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Closed-Loop With Faster Aspart in Young Adults With Type 1 Diabetes

Primary Purpose

Type 1 Diabetes Mellitus

Status
Completed
Phase
Not Applicable
Locations
Slovenia
Study Type
Interventional
Intervention
Fast-CL
Regular-CL
Sponsored by
University of Ljubljana, Faculty of Medicine
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 1 Diabetes Mellitus

Eligibility Criteria

18 Years - 25 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. The subject has documented T1D, as defined by the American Diabetes Association and World Health Organization (ADA/WHO) for at least 1 year prior to study enrolment
  2. Documented evidence should exist within the patient history of T1D
  3. The subject is between 18 and 25 years of age (inclusive) at the time of enrolment
  4. The subject has been treated with an insulin pump for at least 3 months
  5. The subject has an A1C value ≤ 9% based on analysis from the local laboratory at the time of enrolment

    ● A1C testing must follow National Glycohemoglobin Standardization Program (NGSP) standards.

  6. The subject is willing to follow all study instructions
  7. Subject is available for the entire study duration and follow-up visits
  8. Subject is willing to perform daily self-monitoring of blood glucose (SMBG) and required sensor calibrations
  9. If subject has celiac/Hashimoto disease, the disease has to be adequately treated as determined by the investigator
  10. Subject has a BMI above 5th centile and below 95th centile for age, respectively.

Exclusion Criteria:

  1. Concomitant diseases that influence metabolic control (e.g. anemia, significantly impaired hepatic function, renal failure, history of adrenal insufficiency) or other medical conditions, which in the investigator's opinion, may compromise patient safety; Note: Adequately treated thyroid disease and celiac disease do not exclude subjects from enrollment.
  2. Significant co-morbidity that, in the opinion of the investigators would preclude participation in the study (e.g. current treatment for cancer, mental disorder)
  3. Subject is taking or has taken oral or parenteral glucocorticoids within 1 month prior to screening, or plans to take oral or parenteral glucocorticoids during the study. Exceptions: Short term oral glucocorticoids up to 7 days, inhaled steroids.
  4. Subject is taking antidiabetic agents or other medications, which could be a contraindication to participation in the study by the judgment of the investigator.
  5. Subject is participating in another study of a medical device or drug that could affect glucose measurements or glucose management or Receipt of any investigational medical product within 1 month prior to screening (Visit 1).
  6. Female subject of child-bearing potential who is pregnant, breast-feeding, or planning to become pregnant during the study.
  7. Subject has a history of one or more episodes of Diabetic Ketoacidosis (DKA) requiring hospitalization within a month prior to the screening.
  8. Subject has current or recent history of alcohol or drug abuse.
  9. Subject has visual impairment or hearing loss, which in the investigator's opinion, may compromise patient ability to perform study procedures safely (child and parent should be evaluated as a unit).

    -

Sites / Locations

  • UMC-University Children's Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Fast-CL

Regular-CL

Arm Description

Glucose control using DreaMed Glucositter and Fiasp® (Fast-CL)

Glucose control using DreaMed Glucositter and regular insulin Aspart

Outcomes

Primary Outcome Measures

Time within range 3.9 - 10 mmol/l (70 - 180 mg/dl)
Primary endpoint is significant between-group difference (intervention Fast-CL versus control Regular-CL) in time within range 3.9 - 10 mmol/l (70 - 180 mg/dl) during the unannounced afternoon exercise and the afternoon/night after (till 18:00 next day) based on sensor glucose readings.

Secondary Outcome Measures

Full Information

First Posted
July 3, 2017
Last Updated
November 2, 2017
Sponsor
University of Ljubljana, Faculty of Medicine
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1. Study Identification

Unique Protocol Identification Number
NCT03212950
Brief Title
Closed-Loop With Faster Aspart in Young Adults With Type 1 Diabetes
Official Title
Day and Night Closed-Loop Glycemic Control With Faster-Acting Insulin Aspart in Young Adults With Type 1 Diabetes Using DreaMed Glucositter - The Fast PHYSI-DREAM Study
Study Type
Interventional

2. Study Status

Record Verification Date
November 2017
Overall Recruitment Status
Completed
Study Start Date
July 10, 2017 (Actual)
Primary Completion Date
November 1, 2017 (Actual)
Study Completion Date
November 1, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University of Ljubljana, Faculty of Medicine

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
A randomized, double-blinded (for insulin type), single centre, crossover design young adult study, on 20 subjects with type 1 diabetes (T1D), aged 18 to 25 (inclusive) years, measuring time in glucose values within 3.9 - 10 mmol/l (70-180 mg/dl) under supervision of DreaMed Glucositter using either faster-acting insulin Aspart (Fiasp®, European Medicines Agency number EMEA/H/C/004046) or normal acting insulin Aspart. Study duration will be about 3 weeks per subject, 5 month overall. The objectives of this clinical investigation is: 1. to evaluate the safety and efficacy of blood glucose control using the DreaMed Glucositter with Fiasp® in young adults with T1D during and after unannounced afternoon physical activity and unannounced meals, in a controlled in-hospital environment. Primary endpoint is significant between-group difference (intervention Fast-CL versus control Regular-CL) in time within range of glucose values within 3.9 - 10 mmol/l (70-180 mg/dl) during the unannounced afternoon exercise and unannounced standardized meals from 15:00 till 18:00 next day based on sensor glucose readings.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type 1 Diabetes Mellitus

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
20 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Fast-CL
Arm Type
Experimental
Arm Description
Glucose control using DreaMed Glucositter and Fiasp® (Fast-CL)
Arm Title
Regular-CL
Arm Type
Active Comparator
Arm Description
Glucose control using DreaMed Glucositter and regular insulin Aspart
Intervention Type
Drug
Intervention Name(s)
Fast-CL
Other Intervention Name(s)
Faster Acting Insulin Aspart and DreaMed Glucositter
Intervention Description
After the admission we will insert new insulin (blinded) into the insulin pump. At 13:00 they will have lunch (with manual bolus). At 15:00 we will start CL control, participants/investigators will not be allowed to deliver manual bolus till the end of the study period. All meals and afternoon exercise (in the time between 16:30 and 19:30) will be unannounced and managed with CL.
Intervention Type
Drug
Intervention Name(s)
Regular-CL
Other Intervention Name(s)
Insulin Aspart and DreaMed Glucositer
Intervention Description
After the admission we will insert new insulin (blinded) into the insulin pump. At 13:00 they will have lunch (with manual bolus). At 15:00 we will start CL control, participants/investigators will not be allowed to deliver manual bolus till the end of the study period. All meals and afternoon exercise (in the time between 16:30 and 19:30) will be unannounced and managed with CL.
Primary Outcome Measure Information:
Title
Time within range 3.9 - 10 mmol/l (70 - 180 mg/dl)
Description
Primary endpoint is significant between-group difference (intervention Fast-CL versus control Regular-CL) in time within range 3.9 - 10 mmol/l (70 - 180 mg/dl) during the unannounced afternoon exercise and the afternoon/night after (till 18:00 next day) based on sensor glucose readings.
Time Frame
28 hours

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
25 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The subject has documented T1D, as defined by the American Diabetes Association and World Health Organization (ADA/WHO) for at least 1 year prior to study enrolment Documented evidence should exist within the patient history of T1D The subject is between 18 and 25 years of age (inclusive) at the time of enrolment The subject has been treated with an insulin pump for at least 3 months The subject has an A1C value ≤ 9% based on analysis from the local laboratory at the time of enrolment ● A1C testing must follow National Glycohemoglobin Standardization Program (NGSP) standards. The subject is willing to follow all study instructions Subject is available for the entire study duration and follow-up visits Subject is willing to perform daily self-monitoring of blood glucose (SMBG) and required sensor calibrations If subject has celiac/Hashimoto disease, the disease has to be adequately treated as determined by the investigator Subject has a BMI above 5th centile and below 95th centile for age, respectively. Exclusion Criteria: Concomitant diseases that influence metabolic control (e.g. anemia, significantly impaired hepatic function, renal failure, history of adrenal insufficiency) or other medical conditions, which in the investigator's opinion, may compromise patient safety; Note: Adequately treated thyroid disease and celiac disease do not exclude subjects from enrollment. Significant co-morbidity that, in the opinion of the investigators would preclude participation in the study (e.g. current treatment for cancer, mental disorder) Subject is taking or has taken oral or parenteral glucocorticoids within 1 month prior to screening, or plans to take oral or parenteral glucocorticoids during the study. Exceptions: Short term oral glucocorticoids up to 7 days, inhaled steroids. Subject is taking antidiabetic agents or other medications, which could be a contraindication to participation in the study by the judgment of the investigator. Subject is participating in another study of a medical device or drug that could affect glucose measurements or glucose management or Receipt of any investigational medical product within 1 month prior to screening (Visit 1). Female subject of child-bearing potential who is pregnant, breast-feeding, or planning to become pregnant during the study. Subject has a history of one or more episodes of Diabetic Ketoacidosis (DKA) requiring hospitalization within a month prior to the screening. Subject has current or recent history of alcohol or drug abuse. Subject has visual impairment or hearing loss, which in the investigator's opinion, may compromise patient ability to perform study procedures safely (child and parent should be evaluated as a unit). -
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Tadej Battelino, Prof, MD
Organizational Affiliation
University of Ljubljana, Faculty of Medicine
Official's Role
Principal Investigator
Facility Information:
Facility Name
UMC-University Children's Hospital
City
Ljubljana
Country
Slovenia

12. IPD Sharing Statement

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Closed-Loop With Faster Aspart in Young Adults With Type 1 Diabetes

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