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Transcutaneous Electrical Nerve Stimulator to Improve Blood Glucose Control in Patients With Type 2 Diabetes Mellitus

Primary Purpose

Type 2 Diabetes Mellitus

Status
Completed
Phase
Not Applicable
Locations
Taiwan
Study Type
Interventional
Intervention
Transcutaneous Electrical Nerve Stimulator (DW1330)
Sham DW1330 device
Sponsored by
Taiwan Resonant Waves Research Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Type 2 Diabetes Mellitus

Eligibility Criteria

30 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Male and female subjects age 30 through 80 years;
  2. Type 2 diabetes mellitus (T2DM) patients on stable oral anti-diabetic drugs for more than 3 months, and can maintain stable during study maintenance period;
  3. HbA1c between 7.5 and 10% inclusive;
  4. Subjects who are able and willing to perform self-monitoring of plasma glucose and self-administration of study device for the entire trial period;
  5. Subjects who are able and willing to keep a diary;
  6. Able and willing to sign informed consent and return for follow-up assessments.

Exclusion Criteria:

  1. Subject has had any of the following new diagnoses within 1 year of screening:

    myocardial infarction, coronary artery bypass surgery, coronary artery stenting, transient ischemic attack, cerebrovascular accident, angina, congestive heart failure(NYHA III-IV), ventricular rhythm disturbances or thromboembolic disease;

  2. Subjects with prior pancreatitis;
  3. Subjects with insulin therapy (except for short term uses no longer than 7 days) or injectable antihyperglycemic agents (AHAs) within 3 months;
  4. Female with a positive pregnancy test, planning to become pregnant during screening, active treatment, or the follow up period, breastfeeding, or judged to be using inadequate contraceptive methods;
  5. Subjects who underwent previous intra abdominal, GI tract surgery or a major abdominal trauma within 6 months prior to screening visit;
  6. Subjects with other implanted electrical stimulation devices;
  7. Subject has any unresolved adverse skin condition in the area of device placement;
  8. ALT/AST greater than 3 x upper limit of the institution's normal range (ULN) and/or total bilirubin ≥ 2.0 x ULN, active liver disease (other than nonalcoholic hepatic steatosis), including chronic active hepatitis B or C, hepatic cirrhosis, primary biliary cirrhosis, or active symptomatic gallbladder disease;
  9. Subjects with moderate or severe renal impairment (serum creatinine ≥1.5 mg/dL in males or ≥ 1.4 mg/dL in females or urine microalbumin-creatinine ratio (ACR) >300 mg/g), conditions of congenital renal glucosuria, unstable or rapid progressing renal disease;
  10. Has blood dyscrasias or any disorders causing hemolysis or unstable red blood cells or any other clinically significant hematological disorder (such as aplastic anemia, myeloproliferative or myelodysplastic syndromes, thrombocytopenia, coagulopathy);
  11. Subjects with acute metabolic complications (such as ketoacidosis, lactic acidosis or hyperosmolar), proliferative diabetic retinopathy or macular edema within 6 months before screening;
  12. Subjects with a history of malignancy ≤5 years prior to screening, except for adequately treated basal or squamous cell skin cancer or in situ cervical cancer;
  13. Subjects a history of alcohol or drug abuse within 1 year prior to screening;
  14. Subjects who received another investigational agent within 30 days prior to screening;
  15. Subjects who are unlikely to be available for follow-up as specified in the protocol;
  16. Subjects with a past or present psychiatric condition that may impair his or her ability to comply with the study procedures;
  17. Subjects with conditions that, in the judgment of the investigator, precludes successful participation to the study;
  18. Subjects with fever(body temperature> 37.5°C), perceptual function lost, or any metal implants.

Sites / Locations

  • Chia-Yi Christian Hospital
  • Far Eastern Memorial Hospital
  • Taipei Medical University-Shuang Ho Hospital,Ministry of Health and Welfare
  • National Cheng Kung University Hospital
  • Chi Mei Hospital
  • National Taiwan University Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Transcutaneous Electrical Nerve Stimulator (DW1330)

Sham DW1330 device

Arm Description

The 20 weeks of treatment of the DW1330 device, all the patients enrolled should perform 1 treatment within 1 hour after dinner 5 days a week.

The 20 weeks of treatment of the Sham DW1330 device, all the patients enrolled should perform 1 treatment within 1 hour after dinner 5 days a week.

Outcomes

Primary Outcome Measures

Change in HbA1c values to evaluate of the effect of DW1330
The primary study objective is to demonstrate the use of DW1330 is associated with improvement of blood glucose control, as measured by changes in glycated hemoglobin (HbA1c) values in comparison with placebo on blood glucose control parameters after 20 weeks of treatment. The time frame includes 2 weeks of screening, 20 weeks of treatment, and 2 weeks of post-treatment follow-up.

Secondary Outcome Measures

To evaluate the change from baseline in the percentage of subject who achieve HbA1c < 7%
compare the test group and placebo group in percentage of subjects who achieve HbA1c < 7%
Change from baseline in FPG
Change from baseline in Fasting plasma glucose compare with test and control group
Evaluate the efficacy of SMBG
Change from baseline in evaluate the efficacy of self monitoring blood glucose
Change from baseline in body weight
Change from baseline in body weight compare with test and control group
Change from baseline in OAD drugs description
compare the change of OAD drugs description following a 20 weeks treatment of DW1330 versus placebo

Full Information

First Posted
December 26, 2016
Last Updated
March 29, 2021
Sponsor
Taiwan Resonant Waves Research Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT03102424
Brief Title
Transcutaneous Electrical Nerve Stimulator to Improve Blood Glucose Control in Patients With Type 2 Diabetes Mellitus
Official Title
A Prospective, Double Blind, Randomized, Placebo- Controlled Trial of Transcutaneous Electrical Nerve Stimulator (DW1330) to Improve Blood Glucose Control in Patients With Type 2 Diabetes
Study Type
Interventional

2. Study Status

Record Verification Date
March 2021
Overall Recruitment Status
Completed
Study Start Date
April 10, 2017 (Actual)
Primary Completion Date
July 15, 2020 (Actual)
Study Completion Date
July 31, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Taiwan Resonant Waves Research Corporation

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary study objective is to demonstrate the use of "Dragon Waves Resonant Home Care" Electronic Nerve Stimulator (DW1330) is associated with improvement of blood glucose control, as measured by change of glycated hemoglobin (HbA1c). The second study objectives are to demonstrate that DW1330 is associated with the mechanism of glycemic control and inflammation pathways. The study is also aimed to investigate the safety of DW1330.
Detailed Description
This is a multi-center, prospective, double blind, randomized, placebo-controlled trial of transcutaneous electrical nerve stimulator (DW1330) to improve blood glucose control in patients with type 2 diabetes. Subjects with type 2 diabetes who meet inclusion/exclusion criteria will be randomized to either of the 2 groups below: DW1330 Placebo (sham TENS delivering ineffective pulse wave) After enrollment, subjects will be randomly assigned to receive one of the study treatments in a double-blind fashion. All patients enrolled should perform 1 treatment within 1 hour after dinner 5 days a week. The end of a 20 week treatment period, subjects will be followed for an additional 2 weeks for safety follow-up. The time frame includes 2 weeks of screening, 20 weeks of treatment, and 2 weeks of post-treatment follow-up. Study visits will occur every 2 or 4 weeks depending on the study phase. At randomization visit study device will be dispensed at the site, during the treatment period visits, all Adverse Events (AEs) as well as follow-up for all AEs that have not been resolved will be recorded, changes to concomitant medications will be noted, vital signs will be taken, and efficacy evaluations will be performed as well. Investigators, site staff, subjects, and the study team will be blinded to the device assigned. The study includes collection of blood and urine samples. The end-of-treatment visit and the last estimation of glycemic control will occur at week 20 (visit 8) for all subjects. In addition, 2-week follow up will occur in order to collect safety data after the device is returned. The final visit will be at week 22 (visit 9). Subjects will be encouraged to complete all planned visits regardless of their adherence to study device administration.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type 2 Diabetes Mellitus

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
160 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Transcutaneous Electrical Nerve Stimulator (DW1330)
Arm Type
Experimental
Arm Description
The 20 weeks of treatment of the DW1330 device, all the patients enrolled should perform 1 treatment within 1 hour after dinner 5 days a week.
Arm Title
Sham DW1330 device
Arm Type
Placebo Comparator
Arm Description
The 20 weeks of treatment of the Sham DW1330 device, all the patients enrolled should perform 1 treatment within 1 hour after dinner 5 days a week.
Intervention Type
Device
Intervention Name(s)
Transcutaneous Electrical Nerve Stimulator (DW1330)
Other Intervention Name(s)
Dragon Waves Resonant Home Care Electronic Nerve Stimulator (DW1330), DW1330, T2DM-MENS
Intervention Description
The 20 weeks of treatment of the DW1330 device, all the patients enrolled should perform 1 treatment within 1 hour after dinner 5 days a week.
Intervention Type
Device
Intervention Name(s)
Sham DW1330 device
Intervention Description
The Sham DW1330 device will be masked by the same appearance as the study device (DW1330). The usage of time and location of Sham DW1330 device will be completely the same with study device (DW1330). However, the electronic model, including the frequency and time consistence of electronic stimulation are different between the Sham DW1330 device and the study device (DW1330). The 20 weeks of treatment of the DW1330 device, all the patients enrolled should perform 1 treatment within 1 hour after dinner 5 days a week.
Primary Outcome Measure Information:
Title
Change in HbA1c values to evaluate of the effect of DW1330
Description
The primary study objective is to demonstrate the use of DW1330 is associated with improvement of blood glucose control, as measured by changes in glycated hemoglobin (HbA1c) values in comparison with placebo on blood glucose control parameters after 20 weeks of treatment. The time frame includes 2 weeks of screening, 20 weeks of treatment, and 2 weeks of post-treatment follow-up.
Time Frame
24 weeks, 2 weeks of screening, 20 weeks of treatment, and 2 weeks of post-treatment follow-up
Secondary Outcome Measure Information:
Title
To evaluate the change from baseline in the percentage of subject who achieve HbA1c < 7%
Description
compare the test group and placebo group in percentage of subjects who achieve HbA1c < 7%
Time Frame
24 weeks, 2 weeks of screening, and 20 weeks of treatment
Title
Change from baseline in FPG
Description
Change from baseline in Fasting plasma glucose compare with test and control group
Time Frame
baseline at visit 2, and visit 3, 4, 5, 6, 7, 8 of treatment [up to 20 weeks]
Title
Evaluate the efficacy of SMBG
Description
Change from baseline in evaluate the efficacy of self monitoring blood glucose
Time Frame
baseline at visit 2, and visit 4, 6, 8 of treatment [up to 20 weeks]
Title
Change from baseline in body weight
Description
Change from baseline in body weight compare with test and control group
Time Frame
baseline at visit 2, and visit 3, 4, 5, 6, 7, 8 of treatment [up to 20 weeks]
Title
Change from baseline in OAD drugs description
Description
compare the change of OAD drugs description following a 20 weeks treatment of DW1330 versus placebo
Time Frame
baseline at visit 2, and visit 3, 4, 5, 6, 7, 8 of treatment [up to 20 weeks]
Other Pre-specified Outcome Measures:
Title
Change from baseline of inflammatory biomarkers
Description
The exploratory objective is to detect the change of biomarkers related to body glucose level
Time Frame
baseline at 2 week,and 20 week

10. Eligibility

Sex
All
Minimum Age & Unit of Time
30 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male and female subjects age 30 through 80 years; Type 2 diabetes mellitus (T2DM) patients on stable oral anti-diabetic drugs for more than 3 months, and can maintain stable during study maintenance period; HbA1c between 7.5 and 10% inclusive; Subjects who are able and willing to perform self-monitoring of plasma glucose and self-administration of study device for the entire trial period; Subjects who are able and willing to keep a diary; Able and willing to sign informed consent and return for follow-up assessments. Exclusion Criteria: Subject has had any of the following new diagnoses within 1 year of screening: myocardial infarction, coronary artery bypass surgery, coronary artery stenting, transient ischemic attack, cerebrovascular accident, angina, congestive heart failure(NYHA III-IV), ventricular rhythm disturbances or thromboembolic disease; Subjects with prior pancreatitis; Subjects with insulin therapy (except for short term uses no longer than 7 days) or injectable antihyperglycemic agents (AHAs) within 3 months; Female with a positive pregnancy test, planning to become pregnant during screening, active treatment, or the follow up period, breastfeeding, or judged to be using inadequate contraceptive methods; Subjects who underwent previous intra abdominal, GI tract surgery or a major abdominal trauma within 6 months prior to screening visit; Subjects with other implanted electrical stimulation devices; Subject has any unresolved adverse skin condition in the area of device placement; ALT/AST greater than 3 x upper limit of the institution's normal range (ULN) and/or total bilirubin ≥ 2.0 x ULN, active liver disease (other than nonalcoholic hepatic steatosis), including chronic active hepatitis B or C, hepatic cirrhosis, primary biliary cirrhosis, or active symptomatic gallbladder disease; Subjects with moderate or severe renal impairment (serum creatinine ≥1.5 mg/dL in males or ≥ 1.4 mg/dL in females or urine microalbumin-creatinine ratio (ACR) >300 mg/g), conditions of congenital renal glucosuria, unstable or rapid progressing renal disease; Has blood dyscrasias or any disorders causing hemolysis or unstable red blood cells or any other clinically significant hematological disorder (such as aplastic anemia, myeloproliferative or myelodysplastic syndromes, thrombocytopenia, coagulopathy); Subjects with acute metabolic complications (such as ketoacidosis, lactic acidosis or hyperosmolar), proliferative diabetic retinopathy or macular edema within 6 months before screening; Subjects with a history of malignancy ≤5 years prior to screening, except for adequately treated basal or squamous cell skin cancer or in situ cervical cancer; Subjects a history of alcohol or drug abuse within 1 year prior to screening; Subjects who received another investigational agent within 30 days prior to screening; Subjects who are unlikely to be available for follow-up as specified in the protocol; Subjects with a past or present psychiatric condition that may impair his or her ability to comply with the study procedures; Subjects with conditions that, in the judgment of the investigator, precludes successful participation to the study; Subjects with fever(body temperature> 37.5°C), perceptual function lost, or any metal implants.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lee-Ming Chuang, M.D., Ph.D.
Organizational Affiliation
National Taiwan University Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Chia-Yi Christian Hospital
City
Chiayi City
ZIP/Postal Code
600
Country
Taiwan
Facility Name
Far Eastern Memorial Hospital
City
New Taipei City
ZIP/Postal Code
220
Country
Taiwan
Facility Name
Taipei Medical University-Shuang Ho Hospital,Ministry of Health and Welfare
City
New Taipei City
ZIP/Postal Code
23561
Country
Taiwan
Facility Name
National Cheng Kung University Hospital
City
Tainan
ZIP/Postal Code
704
Country
Taiwan
Facility Name
Chi Mei Hospital
City
Tainan
ZIP/Postal Code
710
Country
Taiwan
Facility Name
National Taiwan University Hospital
City
Taipei
ZIP/Postal Code
100
Country
Taiwan

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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Transcutaneous Electrical Nerve Stimulator to Improve Blood Glucose Control in Patients With Type 2 Diabetes Mellitus

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