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Not yet recruitingNCT07718867Updated Jul 28, 2026

Point-of-care Capillary HbA1c Testing for Type 2 Diabetes Screening Among At-risk Individuals in Rural Dali, China

An interventional study of POC-cHbA1c and Fingerstick RBG in Type 2 Diabetes and Pre-diabetes, sponsored by The University of Hong Kong. Not yet recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-28.

Sponsored by The University of Hong Kong · Not applicable, Interventional, and Screening

Phase
Not applicable
Study type
Interventional
Enrollment
720
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This project aims to compare Point-of-care capillary HbA1c (POC-cHbA1c) testing and fingerstick random blood glucose (RBG) testing in terms of type 2 diabetes detection rate and cost-effectiveness, in order to optimise current screening strategies for rural populations at high risk of diabetes in rural Dali, China, and to improve treatment adherence and self-management among people with diabetes.

Read the detailed description

This is a cluster randomised controlled trial conducted in rural Dali, Yunnan, China, to evaluate the effectiveness and cost-effectiveness of point-of-care capillary HbA1c testing (POC-cHbA1c) for screening type 2 diabetes among high-risk individuals. The study will involve six township health centres in rural Dali. The intervention group will receive immediate on-site POC-cHbA1c testing, while the control group will undergo fingerstick RBG testing, with both groups having confirmatory vHbA1c testing for validation. Primary outcome is the detection rates of T2DM, while secondary outcomes include the detection rate of pre-diabetes, sensitivity, specificity, and economic evaluations such as the incremental cost-effectiveness ratio (ICER). The findings are intended to inform optimized screening strategies in rural settings, potentially leading to earlier diagnosis, better treatment adherence, and improved health outcomes in rural populations at high risk of diabetes.

02

Conditions studied

  • Type 2 Diabetes
  • Pre-diabetes

Keywords

  • POCT
  • HbA1c
  • Diabetes screening
  • Effectiveness
  • Cost-effectiveness
  • Rural China
  • Cluster randomised controlled trial
03

In context

Diabetes Mellitus, Type 2

10,371 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,406 are open to participants now.

This study's planned enrollment of 720 is above the median of 80 across 8,350 interventional studies indexed under Diabetes Mellitus, Type 2.

Browse Diabetes Mellitus, Type 2 studies →

Lead sponsor

The University of Hong Kong is the lead sponsor of 1,292 studies on the registry; 348 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Aged 18 years or above;
  • Permanent residents of Dali City who have lived locally for at least six consecutive months;
  • Registered as rural residents;
  • No known history of diabetes;
  • Meet at least one of the high-risk criteria for T2DM specified in the Chinese Guidelines for the Prevention and Treatment of Diabetes issued by the Chinese Diabetes Society;
  • Able to understand the study information and provide written .

Exclusion criteria

Exclusion Criteria:

  • Known history of T2DM or currently receiving glucose-lowering treatment;
  • testing with a clear result within the past three months, or completion of standardised diabetes screening within the past six months;
  • Pregnant or breastfeeding at the time of recruitment;
  • Active thyroid disease or other active endocrine disorders at recruitment, such as Cushing's syndrome or acromegaly;
  • Known haemoglobinopathy, severe anaemia, recent acute blood loss, or history of blood transfusion or blood donation within the past three months;
  • Currently receiving treatment that may substantially affect interpretation of HbA1c, such as erythropoietin therapy or recent high-dose iron therapy.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

05

Study design

Phase
Not applicable
Primary purpose
Screening
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
720 participants (estimated)

Study arms

  • Experimental
    Intervention group

    POC-cHbA1c + vHbA1c

    Diagnostic Test: POC-cHbA1c

  • Active comparator
    Control group

    Fingerstick RBG + vHbA1c

    Diagnostic Test: Fingerstick RBG

Interventions

  • Diagnostic testPOC-cHbA1c

    Research staff will use quality-certified POC HbA1c devices to perform finger-prick capillary HbA1c testing for participants. Testing will be completed on site and results will be provided immediately.

  • Diagnostic testFingerstick RBG

    Research staff will use standardised glucometers and test strips to measure fingerstick random blood glucose. Test results will be provided on site.

06

What researchers measure

Primary outcomes

  1. Detection rate of T2DM

    Time frame: 1 week

Secondary outcomes

  1. Detection rate of pre-diabetes

    Time frame: 1 week

  2. Sensitivity and specificity

    Time frame: 1 week

  3. Number needed to screen

    Time frame: 1 week

  4. Incremental cost-effectiveness ratio

    Time frame: 3 months and 6 months

Other outcomes

  1. Proportion of treatment adherence

    Treatment adherence will be measured by the Medication Adherence Report Scale - 5 items, MARS-5

    Time frame: 3 months and 6 months

  2. Score of diabetes self-management

    The level of diabetes self-managment will be calculated as a score using the Summary of Diabetes Self-Care Activities - 6 items (SDSCA-6).

    Time frame: 3 months and 6 months

  3. Venous HbA1c levels

    Time frame: 3 months and 6 months

  4. Treatment-related adverse event

    Hypoglycaemia, anxiety and depression, etc.

    Time frame: 3 months and 6 months

  5. Level of satisfaction with the screening method

    The level of satisfaction with the screening method will be evaluated using a 5-point Likert item (very disappointed, disappointed, neutral, satisfied, very satisfied).

    Time frame: 3 months and 6 months

07

Study locations

1 site
  • The First People's Hospital of Dali
    Dali, Yunnan 671000, China
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Jul 2026; primary completion for Jul 2027, 12 months later.

Of 2,066 non-industry interventional studies with no phase under Diabetes Mellitus, Type 2, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 40. This study's planned 12 months is below that.

Counting every sponsor, half of 2,243 studies reached it within 21 months; a quarter within 10 and three quarters within 39.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 13, 2026
First posted
Jul 22, 2026
StartEst.
Jul 28, 2026
Primary completionEst.
Jul 31, 2027
CompletionEst.
Dec 30, 2027
Last update
Jul 28, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 28, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07718867
Responsible party
William Chi Wai Wong (Clinical Professor, The University of Hong Kong) — Principal investigator
First posted
Jul 22, 2026
Start date
Jul 28, 2026 (estimated)
Primary completion
Jul 31, 2027 (estimated)
Completion
Dec 30, 2027 (estimated)
Last update
Jul 28, 2026

Study contacts

Levon Yongle Zhan, PhD
Contact
levon@hku.hk
852-25185656
William Chi Wai Wong, MD
principal investigator · The University of Hong Kong

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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