis
Utrecht, 3543 AZ, Netherlands
Hospital Germans Trias i Pujol
Badalona, 8916, Spain
Clinica Diabetologica
Gijón, 33206, Spain
Servicio de Endocrinología Hospital Unversitario Cruces
Vizcaya, 48903, Spain
Falu Lasarett
Falun, SE-791 29, Sweden
Karolinska Universitetssjukhuset Solna
Solna, SE-171 76, Sweden
Karolinska Universitetssjukhuset Huddinge
Stockholm, SE-141 86, Sweden
Related Publications (3)
Oskarsson P, Antuna R, Geelhoed-Duijvestijn P, Krӧger J, Weitgasser R, Bolinder J. Impact of flash glucose monitoring on hypoglycaemia in adults with type 1 diabetes managed with multiple daily injection therapy: a pre-specified subgroup analysis of the IMPACT randomised controlled trial. Diabetologia. 2018 Mar;61(3):539-550. doi: 10.1007/s00125-017-4527-5. Epub 2017 Dec 23.
PMID: 29273897DERIVEDRayman G, Kroger J, Bolinder J. Could FreeStyle Libre sensor glucose data support decisions for safe driving? Diabet Med. 2018 Apr;35(4):491-494. doi: 10.1111/dme.13515. Epub 2017 Oct 14.
PMID: 28945936DERIVEDBolinder J, Antuna R, Geelhoed-Duijvestijn P, Kroger J, Weitgasser R. Novel glucose-sensing technology and hypoglycaemia in type 1 diabetes: a multicentre, non-masked, randomised controlled trial. Lancet. 2016 Nov 5;388(10057):2254-2263. doi: 10.1016/S0140-6736(16)31535-5. Epub 2016 Sep 12.
PMID: 27634581DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Snr Director, Clinical Development & Regulatory Affairs
- Organization
- Abbott Diabetes Care
Study Officials
- PRINCIPAL INVESTIGATOR
Stephan Matthaei
Diabetes Center Quakenbruck
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- GT60
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 3, 2014
First Posted
September 5, 2014
Study Start
September 1, 2014
Primary Completion
October 1, 2015
Study Completion
October 1, 2015
Last Updated
April 10, 2017
Results First Posted
April 10, 2017
Record last verified: 2017-02