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Completed

NCT Number: NCT02776007

Patients Perceptions of Using the "Libre" System Compared With Conventional SMBG in Adolescents With Type 1 Diabetes The Libre Sat Trial

The Libre- flash glucose monitoring system is an episodic real-time data on demand device. This means that patients can measure their glucose level when they choose by scanning the device, while at the same time a sensor automatically measures and continuously stores glucose readings day and night. Every scan shows the current glucose reading and the last 8 hours of glucose. There are no alarms and the system does not require calibration.

In the present study we aim to evaluate treatment satisfaction and comfort using the Libre flash glucose monitoring system compared to conventional Self Measurement of Blood Glucose (SMBG) in adolescents with type 1 diabetes that discontinued using continuous glucose monitoring.

The second aim of the study is to evaluate the rate of use and the impact of Libre use compared to Self-Measurement of Blood Glucose among adolescents who are sub-optimally controlled and stopped using Continuous Glucose Monitoring. The study is an investigator initiated study, single-center, randomized, parallel study of 12 weeks with an optional cross-over 12 weeks extension period .

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Key information

Age range

12 year–17 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Schneider Children's Medical Center

Petah Tikva, 49202, Israel

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • The subject has documented Type 1 Diabetes , as defined by the American Diabetes Association and World Health Organization for at least 1 year prior to study enrollment
  • The subject used continuous glucose monitoring until 3 months or more before the study start
  • Age 12-17 years
  • The subject has an HbA1c value > 7.5% at time of screening visit
  • The subject is willing to follow study instructions
  • Subject is available for entire study duration

Exclusion criteria

  • Concomitant diseases that influence metabolic control or other medical condition, which in the Investigator's opinion, may compromise patient safety
  • Significant co-morbidity that, in the opinion of the investigators would preclude participation in the study
  • Any significant diseases or conditions including psychiatric disorders and substance abuse that in the opinion of the investigator is likely to affect the subject's ability to complete the study or compromise patient's safety
  • Subject is taking or has taken oral or parenteral glucocorticoids within 1 month prior to screening, or plans to take oral or parenteral glucocorticoids within the planned study duration. Exceptions: Short term oral or parenteral glucocorticoids up to 7 days
  • Subject has known allergy to medical grade adhesives
  • Subject is participating in another study of a medical device or drug that could affect glucose measurements or glucose management or receipt of any investigational medical product within 1 month prior to screening
  • Female subject of child-bearing potential who have a positive pregnancy test at screening, is pregnant, breast-feeding, or planning to become pregnant within the planned study duration or is not using adequate contraceptive methods
  • Subject diagnosed with current eating disorder such as anorexia or bulimia
  • Subject has a history of one or more episodes of Diabetes Keto-Acidosis requiring hospitalization within a month prior to screening
  • Subject has unstable or rapidly progressive renal disease or is receiving dialysis
  • Subject has active proliferating retinopathy
  • Subject has current or recent history of alcohol or drug abuse
  • Subject has visual impairment or hearing loss, which in the Investigator's opinion, may compromise patient ability to perform study procedures safely
  • Any disease or condition that may influence the HbA1C testing

Treatment and study plan

Libre Flash CGMS

Device

Self-Measurement Blood Glucose

Device

Patients will use their personal glucose meter to perform Self-Measurement Blood Glucose

Primary outcomes

  1. Diabetes Treatment satisfaction questionnaire

    Time frame: At the final visit- week 12

  2. Libre-user evaluation questionnaire

    Time frame: At the final visit-week 12

    20-item questionnaire that asses treatment satisfaction with the Libre including ease of use, comfort, pain, design and system operation. The questionnaire will be scored to a final score integrating all items to a total score

Secondary outcomes

  1. Glycemic control measured by HbA1c

    Time frame: At the final visit-week 12

Other outcomes

  1. Number of blood glucose measurements at each arm

    Time frame: At the final visit-week 12

  2. Number of flash glucose measurements at the intervention arm

    Time frame: At the final visit-week 12

  3. Percentage of glucose sensor readings within the range of 70 to 180 mg/dl

    Time frame: At the final visit-week 12

  4. Percentage of glucose sensor readings below 60 mg/dl

    Time frame: At the final visit-week 12

  5. Percentage of glucose sensor readings above 240 mg/dl

    Time frame: At the final visit-week 12

  6. Average of glucose sensor readings

    Time frame: Week 12

    Average of glucose sensor readings (per 24 hours)

  7. Standard Deviation of glucose sensor readings

    Time frame: Week 12

    Standard Deviation of glucose sensor readings (per 24 hours)

    )

  8. HbA1c change from baseline to the end of the first intervention period

    Time frame: At the final visit-week 12

  9. HbA1c change from baseline to the end of the second intervention period

    Time frame: At the final visit-week 12

  10. Average fasting blood glucose level

    Time frame: At the final visit-week 12

Sponsors and collaborators

Lead sponsor

Rabin Medical Center

Other

Collaborators

  • Abbott

Registry information

Official study title

Patients Perceptions of Using the Libre System Compared With Conventional SMBG in Adolescents With Type 1 Diabetes The Libre Sat Trial

Important dates

Study start
2016
Primary completion
2020
Study completion
2020
First posted
May 18, 2016
Registry last updated
Aug 9, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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