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CTRI Number  CTRI/2018/08/015530 [Registered on: 30/08/2018] Trial Registered Prospectively
Last Modified On: 27/08/2018
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Medical Device 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Data-driven Coaching Intervention in Achieving Glycemic Control in Uncontrolled Type II Diabetics 
Scientific Title of Study   Study to Evaluate the Efficacy of a Doctor-led Digital Diabetes Program Aided by a Data-driven Coaching Intervention Process in Achieving Better Glycemic Control in Uncontrolled Type II Diabetics 
Trial Acronym  Not applicable 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Paramesh Shamanna 
Designation  Director 
Affiliation  Karnataka Medical Council 
Address  no. 426, 4thcross, 2nd block, Kalyan nagar, Bengaluru, Karnataka 560043

Bangalore
KARNATAKA
560043
India 
Phone  9845010610  
Fax    
Email  drparamesh2@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Mr Partha Sarathi Pati 
Designation  Cheif product officer 
Affiliation  CURO Health Services 
Address  805, Millenium Plaza Towers, Shushant Lok 1, Gurugram, haryana

Bangalore
KARNATAKA
122002
India 
Phone  9958398699  
Fax    
Email  Partha@lifeincontrol.com  
 
Details of Contact Person
Public Query
 
Name  Dr Arun Kumar 
Designation  Professor of Biostatistics 
Affiliation  Bapuji Dental College and hospital, Davangere-577004 
Address  MCC B block, MCC, Davangere, Karnataka 577004

Bangalore
KARNATAKA
577004
India 
Phone  8050558443  
Fax    
Email  arun.biostat@gmail.com  
 
Source of Monetary or Material Support  
Curo Healthcare 805, Millenium Plaza Towers, Sushant Lok 1, Gurugram, Haryana 122002 
 
Primary Sponsor  
Name  Curo Healthcare 
Address  805, Millenium Plaza Towers, Sushant Lok1, Gurugram, Haryana 122002 
Type of Sponsor  Other [Curo Healthcare Technologies Private limited] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Arun Kumar  Bangalore Diabetic centre  Clinical Research Unit No.426, 4th Cross, 2nd Block, Kalyan Nagar, Bengaluru, Karnataka 560043
Bangalore
KARNATAKA 
8050558443

arun.biostat@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Medisys Clinisearch Ethical review Board  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E08-E13||Diabetes mellitus,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Type 2 diabetes mellitus  40 Subjects on Keto diet 40 Subjects on Normal T2DM diet 
Comparator Agent  Type 2 diabetes mellitus  40 Subjects on Keto diet 40 Subjects on Normal T2DM diet 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Type II Diabetes Mellitus subjects of either sex aged 18 to 65years.
HbA1c value greater than 7.0%.
Subjects able to provide written informed consent.
Subjects using android mobile.
Agree to follow Keto/T2DM diet and use Keto calculator app.
If female of childbearing age, willing to use an acceptable form of birth control measure, should be stable for past 3 months prior to baseline and throughout the study.
 
 
ExclusionCriteria 
Details  Subjects with deteriorating health status at the time of enrolment; rapid weight loss, terminal disease, significant chronic disease (e.g., chronic diarrhoea, gastro-intestinal disease, irritable bowel syndrome).
Recent blood donation (within 3 months from the date of screening).
Immunodeficiency disease (e.g., human immunodeficiency virus [HIV] infection).
Pregnant or breast feeding women.
Currently participating or having participated in another clinical trial during the last 3 months prior to the beginning of this study.
Conditions in the opinion of the investigator make the patient unsuitable to participate in the study.
Any contraindication to blood sampling.
 
 
Method of Generating Random Sequence   Stratified randomization 
Method of Concealment   Other 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To compare the glycaemic levels (HbA1c, FBG, PPBG) in uncontrolled type II diabetes patients being managed by conventional treatment compared to those being managed nutritional ketosis using a connected digital health platform   3 months 
 
Secondary Outcome  
Outcome  TimePoints 
To compare weight loss, Body mass index changes, Insulin and medication requirement, compliance to prescribed medication, visit and lab test schedule between the above two groups at the end of a three-month period  3 months 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   05/09/2018 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   Planning to publish result of this trial in a indexed journal 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  

Type II Diabetes is a lifestyle related disease that is fast becoming an epidemic in India with 69.1 million affected people in 20151. With a cost of 94.9 USD per person1 this disease is poised to become a big economic burden for the not only individuals but also society at large. Achieving better glycaemic control and avoiding complications remains one of the most relevant goals of any diabetes management program. In this fast evolving world of digital technologies, chronic disease care is also poised for a revolution. In the field of diabetes care also several studies have shown that mobile phone interventions led to statistically significant improvement in glycaemic control and self- management program. Despite advances in treatment of diabetes like novel drugs and insulin analogues for the treatment of diabetes, the complications that arise due to diabetes have not reduced. Diet is one of the most crucial elements in the management of diabetes. Nutritional ketosis as a dietary intervention has shown promise to help with diabetes control. But following through with a keto diet requires constant support from a multidisciplinary team of clinical nutritionists and medical doctors for it to be adequately safe. Connected digital technology has been shown to improve care coordination and provide a continuum of care while making real-time data available for decision making. Through this study, we evaluate if a structured nutritional ketosis program delivered through a digital health platform is effective in reducing HbA1c.

 

 
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