UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000047009
Receipt number R000053519
Scientific Title The efficacy and safety of a telemedicine system in subjects with gestational diabetes mellitus; a randomized, open-label, parallel-group, controlled trial.
Date of disclosure of the study information 2022/02/26
Last modified on 2024/03/03 16:06:31

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Basic information

Public title

A study of the efficacy of a telemedicine system in subjects with gestational diabetes mellitus.

Acronym

TELEGLAM

Scientific Title

The efficacy and safety of a telemedicine system in subjects with gestational diabetes mellitus; a randomized, open-label, parallel-group, controlled trial.

Scientific Title:Acronym

TELEGLAM

Region

Japan


Condition

Condition

gestational diabetes mellitus

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aim of this study is to evaluate the efficacy and safety of a telemedicine system in subjects with gestational diabetes mellitus.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

We evaluate health care costs, PAID(Problem Area in Diabetes Survey), and DTR-QOL(Diabetes Therapy-Related QOL) before the intervention and 10 weeks after the intervention.

Key secondary outcomes

As glycemic control indicators, we evaluate fasting and postprandial blood glucose by self-monitoring records, frequency of hypoglycemia and hyperglycemia, insulin dose, HbA1c, and glycated albumin throughout the intervention period.
As perinatal outcomes, we evaluate the following: gestational age, fetal growth status, mode of delivery, maternal weight, obstetric complications that occur during the perinatal period such as premature rupture of the membrane and postpartum hemorrhage, maternal complications such as gestational hypertension, fetal indexes (sex, height, weight, neonatal hypoglycemia, Apgar score, large for gestational age. small for gestational age, shoulder dystocia), umbilical artery pH, incidence of congenital diseases, and admission to NICU (Neonatal Intensive Care Unit).


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

Face-to-face consultations will be conducted at the beginning and end of the intervention, and online consultations will be conducted in between. MeDaCa, an online consultation system, will be used. After the start of the intervention, online consultations will be conducted every two to three weeks, and the intervention will end at 10 weeks.

Interventions/Control_2

We perform face-to-face examination as usual.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Female

Key inclusion criteria

1) Patients diagnosed as gestational diabetes by oral glucose tolerance test (OGTT) by 29 weeks and 6 days of gestation who have undergone self-monitoring of blood glucose and insulin injection.
2) Patients who have received sufficient explanation and understanding of the study and have given their written consent to participate in the study.
3) Patients who can understand and operate the MeDaCa system.

Key exclusion criteria

1) Patients diagnosed as gestational diabetes after 30 weeks and 0 days of gestation.
2) Patients diagnosed as overt diabetes in pregnancy.
3) Patients with type 2 diabetes.
4) Patients with type 1 diabetes.
5) Patients with serious uncontrolled complications.
6) Patients with pacemakers or other implantable medical devices.
7) Patients who have requested not to participate in the study.
8) Patients who are judged inappropriate to participate the study by the physicians.
9) Patients who do not have the Internet environment for online consultation.
10) Patients who do not use a smart phone.

Target sample size

40


Research contact person

Name of lead principal investigator

1st name Shu
Middle name
Last name Meguro

Organization

Keio University School of Medicine

Division name

Department of Endocrinology, Metabolism and Nephrology

Zip code

160-8582

Address

35 Shinanomachi, Shinjuku-ku, Tokyo

TEL

03-5363-3797

Email

shumeg@z8.keio.jp


Public contact

Name of contact person

1st name Yuya
Middle name
Last name Nakajima

Organization

Keio University School of Medicine

Division name

Department of Endocrinology, Metabolism and Nephrology

Zip code

160-8582

Address

35 Shinanomachi, Shinjuku-ku, Tokyo

TEL

03-5363-3797

Homepage URL


Email

yunakajima@keio.jp


Sponsor or person

Institute

Department of Endocrinology, Metabolism and Nephrology, Keio University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

none

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Keio University School of Medicine Ethics Committee

Address

35 Shinanomachi, Shinjuku-ku, Tokyo

Tel

03-5363-3503

Email

med-rinri-jimu@adst.keio.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

慶應義塾大学病院(東京都)


Other administrative information

Date of disclosure of the study information

2022 Year 02 Month 26 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

43

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2022 Year 02 Month 07 Day

Date of IRB

2022 Year 02 Month 07 Day

Anticipated trial start date

2022 Year 03 Month 01 Day

Last follow-up date

2024 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded

2024 Year 03 Month 31 Day


Other

Other related information



Management information

Registered date

2022 Year 02 Month 25 Day

Last modified on

2024 Year 03 Month 03 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000053519