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This 5-week, double-blind, placebo-controlled, 2x2 crossover pilot study investigate the potential of collecting robust, real-time clinical study measures of glucose levels using Abbott Freestyle Libre Continuous Glucose Monitoring devices associated with a smartphone application
The goal of this study is to characterize the performance of a Continuous Glucose Monitoring System in medical food studies. The Freestyle Libre Glucose Sensors will be used to follow subject's 8-day glucose trajectories over the course of a 5-week, double-blind, placebo-controlled, 2x2 crossover, medical-food experiment. The medical food has been designed to increase butyrate production and promote the health of the colonic mucin layer.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| WB-011 | Experimental | 3 capsules administered twice daily with morning and evening meal for 2 weeks |
|
| Placebo | Placebo Comparator | 3 capsules administered twice daily with morning and evening meal for 2 weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| WB-011 | Other | WB-011 medical food product. |
| |
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Temperature as a Source of Unwanted Variation When Using Freestyle Libre Glucose Sensors | Temperature impacts the glucose level recorded by the Freestyle Libre glucose sensors. The thermostat of the Freestyle Libre glucose sensors can be assessed. | Through study completion, an average of 5 weeks |
| 2-hour Interstitial Glucose Area Under the Curve (AUC) | Change in area under interstitial glucose concentration versus time curve (AUC) during standardized self-administered 2-hour Meal Tolerance Test. | Change from baseline to 2 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Body Mass | Weight measured via Scale | Change from baseline to 2 weeks |
| Change in Fecal Quantitative PCR Measures of Probiotic Strain Concentration | Fecal quantitative PCR of product strain will be measured throughout the study if subject provide stool samples. Mass Fraction is measured and the delta between the start and end of each period is computed. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Chief Technical Officer, PhD | Pendulum Therapeutics | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pendulum Therapeutics Inc | San Francisco | California | 94107 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33661120 | Derived | Roux de Bezieux H, Bullard J, Kolterman O, Souza M, Perraudeau F. Medical Food Assessment Using a Smartphone App With Continuous Glucose Monitoring Sensors: Proof-of-Concept Study. JMIR Form Res. 2021 Mar 4;5(3):e20175. doi: 10.2196/20175. |
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Recruitment through local biotechnology community network over the time period of 3/15/18-3/16/18.
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| ID | Title | Description |
|---|---|---|
| FG000 | WB-011 / Placebo | 3 capsules administered twice daily with morning and evening meal. Continuous Glucose Monitor: Abbott Freestyle Libre(™) Glucose Sensors were used throughout the study. Each period lasted two weeks, separated by a washout period of no-less than 3 days. First period - WB-011: WB-011 medical food product. Second period - Placebo: Placebo Capsules identical to those containing WB-011. |
| FG001 | Placebo / WB-011 | 3 capsules administered twice daily with morning and evening meal. Continuous Glucose Monitor: Abbott Freestyle Libre(™) Glucose Sensors were used throughout the study. Each period lasted two weeks, separated by a washout period of no-less than 3 days. First period - Placebo: Placebo Capsules identical to those containing WB-011. Second period - WB-011: WB-011 medical food product. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| First Intervention |
| |||||||||||||
| Washout |
| |||||||||||||
| Second Intervention |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | WB-011 / Placebo | 3 capsules administered twice daily with morning and evening meal. Continuous Glucose Monitor: Abbott Freestyle Libre(™) Glucose Sensors were used throughout the study. Each period lasted two weeks, separated by a washout period of no-less than 3 days. First period - WB-011: WB-011 medical food product. Second period - Placebo: Placebo Capsules identical to those containing WB-011. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Temperature as a Source of Unwanted Variation When Using Freestyle Libre Glucose Sensors | Temperature impacts the glucose level recorded by the Freestyle Libre glucose sensors. The thermostat of the Freestyle Libre glucose sensors can be assessed. | Technical problems with measurement of temperature data resulting in unreliable data that were uninterpretable. Therefore the endpoint was dropped. | Posted | Through study completion, an average of 5 weeks |
|
Through study completion, an average of 5 weeks
Used clinicaltrials.gov definitions
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | WB-011 | 3 capsules administered twice daily with morning and evening meal for 2 weeks WB-011: WB-011 medical food product. Continuous Glucose Monitor: Abbott Freestyle Libre(™) Glucose Sensors were used throughout the study. |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| James Bullard, PhD, Chief Technical Officer | Pendulum Therapeutics | (844) 912-2256 | james.bullard@pendulum.co |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | May 25, 2018 | Oct 10, 2022 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| D003920 | Diabetes Mellitus |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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| Other |
Placebo Capsules identical to those containing WB-011. |
|
| Continuous Glucose Monitor | Device | Abbott Freestyle Libre(™) Glucose Sensors were used throughout the study. |
|
| Change from baseline to 2 weeks |
| Expected Lifespan of Continuous Glucose Monitoring (CGM) Sensors | To measure the lifespan of CGM sensors, we recorded how many sensors were worn per participant during the study. Sensors were replaced either at the end of the recommended 10-day period, or when they were accidentally removed. | Through study completion, an average of 5 weeks |
| Number of Pictures Per Day | Average number of pictures per day using the smartphone application per period, used to measure study fatigue. | 2 weeks, (First intervention or second intervention) |
| Time Between CGM-sensor Scans | Average number of hours between CGM-sensor scans using the smartphone application during the study period. The subjects were instructed to scan at least every eight hours because the CGM-sensor does not save the data after eight hours without scanning. | 2 weeks, (First intervention or second intervention) |
| CGM-Smartphone Usability Feedback | Questionnaire to assess usability of the CGM-sensor using the smartphone application. Question was: "Would you recommend others to a study like this? On a scale of 1-10 with 1 being no and 10 being absolutely" | Through study completion, an average of 5 weeks. |
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| NOT COMPLETED |
|
| BG001 | Placebo / WB-011 | 3 capsules administered twice daily with morning and evening meal. Continuous Glucose Monitor: Abbott Freestyle Libre(™) Glucose Sensors were used throughout the study. Each period lasted two weeks, separated by a washout period of no-less than 3 days. First period - Placebo: Placebo Capsules identical to those containing WB-011. Second period - WB-011: WB-011 medical food product. |
| BG002 | Total | Total of all reporting groups |
| Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
3 capsules administered twice daily with morning and evening meal for 2 weeks Placebo: Placebo Capsules identical to those containing WB-011. Continuous Glucose Monitor: Abbott Freestyle Libre(™) Glucose Sensors were used throughout the study. |
|
| Primary | 2-hour Interstitial Glucose Area Under the Curve (AUC) | Change in area under interstitial glucose concentration versus time curve (AUC) during standardized self-administered 2-hour Meal Tolerance Test. | Intent to treat | Posted | Mean | Standard Deviation | min * mg/dL | Change from baseline to 2 weeks |
|
|
|
|
| Secondary | Change in Body Mass | Weight measured via Scale | Intent to treat | Posted | Mean | Standard Deviation | kilograms | Change from baseline to 2 weeks |
|
|
|
|
| Secondary | Change in Fecal Quantitative PCR Measures of Probiotic Strain Concentration | Fecal quantitative PCR of product strain will be measured throughout the study if subject provide stool samples. Mass Fraction is measured and the delta between the start and end of each period is computed. | Intent to treat; one subject did not provide stool samples. | Posted | Mean | Standard Deviation | ng / ng | Change from baseline to 2 weeks |
|
|
|
|
| Secondary | Expected Lifespan of Continuous Glucose Monitoring (CGM) Sensors | To measure the lifespan of CGM sensors, we recorded how many sensors were worn per participant during the study. Sensors were replaced either at the end of the recommended 10-day period, or when they were accidentally removed. | Intent to treat | Posted | Mean | Standard Deviation | Number of sensors | Through study completion, an average of 5 weeks |
|
|
|
|
| Secondary | Number of Pictures Per Day | Average number of pictures per day using the smartphone application per period, used to measure study fatigue. | All participants | Posted | Mean | Standard Deviation | Average number of photos per day | 2 weeks, (First intervention or second intervention) |
|
|
|
|
| Secondary | Time Between CGM-sensor Scans | Average number of hours between CGM-sensor scans using the smartphone application during the study period. The subjects were instructed to scan at least every eight hours because the CGM-sensor does not save the data after eight hours without scanning. | All participants. | Posted | Mean | Standard Deviation | hours | 2 weeks, (First intervention or second intervention) |
|
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|
|
| Secondary | CGM-Smartphone Usability Feedback | Questionnaire to assess usability of the CGM-sensor using the smartphone application. Question was: "Would you recommend others to a study like this? On a scale of 1-10 with 1 being no and 10 being absolutely" | Two participants did not complete the questionnaire. | Posted | Mean | Standard Deviation | Units on a scale | Through study completion, an average of 5 weeks. |
|
|
|
| 0 |
| 6 |
| 0 |
| 6 |
| 0 |
| 6 |
| EG001 | Placebo | 3 capsules administered twice daily with morning and evening meal for 2 weeks Placebo: Placebo Capsules identical to those containing WB-011. Continuous Glucose Monitor: Abbott Freestyle Libre(™) Glucose Sensors were used throughout the study. | 0 | 6 | 0 | 6 | 0 | 6 |
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| Clostridium beijerinckii |
|
| Clostridium butyricum |
|
| Anaerobutyricum hallii |
|
| 0.078 |
| Superiority |
| Paired t-test for the species Clostridium beijerinckii. | Superiority | No statistical test was conducted since Clostridium beijerinckii was not detected in any sample. |
| Paired t-test for the species Clostridium butyricum. | t-test, 1 sided | 0.20 | Superiority |
| Paired t-test for the species Anaerobutyricum hallii. | t-test, 1 sided | 0.12 | Superiority |