Clinical Study to Evaluate the Impact of the Accu-Chek SmartGuide CGM Solution on the Mean Change in Time in Range Compared With Self-Monitoring of Blood Glucose in Participants With Type 1 and Type 2 Diabetes Mellitus

Roche

Status

Enrolling

Conditions

Type 1 Diabetes Mellitus

Type 2 Diabetes Mellitus

Treatments

Device: Accu-Chek SmartGuide CGM Solution

Device: Accu-Chek SmartGuide Sensor and Blinded Apps

Device: SMBG Device

Study type

Interventional

Funder types

Industry

Identifiers

NCT06704672

DC000129

Details and patient eligibility

About

This is an open label, two-arm, randomized multi-center clinical device study in adult subjects with Type 1 diabetes (T1D) or insulin-dependent Type 2 diabetes (T2D) on a multiple daily injection (MDI) regime.

The goal of the study is to investigate the impact of the Accu-Chek SmartGuide CGM solution on the change in overall time in range (TIR) of blood glucose concentrations of 70-180 mg/dl compared with that using self-monitoring of blood glucose (SMBG).

Enrollment

270 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Type 1 Diabetes mellitus (T1D) or Type 2 Diabetes mellitus (T2D) diagnosed at least 12 months prior to screening, using multiple daily injection (MDI) regime for at least six months prior to screening
Performing SMBG, no CGM/flash glucose monitoring (FGM) use during the last six months prior screening
HbA1c ≥8% and ≤10% based on analysis from a local laboratory

Exclusion criteria

Untreated adrenal or thyroid insufficiency
Severe visual impairment
Significant renal impairment: eGFR <30 ml/min within last one year
Serious acute or chronic concomitant disease or an anamnesis which might, in the opinion of the investigator, pose a risk to the subject
Hematocrit greater than 10% below the lower limit of normal
Pregnancy (lack of negative pregnancy test - except in case of menopause, sterilization or hysterectomy - self-reported), planned pregnancy, or breast feeding
Allergic to the adhesive (glue or tape)
Skin diseases (e.g. psoriasis vulgaris, bacterial skin diseases) at the sensor application sites
Sickle cell disease, or hemoglobinopathy
Elective surgery planned that requires general anesthesia during study participation
Current or anticipated acute uses of glucocorticoids (oral, injectable, or intravenous)
Medical conditions that, per investigator determination, make it inappropriate or unsafe to target an HbA1c of <7%. Conditions may include but are not limited to: heart failure, unstable cardiovascular disease, recent myocardial infarction, ventricular rhythm disturbances, recent transient ischemic attack or cerebrovascular accident, significant malignancy
Chronic use of opiates, opioids, morphinomimetics more than three times per week, which has not stopped at least 30 days prior to screening and any other medication interfering with the assessment of pain, as per investigator's discretion
Intake of hydroxyurea (hydroxycarbamide), levodopa, methyldopa, ascorbic acid, acetylsalicylic acid (≥300mg), which has not stopped at least 30 days prior to screening
Magnetic resonance tomography (MRT), computed tomography (CT), X-ray, radiofrequency ablation, high-frequency electrical heat or high intensity focused ultrasound planned during the course of the study
Planned flight or high-altitude hike (>3000 m) during baseline and assessment periods
Shift-worker (night-shifts)
On or planning to start a diet intended for weight change
Currently abusing illicit and/or prescription drugs or alcohol as judged by the investigator
Any other physical or psychological disease or psychiatric disorder that could limit adherence to the required study tasks and interfere with the normal conduct of the study as judged by the investigator
Dependency (e.g., employee, co-worker or family member) on sponsor, investigator or companies active in the field of CGM (e.g. Dexcom, Abbott, Menarini, Medtronic) or their subsidiaries
Participation in another clinical study at the same time