Masked performance check of the Abbott FreeStyle Libre Flash Glucose Monitoring System

ISRCTN ISRCTN12543702
DOI https://doi.org/10.1186/ISRCTN12543702
IRAS number 178494
Secondary identifying numbers ADC-UK-PMS-14021, IRAS 178494
Submission date
16/07/2015
Registration date
17/08/2015
Last edited
20/12/2023
Recruitment status
Recruiting
Overall study status
Ongoing
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Background and study aims
The FreeStyle Libre sensor automatically measures blood glucose levels around the clock, and stores the data for later retrieval. The aim of this study is to assess the accuracy of this device compared with blood glucose strips for patients with type 1 and type 2 diabetes.

Who can participate?
Patients aged at least 18 years with diabetes (type 1 or type 2).

What does the study involve?
All participants wear up to 3 masked FreeStyle Libre Flash Glucose Monitoring System for up to 14 days while going about their daily activities. That is, they wear the sensor according to labelling instructions but cannot see any sensor glucose data, unless they choose to wear an optional sensor (unmasked). The data collected is transferred and stored in the reader memory by regular scanning of the sensor by the participants. Participants also perform between four and eight fingerstick readings per day, using the built-in blood glucose test strip port in the device’s reader. These blood glucose strip results are visible to the patient throughout. During visit 1 to their trial participating clinic, each participant’s demographic data, height and weight is recorded and their HbA1c result obtained. Participants are then trained on how to use the FreeStyle Libre Flash Glucose Monitoring System and instructed to scan the sensor with the reader immediately after they do a fingerstick test. Three to five days later a follow-up phone call is made to check that participants have not had any issues. Participants return to the clinic on day 15 where their sensors are scanned prior to removal and the data uploaded. This is the end of their study participation. The data is subsequently analysed.

What are the possible benefits and risks of participating?
There may be no direct benefit to the participant by wearing the masked device. However, if the participant takes the option of wearing a second unmasked Sensor they can use this to manage their diabetes. Some participants may experience either mild or moderate symptoms associated with the sensor placement on the skin as this is attached by means of a medical-grade adhesive. To minimize the risk of reactions, participants will be asked if they have a known allergy to medical grade adhesives prior to enrolment and checked at each visit.

Where is the study run from?
1. Ipswich Hospital NHS Trust (UK)
2. Oxford University Hospitals NHS Trust (UK)
3. North Manchester General Hospital, Crumpsall (UK)
4. The Royal United Hospital, Bath (UK)
5. The Royal Cornwall Hospital, Truro (UK)
6. St James Hospital, Leeds (UK)
7. St Georges Hospital (UK)
8. Frimley Park Hospital (UK)
9. Royal Surrey County Hospital (UK)
10. MAC Clinical Research Centre (UK)

When is the study starting and how long is it expected to run for?
July 2015 to March 2027

Who is funding the study?
Abbott Diabetes Care Ltd (UK)

Who is the main contact?
Dr Pamela Reid

Contact information

Dr Pamela Reid
Public

Range Road
Witney
OX29 0YL
United Kingdom

Phone +44 1993 863024
Email pamela.reid@abbott.com

Study information

Study designMulti-centre prospective single arm
Primary study designInterventional
Secondary study design
Study setting(s)Hospital, Other
Study typeOther
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleMasked performance check of the Abbott FreeStyle Libre Flash Glucose Monitoring System: an interventional trial
Study hypothesisThe aim of this study is to evaluate the accuracy and performance of the masked Abbott FreeStyle Libre Flash Glucose Monitoring System
Ethics approval(s)NRES Committee North West - Lancaster, 20/03/2015, ref: 15/NW/0267
ConditionDiabetes mellitus
InterventionInterventions as on 08/02/2017:
1. Participants will wear up to 3 Masked FreeStyle Libre Glucose Monitoring Sensor for up to 14 days. Participants have an option to experience the use ofan unmasked FreeStyle Libre Glucose Monitoring Sensor
2. Participants will also perform between 4 and 8 fingerstick readings per day for each day of sensor wear using the built-in test strip port

Original interventions section:
1. Participants will wear a Masked FreeStyle Libre Glucose Monitoring Sensor for 14 days, at the same time participants have an option to wear a second unmasked FreeStyle Libre Glucose Monitoring Sensor
2. Participants will also perform four fingerstick readings per day for each day of sensor wear using the built-in test strip port
Intervention typeDevice
Pharmaceutical study type(s)Not Applicable
PhaseNot Applicable
Drug / device / biological / vaccine name(s)FreeStyle Libre
Primary outcome measureAccuracy performance of the Abbott FreeStyle Libre Flash Glucose Monitoring System compared to capillary fingerstick blood glucose values (FreeStyle Optium blood glucose test strips) using the consensus error grid.
Secondary outcome measuresPrecision within Sensor lot.
Overall study start date20/07/2015
Overall study end date31/03/2027

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants12 to 36 participants per sensor lot, with up to 12 sensor lots tested per study event
Participant inclusion criteria1. Aged 18 years or over
2. Have type 1 or type 2 diabetes
3. Be self-testing their blood glucose levels at least twice per day
4. Be able to follow the instructions provided to him/her by the study site and perform all study tasks as specified by the protocol, in the investigator’s opinion
5. Be available for all study visits
6. Be willing to provide written informed consent
Participant exclusion criteria1. Participated in the same study event
2. Be a member of the study staff
3. Have a known allergy to medical grade adhesive
4. Be pregnant or planning to become pregnant within the study event duration
5. Have skin abnormality at the application sites
6. Have a pacemaker or any other neuro stimulators
7. Have concomitant medical condition which in the investigator’s opinion could interfere with the study or present a risk to the safety or welfare of the participant or study staff
Recruitment start date20/07/2015
Recruitment end date31/03/2026

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centres

The Ipswich Hospital NHS Trust
Ipswich
IP4 5PD
United Kingdom
Oxford University Hospitals NHS Trust
Oxford
OX3 9DU
United Kingdom
North Manchester General Hospital
Delaunays Road
Crumpsall
Manchester
M8 5RB
United Kingdom
Royal United Hospital Bath
Combe Park
Avon
Bath
BA1 3NG
United Kingdom
Royal Cornwall Hospital
2 Penventinnie Lane
Treliske
Truro
TR1 3LQ
United Kingdom
St James's University Hospital
Beckett Street
Leeds
LS9 7TF
United Kingdom
St George's University Hospital
Blackshaw Road
Tooting
London
SW17 0QT
United Kingdom
Frimley Park Hospital
Portsmouth Road
Frimley
GU16 7UJ
United Kingdom
Royal Surrey County Hospital
Egerton Road
Guildford
GU2 7XX
United Kingdom
MAC Blackpool
1 Faraday Way
Blackpool
FY2 0JH
United Kingdom
MAC Clinical Research Manchester
Citylabs 1.0
Nelson St
Manchester
M13 9NQ
United Kingdom
MAC Clinical Research Teesside
Clinical Research Centre
Sabatier Close
Stockton-on-Tees
TS17 6EW
United Kingdom

Sponsor information

Abbott Diabetes Care Ltd
Industry

Range Road
Witney
OX29 0YL
United Kingdom

Phone +44 1993 863024
Email pamela.reid@abbott.com
ROR logo "ROR" https://ror.org/03wnay029

Funders

Funder type

Industry

Abbott Diabetes Care Ltd

No information available

Results and Publications

Intention to publish date31/03/2028
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planThe primary device in the study is not being used in the same way as its on-market intended use, (i.e. the sensor results are masked to the subject). Therefore the findings from the study are of negligible value to the medical or scientific community and so it is challenging to publish. If the results highlight any interesting information we will consider specifically preparing a manuscript or abstract to report this.
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
HRA research summary 28/06/2023 No No

Editorial Notes

20/12/2023: The following changes were made:
1. IRAS number added.
2. Study participating centre East Surrey Hospital was removed.
3. Study participating centres MAC Clinical Research Manchester and MAC Clinical Research Teesside were added.
4. Device name was added.
21/03/2023: The target number of participants was changed from '12 to 36 participants per sensor lot, with up to three sensor lots tested per study event' to '12 to 36 participants per sensor lot, with up to 12 sensor lots tested per study event'. MAC Blackpool was added to the trial participating centres.
06/10/2020: The sponsor contact details have been changed.
29/09/2020: The following trial participating centres were added: St George's University Hospital, Frimley Park Hospital, Royal Surrey County Hospital, East Surrey Hospital.
09/07/2020: The trial contact details have been made publicly visible.
17/07/2019: The following changes were made to the trial record:
1. The recruitment end date was changed from 21/07/2026 to 31/03/2026.
2. The overall end date was changed from 31/01/2027 to 31/03/2027.
3. The intention to publish date was added.
4. The plain English summary was updated to reflect these changes.
08/02/2017: The overall trial end date has been updated from 21/07/2025 to 31/01/2027 and the recruitment end date has been updated from 21/07/2015 to 21/07/2016. In addition, three trial participating centres have been added and the interventions section has been updated and the target number of participants has been updated from 36 to 108. The plain English summary has also been updated to reflect these changes.