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NCT04585191 · ClinicalTrials.gov registry record · NA

Reducing Treatment Risk in Older Adults With Diabetes

A NA study, sponsored by Kaiser Permanente.

Completed
Registry status
NA
Development phase
450
Enrollment target

NCT04585191: Completed NA study, sponsored by Kaiser Permanente.

NCT04585191 is a NA study that has completed, run by Kaiser Permanente. The registered enrollment target is 450 participants, below the 1,404-participant average among 58,714 other NA trials with a reported enrollment target (68% lower). According to ClinicalTrials.gov, the official US trial registry.

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The verdict

NCT04585191, a NA study, has completed, sponsored by Kaiser Permanente.

COMPLETED
Registry status
NA
Development phase
450 participants
Enrollment target

Study Summary

This study will evaluate the impact of academic detailing (evidence-based provider education) with or without patient pre-visit preparation (elicitation of values and preferences) on safe insulin de-prescribing among older patients with type 2 diabetes at risk for hypoglycemia. The hypothesis is that patients who are well-prepared for their primary care visit will engage in more informed discussions with their providers regarding re-evaluation of current treatment regimens. In clinically appropriate cases, these more effective discussions will result in safe de-prescribing and fewer future episodes of hypoglycemia.

Primary Outcome

Aggregate binary measure of diabetes medication deprescribing between baseline and 6-month follow-up. Greater de-prescribing is better. De-prescribing defined as any combination of: 1. Discontinuation of either insulin or a sulfonylureas (SU) 2. Reduction in dose of insulin or SU, 3. Switch from a higher risk to lower risk version of insulin (e.g. from sliding scale insulin or basal-bolus insulin to twice daily basal insulin) and/or higher risk to lower risk oral medicine (e.g. switching from

Interventions

  • BEHAVIORAL Conversation Aid
  • OTHER Attention Control Educational Handout

Trial Details

FieldValue
Enrollment Target 450 participants
Start Date 2020-11-02
Est. Completion 2024-09-01
Phase NA
Kaiser Permanente

294 total trials

What the finished NCT04585191 record still lists

NCT04585191 is an interventional study that assigns participants to a tested intervention. The registered 450 participants enrollment target is mid-sized for trials with a published cap, below the 1,404-participant average among 58,714 other NA trials with a reported enrollment target (68% lower).

The record links to 0 conditions, and to 2 interventions - of which Conversation Aid is the first listed.

NCT04585191 does not publish any study locations in the registry export this page uses.

Frequently Asked Questions

What is clinical trial NCT04585191 about?

NCT04585191 is a clinical study titled "Reducing Treatment Risk in Older Adults With Diabetes". This study will evaluate the impact of academic detailing (evidence-based provider education) with or without patient pre-visit preparation (elicitation of values and preferences) on safe insulin de-prescribing among older patients with type 2 diabetes at risk for hypoglycemia. The hypothesis is tha...

What is the current status of trial NCT04585191?

This trial is currently completed. It is a NA study. The enrollment target is 450 participants. The study started on 2020-11-02. Estimated completion is 2024-09-01.

What interventions are being tested in trial NCT04585191?

The interventions under investigation include: Conversation Aid (BEHAVIORAL), Attention Control Educational Handout (OTHER).

Who is sponsoring clinical trial NCT04585191?

This trial is sponsored by Kaiser Permanente, which has 294 total clinical trials registered on ClinicalTrials.gov.

How this trial's enrollment target compares

Where NCT04585191's enrollment target sits among peer trials

450 225th of 2000 higher than 1,768 of 2,000 other NA trials

participants (enrollment target), bucketed by value

Each bar is a band; taller bars hold more other NA trials. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.

Source ClinicalTrials.gov registry export · 2026-08-08

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Source: ClinicalTrials.gov NCT04585191, the US trial registry maintained by the National Library of Medicine. NCT04585191 (mid enrollment · none site footprint · completed) retrieved and formatted by PlainTrial, see methodology.