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CompletedNCT05099198Updated Jul 27, 2023

Replication of the GRADE Diabetes Trial in Healthcare Claims Data

An observational study in Diabetes, sponsored by Brigham and Women's Hospital. Completed at 1 site in United States. Open to participants aged 30 Years and older. Per ClinicalTrials.gov, last updated 2023-07-27.

Sponsored by Brigham and Women's Hospital · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
6,403
Ages
30 Years and older
Sex
All
01

Study summary

Investigators are building an empirical evidence base for real world data through large-scale replication of randomized controlled trials. The investigators' goal is to understand for what types of clinical questions real world data analyses can be conducted with confidence and how to implement such studies.

Read the detailed description

This is a non-randomized, non-interventional study that is part of the RCT DUPLICATE initiative (www.rctduplicate.org) of the Brigham and Women's Hospital, Harvard Medical School. It is intended to replicate, as closely as is possible in healthcare insurance claims data, the trial listed below/above. Although many features of the trial cannot be directly replicated in healthcare claims, key design features, including outcomes, exposures, and inclusion/exclusion criteria, were selected to proxy those features from the trial. Randomization is also not replicable in healthcare claims data but was proxied through a statistical balancing of measured covariates according to standard practice. Investigators assume that the RCT provides the reference standard treatment effect estimate and that failure to replicate RCT findings is indicative of the inadequacy of the healthcare claims data for replication for a range of possible reasons and does not provide information on the validity of the original RCT finding.

02

Conditions studied

  • Diabetes

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03

In context

Diabetes Mellitus

10,925 studies on the registry are indexed under Diabetes Mellitus; 1,319 are open to participants now.

This study's enrollment of 6,403 is above the median of 233 across 2,220 observational studies indexed under Diabetes Mellitus.

Browse Diabetes Mellitus studies →

Lead sponsor

Brigham and Women's Hospital is the lead sponsor of 1,236 studies on the registry; 224 are open to participants now.

Of its 116 completed or terminated interventional studies of FDA-regulated products, 64 (55%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
30 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with type 2 diabetes who have previously been treated with metformin.

Inclusion criteria

  • Age greater or equal than 30: days [0,0]
  • Diagnosis of Type 2 Diabetes: days [- All Data, 0]
  • 2+ recorded HbA1c levels: days [-365,0]
  • Metformin use: days [-30, 0]

Exclusion criteria

Exclusion Criteria:

  • Type 1 or Secondary DM: days [-All Data, 0]
  • Previous organ transplant: days [-All Data, 0]
  • HIV/AIDS: days [-All Data, 0]
  • History of bariatric surgery: days [-All Data, 0]
  • Congestive heart failure: days [-All Data, 0]
  • NYHA >=3: days [-All Data, 0]
  • Pancreatitis: days [-All Data, 0]
  • Medullary thyroid cancer/MEN-2: days [-All Data, 0]
  • History of MI: days [-365, 0]
  • Stroke: days [-365, 0]
  • Coronary Revascularization: days [-365, 0]
  • PTCA/Stenting/CABG: days [-365, 0]
  • Trans myocardial revascularization: days [-365, 0]
  • Carotid bypass: days [-365, 0]
  • Cerebrovascular revascularization: days [-365, 0]
  • PVD: days [-365, 0]
  • CCI >=10: days [-365, 0]
  • History of cancer, other than non-melanoma skin cancer: days [-1,825, 0]
  • Treatment of metformin more than 10 years: days [-3,650, 0]
  • Treatment with any diabetes drug other than metformin; PCOS; symptomatic hyperglycemia; pregnancy; gestational diabetes: days [-180, 0]
  • History of hemolytic anemia; history of severe liver disease; current alcoholism; chronic transfusion requirement; ESRD: days [-180, 0]
  • Oral, IV, or IM cortisone, hydrocortisone, prednisone, methylprednisone, or dexamethasone: days [-90, 0]
  • Treatment with atypical antipsychotics, language barriers, nursing home, or missing age or gender: days {-180, 0]
  • Hospitalization with length of stay >3 days: days [-30, 0]
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
6,403 participants (actual)
Patient registry
No

Groups and cohorts

  • Sitagliptin

    Reference group

    Drug: Sitagliptin

  • Glimepiride

    Exposure group

    Drug: Glimepiride

Interventions

  • DrugSitagliptin

    Sitagliptin dispensing claim is used as the reference

  • DrugGlimepiride

    Glimepiride dispensing claim is used as the reference

06

What researchers measure

Primary outcomes

  1. Time until failure to maintain metabolic control

    Lab based algorithm: time until failure to maintain metabolic control (HbA1c level \>= 7.0% or 53 mmol/mol)

    Time frame: Through censoring or study completion, up to 765 days after cohort entry

Secondary outcomes

  1. Time until a severe hypoglycemic episode

    Claims based algorithm: time until a severe hypoglycemic episode

    Time frame: Through censoring or study completion, up to 765 day after cohort entry

  2. HbA1C change from baseline

    Lab based algorithm: HbA1C change from baseline

    Time frame: Through censoring or study completion, up to 765 days after cohort entry

07

Study locations

1 site
  • Brigham and Women's Hospital
    Boston, Massachusetts 02120, United States
08

References and documents

Study documents

  • Protocol and statistical analysis plan · Oct 13, 2021

Documents are hosted by the registry — open the source record to download them.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 27, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05099198
Lead sponsor
Brigham and Women's Hospital
Responsible party
Shirley Vichy Wang (Assistant Professor, Brigham and Women's Hospital) — Principal investigator
First posted
Oct 29, 2021
Start date
Sep 1, 2018
Primary completion
Aug 1, 2021
Completion
Aug 1, 2021
Last update
Jul 27, 2023

Study contacts

Shirley Wang, PhD, ScM
principal investigator · Brigham and Women's Hospital

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2023. You cannot join it, but the record below documents what was studied.

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