A Cognitive Behavioral Digital Therapeutic InterventiON for Glycemic Control in Type 2 Diabetes Mellitus
ACTION-DM
1 other identifier
interventional
500
1 country
1
Brief Summary
Randomized, controlled, pragmatic trial with open-label extension evaluating BT-001, an investigational digital therapeutic intended to help patients with type 2 diabetes improve their glycemic control.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Mar 2022
Longer than P75 for not_applicable
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
March 7, 2022
CompletedFirst Submitted
Initial submission to the registry
March 21, 2022
CompletedFirst Posted
Study publicly available on registry
March 31, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2025
CompletedOctober 30, 2023
October 1, 2023
3.7 years
March 21, 2022
October 27, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Change in HbA1c
Change in HbA1c from baseline (enrollment) to 6 months after enrollment between groups.
Baseline and Day 180
Secondary Outcomes (2)
Change in HbA1c
Baseline and day 180, 365
Significant change in HbA1c
Baseline and Day 365
Study Arms (2)
Intervention BT-001 + Standard of Care
ACTIVE COMPARATORPatients in this arm will receive the BT-001 treatment for up to 18 months.
Standard of Care
OTHERPatients will have access to a control mobile application for 6 months and then will have the option to use the treatment for the remainder of the 18 month study
Interventions
BT-001is a software application that delivers treatment to participants with type 2 diabetes, using behavioral therapy. BT-001 is accessed via the participants' smartphone. The behavioral intervention process involves: Identifying maladaptive thoughts based on misinformed core beliefs that lead to disease-promoting behaviors; replacing maladaptive core beliefs with adaptive ways of thinking; and providing collaborative construction of behavioral exercises to test core beliefs. Each week, BT-001 asks participants to complete a new lesson, along with one skill exercise. The lessons are expected to take between 10-20 minutes to complete. In addition to completing a lesson and skill, participants will be directed to report plant-based meals consumed and minutes of exercise completed and to measure their blood sugar daily.
The app asks patients brief questions about their health but does not include any behavioral therapy.
Eligibility Criteria
You may qualify if:
- Current (within 3 months prior to enrollment) HbA1c \>=7.01%
- Possession of and ability to use Android or iPhone mobile phone
- Speaks and reads in English
- Willing to measure frequent fasting finger glucose measurements as part of the App utilization
You may not qualify if:
- Current use of insulin other than a long-acting insulin analogue or human NPH insulin
- HbA1c \>=11%
- Cognitive impairment or degenerative neuropsychiatric condition (e.g. Alzheimer's, dementia, mixed dementia, other significant memory loss, schizophrenia), or any other condition that in the Investigator's opinion may prevent patient from completing study activities
- Any terminal medical condition with life expectancy of \< 1 year.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Better Therapeuticslead
- Massachusetts General Hospitalcollaborator
Study Sites (1)
Mass General Brigham Hospital and Clinics
Boston, Massachusetts, 02199, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Masking Details
- open label
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 21, 2022
First Posted
March 31, 2022
Study Start
March 7, 2022
Primary Completion
December 1, 2025
Study Completion
December 1, 2025
Last Updated
October 30, 2023
Record last verified: 2023-10
Data Sharing
- IPD Sharing
- Will not share
IPD will not be shared