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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04689685
Other study ID # RADAR
Secondary ID
Status Completed
Phase
First received
Last updated
Start date February 19, 2021
Est. completion date March 28, 2022

Study information

Verified date September 2022
Source University Hospital Inselspital, Berne
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

The study RADAR aims at developing a wearable based dysglycemia detection and warning system for patients with diabetes mellitus using artificial intelligence.


Description:

Prior research has investigated the general potential of data analytics and artificial intelligence to infer blood glucose levels from a variety of data sources. In this study patients with insulin-dependent diabetes mellitus will be wearing a continuous glucose meter (CGM) and a smartwatch for a maximum duration of 3 months in an outpatient setting. The gathered data will be used to develop a non-invasive and wearable based dysglycemia detection and warning system using artificial intelligence.


Recruitment information / eligibility

Status Completed
Enrollment 40
Est. completion date March 28, 2022
Est. primary completion date March 28, 2022
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Informed consent as documented by signature - Age = 18 years - Diabetes mellitus treated with multiple daily insulin injections (MDI) or continuous subcutaneous insulin infusion (CSII) Exclusion Criteria: - Smartwatch cannot be attached around the wrist of the patient - Known allergies to components of the Garmin smartwatch or the Dexcom G6 system - Pregnancy, intention to become pregnant or breast feeding - Cardiac arrhythmia (e.g. atrial flutter or fibrillation, AV-reentry tachycardia, AV-block > grade 1) - Pacemaker or ICD (implantable cardioverter defibrillator) - Treatment with antiarrhythmic drugs or beta-blockers - Drug or alcohol abuse - Inability to follow the procedures of the study, e.g. due to language problems, psychological disorders, dementia, etc. of the participant - Physical or psychological disease likely to interfere with the normal conduct of the study and interpretation of the study results as judged by the investigator

Study Design


Related Conditions & MeSH terms


Intervention

Other:
Wearing smartwatch and continous glucose sensor
Patients will be wearing a smartwatch and a continuous glucose meter (CGM) over a maximum duration of 3 months in an outpatient setting.

Locations

Country Name City State
Switzerland Department of Diabetes, Endocrinology, Nutritional Medicine and Metabolism Bern

Sponsors (3)

Lead Sponsor Collaborator
University Hospital Inselspital, Berne ETH Zurich, University of St.Gallen

Country where clinical trial is conducted

Switzerland, 

Outcome

Type Measure Description Time frame Safety issue
Primary Accuracy of the RADAR model: Diagnostic accuracy of wearable based physiological data in detecting dysglycemia (glucose > 13.9mmol/L and glucose < 3.9 mmol/L) quantified as the area under the receiver operator characteristics curve (AUC-ROC) Accuracy of the RADAR-model will be assessed using machine learning technology and physiological data recorded by the smartwatch compared to continuous glucose measurements (ground truth) 4-12 weeks
Secondary Accuracy of the RADAR model: Diagnostic accuracy of wearable based physiological data in detecting hypoglycemia (glucose < 3.9 mmol/L) quantified as AUC-ROC Accuracy of the RADAR-model will be assessed using machine learning technology and physiological data recorded by the smartwatch compared to continuous glucose measurements (ground truth) 4-12 weeks
Secondary Accuracy of the RADAR model: Diagnostic accuracy of wearable based physiological data in detecting severe hypoglycemia (glucose < 3.0 mmol/L) quantified as AUC-ROC Accuracy of the RADAR-model will be assessed using machine learning technology and physiological data recorded by the smartwatch compared to continuous glucose measurements (ground truth) 4-12 weeks
Secondary Accuracy of the RADAR model: Diagnostic accuracy of wearable based physiological data in detecting severe hyperglycemia (glucose > 13.9mmol/L) quantified as AUC-ROC Accuracy of the RADAR-model will be assessed using machine learning technology and physiological data recorded by the smartwatch compared to continuous glucose measurements (ground truth) 4-12 weeks
Secondary Accuracy of the RADAR+model: Diagnostic accuracy of wearable based data (physiological, time, fasting glucose, and motion) in detecting dysglycemia (glucose > 13.9mmol/L and glucose < 3.9 mmol/L) quantified as AUC-ROC Accuracy of the RADAR+-model will be assessed using machine learning technology and wearable based data (physiological, time, fasting glucose, and motion) compared to continuous glucose measurements (ground truth) 4-12 weeks
Secondary Accuracy of the RADAR+model: Diagnostic accuracy of wearable based data (physiological, time, fasting glucose, and motion) in detecting hypoglycemia (glucose < 3.9 mmol/L) quantified as AUC-ROC Accuracy of the RADAR+-model will be assessed using machine learning technology and wearable based data (physiological, time, fasting glucose, and motion) compared to continuous glucose measurements (ground truth) 4-12 weeks
Secondary Accuracy of the RADAR+model: Diagnostic accuracy of wearable based data (physiological, time, fasting glucose, and motion) in detecting severe hypoglycemia (glucose < 3.0 mmol/L) quantified as AUC-ROC Accuracy of the RADAR+-model will be assessed using machine learning technology and wearable based data (physiological, time, fasting glucose, and motion) compared to continuous glucose measurements (ground truth) 4-12 weeks
Secondary Accuracy of the RADAR+ model: Diagnostic accuracy of wearable based data (physiological, time, fasting glucose, and motion) in detecting severe hyperglycemia (glucose > 13.9mmol/L) quantified as AUC-ROC Accuracy of the RADAR+-model will be assessed using machine learning technology and wearable based data (physiological, time, fasting glucose, and motion) compared to continuous glucose measurements (ground truth) 4-12 weeks
Secondary Accuracy of RADAR-forecast model: Diagnostic accuracy of CGM data in combination with wearable based data (physiological, time, fasting glucose, and motion) in forecasting glucose levels quantified as the mean absolute error. Accuracy of the RADAR forecasts will be assessed using machine learning technology, historical continuous glucose measurements data, and historical wearable based data (physiological, time, fasting glucose, and motion) compared to future continuous glucose measurements (ground truth). 4-12 weeks
Secondary Accuracy of the RADAR-forecast model: Diagnostic accuracy of CGM data in combination with wearable based data (physiological, time, fasting glucose, and motion) in forecasting dysglycemia (glucose>13.9mmol/L and glucose<3.9 mmol/L) quantified as AUC-ROC Accuracy of the RADAR forecasts will be assessed using machine learning technology, historical continuous glucose measurements data, and historical wearable based data (physiological, time, fasting glucose, and motion) compared to future continuous glucose measurements (ground truth). 4-12 weeks
Secondary Accuracy of the RADAR-forecast model: Diagnostic accuracy of CGM data in combination with wearable based data (physiological, time, fasting glucose, and motion) in forecasting severe hyperglycemia (glucose > 13.9mmol/L) quantified as AUC-ROC Accuracy of the RADAR forecasts will be assessed using machine learning technology, historical continuous glucose measurements data, and historical wearable based data (physiological, time, fasting glucose, and motion) compared to future continuous glucose measurements (ground truth). 4-12 weeks
Secondary Accuracy of the RADAR-forecast model: Diagnostic accuracy of CGM data in combination with wearable based data (physiological, time, fasting glucose, and motion) in forecasting mild hypoglycemia (glucose < 3.9mmol/L) quantified as AUC-ROC Accuracy of the RADAR forecasts will be assessed using machine learning technology, historical continuous glucose measurements data, and historical wearable based data (physiological, time, fasting glucose, and motion) compared to future continuous glucose measurements (ground truth). 4-12 weeks
Secondary Accuracy of the RADAR-forecast model: Diagnostic accuracy of CGM data in combination with wearable based data (physiological, time, fasting glucose, and motion) in forecasting severe hyperglycemia (glucose < 3.0mmol/L) quantified as AUC-ROC. Accuracy of the RADAR forecasts will be assessed using machine learning technology, historical continuous glucose measurements data, and historical wearable based data (physiological, time, fasting glucose, and motion) compared to future continuous glucose measurements (ground truth). 4-12 weeks
Secondary Change of sleep pattern in dysglycemia (< 3.9 mmol/l and > 13.9 mmol/l) compared to eugylcemia. Sleep pattern will be recorded by the smartwatch and glucose values are measured with the continuous glucose meter (CGM). 4-12 weeks
Secondary Change of heart rate in dysglycemia (< 3.9 mmol/l and > 13.9 mmol/l) compared to eugylcemia. Heart rate will be recorded by the smartwatch and glucose values are measured with the continuous glucose meter (CGM). 4-12 weeks
Secondary Change of heart rate variability (< 3.9 mmol/l and > 13.9 mmol/l) compared to eugylcemia. Heart rate variability will be recorded by the smartwatch and glucose values are measured with the continuous glucose meter (CGM). 4-12 weeks
Secondary Change of skin temperature (< 3.9 mmol/l and > 13.9 mmol/l) compared to eugylcemia. Skin temperature will be recorded by the smartwatch and glucose values are measured with the continuous glucose meter (CGM). 4-12 weeks
Secondary Change of electrodermal activity (< 3.9 mmol/l and > 13.9 mmol/l) compared to eugylcemia. Electrodermal activity will be recorded by the smartwatch and glucose values are measured with the continuous glucose meter (CGM). 4-12 weeks
Secondary Change of stress level (< 3.9 mmol/l and > 13.9 mmol/l) compared to eugylcemia. Stress level will be recorded by the smartwatch and glucose values are measured with the continuous glucose meter (CGM). 4-12 weeks
Secondary Influence of sleep duration on daily time in glycemic target range (3.9 - 10 mmol/L) Sleep duration will be recorded by the smartwatch and glucose values are measured with the continuous glucose meter (CGM). 4-12 weeks
Secondary Influence on stress-level on daily time in glycemic target range (3.9 - 10 mmol/L) Stress level will be recorded by the smartwatch and glucose values are measured with the continuous glucose meter (CGM). 4-12 weeks
Secondary Influence on activity (number of steps and stairs climbed per day) on daily time in glycemic target range (3.9 - 10 mmol/L) Number of steps and stairs climbed per day will be recorded by the smartwatch and glucose values are measured with the continuous glucose meter (CGM). 4-12 weeks
Secondary Influence of movement on daily time in glycemic target range (3.9 - 10.0 mmol/l) Movement will be recorded by the smartwatch and glucose values are measured with the continuous glucose meter (CGM). 4-12 weeks
Secondary 24. Analysis of user requirements for smartwatch based dysglycemia warning systems User requirements for the smartwatch based dysglycemia warning system will be assessed in a semi-quantitative interview. 4-12 weeks
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