100 Participants Needed

Nurse Case Management for Diabetes

(MANAGe-DM Trial)

LH
Overseen ByLaura Hawks, MD
Age: 18+
Sex: Male
Trial Phase: Phase 2
Sponsor: Medical College of Wisconsin
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial
Approved in 3 JurisdictionsThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

The study is a randomized control trial involving 100 participants (formerly incarcerated Black men with poorly controlled diabetes) to examine the effect of a tailored nurse case manager on glycemic control and other clinical outcomes, self-care behaviors, and quality of life at 6 months post-randomization.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your healthcare provider.

Is Nurse Case Management for Diabetes safe for humans?

Research on metformin, including its extended-release forms like Glucophage XR and Glumetza, shows it is generally safe for humans, with a good safety profile and well-tolerated in terms of gastrointestinal side effects.12345

How is the drug MANAGe-DM different from other diabetes treatments?

MANAGe-DM, commonly known as metformin, is unique because it is often the first-line medication for type 2 diabetes, working by decreasing glucose production in the liver and improving insulin sensitivity. Unlike some other diabetes medications, it does not typically cause weight gain and is often used in combination with other treatments if additional glucose control is needed.678910

What data supports the effectiveness of the drug MANAGe-DM and related medications for diabetes management?

Metformin, a key component of MANAGe-DM, is widely used as a first-line treatment for type 2 diabetes and is known for its effectiveness in controlling blood sugar levels. Additionally, combining metformin with other medications like DPP-4 inhibitors can enhance treatment outcomes for patients whose diabetes is not well-managed with metformin alone.1011121314

Who Is on the Research Team?

LH

Laura Hawks, MD

Principal Investigator

Medical College of Wisconsin

Are You a Good Fit for This Trial?

This trial is for Black men over 18 years old with poorly controlled type 2 diabetes (HbA1c ≥8%), who have been released from incarceration within the last year. They must be able to communicate in English and not be on house arrest or under electronic monitoring, involved in other diabetes trials, facing imminent legal proceedings, or have significant dementia or acute mental disorders.

Inclusion Criteria

Identify as Black or African American
You were in prison or jail in the last year.
I identify as male.
See 2 more

Exclusion Criteria

You are currently in another clinical trial for diabetes.
You have a severe mental illness or are currently experiencing a mental health crisis.
You seem very confused during the screening interview, which could mean you have serious memory problems.
See 3 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive diabetes education mailings and nurse case management intervention, including monthly mailings and two phone call sessions per month

6 months
Monthly mailings, 2 phone call sessions per month

Follow-up

Participants are monitored for safety and effectiveness after treatment, including quality of life and blood pressure measurements

6 months

What Are the Treatments Tested in This Trial?

Interventions

  • MANAGe-DM
  • Monthly Educational Mailing
Trial Overview The MANAGe-DM study tests a tailored nurse case management approach versus monthly educational mailings to improve blood sugar control and quality of life in participants. It's a randomized trial with two groups: one receiving the novel intervention and the other standard information.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: MANAGe-DMExperimental Treatment1 Intervention
Group II: ControlActive Control1 Intervention

MANAGe-DM is already approved in European Union, United States, Canada for the following indications:

🇪🇺
Approved in European Union as Metformin for:
🇺🇸
Approved in United States as Metformin for:
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Approved in Canada as Metformin for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

Medical College of Wisconsin

Lead Sponsor

Trials
645
Recruited
1,180,000+

Published Research Related to This Trial

The treatment options for type 2 diabetes have expanded significantly over the past 20 years, now including 11 categories of medications, with DPP IV inhibitors (gliptins) being a notable recent addition.
Alogliptin, one of the DPP IV inhibitors, was approved for use in Japan in 2010 and is currently under FDA review, highlighting its potential as a new therapeutic option for managing type 2 diabetes.
Alogliptin for the treatment of type 2 diabetes.White, JR.[2017]
In a study of 2683 matched pairs of patients with type 2 diabetes, those treated with exenatide experienced a greater reduction in A1C levels (-0.6%) compared to those on insulin glargine (-0.4%), indicating better blood sugar control.
Exenatide also led to significant weight loss (-2.6 kg) and reductions in body mass index (BMI) and systolic blood pressure, suggesting additional health benefits beyond glucose management.
Metabolic outcomes of matched patient populations initiating exenatide BID vs. insulin glargine in an ambulatory care setting.Pawaskar, M., Li, Q., Hoogwerf, BJ., et al.[2022]
In a study of 6,758 matched patients with type 2 diabetes, those on DPP-4 inhibitors showed slightly better adherence (65.5%) and persistence (52.5%) compared to those on sulfonylureas (63.3% adherence and 48.0% persistence) over 12 months.
Patients on sulfonylureas were more likely to remain untreated after discontinuation of their initial therapy, while those on DPP-4 inhibitors were more likely to use multiple oral antidiabetic drugs, indicating different treatment progression patterns between the two groups.
Treatment progression in sulfonylurea and dipeptidyl peptidase-4 inhibitor cohorts of type 2 diabetes patients on metformin.Peng, X., Jiang, D., Liu, D., et al.[2020]

Citations

Alogliptin for the treatment of type 2 diabetes. [2017]
Metabolic outcomes of matched patient populations initiating exenatide BID vs. insulin glargine in an ambulatory care setting. [2022]
Treatment progression in sulfonylurea and dipeptidyl peptidase-4 inhibitor cohorts of type 2 diabetes patients on metformin. [2020]
What next when metformin isn't enough for type 2 diabetes? [2022]
[Optimizing basal insulin therapy in type 2 diabetes]. [2018]
Efficacy, dose-response relationship and safety of once-daily extended-release metformin (Glucophage XR) in type 2 diabetic patients with inadequate glycaemic control despite prior treatment with diet and exercise: results from two double-blind, placebo-controlled studies. [2022]
Association between oral antidiabetic use, adverse events and outcomes in patients with type 2 diabetes. [2022]
8.United Arab Emiratespubmed.ncbi.nlm.nih.gov
Risk and Benefit Profile of Dulaglutide in Established Therapeutic Indication. [2019]
Clinical Effectiveness and Safety of Once-Weekly GLP-1 Receptor Agonist Dulaglutide as Add-On to Metformin or Metformin Plus Insulin Secretagogues in Obesity and Type 2 Diabetes. [2021]
Metformin extended release--DepoMed: metformin, metformin gastric retention, metformin GR. [2018]
11.United Statespubmed.ncbi.nlm.nih.gov
Partnering with patients to promote holistic diabetes management: changing paradigms. [2013]
Diabetes Nurse Case Management in a Canadian Tertiary Care Setting: Results of a Randomized Controlled Trial. [2018]
13.United Statespubmed.ncbi.nlm.nih.gov
Effect of nurse case management compared with usual care on controlling cardiovascular risk factors in patients with diabetes: a randomized controlled trial. [2022]
14.United Statespubmed.ncbi.nlm.nih.gov
Effectiveness and safety of medication adjustments by nurse case managers to control hyperglycemia. [2019]
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