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NCT03353415

Continuous Glucose Monitoring to Reduce Hypoglycemia and Improve Safety After Gastric Surgery

Completed NA Results posted Last updated 28 August 2023
What this trial tests

NA trial testing Dexcom CGM masked in Hypoglycemia, Reactive in 26 participants. Completed in 12 April 2023.

Timeline
7 February 2019
Primary endpoint
11 November 2021
12 April 2023

Quick facts

Lead sponsorJoslin Diabetes Center
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsequential
Maskingnone
Primary purposetreatment
Enrollment26
Start date7 February 2019
Primary completion11 November 2021
Estimated completion12 April 2023
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Joslin Diabetes Center — full company profile →

Who can join

Adults 18 to 65, any sex, with Hypoglycemia, Reactive or Hypoglycemia. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percentage of Time Sensor Glucose <70 mg/dL in the Masked Versus the Unmasked Phase. Primary · 28 days for those participants wearing Dexcom G4, and 20 days for participants wearing Dexcom G6.

The primary outcome will be time spent in hypoglycemic glucose range as measured by percent time sensor glucose is \<70 mg/dl, comparing the masked versus the unmasked phases.

GroupValue95% CI
Masked CGM Wear (Phase 1)4.7± 4.8
Unmasked CGM Wear (Phase 2)2.9± 2.5
Percentage of Time Sensor Glucose <60mg/dL in the Masked Versus the Unmasked Phase Primary · 28 days for those participants wearing Dexcom G4, and 20 days for participants wearing Dexcom G6.

The primary outcome will be time spent in hypoglycemic glucose range as measured by percent time sensor glucose is \<60 mg/dl, comparing the masked versus the unmasked phases.

GroupValue95% CI
Masked CGM Wear (Phase 1)1.4± 1.7
Unmasked CGM Wear (Phase 2)0.7± 0.8
Percentage of Time Sensor Glucose <54 mg/dL in the Masked Versus the Unmasked Phase Primary · 28 days for those participants wearing Dexcom G4, and 20 days for participants wearing Dexcom G6.

The primary outcome will be time spent in hypoglycemic glucose range as measured by percent time sensor glucose is \<60 mg/dl, comparing the masked versus the unmasked phases.

GroupValue95% CI
Masked CGM Wear (Phase 1)0.6± 0.8
Unmasked CGM Wear (Phase 2)0.2± 0.3
Median Sensor Glucose Level During Masked Versus Unmasked Phases of Wear Secondary · 28 days for those participants wearing Dexcom G4, and 20 days for participants wearing Dexcom G6.
GroupValue95% CI
Masked CGM Wear (Phase 1)97.587.0 – 113.5
Unmasked CGM Wear (Phase 2)97.087.0 – 113.0
Mean Sensor Glucose Level During Masked Versus Unmasked Phases of Wear Secondary · 28 days for those participants wearing Dexcom G4, and 20 days for participants wearing Dexcom G6.
GroupValue95% CI
Masked CGM Wear (Phase 1)103.8± 12.3
Unmasked CGM Wear (Phase 2)104.1± 7.4
Peak Sensor Glucose Level During Masked Versus Unmasked Period of CGM Wear Secondary · 28 days for those participants wearing Dexcom G4, and 20 days for participants wearing Dexcom G6.

expressed as median and median standard deviation

GroupValue95% CI
Masked CGM Wear (Phase 1)263.0± 51.9
Unmasked CGM Wear (Phase 2)256.0± 42.3
Sensor Glucose Level Range (Highest Sensor Glucose Minus Lowest Sensor Glucose mg/dL) During Masked Versus Unmasked Period of CGM Wear Secondary · 28 days for those participants wearing Dexcom G4, and 20 days for participants wearing Dexcom G6.

The sensor glucose level range is derived from the difference between the highest sensor glucose levels minus the lowest sensor glucose level (mg/dL).

GroupValue95% CI
Masked CGM Wear (Phase 1)221.5± 52.6
Unmasked CGM Wear (Phase 2)209.5± 50.4
Nadir Sensor Glucose Level During Masked Versus Unmasked Period of CGM Wear Secondary · 28 days for those participants wearing Dexcom G4, and 20 days for participants wearing Dexcom G6.
GroupValue95% CI
Masked CGM Wear (Phase 1)40.0± 0.0
Unmasked CGM Wear (Phase 2)42.0± 3.0
Percent of Time Sensor Glucose 70-180 mg/dL During Period of CGM Wear, Masked Versus Unmasked Phase Secondary · 28 days for those participants wearing Dexcom G4, and 20 days for participants wearing Dexcom G6.
GroupValue95% CI
Masked CGM Wear (Phase 1)90.8± 5.2
Unmasked CGM Wear (Phase 2)94.8± 3.9
Percentage of Time Sensor Glucose Level >180 mg/dL During Period of CGM Wear, Masked Versus Unmasked Phase Secondary · 28 days for those participants wearing Dexcom G4, and 20 days for participants wearing Dexcom G6.
GroupValue95% CI
Masked CGM Wear (Phase 1)3.1± 2.8
Unmasked CGM Wear (Phase 2)1.7± 1.6
Percentage of Time Sensor Glucose Level >250 mg/dL During Periods of CGM Wear, Masked Versus Unmasked Phase Secondary · 28 days for those participants wearing Dexcom G4, and 20 days for participants wearing Dexcom G6.
GroupValue95% CI
Masked CGM Wear (Phase 1)0.1± 0.2
Unmasked CGM Wear (Phase 2)0.1± 0.1
Glycemic Variability as Measured by the Standard Deviation of Sensor Glucose Level Data During Periods of CGM Wear, Masked Versus Unmasked Phase Secondary · 28 days for those participants wearing Dexcom G4, and 20 days for participants wearing Dexcom G6.
GroupValue95% CI
Masked CGM Wear (Phase 1)29.8± 7.1
Unmasked CGM Wear (Phase 2)26.6± 5.2

Adverse events — posted to ClinicalTrials.gov

Time frame: For participants using a Dexcom G4 sensor, adverse event data were collected over a period of 28 days. For participants using a Dexcom G4 sensor, adverse event data were collected over a period of 20 days.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Masked CGM Wear (Phase 1)
Serious: 1/25 (4%)
Deaths: 0/25
Unmasked CGM Wear (Phase 2)
Serious: 0/23 (0%)
Deaths: 0/23

Serious adverse events (1 terms)

ReactionSystemMasked CGM Wear (Phase 1)Unmasked CGM Wear (Phase 2)
Depressive episodeGeneral disorders
Other adverse events (4 terms — click to expand)

ReactionSystemMasked CGM Wear (Phase 1)Unmasked CGM Wear (Phase 2)
Skin irritation under Dexcom G4 sensor siteSkin and subcutaneous tissue disorders
Hypoglycemia requiring emergency department evaluationMetabolism and nutrition disorders
Mild erythema under dexcom G4 sensor adhesiveSkin and subcutaneous tissue disorders
Discomfort at site of Dexcom G4 sensorSkin and subcutaneous tissue disorders

Most-reported serious reactions: Depressive episode.

Data from ClinicalTrials.gov NCT03353415 adverse events section.

Sponsor's own description

The purpose of this study is to see if the use of a continuous glucose monitor (CGM) by people who experience low blood sugars (hypoglycemia) after gastric surgery can help reduce the number and severity of low blood sugar episodes.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Cognition in patients with post-bariatric hypoglycemia.
    Puleio A, Sheehan A, Musen G, Patti ME. · · 2024 · cited 3× · PMID 37667837 · DOI 10.1002/oby.23862

Verify or expand the search:

Other recruiting trials for Hypoglycemia, Reactive

Currently open trials in the same condition.

Other Joslin Diabetes Center trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03353415.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing