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Pivotal Trial of a Digital Therapeutic for the Treatment of Type 2 Diabetes

Open-Label, Randomized, Controlled, Parallel-Group Trial of a Digital Therapeutic for the Treatment of Type 2 Diabetes

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04886388
Enrollment
668
Registered
2021-05-14
Start date
2021-04-22
Completion date
2022-09-27
Last updated
2023-09-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Type 2 Diabetes

Brief summary

BT-001 is a software program intended to help patients with type 2 diabetes, under the guidance of their physician, improve glycemic control (i.e., levels of blood sugar). The BT-001 software delivers a type of behavioral therapy to patients via a mobile application that targets behaviors related to achieving glycemic control. The effectiveness of BT-001 will be measured by its ability to help patients reduce Hemoglobin A1c, or HbA1c (a marker in the blood that measures blood sugar) compared to standard medical care in patients with type 2 diabetes.

Detailed description

The study will utilize an open-label, randomized, parallel-group design to confirm and characterize the safety and efficacy of BT-001 used in addition to standard of care (SOC) when compared to SOC alone in patients with type 2 diabetes. The screening period will consist of a run-in during which time HbA1c will be assessed for confirmation of eligibility. Once confirmed to be eligible, patients will then be randomized 1:1 to the following groups: Investigational: One half of the participants will be treated with BT-001 plus SOC for 180 days; Control: One half of the participants will be treated with SOC alone for 180 days.

Interventions

DEVICEBT-001

BT-001 is a software program intended to help patients with type 2 diabetes, under the guidance of their physician, improve glycemic control.

OTHERPhysician-guided Standard of Care for type 2 diabetes

Current ADA Standard of Care Guidelines for type 2 diabetes

Sponsors

Better Therapeutics
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Intervention model description

Open-Label, Randomized, Controlled

Eligibility

Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

1. Between 18 and 75 years old, inclusive at the time of signing the informed consent; 2. Diagnosis of type 2 diabetes, according to the criteria of the American Diabetes Association (ADA), and confirmed at the initial eligibility screening; 3. Body Mass Index ≥25 kg/m2; 4. Possesses a smartphone (iPhone or Android only) capable of running the smartphone applications (Apps) used in the study; 5. Has had no change in the last 4 months prior to randomization (3 months prior to initial screening plus 30-day run-in screening period) in antihyperglycemic medications; 6. Has a current HbA1c level \>7%, as determined by both screening assessments; 7. Willing to use an FDA approved glucometer for self-monitoring blood glucose throughout the study; 8. Is capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the informed consent form (ICF).

Exclusion criteria

1. Are unable to understand, consent to, or comply with the study protocol for any reason; 2. Currently taking prandial (mealtime) insulin; 3. Have self-reported measures, collected during screening interview, that reveal: 1. An active eating disorder 2. The taking of or planning to take (within the next 6 months): i. Oral steroids (planned, or within the past 3 months) ii. Chemotherapy (planned, or within the past 6 months) iii. Weight loss medications or iv. Atypical antipsychotic medications c. A change in antidepressant or anti-anxiety medication within the past 3 months; d. A history of bariatric surgery or planned bariatric surgery during the study; e. The current use of marijuana, cocaine, opioid painkillers, or other addictive substances; f. The current use of tobacco products or use of tobacco products within the past 6 months; g. The consumption of alcohol above defined thresholds: i. For women: more than 3 drinks in a single day, or more than 7 drinks per week and ii. For men: more than 4 drinks in a single day, or more than 14 drinks per week h. An unstable or life-threatening medical illness; i. Non-resolved, presumed or confirmed COVID-19 diagnosis prior to randomization or during primary study period; j. For women only: pregnant (or lactating) or having the intention of becoming pregnant during the time frame of the study. 4. Has a current HbA1c level ≥11%, at the screening assessment; 5. Concurrent enrollment in any other clinical trial; 6. Is considered unreliable by the investigator, or having any condition which, in the opinion of the investigator, would not allow safe participation in the study.

Design outcomes

Primary

MeasureTime frameDescription
The difference in the mean change from baseline in HbA1c at Day 90 between Intervention and Standard of Care groupsBaseline and Day 90Hemoglobin A1c (HbA1c) test measures the amount of blood sugar (glucose) attached to hemoglobin.

Secondary

MeasureTime frameDescription
The difference in the mean change from baseline in HbA1c at Day 180 between Intervention and Standard of Care groupsBaseline and Day 180Hemoglobin A1c (HbA1c) test measures the amount of blood sugar (glucose) attached to hemoglobin.

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026