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Evaluation of Medtronic DUO Extended Set

Primary Purpose

Diabetes Mellitus, Type 1

Status
Unknown status
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Experimental prospective single arm evaluating the Medtronic Duo Extended Set
Sponsored by
Atlanta Diabetes Associates
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Diabetes Mellitus, Type 1 focused on measuring Diabetes Type 1

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Has type 1 diabetes for more than one year.
  2. Subject is on the MiniMed 670G insulin pump therapy within1 year prior to screening.
  3. Subject is currently using Auto Mode at least 75% of the time and willing to utilize Auto Mode and Duo device during the study.
  4. Subject is willing and able to perform study procedures as per investigator discretion.
  5. Subject is willing to take one of the following two insulins: Humalog or Novolog

Exclusion Criteria:

  1. Subject is actively participating in an investigational study (drug or device) wherein he/she has received treatment from an investigational study drug or investigational study device in the last 2 weeks.
  2. Subject is female and has a positive pregnancy screening test.
  3. Subject is female of childbearing age and who is sexually active should be excluded if she is not using a form of contraception deemed reliable by investigator.
  4. Subject is female and plans to become pregnant during the study.
  5. Subject has Glycosylated hemoglobin (HbA1c) > 8.5 % at time of screening.
  6. Subject has had a history of 1 or more episodes of severe hypoglycemia.
  7. Subject has taken any oral, injectable, or IV glucocorticoids within 8 weeks from time of screening visit, or plans to take any oral, injectable, or IV glucocorticoids during the course of the study.
  8. Subject is unable to tolerate tape adhesive in the area of Duo™ Extended set or sensor.
  9. Subject has any unresolved adverse skin condition, including infection, in the area of Duo™ Extended set or sensor placement (e.g., psoriasis, dermatitis herpetiformis, rash, Staphylococcus infection).
  10. Subject has had Diabetic Ketoacidosis (DKA) in the 12 months prior to screening visit.
  11. Subject is currently abusing illicit drugs.
  12. Subject is currently abusing alcohol.
  13. Subject has history of adrenal disorder.
  14. Subject has a history of inpatient psychiatric treatment in the past 6 months prior to screening.
  15. Subject has any condition that the Investigator believes would interfere with study participation.
  16. Subject has a history of visual impairment which would not allow subject to participate in the study and perform all study procedures safely, as determined by the investigator.
  17. Subject has a sickle cell disease, hemoglobinopathy; or has received red blood cell transfusion or erythropoietin within 3 months prior to time of screening.
  18. Subject plans to receive red blood cell transfusion or erythropoietin over the course of study participation.
  19. Subject is using pramlintide (Symlin), SGLT2 inhibitors, GLP agonists, biguanides, DPP-4 inhibitors or sulfonylureas more than 2 weeks from time of screening.
  20. Subject has been diagnosed with chronic kidney disease, having an estimated glomerular filtration rate (eGFR)< 60mL/min/1.73 m2, requiring dialysis, or resulting in chronic anemia.
  21. Subject has history of cardiovascular disease defined as any ischemic related event or clinically significant arrythmia.
  22. Subject has hypothyroidism and has out of reference range thyroid-stimulating hormone (TSH) on screening visit.
  23. Subject plans to have medical imagining (e.g., MRI, diathermy services, CT scans, etc.) over the course of the study.

Sites / Locations

  • Atlanta Diabetes AssociatesRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Medtronic Duo Extended Set

Arm Description

These subjects will be using 4 Duo Extended sets that will serve as an exploratory pilot study to assess the 7-day survival of the Duo Extended set.

Outcomes

Primary Outcome Measures

Number of subjects with Duo Extended set failures due to unexplained hyperglycemia (i.e. suspected occlusion) at the end of Day 7.
Unexplained hyperglycemia

Secondary Outcome Measures

Number of subjects with a rate of infusion set survival of 7 days or greater, excluding those that kinked on insertion or accidentally pulled out.
Infusion set survival

Full Information

First Posted
March 18, 2021
Last Updated
March 29, 2021
Sponsor
Atlanta Diabetes Associates
Collaborators
Medtronic
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1. Study Identification

Unique Protocol Identification Number
NCT04823312
Brief Title
Evaluation of Medtronic DUO Extended Set
Official Title
Early Feasibility Study: Evaluation of Medtronic Duo Extended Set With 670G Pump Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
March 2021
Overall Recruitment Status
Unknown status
Study Start Date
March 18, 2021 (Actual)
Primary Completion Date
October 1, 2021 (Anticipated)
Study Completion Date
November 1, 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Atlanta Diabetes Associates
Collaborators
Medtronic

4. Oversight

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

5. Study Description

Brief Summary
This study is a single-center, non-randomized, prospective single arm study of adult subjects with type 1 diabetes utilizing 670G insulin pump therapy with Continuous Glucose Monitoring (CGM). These subjects will be using 4 DUO Extended sets that will serve as an exploratory pilot study to assess the 7-day survival of the Duo Extended set.
Detailed Description
Up to 20 adult subjects will be enrolled at the research center. Atlanta Diabetes Associates (ADA), with at least 15 subjects meeting the eligibility criteria. Eligibility criteria will be assessed at the screening visit and confirmed prior to Visit 2. At Visit 2, subjects will be provided supplies, including the DUO device, and will be trained on insertion. Each subject will wear their own MiniMed 670G insulin system including Guardian sensor (new sensor with transmitter will be provided for the study) and a DUO Extended set. The infusion set in the DUO Extended will be used for insulin infusion and the sensor in the DUO Extended will be blinded with a specific recorder connected to each sensor. Guardian Sensor (3) and the SMBG measurements will be used for making therapy decisions as approved for the 670G system. Subjects will upload their pump, Contour meter and GS3 sensor data each week, which will be reviewed by an investigator. Subjects will wear the DUO device for a total of four weeks. At Visit 6, subjects will come to the site to have devices uploaded, to return the investigational devices, to have a skin assessment and for labs to be drawn.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
20 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Medtronic Duo Extended Set
Arm Type
Experimental
Arm Description
These subjects will be using 4 Duo Extended sets that will serve as an exploratory pilot study to assess the 7-day survival of the Duo Extended set.
Intervention Type
Device
Intervention Name(s)
Experimental prospective single arm evaluating the Medtronic Duo Extended Set
Other Intervention Name(s)
Medtronic DUO Extended Set with 670G Pump Therapy
Intervention Description
Subjects will be using 4 Duo extended sets that will serve as an exploratory pilot study to assess the 7-day survival of the Duo Extended set.
Primary Outcome Measure Information:
Title
Number of subjects with Duo Extended set failures due to unexplained hyperglycemia (i.e. suspected occlusion) at the end of Day 7.
Description
Unexplained hyperglycemia
Time Frame
7 days
Secondary Outcome Measure Information:
Title
Number of subjects with a rate of infusion set survival of 7 days or greater, excluding those that kinked on insertion or accidentally pulled out.
Description
Infusion set survival
Time Frame
7 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Has type 1 diabetes for more than one year. Subject is on the MiniMed 670G insulin pump therapy within1 year prior to screening. Subject is currently using Auto Mode at least 75% of the time and willing to utilize Auto Mode and Duo device during the study. Subject is willing and able to perform study procedures as per investigator discretion. Subject is willing to take one of the following two insulins: Humalog or Novolog Exclusion Criteria: Subject is actively participating in an investigational study (drug or device) wherein he/she has received treatment from an investigational study drug or investigational study device in the last 2 weeks. Subject is female and has a positive pregnancy screening test. Subject is female of childbearing age and who is sexually active should be excluded if she is not using a form of contraception deemed reliable by investigator. Subject is female and plans to become pregnant during the study. Subject has Glycosylated hemoglobin (HbA1c) > 8.5 % at time of screening. Subject has had a history of 1 or more episodes of severe hypoglycemia. Subject has taken any oral, injectable, or IV glucocorticoids within 8 weeks from time of screening visit, or plans to take any oral, injectable, or IV glucocorticoids during the course of the study. Subject is unable to tolerate tape adhesive in the area of Duo™ Extended set or sensor. Subject has any unresolved adverse skin condition, including infection, in the area of Duo™ Extended set or sensor placement (e.g., psoriasis, dermatitis herpetiformis, rash, Staphylococcus infection). Subject has had Diabetic Ketoacidosis (DKA) in the 12 months prior to screening visit. Subject is currently abusing illicit drugs. Subject is currently abusing alcohol. Subject has history of adrenal disorder. Subject has a history of inpatient psychiatric treatment in the past 6 months prior to screening. Subject has any condition that the Investigator believes would interfere with study participation. Subject has a history of visual impairment which would not allow subject to participate in the study and perform all study procedures safely, as determined by the investigator. Subject has a sickle cell disease, hemoglobinopathy; or has received red blood cell transfusion or erythropoietin within 3 months prior to time of screening. Subject plans to receive red blood cell transfusion or erythropoietin over the course of study participation. Subject is using pramlintide (Symlin), SGLT2 inhibitors, GLP agonists, biguanides, DPP-4 inhibitors or sulfonylureas more than 2 weeks from time of screening. Subject has been diagnosed with chronic kidney disease, having an estimated glomerular filtration rate (eGFR)< 60mL/min/1.73 m2, requiring dialysis, or resulting in chronic anemia. Subject has history of cardiovascular disease defined as any ischemic related event or clinically significant arrythmia. Subject has hypothyroidism and has out of reference range thyroid-stimulating hormone (TSH) on screening visit. Subject plans to have medical imagining (e.g., MRI, diathermy services, CT scans, etc.) over the course of the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Melody L Cantrell, PharmD
Phone
404-355-4393
Ext
850
Email
mcantrell@atlantadiabetes.com
First Name & Middle Initial & Last Name or Official Title & Degree
Betsy Childs, RN
Phone
404-355-4393
Email
bchilds@atlantadiabetes.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bruce W Bode, MD
Organizational Affiliation
Atlanta Diabetes Associates
Official's Role
Principal Investigator
Facility Information:
Facility Name
Atlanta Diabetes Associates
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30318
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Melody L Cantrell, PharmD
Phone
404-355-4393
Ext
850
Email
mcantrell@atlantadiabetes.com
First Name & Middle Initial & Last Name & Degree
Betsy Childs, RN
Phone
404-355-4393
Email
bchilds@atlantadiabetes.com
First Name & Middle Initial & Last Name & Degree
Bruce W Bode, MD

12. IPD Sharing Statement

Plan to Share IPD
No

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Evaluation of Medtronic DUO Extended Set

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