NCT05237271

Brief Summary

QURE will use its CPV technology in a randomized controlled trial to measure how SomaLogic's diagnostic test (the Cardiovascular Disease in Type 2 Diabetes) changes clinical practice and improves patient outcomes.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
251

participants targeted

Target at P50-P75 for not_applicable cardiovascular-diseases

Timeline
Completed

Started Mar 2022

Shorter than P25 for not_applicable cardiovascular-diseases

Geographic Reach
1 country

1 active site

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

February 2, 2022

Completed
12 days until next milestone

First Posted

Study publicly available on registry

February 14, 2022

Completed
29 days until next milestone

Study Start

First participant enrolled

March 15, 2022

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 15, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 15, 2022

Completed
Last Updated

August 22, 2022

Status Verified

August 1, 2022

Enrollment Period

5 months

First QC Date

February 2, 2022

Last Update Submit

August 17, 2022

Conditions

Outcome Measures

Primary Outcomes (2)

  • CPV-measured clinical score difference

    Difference-in-differences regression analysis between the control and the intervention groups' physicial exam, workup, diagnosis, and treatment cardiovascular risk in patients with type 2 diabetes, as measured by the participants diagnostic and treatment CPV case domain scores. In each CPV, participants' care recommendations are evaluated against evidence-based care scoring criteria which can sum from 0 to a high potential score of up to 100 percent in each domain, where higher scores mean better outcomes. We will measure the overall change in the evidence-based physician behavior including referrals, utilization of cardioprotective medications, right heart catherization and echocardiography, in the CPV patient simulations.

    12 Months

  • CPV-measured cost difference

    Change in cost of related care for cardiovascular risks in patients with diabetes mellitus when comparing the control to the intervention group. (This cost is modeled in part by measuring differential rates of medical interventions selected by each arm and multiplying by average Medicare reimbursement rates for these interventions. The cost is also modeled by examining average per annum costs for patients suffering from diabetes mellitus and multiplying by the percent of patients whose workup and interventions for cardiovascular risks are significantly reduced following the intervention.)

    12 Months

Secondary Outcomes (2)

  • CPV-measured baseline clinical variation levels

    12 Months

  • CPV-measured Assessment of use case types

    12 Months

Study Arms (3)

Control Group

NO INTERVENTION

Control group treats their simulated patients using standard practice and have no introduction to the new SomaLogic test.

Intervention Group 1

EXPERIMENTAL

Intervention group 1 will receive educational materials on the single cardiovascular disease in type 2 diabetes risk score. They will then be forced to used the risk score for their simulated patients, which will allow us to assess how the risk score may improve clinical practice and reduce variation.

Other: Educational Materials on the Cardiovascular Disease in Type 2 Diabetes (CVD-T2D)

Intervention Group 2

EXPERIMENTAL

Intervention group 2 will receive educational materials on the cardiovascular disease in type 2 diabetes (CVD-T2D) risk score as well as the panel of metabolic scores. They will then be forced to used the CVD-T2D score and the metabolic panel scores for their simulated patients, which will allow us to assess how the risk score may improve clinical practice and reduce variation.

Other: Educational Materials on the Cardiovascular Disease in Type 2 Diabetes (CVD-T2D)Other: Educational Materials on the CVD-T2D and Bundled Metabolic Panel

Interventions

Educational Materials will detail the diagnostic tests in question. This CVD-T2D will provide a numerical risk score for the likelihood of patients with type 2 diabetes to have a cardiovascular event in the next 4 years.

Intervention Group 1Intervention Group 2

Educational Materials will detail the diagnostic tests in question.his CVD-T2D will provide a numerical risk score for the likelihood of patients with type 2 diabetes to have a cardiovascular event in the next 4 years. The bundled metabolic scores will provide insight into the patient's current metabolic conditions.

Intervention Group 2

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Board-certified primary care physicians or cardiologist for at least two years
  • Averaging at least 20 hours per week of clinical and patient care duties over the last six months
  • Routinely evaluate patients with diabetes mellitus in their practice
  • Practicing in the U.S.
  • English speaking
  • Access to the internet
  • Informed, signed and voluntarily consented to be in the study

You may not qualify if:

  • Non-English speaking
  • Practicing in an academic setting
  • Unable to access the internet
  • Not practicing in the U.S.
  • Not averaging at least 20 hours per week of clinical or patient care duties over the last six months
  • Previous exposure to the CVD-T2D test
  • Do not voluntarily consent to be in the study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

QURE Healthcare

San Francisco, California, 94133, United States

Location

Related Publications (1)

  • Peabody JW, Paculdo D, de Belen E, Ganesan D, Cooney I, Trujillo N. Clinical utility of a novel test for assessing cardiovascular disease risk in type 2 diabetes: a randomized controlled trial. Diabetol Metab Syndr. 2023 Jul 13;15(1):155. doi: 10.1186/s13098-023-01122-w.

MeSH Terms

Conditions

Cardiovascular DiseasesDiabetes Mellitus, Type 2

Condition Hierarchy (Ancestors)

Diabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Study Officials

  • John W Peabody, MD, PhD

    QURE Healthcare

    PRINCIPAL INVESTIGATOR

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

February 2, 2022

First Posted

February 14, 2022

Study Start

March 15, 2022

Primary Completion

August 15, 2022

Study Completion

August 15, 2022

Last Updated

August 22, 2022

Record last verified: 2022-08

Locations