NCT02609633

Brief Summary

This interventional, 6-month post-marketing study is designed to evaluate the change in diabetes-related distress among parents/caregivers of school-age children and adolescents with type 1 diabetes (T1D) who are receiving multiple daily injections (MDI) therapy. Investigational sites will be assigned using cluster randomization, with approximately 10 to 20 children at each site. In order to maintain a true control group for comparison, the investigational sites will be randomly assigned to the Accu-Chek® CONNECT Diabetes Management System (DMS) or usual care/continued use of current DMS devices.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
196

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Dec 2015

Geographic Reach
1 country

13 active sites

Status
completed

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

November 18, 2015

Completed
2 days until next milestone

First Posted

Study publicly available on registry

November 20, 2015

Completed
1 month until next milestone

Study Start

First participant enrolled

December 28, 2015

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 20, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 20, 2017

Completed
1.3 years until next milestone

Results Posted

Study results publicly available

May 18, 2018

Completed
Last Updated

May 18, 2018

Status Verified

April 1, 2018

Enrollment Period

1.1 years

First QC Date

November 18, 2015

Results QC Date

January 4, 2018

Last Update Submit

April 19, 2018

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change From Baseline in Diabetes-Related Distress Among Parents/Caregivers According to the Problem Areas in Diabetes (PAID) Child and Teen (C&T) Parent Questionnaire Score at Month 6

    The PAID Questionnaire encompassed 26 items. Score for each question ranges from 1-2 = "Not a Problem" to 5-6 = "Big Problem" (Child version) or 1-2 = "Not a Problem" to 5-6 = "Serious Problem" (Teen or Parent versions). The derived total score (26 questions) ranges between 26 and 156, where higher score indicates worsened condition.

    Baseline, Month 6

Secondary Outcomes (11)

  • Change From Baseline in Diabetes-Related Distress Among Parents/Caregivers According to the PAID C&T Child Questionnaire Score at Month 3

    Baseline, Month 3

  • Change From Baseline in Diabetes-Related Distress Among School-age Children/Adolescents and Adolescents According to the PAID C&T Child Questionnaire Score at Month 3 and 6

    Baseline, Months 3 and 6

  • Change From Baseline in Perceived Family Conflict Among School-Age Children With Diabetes and Parent/Caregiver According to Diabetes Family Conflict Scale (DFCS) Parent Questionnaire Score at Months 3 and 6

    Baseline, Months 3 and 6

  • Change From Baseline in Affect Towards Blood Glucose Monitoring Among School-Age Children With Diabetes and Parent/Caregiver According to Blood Glucose Monitoring Communication (BGMC) Parent Questionnaire Score at Months 3 and 6

    Baseline, Months 3 and 6

  • Change From Baseline in Glycosylated Hemoglobin A1c (HbA1c) Among School-Age Children With Diabetes at Months 3 and 6

    Baseline, Months 3 and 6

  • +6 more secondary outcomes

Study Arms (2)

Control: Usual Care - Current Diabetes Management System (DMS)

ACTIVE COMPARATOR

Participants will perform self-monitoring of blood glucose (SMBG) for 6 months using the current DMS device. Follow-up office visits will be scheduled at Months 3 and 6 to review and discuss SMBG data and modify the type 1 diabetes (T1D) regimen as needed.

Device: DMS

Interventional: Accu-Chek® CONNECT DMS

EXPERIMENTAL

Participants will receive training on Day 1 with the Accu-Chek® CONNECT DMS and will thereafter perform SMBG for 6 months. Follow-up office visits will be scheduled at Months 3 and 6 to review and discuss SMBG data and modify the T1D regimen as needed.

Device: Accu-Chek® CONNECT DMS

Interventions

SMBG will be performed during the 6-month study using the Accu-Chek® Aviva CONNECT monitoring device, and corresponding Smartphone app and online tracking tool.

Interventional: Accu-Chek® CONNECT DMS
DMSDEVICE

SMBG will be performed during the 6-month study according to usual care, using the participant's current DMS (other than Accu-Chek® CONNECT DMS).

Control: Usual Care - Current Diabetes Management System (DMS)

Eligibility Criteria

Age7 Years - 18 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Children or adolescents, aged 6 to 18 years
  • Diagnosis of T1D for at least 3 months
  • Currently managed with insulin Multiple Daily Injection (MDI) therapy
  • Attending full-day school schedule in Grade K through 12
  • Able to provide SMBG data minimum of one month prior to study start
  • Currently using a compatible Smartphone with ability to download the Accu-Chek® CONNECT System App accordingly OR ability to utilize Smartphone and Accu-Chek® CONNECT System App as provided for use in study
  • Adolescents (18 years) with diabetes provide written informed consent
  • Children 7 to 17 years to provide age-appropriate child assent
  • Parent/caregiver currently using a compatible Smartphone with ability to receive Short Message Service/Multimedia Messaging Service (SMS/MMS) messages
  • Able to read/write in English and comply with study procedures, including provision of self-monitoring blood glucose (SMBG) data at least 1 month prior to the study

You may not qualify if:

  • Current or planned use of continuous subcutaneous insulin infusions during the study period
  • Use of continuous glucose monitoring or a remote data-sharing system/device (i.e. NightScout, DexCom Share, Medtronic Connect) during the study
  • Pregnancy
  • Clinically significant medical condition(s) such as anemia, major organ system disease, infection, psychosis, or cognitive impairment
  • Requirement for chronic steroids, immunomodulatory medication, or chemotherapy in adrenal suppressive doses
  • Visual impairment preventing use of the Accu-Chek® CONNECT system
  • Parent/caregiver is an investigator, general practitioner, practice staff, pharmacist, research assistant, or other staff or relative of those directly involved in the study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (13)

Pediatric Endocrinology of Phoenix

Phoenix, Arizona, 85053, United States

Location

Center of Excellence in Diabetes and Endocrinology

Sacramento, California, 95821, United States

Location

Barbara Davis Center for Childhood Diabetes

Aurora, Colorado, 80045, United States

Location

Nemours Childrens Hospital

Pensacola, Florida, 32504, United States

Location

Tallahassee Memorial Hospital

Tallahassee, Florida, 32308, United States

Location

University of South Florida College of Medicine

Tampa, Florida, 33612, United States

Location

Pediatric Endocrine Associates

Atlanta, Georgia, 30342, United States

Location

Rocky Mountain Diabetes & Osteoporosis Center

Idaho Falls, Idaho, 83404, United States

Location

Advocate Center for Pediatric Research

Oak Lawn, Illinois, 60453, United States

Location

Indiana University Riley

Carmel, Indiana, 46032, United States

Location

Childrens Hospital and Clinics of Minnesota

Saint Paul, Minnesota, 55102, United States

Location

Women and Children's Hospital of Buffalo

Buffalo, New York, 14222, United States

Location

East Caroline University - Pediatric specialty Care

Greenville, North Carolina, 27834, United States

Location

MeSH Terms

Conditions

Diabetes Mellitus, Type 1

Condition Hierarchy (Ancestors)

Diabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System DiseasesAutoimmune DiseasesImmune System Diseases

Results Point of Contact

Title
Medical Communications
Organization
Hoffmann-La Roche

Study Officials

  • Lena Borsa

    Roche Diabetes Care

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
DIAGNOSTIC
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 18, 2015

First Posted

November 20, 2015

Study Start

December 28, 2015

Primary Completion

January 20, 2017

Study Completion

January 20, 2017

Last Updated

May 18, 2018

Results First Posted

May 18, 2018

Record last verified: 2018-04

Locations