Diabetes Clinical Trial
Official title:
DTS Blood Glucose Monitor System Surveillance Program SubStudy 1
The blanket protocol covers the execution of the Diabetes Technology Society (DTS) Blood
Glucose Monitor System Surveillance Program that will consist of a series of similar accuracy
sub-studies with marketed Blood Glucose Monitor Systems (BGMS) conducted by the Clinical and
Laboratory site(s) chosen for this study. The two parts of the study (BGMS testing and
comparative glucose analyzer testing) will be conducted in separate facilities (clinical site
and laboratory site) so the clinical and laboratory investigators will be blinded from each
other's results.
To access the full protocol:
http://dst.sagepub.com/content/early/2015/12/10/1932296815614587.full.pdf+html
The clinical site(s) will recruit subjects and test their fingerstick blood directly on the
Blood Glucose Monitor Systems. Tubes of fingerstick blood will also be collected from the
same subjects, centrifuged and the plasma collected and frozen for shipment to a Clinical
Laboratory Improvement Amendments (CLIA)/College of American Pathologists (CAP) certified,
accredited clinical chemistry laboratory for measurement on a comparative glucose analyzer.
In addition, National Institute of Standards and Technology (NIST) glucose standards (965b)
will be assayed on the comparative glucose analyzers to determine any bias from the true
glucose values established by the reference mass spectrometry method.
This series of sub-studies will assess the accuracy of various BGMSs by trained
professionals, not by the intended end user. Only accuracy of the BGMSs when tests are
performed by trained study staff will be assessed. Understanding by the end user of
instructions for use (labeling) and human factors analysis are not within the scope of this
protocol.
- This is a blanket protocol to cover a series of in vitro diagnostic, Phase 4,
sub-studies to determine the performance of 18 various marketed blood glucose meter
systems over a 12 month period. All activities performed in these sub-studies will fall
within the parameters outlined in this protocol.
- At least 100 and not more than 125 subjects will participate in a sub-study
- All activities will be conducted according to Good Clinical Practice (GCP)
- The protocol, informed consent form, advertisements, and all appropriate documents, will
be submitted to an Institutional Review Board (IRB) for approval prior to any study
conduct.
- Informed consent will be obtained from each subject for each sub-study. The informed
consent form for each sub-study will clearly identify and explain the specific
procedures for that sub-study.
- All values obtained by the Blood Glucose Monitor Systems (BGMS) assayed at the clinical
site will be compared with glucose values of plasma from the same subjects. Plasma
samples will be properly prepared at the clinical site, frozen and shipped on dry ice to
a Clinical Laboratory Improvement Amendments (CLIA) /College of American Pathologists
(CAP) certified/accredited laboratory for analysis on a glucose comparative instrument
- Glucose Comparative instruments will be tested with appropriate manufacturers controls
as well as with National Institute of Standards and Technology (NIST) 965b controls to
assure accuracy and quality (analytical imprecision < 2.9% a bias of < 2.2%, and a total
error < 6.9%)
- Brief demographic and medical history information will be collected from subjects. In
addition, information will be collected regarding medications taken in the previous 48
hours by the subjects such as acetaminophen, ibuprofen, salicylate-containing drugs,
ascorbic acid-containing drugs since such compounds could affect the testing results
- Trained study staff will perform both shallow and deep finger punctures on subjects
using sterile lancing devices to obtain capillary blood for testing on the BGMSs, as
well as for testing on a comparative glucose instrument - subjects will not be asked to
do any self-testing
- Subject's capillary blood will be directly applied to the test strip of the BGMSs as per
labeling of the device
- In some cases, subject's fingerstick blood will also be collected into a micro-tube and
modified (for example, glycolyzed) to obtain blood samples in the hypoglycemic range not
BGMSs that are oxygen insensitive since oxygen levels in blood can change during
glycolysis.
- Testing of blood may include, but not limited to: -glucose concentration measured on
BGMS, hematocrit, comparative glucose assay
- A volume of no greater than 2000 microliters of finger stick capillary blood will be
obtained from any subject at a single visit to the site
- No more than ten finger punctures will be performed on any subject. The number and type
of finger sticks that a subject may receive in each sub-study will be disclosed in the
sub-study informed consent form. All lancets will be sterile; they may either be one
time use devices, or lancing device with lancets that are generally used by people with
diabetes for self-monitoring of their blood glucose. A new lancing device will be used
on each subject.
- Study documents will be retained by the investigative clinical site, the clinical
laboratory and Sponsor (Diabetes Technology Society) as required by GCP but no less than
3 years following publication of results.
- Plasma from subjects will be shipped to the accredited clinical laboratory for assay
using appropriate shipping methods for biological specimens
- A Contracted Research Organization (CRO) will oversee the studies, monitor the clinical
and laboratory sites, conduct Part 11 compliant data management, perform statistical
analysis, create reports and post results on clintrials.gov and on the DTS Blood Glucose
Monitor System Surveillance Program website that will be created.
To access the full protocol:
http://dst.sagepub.com/content/early/2015/12/10/1932296815614587.full.pdf+html
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