Syringes Replacement for Insulin Application for Pens Device in a Population of Elderly Patients With Type 2 Diabetes: Multifactorial Intervention to Improve Glycemic Control
1 other identifier
interventional
112
1 country
1
Brief Summary
This is a prospective, intervention, randomized, phase IV study. Patients will be included with 60 years or older, both sexes, with HbA1c \>8.5% using oral antidiabetics agents and insulin and then we will be randomized by use syringe or pens device to use insulin NPH and regular. All patients will receive a blood glucose monitor, lancet tapes, capillary blood glucose tests (3 tests/day). HbA1c will be measured at baseline, 3 and 6 months. Patients will see monthly.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_4 diabetes
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2015
CompletedFirst Submitted
Initial submission to the registry
August 3, 2015
CompletedFirst Posted
Study publicly available on registry
August 6, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2016
CompletedAugust 6, 2015
August 1, 2015
1.3 years
August 3, 2015
August 4, 2015
Conditions
Outcome Measures
Primary Outcomes (1)
Glycated Hemoglobin
reduction compared to baseline values
reduction compared to baseline values at six months
Secondary Outcomes (7)
Blood Pressure
reduction compared to baseline values at six months
adherence
reduction compared to baseline values at six months
Number of pills, antidiabetics drugs and antihypertensives drugs
reduction compared to baseline values at six months
Number of hypoglycemias
reduction compared to baseline values at six months
Presence of severe hypoglycemias
reduction of the number of patients with this outcome compared to baseline values at six months
- +2 more secondary outcomes
Study Arms (2)
Pens Device
EXPERIMENTALAll patients will receive pens device, insulin, blood glucose monitor, lancet tapes, capillary blood glucose tests (3 tests/day). All will be evaluated monthly for six months
Syringe
ACTIVE COMPARATORAll patients will receive syringe to insulin, insulin, blood glucose monitor, lancet tapes, capillary blood glucose tests (3 tests/day). All will be evaluated monthly for six months
Interventions
Eligibility Criteria
You may qualify if:
- Sixty years or older
- Diabetes type 2 with Glycated Hemoglobin higher than 8.5%
- Using or necessity to use insulin
- Using syringe to insulin
- Using at least one oral antidiabetic
- Accept to participate
You may not qualify if:
- Glomerular Filtration Rate lower than 30
- Considering unfit for self administration of insulin
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Rafael Vaz Machry
Porto Alegre, Rio Grande do Sul, 90035-903, Brazil
Related Publications (1)
Machry RV, Cipriani GF, Pedroso HU, Nunes RR, Pires TLS, Ferreira R, Vescovi B, de Moura GP, Rodrigues TC. Pens versus syringes to deliver insulin among elderly patients with type 2 diabetes: a randomized controlled clinical trial. Diabetol Metab Syndr. 2021 Jun 12;13(1):64. doi: 10.1186/s13098-021-00675-y.
PMID: 34118981DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Ticiana da Costa Rodrigues
Hospital de ClĂnicas de Porto Alegre
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor of Medicine
Study Record Dates
First Submitted
August 3, 2015
First Posted
August 6, 2015
Study Start
May 1, 2015
Primary Completion
September 1, 2016
Last Updated
August 6, 2015
Record last verified: 2015-08