CClinicalTrials.gg
Active, not recruitingNCT05266625BRIGHTUpdated Oct 30, 2023

Digital Therapeutic Based Investigation to Improve Glycemic Control in Patients With Type 2 Diabetes and Residual Hyperglycemia on Stable Medical Therapy

An interventional study of BT-001 and Control App in Diabetes Mellitus, Type 2, sponsored by Better Therapeutics. Active, not recruiting at 3 sites in United States. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2023-10-30.

Sponsored by Better Therapeutics · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Nov 2025, 11 months ago, but the record still lists the study as active, not recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
500
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

Randomized, controlled, multicenter, pragmatic, pivotal trial with open-label extension evaluating the hypothesis that BT-001 an investigational digital therapeutic intended to help patients with type 2 diabetes improve their glycemic control, will lower hemoglobin A1c (HbA1c) compared to a control application added to usual care and across a broad range of patients in a real-world setting

Read the detailed description

This randomized, controlled, multicenter, parallel-arm, pragmatic pivotal trial with extension will evaluate the hypothesis that BT-001 compared to a control application, both on top of usual care, will lower HbA1c in real world clinical practice. Approximately five-hundred (500) adults with type 2 diabetes will be randomized (1:1) to BT-001 or the control application. Most clinical data will be collected via the electronic medical records (EMR) system with limited additional contacts to ascertain adverse device effects (ADEs), adverse events (AEs) and clinical events which may have occurred outside the health system and were not recorded in the EMR. For primary efficacy endpoint assessment, a requisition form for HbA1c at a local laboratory will be provided if HbA1c is not available from the EMR within the 90- and 180-day time windows. During the extension phase, biomarker endpoint data will only be collected from the EMR. For all participants, clinical and healthcare utilization data will be extracted from their EMR for the period from 180 days prior to enrollment to 720 days after enrollment.

02

Conditions studied

  • Diabetes Mellitus, Type 2
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 500 is above the median of 80 across 8,367 interventional studies indexed under Diabetes Mellitus.

Browse Diabetes Mellitus studies →

Lead sponsor

Better Therapeutics is the lead sponsor of 5 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age 18-75 years, inclusive at the time of signing the informed consent
  • Type 2 diabetes on stable anti-diabetic regimen for at least three (3) months
  • HbA1c 7.0% to 10.9% (within thirty [30] days of signing the informed consent form [ICF])
  • Able to use BT-001 e.g., English fluent, smartphone is capable of running the study intervention.

Exclusion criteria

Exclusion Criteria:

  • Current use of outpatient prandial insulin
  • In the opinion of the investigator, life expectancy \< one (1) year
  • COVID-19 diagnosis within thirty (30) days prior to randomization.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
500 participants (actual)

Study arms

  • Experimental
    Intervention BT-001 + Standard of Care

    Patients in this arm will receive the BT-001 treatment for up to 720 days.

    Behavioral: BT-001

  • Other
    Standard of Care

    Patients will have access to a control mobile application for 180 days and then will have the option to use the treatment for the remainder of the 720 day study

    Other: Control App

Interventions

  • BehavioralBT-001

    Bt-001 is a software application that delivers treatment to participants with type 2 diabetes, using behavioral therapy. BT-001 is accessed via the participants' smartphone. The behavioral intervention process involves: Identifying maladaptive thoughts based on misinformed core beliefs that lead to disease-promoting behaviors; replacing maladaptive core beliefs with adaptive ways of thinking; and providing collaborative construction of behavioral exercises to test core beliefs. Each week, Bt-001 asks participants to complete a new lesson, along with one skill exercise. The lessons are expected to take between 10-20 minutes to complete. In addition to completing a lesson and skill, participants will be directed to report plant-based meals consumed and minutes of exercise completed and to measure their blood sugar daily.

  • OtherControl App

    The app asks patients brief questions about their health but does not include any behavioral therapy.

06

What researchers measure

Primary outcomes

  1. Change in HbA1c

    Difference in the mean change from baseline in HbA1c between treatment groups.

    Time frame: 90 days

  2. Adverse Events

    Occurrence, relatedness and severity of adverse device effects and adverse events between treatment groups

    Time frame: 90 days

Secondary outcomes

  1. Difference in HbA1c

    Difference in mean change from baseline in HbA1c between treatment groups.

    Time frame: 180 days

  2. Adverse Events

    Occurrence, relatedness and severity of adverse device effects and adverse events between treatment groups

    Time frame: 180 days

07

Study locations

3 sites
  • University of Colorado Hospital
    Aurora, Colorado 80045, United States
  • Ascension DePaul Community Health
    New Orleans, Louisiana 70118, United States
  • VA Medical Center-Durham
    Durham, North Carolina 27705, United States
08

References and documents

Individual participant data

Plan to share: No — no plan to share IPD

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 30, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05266625
Lead sponsor
Better Therapeutics
Collaborators
CPC Clinical Research, University of Colorado, Denver, Ascension Health, Department of Veterans Affairs Hospital Durham, NC, University of Colorado Health Clinics
Responsible party
Sponsor
First posted
Mar 4, 2022
Start date
Feb 14, 2022
Primary completion
Nov 2025 (estimated)
Completion
Nov 2025 (estimated)
Last update
Oct 30, 2023

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Oct 2023. You cannot join it, but the record below documents what was studied.

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