AzTrials
AzTrials

Type 1 Diabetes MellitusNCT06704672

Clinical Study to Evaluate the Impact of the Accu-Chek SmartGuide CGM Solution on the Mean Change in Time in Range Compared With Self-Monitoring of Blood Glucose in Participants With Type 1 and Type 2 Diabetes Mellitus

A study testing Accu-Chek SmartGuide CGM Solution, Accu-Chek SmartGuide Sensor and Blinded Apps and SMBG Device in people with Type 1 Diabetes Mellitus and Type 2 Diabetes Mellitus, run by Hoffmann-La Roche at 20 sites in 2 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This is an open label, two-arm, randomized multi-center clinical device study in adult subjects with Type 1 diabetes (T1D) or insulin-dependent Type 2 diabetes (T2D) on a multiple daily injection (MDI) regime. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Accu-Chek SmartGuide CGM Solution, Accu-Chek SmartGuide Sensor and Blinded Apps and SMBG Device
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
270 participants
Where
20 sitesin 2 countries
Study dates
14 Apr 2025to 30 May 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Type 1 Diabetes mellitus (T1D) or Type 2 Diabetes mellitus (T2D) diagnosed at least 12 months prior to screening, using multiple daily injection (MDI) regime for at least six months prior to screening
  • Performing SMBG, no CGM/flash glucose monitoring (FGM) use during the last six months prior screening
  • HbA1c ≥8% and ≤10% based on analysis from a local laboratory

Who cannot join

  • Untreated adrenal or thyroid insufficiency
  • Severe visual impairment
  • Significant renal impairment: eGFR <30 ml/min within last one year
  • Serious acute or chronic concomitant disease or an anamnesis which might, in the opinion of the investigator, pose a risk to the subject
  • Hematocrit greater than 10% below the lower limit of normal
  • Pregnancy (lack of negative pregnancy test - except in case of menopause, sterilization or hysterectomy - self-reported), planned pregnancy, or breast feeding
Show all 22Show fewer
  • Allergic to the adhesive (glue or tape)
  • Skin diseases (e.g. psoriasis vulgaris, bacterial skin diseases) at the sensor application sites
  • Sickle cell disease, or hemoglobinopathy
  • Elective surgery planned that requires general anesthesia during study participation
  • Current or anticipated acute uses of glucocorticoids (oral, injectable, or intravenous)
  • Medical conditions that, per investigator determination, make it inappropriate or unsafe to target an HbA1c of <7%. Conditions may include but are not limited to: heart failure, unstable cardiovascular disease, recent myocardial infarction, ventricular rhythm disturbances, recent transient ischemic attack or cerebrovascular accident, significant malignancy
  • Chronic use of opiates, opioids, morphinomimetics more than three times per week, which has not stopped at least 30 days prior to screening and any other medication interfering with the assessment of pain, as per investigator's discretion
  • Intake of hydroxyurea (hydroxycarbamide), levodopa, methyldopa, ascorbic acid, acetylsalicylic acid (≥300mg), which has not stopped at least 30 days prior to screening
  • Magnetic resonance tomography (MRT), computed tomography (CT), X-ray, radiofrequency ablation, high-frequency electrical heat or high intensity focused ultrasound planned during the course of the study
  • Planned flight or high-altitude hike (>3000 m) during baseline and assessment periods
  • Shift-worker (night-shifts)
  • On or planning to start a diet intended for weight change
  • Currently abusing illicit and/or prescription drugs or alcohol as judged by the investigator
  • Any other physical or psychological disease or psychiatric disorder that could limit adherence to the required study tasks and interfere with the normal conduct of the study as judged by the investigator
  • Dependency (e.g., employee, co-worker or family member) on sponsor, investigator or companies active in the field of CGM (e.g. Dexcom, Abbott, Menarini, Medtronic) or their subsidiaries
  • Participation in another clinical study at the same time

Trial locations and contacts

20 sites in 2 countries. Contact the study team or a site near you to ask about taking part.

Study ID Reference: DC000129 Roche Diabetes Care Poland and Turkey contact

+48 22 481 55 00; 08002113636

polska.diabetologia@roche.com; diyabetevi.turkey@roche.com

20 sites in 2 countries

Poland10 sites, 10 recruiting
  • Centrum Badań Klinicznych PI-House sp. z o.o.

    Gdansk, 80-546

    Recruiting
  • Diabetes Technology Center, Jagiellonian University Medical College

    Krakow, 31-501

    Recruiting
  • NZOZ Neuromed

    Kraśnik, 23-204

    Recruiting
  • NZOZ Neuromed

    Lublin, 20-064

    Recruiting
  • Institute of Rural Health

    Lublin, 20-090

    Recruiting
  • KO-MED Centra Kliniczne Lublin II

    Lublin, 30-362

    Recruiting
  • BioResearch Group Sp. z o. o.

    Nadarzyn, 05-830

    Recruiting
  • Nbr Polska

    Warsaw, 00-710

    Recruiting
  • Clinic of Internal Diseases, Endocrinology and Diabetology State Medical Institute MSWiA

    Warsaw, 02-507

    Recruiting
  • ETG Warszawa

    Warsaw, 02-677

    Recruiting

Other trials in Poland

Turkey (Türkiye)10 sites, 9 recruiting
  • Baskent University Department of Endocrinology and Metabolism

    Adana, 01240

    Recruiting
  • Bakırköy Sadi Konuk Training and Research Hospital

    Bakirkoy Istanbul, 34147

    Recruiting
  • Başakşehir Çam and Sakura City Hospital

    Basaksehir / Istanbul, 24480

    Withdrawn
  • Koç University Hospital

    Istanbul, 34010

    Recruiting
  • Cerrahpasa Medical School Department of Endocrinology

    Istanbul, 34303

    Recruiting
  • Medical Faculty of Istanbul University, Division of Endocrinology and Metabolism

    Istanbul, 34303

    Recruiting
  • Şişli Hamidiye Etfal Eğitim ve Araştırma Hastanesi

    Istanbul, 34369

    Recruiting
  • Göztepe Prof. Dr. Süleyman Yalçın City Hospital

    Istanbul, 34722

    Recruiting
  • Medeniyet University Hospital - İST (Prof. Dr. Süleyman Yalçın City Hospital, Internal Diseases)

    Istanbul, 34722

    Recruiting
  • Ümraniye Training and Research Hospital

    Ümraniye / İstanbul, 34764

    Recruiting

Other trials in Turkey (Türkiye)

About this study

Official title: Clinical Study to Evaluate the Impact of the Accu-Chek SmartGuide CGM Solution on the Mean Change in Time in Range of 70 - 180 mg/dl Compared to SMBG

This is an open label, two-arm, randomized multi-center clinical device study in adult subjects with Type 1 diabetes (T1D) or insulin-dependent Type 2 diabetes (T2D) on a multiple daily injection (MDI) regime.

The goal of the study is to investigate the impact of the Accu-Chek SmartGuide CGM solution on the change in overall time in range (TIR) of blood glucose concentrations of 70-180 mg/dl compared with that using self-monitoring of blood glucose (SMBG).

Being tested
Accu-Chek SmartGuide CGM Solution, Accu-Chek SmartGuide Sensor and Blinded Apps, SMBG Device
Medical subject headings
Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Accu-Chek SmartGuide CGM SolutionDevice

    The Accu-Chek SmartGuide CGM solution is used for real-time continuous glucose monitoring (CGM) in the interstitial fluid. It consists of the Accu-Chek SmartGuide device and two smartphone applications (apps): the Accu-Chek SmartGuide app and the Accu-Chek SmartGuide Predict app. The Accu-Chek SmartGuide device contains a CGM sensor pre-assembled in a sensor applicator. It has connectivity to the smartphone that is running the Accu-Chek apps. The Accu-Chek SmartGuide app is the primary display of the real-time glucose values. The Accu-Chek SmartGuide Predict app is an information management tool that further visualizes and analyzes diabetes data from the Accu-Chek SmartGuide device.

  • Accu-Chek SmartGuide Sensor and Blinded AppsDevice

    The participants in the SMBG control group will wear a SmartGuide sensor with blinded SmartGuide apps intermittently, i.e., during the assessment periods. It is not possible to read out the glucose data from the blinded app, hence neither the SmartGuide app nor the SmartGuide Predict functionalities can be accessed by the participants in this group.

  • SMBG DeviceDevice

    With the SmartGuide apps in blinded mode, participants in the SMBG control group will continue using their own SMBG device or they may use the Accu-Chek Instant meter that will be provided for calibration of the SmartGuide device.

Study groups in NCT06704672
Study groupRoleWhat they receive
Group A: Accu-Chek SmartGuide CGM SolutionExperimentalNot described
Receives: Device: Accu-Chek SmartGuide CGM Solution
Group B: Self-Monitoring of Blood Glucose (SMBG)OtherNot described
Receives: Device: Accu-Chek SmartGuide Sensor and Blinded Apps; Device: SMBG Device

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in the Percentage of Time in Range of a Blood Glucose Concentration of 70 to 180 mg/dL from the Baseline Period to Assessment Period A

    Measured: Baseline Period (Weeks 1 and 2) and Assessment Period A (Weeks 5 and 6)

Secondary outcomes (21)
  1. Change in the Percentage of Time in Range of a Blood Glucose Concentration of 70 to 180 mg/dL from the Baseline Period to Assessment Period B

    Measured: Baseline Period (Weeks 1 and 2) and Assessment Period B (Weeks 13 and 14)

  2. Change in the Percentage of Time in Range of a Blood Glucose Concentration of 70 to 180 mg/dL from the Baseline Period to Assessment Period C

    Measured: Baseline Period (Weeks 1 and 2) and Assessment Period C (Weeks 25 and 26)

  3. Percentage of Time in Tight Range of a Blood Glucose Concentration of 70 to 140 mg/dL by Study Period

    Measured: Baseline Period (Weeks 1 and 2), Assessment Periods A (Weeks 5 and 6), B (Weeks 13 and 14), and C (Weeks 25 and 26)

  4. Percentage of Time Above Range (Blood Glucose Concentration of >180 to ≤250 mg/dL) in Level 1 Hyperglycemia by Study Period

    Measured: Baseline Period (Weeks 1 and 2), Assessment Periods A (Weeks 5 and 6), B (Weeks 13 and 14), and C (Weeks 25 and 26)

  5. Percentage of Time Above Range (Blood Glucose Concentration >250 mg/dL) in Level 2 Hyperglycemia by Study Period

    Measured: Baseline Period (Weeks 1 and 2), Assessment Periods A (Weeks 5 and 6), B (Weeks 13 and 14), and C (Weeks 25 and 26)

  6. Percentage of Time Below Range (Blood Glucose Concentration of ≥54 to <70 mg/dL) in Level 1 Hypoglycemia by Study Period

    Measured: Baseline Period (Weeks 1 and 2), Assessment Periods A (Weeks 5 and 6), B (Weeks 13 and 14), and C (Weeks 25 and 26)

  7. Percentage of Time Below Range (Blood Glucose Concentration <54 mg/dL) in Level 2 Hypoglycemia by Study Period

    Measured: Baseline Period (Weeks 1 and 2), Assessment Periods A (Weeks 5 and 6), B (Weeks 13 and 14), and C (Weeks 25 and 26)

  8. Number of Level 1 Hypoglycemia Events by Study Period

    A level 1 hypoglycemia event is defined as a blood glucose concentration of ≥54 to <70 mg/dL for at least 15 minutes.

    Measured: Baseline Period (Weeks 1 and 2), Assessment Periods A (Weeks 5 and 6), B (Weeks 13 and 14), and C (Weeks 25 and 26)

  9. Number of Level 2 Hypoglycemia Events by Study Period

    A level 2 hypoglycemia event is defined as a blood glucose concentration of <54 mg/dL for at least 15 minutes.

    Measured: Baseline Period (Weeks 1 and 2), Assessment Periods A (Weeks 5 and 6), B (Weeks 13 and 14), and C (Weeks 25 and 26)

  10. Average Glucose Management Indicator, as an Estimate of HbA1c, by Study Period

    Measured: Baseline Period (Weeks 1 and 2), Assessment Periods A (Weeks 5 and 6), B (Weeks 13 and 14), and C (Weeks 25 and 26)

  11. Average Blood Glucose Concentration by Study Period

    Measured: Baseline Period (Weeks 1 and 2), Assessment Periods A (Weeks 5 and 6), B (Weeks 13 and 14), and C (Weeks 25 and 26)

  12. Average Glycemic Variability in Blood Glucose Concentration by Study Period

    Measured: Baseline Period (Weeks 1 and 2), Assessment Periods A (Weeks 5 and 6), B (Weeks 13 and 14), and C (Weeks 25 and 26)

  13. Average HbA1c Values from the Central Laboratory

    Measured: Baseline (Week 1 Day 1), Week 15 Day 1, and Week 27 Day 1

  14. Average Daily Insulin Dose

    Measured: Baseline (Week 1), Weeks 5, 13, and 25

  15. Average Number of Daily Insulin Boluses Injected

    Measured: Baseline (Week 1), Weeks 5, 13, and 25

  16. Average Daily Amount of Carbohydrates Consumed

    Measured: Baseline (Week 1), Weeks 5, 13, and 25

  17. Hypoglycemia Fear Survey-II (HFS-II) Score at Specified Timepoints

    Measured: Baseline (Week 1 Day 1), Week 15 Day 1, and Week 27 Day 1

  18. Diabetes Distress Scale 17 (DDS-17) Questionnaire Score at Specified Timepoints

    Measured: Baseline (Week 1 Day 1), Week 15 Day 1, and Week 27 Day 1

  19. Ecological Momentary Assessment (EMA) Questionnaire Score at Specified Timepoints

    Measured: Baseline Period (Weeks 1 and 2), Assessment Periods A (Weeks 5 and 6), B (Weeks 13 and 14), and C (Weeks 25 and 26)

  20. Number of Participants by Their Responses to the Roche Diabetes Care SmartGuide Usability Questionnaire (Group A Only)

    Measured: Week 27 Day 1

  21. Number of Healthcare Providers (HCP) by Their Responses to the Roche Diabetes Care HCP Accu-Chek Care Questionnaire

    Measured: Week 27 Day 1

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Nov 2024
  2. Study start14 Apr 2025
  3. Primary completion15 Nov 2026 (estimated)
  4. Study completion30 May 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Diagnosis
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
270 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06704672
Sponsor's protocol ID
DC000129
Status last verified
Oct 2026
First submitted
22 Nov 2024
Last updated
26 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data\_sharing

Questions about this trial

What is this clinical trial studying?

A study testing Accu-Chek SmartGuide CGM Solution, Accu-Chek SmartGuide Sensor and Blinded Apps and SMBG Device in people with Type 1 Diabetes Mellitus and Type 2 Diabetes Mellitus, run by Hoffmann-La Roche at 20 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 22 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 26 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 20 sites in Poland, Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Study ID Reference: DC000129 Roche Diabetes Care Poland and Turkey (+48 22 481 55 00; 08002113636, polska.diabetologia@roche.com; diyabetevi.turkey@roche.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in the Percentage of Time in Range of a Blood Glucose Concentration of 70 to 180 mg/dL from the Baseline Period to Assessment Period A (time frame: Baseline Period (Weeks 1 and 2) and Assessment Period A (Weeks 5 and 6)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Oct 2026.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in