Retrospective chart review of FreeStyle Libre in adults with type 2 diabetes

ISRCTN ISRCTN15121154
DOI https://doi.org/10.1186/ISRCTN15121154
IRAS number 312330
Secondary identifying numbers ADC-UK-PMS-22054, IRAS 312330, CPMS 52369
Submission date
09/09/2022
Registration date
03/10/2022
Last edited
18/12/2023
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Background & study aims
Diabetes is a lifelong condition where the amount of sugar in the blood is too high. The aim of this study is to review the effectiveness of the FreeStyle Libre Glucose Monitoring System in adults with type 2 diabetes using insulin.

Who can participate?
Anyone aged 18 years old and over with type 2 diabetes

What does the study involve?
For each medical record, HbA1c levels will be collected after 3 to 6 months of use of the FreeStyle Libre sensor and will be compared with their HbA1c levels before starting FreeStyle Libre.

What are the possible benefits & risks of participating?
There are no direct benefits or risks to patients whose medical records are included.

Where is the study run from?
Abbott Diabetes Care (UK)

When is the study starting and how long is it expected to run for?
February 2022 to January 2024

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

Who is the main contact?
Dr Pamela Reid (UK)
pamela.reid@abbott.com

Contact information

Dr Pamela Reid
Public

Range Road
Witney
Witney
OX29 0YL
United Kingdom

Phone +44 (0)1993 863024
Email pamela.reid@abbott.com

Study information

Study designRetrospective non-interventional chart review study
Primary study designObservational
Secondary study designCase series
Study setting(s)Hospital
Study typePrevention
Participant information sheet No participant information sheet available
Scientific titleA retrospective, non-interventional, chart review study of the effectiveness of FreeStyle Libre in adults with type 2 diabetes
Study acronymREFER-UK
Study hypothesisEffectiveness of FreeStyle Libre flash glucose monitoring system on glycaemic control versus standard of care measured by HbA1c, using patient records
Ethics approval(s)Approved 02/08/2022, this is a retrospective observational study reviewing medical charts, which does not require ethics approval under the UK's law, ref: 22/NRS/0022
ConditionDiabetes mellitus (diabetes)
InterventionPatient HbA1c levels that were collected 3 to 6 months after the start of FreeStyle Libre are compared to HbA1c levels collected prior to starting Libre.
Intervention typeDevice
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)FreeStyle Libre sensor
Primary outcome measureHemoglobin A1c (HbA1c) level measured using the FreeStyle Libre sensor and recorded in medical charts at baseline and 3 to 6 months after initiation
Secondary outcome measuresThere are no secondary outcome measures
Overall study start date01/02/2022
Overall study end date31/01/2024

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participantsAt least 78 medical records that satisfy the inclusion/exclusion criteria
Participant inclusion criteria1. Age 18 years or over
2. Has type 2 diabetes using basal-bolus insulin regimen for at least 1 year
3. Has used FreeStyle Libre/Libre 2 regularly for at least 3 months
4. HbA1c recorded in medical notes between 8.0% and 12.0% (64 to 108 mmol/mol) in the 3 months prior to starting FreeStyle Libre/Libre 2
5. HbA1c recorded in medical notes 3 to 6 months after starting FreeStyle Libre/Libre 2
Participant exclusion criteria1. Female participant who was pregnant during the data collection period
2. Received dialysis treatment during the data collection period
3. Participated in another device or drug study that could have affected glucose measurements or management during the data collection period
Recruitment start date04/10/2022
Recruitment end date11/09/2023

Locations

Countries of recruitment

  • England
  • Northern Ireland
  • Scotland
  • United Kingdom
  • Wales

Study participating centres

St John's Hospital
Livingston
EH54 6PP
United Kingdom
Royal Infirmary of Edinburgh
Edinburgh
EH16 4SA
United Kingdom
Western General Hospital
Edinburgh
EH4 2XU
United Kingdom
University Hospital Wishaw
Wishaw
ML2 0DP
United Kingdom
Neath Port Talbot Hospital
Port Talbot
SA12 7BX
United Kingdom
Morriston Hospital
Swansea
SA6 6NL
United Kingdom
Singleton Hospital
Swansea
SA2 8QA
United Kingdom
Antrim Area Hospital
Antrim
BT41 2RL
United Kingdom
Northampton General Hospital
Northampton
NN1 5BD
United Kingdom
Southern Health
Southampton
SO40 2RZ
United Kingdom
University Hospitals Coventry and Warwickshire NHS Trust
Coventry
CV2 2DV
United Kingdom

Sponsor information

Abbott (United Kingdom) Diabetes Care Ltd
Industry

Range Road
Witney
OX29 0YL
England
United Kingdom

Phone +44 (0)1993863024
Email adc.clinical.affairs.uk@abbott.com
Website https://www.abbott.co.uk/
ROR logo "ROR" https://ror.org/03wnay029

Funders

Funder type

Industry

Abbott Diabetes Care
Private sector organisation / For-profit companies (industry)
Location
United States of America

Results and Publications

Intention to publish date30/06/2024
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination plan1. Planned publication in a high-impact peer-reviewed journal
2. Presentation at a diabetes conference

Estimated timeline is one year from trial end date
IPD sharing planAll study data sourced for this study comes directly from data recorded in medical charts, so can be obtained from original source via appropriate approval, rather than from the sponsor.

Editorial Notes

18/12/2023: The following changes were made to the trial record:
1. The recruitment end date was changed from 31/12/2023 to 11/09/2023.
2. The overall end date was changed from 31/12/2023 to 31/01/2024.
30/06/2023: The following changes were made to the trial record:
1. The recruitment end date was changed from 30/06/2023 to 31/12/2023.
2. The overall end date was changed from 30/06/2023 to 31/12/2023.
3. The plain English summary was updated to reflect these changes.
29/03/2023: The following changes were made to the trial record:
1. The overall trial end date has been changed from 31/03/2023 to 30/06/2023 and the plain English summary updated accordingly.
2. The recruitment end date was changed from 31/12/2022 to 30/06/2023.
3. The intention to publish date was changed from 31/03/2024 to 30/06/2024.
01/11/2022: Internal review.
26/09/2022: Trial’s existence confirmed by Health and Care Research Wales (HCRW).