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Diabetes-Specific Formula on Long Term Glycemic Control

Primary Purpose

Diabetes Mellitus, Type 2

Status
Completed
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
Diabetes-Specific Formula
Standard Of Care
Sponsored by
Abbott Nutrition
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

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

Eligibility Criteria

21 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Adult participants (≥ 21 and ≤ 65 years of age)
  2. Has type 2 diabetes as evidenced with oral anti-diabetic drug(s) at constant dose for at least two months prior to the study and is able to maintain number of medications, type and dose throughout the duration of the study
  3. BMI ≥ 23 and < 35.0 kg/m2
  4. Weight is stable (has maintained current body weight within 3 kg) for the two months prior to the Baseline Visit
  5. Either a male or a non-pregnant, non-lactating female, at least 6 weeks postpartum prior to the Baseline Visit. A urine pregnancy test is required for all female participants unless she is not of childbearing potential, defined as postmenopausal for at least one year prior to the Baseline Visit or surgically sterile (bilateral tubal ligation, bilateral oophorectomy, or hysterectomy).
  6. If the female is of childbearing potential, she is practicing one of the following methods of birth control and will continue through the duration of the study:

    1. Condoms, sponge, diaphragm or intrauterine device;
    2. Oral or parenteral contraceptives for 3 months prior to Baseline Visit;
    3. Vasectomized partner;
    4. Total abstinence from sexual intercourse
  7. If on a chronic medication such as an anti-hypertensive, lipid-lowering, thyroid medication or hormone therapy, the medication number, type and dose were constant for at least two months prior to the Baseline Visit and will continue through the duration of the study
  8. Willingness to follow the protocol as described, including consumption of study product per the protocol and completing any forms/questionnaires needed throughout the study
  9. At least a two-week washout period is needed between the completion of a previous research study that required ingestion of any study food or drug and their start in the current study
  10. The participant is willing to refrain from taking non-study diabetes-specific formulas over the entire course of the study

Exclusion Criteria:

  1. Screening HbA1c level <7% or ≥ 10%
  2. Use of exogenous insulin for glucose control
  3. Confirmed type 1 diabetes and/or had a history of diabetic ketoacidosis
  4. Current infection (requiring medication), inpatient surgery or received systemic corticosteroid treatment [except for inhaled (includes nasal), topical, and ophthalmic steroids] in the last 3 months; or received antibiotics in the last 3 weeks
  5. Active malignancy within the last 5 years
  6. A significant cardiovascular event within 6 months prior to study entry or history of congestive heart failure
  7. End-stage organ failure (such as end-stage renal disease) or is post-organ transplant
  8. Current or history of renal disease or on dialysis or severe gastroparesis
  9. Current hepatic disease
  10. Has had bariatric surgery including gastric balloon; the history of gastrointestinal disease (e.g., Crohn's, colitis, celiac) or intestinal surgery that can interfere with consumption or digestion or absorption of study product
  11. A chronic, contagious, infectious disease, such as active tuberculosis, Hepatitis A, B or C, or HIV
  12. Has eating disorder, severe dementia or delirium, history of significant neurological or psychiatric disorder, alcoholism, substance abuse or other conditions that may interfere with study product consumption or compliance with study protocol procedures in the opinion of the principal investigator or study physician
  13. Taking any herbals, dietary supplements, or medications during the past four weeks prior to Baseline Visit that could profoundly affect (in the opinion of the primary investigator) blood glucose or appetite (e.g. orlistat, contrive, qsymia, belviq, incretins, cannabis, glucocorticoids, nicotinic acid, etc.) per healthcare professional's opinion
  14. Using diabetes-specific formula(s), (e.g. Glucerna, Nestle Nutren Diabetes, Kalbe Diabetasol, Appeton Nutrition Wellness 60+ Diabetic, ForSure, Penta Sure DM, Resurge DM, Diben, Diasip, etc.) defined as more than one eating occasion per week within the past 3 months (those users who have stopped using such products for more than 3 months may not be excluded)
  15. Clotting or bleeding disorders (the use of Plavix® or a similar anticoagulant drug with no reported difficulty during blood draws will be allowed)
  16. Has blood or blood-related diseases (e.g. hemophilia, thalassemia, sickle cell disease, hereditary spherocytosis, glucose-6-phosphate dehydrogenase deficiency)
  17. Received a blood transfusion within the last 3 weeks
  18. Allergic or intolerant to any ingredient found in the test meals
  19. Participates in another study that has not been approved as a concomitant study by Abbott Nutrition
  20. The participant has skin lesions hyperhidrosis, eczema, psoriasis, scarring, tattoos, redness, infection or edema at the application sites that in the opinion of the study investigator or study physician could interfere with device placement or the accuracy of interstitial glucose measurements.

Sites / Locations

  • International Medical University
  • University of Malaya Medical Centre
  • Klinik Kesihatan Seremban
  • Phramongkutklao Hospital
  • Rajavithi Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Other

Arm Label

Diabetes-Specific Formula

Standard of Care

Arm Description

Diabetes-specific formula 1-2 servings a day and Standard of Care

Standard of Care

Outcomes

Primary Outcome Measures

HbA1c Level
Change in HbA1c level from Day 0 to Day 90

Secondary Outcome Measures

Glycemic Excursion
Mean Amplitude of Glycemic Excursions (MAGE)
Glucose
Mean and coefficient of variation (CV) of glucose during the intervention phase
Time of glucose level
Time of glucose level in target, below and above range per day during intervention phase
Hypoglycemic Episodes
Number of hypoglycemic episodes per day during the intervention phase
Hyperglycemic Episodes
Number of hyperglycemic episodes per day during the intervention phase

Full Information

First Posted
April 10, 2020
Last Updated
February 13, 2023
Sponsor
Abbott Nutrition
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1. Study Identification

Unique Protocol Identification Number
NCT04345497
Brief Title
Diabetes-Specific Formula on Long Term Glycemic Control
Official Title
A Randomized Controlled Trial to Determine the Effects of a Diabetes-specific Formula on Long-term Glycemic Control and Short-term Glycemic Variability in Individuals With Type 2 Diabetes
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Completed
Study Start Date
August 26, 2020 (Actual)
Primary Completion Date
December 6, 2022 (Actual)
Study Completion Date
December 6, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Abbott Nutrition

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
The study aims to investigate the effect of a diabetes-specific formula (DSF) used as a (partial) meal replacement on long-term glycemic control and short-term glycemic variability in individuals with type 2 diabetes.
Detailed Description
This is a randomized, controlled, parallel study. Eligible participants will be randomly allocated (at 1 :1 ratio) to one of two groups: DSF group or control group.The total expected duration of the study is 97 days. There are two periods in the study: i) "Run-in Period" (Study Days -6 to -1): participants will wear the CGMS:Continuous Glucose Monitoring System (FreeStyle Libre Pro) and will be asked to follow and track their diet and physical activity on a daily basis. ii) "Intervention Period" (Study Days 0 to 90): participants will be randomized into one of the two groups (n = 125 per group): DSF group or control group.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
Determine the effects of a diabetes-specific formula [1-2 servings per day as a (partial) meal replacement] in addition to standard of care on HbA1c level, in comparison with the standard of care only
Masking
None (Open Label)
Allocation
Randomized
Enrollment
251 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Diabetes-Specific Formula
Arm Type
Experimental
Arm Description
Diabetes-specific formula 1-2 servings a day and Standard of Care
Arm Title
Standard of Care
Arm Type
Other
Arm Description
Standard of Care
Intervention Type
Other
Intervention Name(s)
Diabetes-Specific Formula
Intervention Description
Diabetes-Specific Formula and Standard of Care
Intervention Type
Other
Intervention Name(s)
Standard Of Care
Intervention Description
Standard of Care
Primary Outcome Measure Information:
Title
HbA1c Level
Description
Change in HbA1c level from Day 0 to Day 90
Time Frame
Study Days 0, 45 and 90
Secondary Outcome Measure Information:
Title
Glycemic Excursion
Description
Mean Amplitude of Glycemic Excursions (MAGE)
Time Frame
Study Day 1 to Day 7
Title
Glucose
Description
Mean and coefficient of variation (CV) of glucose during the intervention phase
Time Frame
Study Day 1 to Day 7
Title
Time of glucose level
Description
Time of glucose level in target, below and above range per day during intervention phase
Time Frame
Study Day 1 to Day 7
Title
Hypoglycemic Episodes
Description
Number of hypoglycemic episodes per day during the intervention phase
Time Frame
Study Day 1 to Day 7
Title
Hyperglycemic Episodes
Description
Number of hyperglycemic episodes per day during the intervention phase
Time Frame
Study Day 1 to Day 7

10. Eligibility

Sex
All
Minimum Age & Unit of Time
21 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Adult participants (≥ 21 and ≤ 65 years of age) Has type 2 diabetes as evidenced with oral anti-diabetic drug(s) at constant dose for at least two months prior to the study and is able to maintain number of medications, type and dose throughout the duration of the study BMI ≥ 23 and < 35.0 kg/m2 Weight is stable (has maintained current body weight within 3 kg) for the two months prior to the Baseline Visit Either a male or a non-pregnant, non-lactating female, at least 6 weeks postpartum prior to the Baseline Visit. A urine pregnancy test is required for all female participants unless she is not of childbearing potential, defined as postmenopausal for at least one year prior to the Baseline Visit or surgically sterile (bilateral tubal ligation, bilateral oophorectomy, or hysterectomy). If the female is of childbearing potential, she is practicing one of the following methods of birth control and will continue through the duration of the study: Condoms, sponge, diaphragm or intrauterine device; Oral or parenteral contraceptives for 3 months prior to Baseline Visit; Vasectomized partner; Total abstinence from sexual intercourse If on a chronic medication such as an anti-hypertensive, lipid-lowering, thyroid medication or hormone therapy, the medication number, type and dose were constant for at least two months prior to the Baseline Visit and will continue through the duration of the study Willingness to follow the protocol as described, including consumption of study product per the protocol and completing any forms/questionnaires needed throughout the study At least a two-week washout period is needed between the completion of a previous research study that required ingestion of any study food or drug and their start in the current study The participant is willing to refrain from taking non-study diabetes-specific formulas over the entire course of the study Exclusion Criteria: Screening HbA1c level <7% or ≥ 10% Use of exogenous insulin for glucose control Confirmed type 1 diabetes and/or had a history of diabetic ketoacidosis Current infection (requiring medication), inpatient surgery or received systemic corticosteroid treatment [except for inhaled (includes nasal), topical, and ophthalmic steroids] in the last 3 months; or received antibiotics in the last 3 weeks Active malignancy within the last 5 years A significant cardiovascular event within 6 months prior to study entry or history of congestive heart failure End-stage organ failure (such as end-stage renal disease) or is post-organ transplant Current or history of renal disease or on dialysis or severe gastroparesis Current hepatic disease Has had bariatric surgery including gastric balloon; the history of gastrointestinal disease (e.g., Crohn's, colitis, celiac) or intestinal surgery that can interfere with consumption or digestion or absorption of study product A chronic, contagious, infectious disease, such as active tuberculosis, Hepatitis A, B or C, or HIV Has eating disorder, severe dementia or delirium, history of significant neurological or psychiatric disorder, alcoholism, substance abuse or other conditions that may interfere with study product consumption or compliance with study protocol procedures in the opinion of the principal investigator or study physician Taking any herbals, dietary supplements, or medications during the past four weeks prior to Baseline Visit that could profoundly affect (in the opinion of the primary investigator) blood glucose or appetite (e.g. orlistat, contrive, qsymia, belviq, incretins, cannabis, glucocorticoids, nicotinic acid, etc.) per healthcare professional's opinion Using diabetes-specific formula(s), (e.g. Glucerna, Nestle Nutren Diabetes, Kalbe Diabetasol, Appeton Nutrition Wellness 60+ Diabetic, ForSure, Penta Sure DM, Resurge DM, Diben, Diasip, etc.) defined as more than one eating occasion per week within the past 3 months (those users who have stopped using such products for more than 3 months may not be excluded) Clotting or bleeding disorders (the use of Plavix® or a similar anticoagulant drug with no reported difficulty during blood draws will be allowed) Has blood or blood-related diseases (e.g. hemophilia, thalassemia, sickle cell disease, hereditary spherocytosis, glucose-6-phosphate dehydrogenase deficiency) Received a blood transfusion within the last 3 weeks Allergic or intolerant to any ingredient found in the test meals Participates in another study that has not been approved as a concomitant study by Abbott Nutrition The participant has skin lesions hyperhidrosis, eczema, psoriasis, scarring, tattoos, redness, infection or edema at the application sites that in the opinion of the study investigator or study physician could interfere with device placement or the accuracy of interstitial glucose measurements.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Agnes Siew Ling Tey, Ph.D.
Organizational Affiliation
Abbott Nutrition
Official's Role
Study Chair
Facility Information:
Facility Name
International Medical University
City
Kuala Lumpur
ZIP/Postal Code
57000
Country
Malaysia
Facility Name
University of Malaya Medical Centre
City
Kuala Lumpur
ZIP/Postal Code
59100
Country
Malaysia
Facility Name
Klinik Kesihatan Seremban
City
Seremban
ZIP/Postal Code
70300
Country
Malaysia
Facility Name
Phramongkutklao Hospital
City
Bangkok
ZIP/Postal Code
10400
Country
Thailand
Facility Name
Rajavithi Hospital
City
Bangkok
ZIP/Postal Code
10400
Country
Thailand

12. IPD Sharing Statement

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Diabetes-Specific Formula on Long Term Glycemic Control

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