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Omnipod 5 System Compared to Pump Therapy

Primary Purpose

Type 1 Diabetes

Status
Active
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
Omnipod 5 System
Sponsored by
Insulet Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 1 Diabetes focused on measuring T1D, Omnipod, Automated Insulin Delivery

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Age at time of consent 18-70 years of age
  2. Diagnosed with type 1 diabetes for at least 1 year. Diagnosis is based on investigator's clinical judgment.
  3. On pump therapy for ≥ 3 months prior to screening and familiar with pump therapy concepts such as basal and bolus insulin delivery, and carbohydrate counting. Participants using automated insulin delivery (AID) devices, including devices with predictive low glucose suspend (PLGS), in the 3 months prior to screening, will be excluded from participating.
  4. A1C 7.0-11.0% by point-of-care taken at screening visit
  5. Willing to use and obtain U-100 insulin: (either insulin aspart (Novolog, NovoRapid), or insulin lispro (Humalog, Admelog)), as the primary insulin treatment
  6. Must have a smartphone that supports the Dexcom app download and participants must be willing to use the app throughout the study
  7. Investigator has confidence that the participant can safely operate all study devices and can adhere to the protocol
  8. Willing to wear the system continuously throughout the study
  9. Willing and able to sign the Informed Consent Form (ICF)

Exclusion Criteria:

  1. Any medical condition, such as untreated malignancy, unstable cardiac disease, unstable or end-stage renal failure, eating disorders, or other conditions which in the opinion of the investigator, would put the participant at an unacceptable safety risk
  2. History of severe hypoglycemia in the past 6 months
  3. History of diabetic ketoacidosis (DKA) in the past 6 months, unrelated to an intercurrent illness or infusion set failure
  4. Blood disorder or dyscrasia within 3 months prior to screening, including use of hydroxyurea, which in the investigator's opinion could interfere with determination of HbA1C.
  5. Currently on systemic steroids or intends to receive systemic steroid treatment during study participation, including stable treatment for adrenal insufficiency. Inhaled, ophthalmic, topical, joint injection, and other locally applied steroids are allowed.
  6. Unable to tolerate adhesive tape or has any unresolved skin condition in the area of sensor or pump placement
  7. Use of non-insulin anti-hyperglycemic medication other than metformin, in the 12 weeks prior to the Baseline Visit. Participants taking metformin should remain on a steady dose during study participation.
  8. Pregnant or lactating, or is a woman of childbearing potential and not on acceptable form of birth control (acceptable forms of contraception include abstinence, barrier methods such as condoms, hormonal contraceptives, intrauterine device, surgical sterilization such as tubal ligation or hysterectomy, or vasectomized partner)
  9. Participation in another clinical study using an investigational drug or device within 30-days or 5 half-lives (whichever is longer) prior to screening, or intends to participate in any other study during this study period
  10. Unable to follow clinical protocol for the duration of the study or is otherwise deemed unacceptable to participate in the study per the investigator's clinical judgment
  11. Participant is an employee of Insulet, an Investigator or Investigator's study team, or immediate family member of any of the aforementioned

Sites / Locations

  • Stanford University School of Medicine
  • Sansum Diabetes Research Institute
  • University of Colorado Denver
  • Atlanta Diabetes
  • Northwestern University
  • Joslin Diabetes Center
  • State University of New York, Upstate Medical University
  • Diabetes & Glandular Disease Clinic, P.A. (DGD Clinic)
  • University of Virginia
  • University of Washington
  • Hopital Sud-Francilien
  • Hospices Civils de Lyon - Centre du diabete Diab-eCare
  • CHRU de Montpellier, Hopital Lapeyronie - Departement d'endocrinologie, Diabete, Nutrition
  • Hopital Lariboisiere - Centre Universitaire du Diabete et de ses Complications

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

No Intervention

Arm Label

Intervention Arm

Control Arm

Arm Description

Omnipod 5 System with Dexcom G6 continuous glucose monitoring system

Participant's current insulin pump with Dexcom G6 continuous glucose monitoring system

Outcomes

Primary Outcome Measures

Percent of time in range 70-180 mg/dL
Glucose metric from study continuous glucose monitoring system

Secondary Outcome Measures

Percent of time <54 mg/dL (non-inferiority)
Glucose metric from study continuous glucose monitoring system
Percent of time >180 mg/dL
Glucose metric from study continuous glucose monitoring system
Mean Glucose
Glucose metric from study continuous glucose monitoring system
Change in A1C
Measures device effectiveness
Percent of time <70 mg/dL
Glucose metric from study continuous glucose monitoring system
Change in Diabetes Distress Scale for Adults with Type 1 Diabetes (T1-DDS) total score
A questionnaire that measures seven critical dimensions of distress (28-item scale with 6 choices that range from 1 (Not a Problem) to 6 (A Very Serious Problem)). The total score can range from 1 to 6, with a lower score indicating a better outcome.
Change in Hypoglycemic Confidence Scale (HCS) total score
A questionnaire that examines the degree to which people with diabetes feel able, secure, and comfortable regarding their ability to stay safe from hypoglycemic-related problems (9-item scale with 4 choices that range from 1 (Not Confident At All) to 4 (Very Confident)). The total score can range from 1 to 4, with a higher score indicating a better outcome.
Change in Diabetes Quality of Life (DQL)-brief total score
A questionnaire that assesses the relative burden of an intensive diabetes treatment regimen (15-item scale with 5 choices that range from 1 (Very Dissatisfied/All the Time) to 5 (Very Satisfied/Never)). The total score can range from 1 to 5, with a higher score indicating a better outcome.

Full Information

First Posted
June 3, 2022
Last Updated
September 27, 2023
Sponsor
Insulet Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT05409131
Brief Title
Omnipod 5 System Compared to Pump Therapy
Official Title
Efficacy and Safety of the Omnipod 5 System Compared to Pump Therapy in the Treatment of Type 1 Diabetes: a Randomized, Parallel-group Clinical Trial
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
July 7, 2022 (Actual)
Primary Completion Date
September 2023 (Anticipated)
Study Completion Date
November 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Insulet Corporation

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
Subject will undergo a 14-day outpatient, standard therapy phase during which sensor and insulin data will be collected. This will be followed by a 90-day outpatient phase where subjects will either use the Omnipod 5 system or continue to use their personal insulin pump with the study provided continuous glucose monitoring system.
Detailed Description
This is an outpatient study that consists of two phases, Phase 1 and Phase 2. There will be approximately 8 study visits conducted in person or via telehealth. Phase 1 is a 14-day period to collect baseline sensor and insulin data where subjects will manage their diabetes at home per their usual routine using the study continuous glucose monitoring system. Phase 2 is a 90-day period where subjects will be randomized into one of two groups. One group will use the Omnipod 5 system and the other group will continue to use their personal insulin pump with the study continuous glucose monitoring system.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type 1 Diabetes
Keywords
T1D, Omnipod, Automated Insulin Delivery

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
200 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Intervention Arm
Arm Type
Active Comparator
Arm Description
Omnipod 5 System with Dexcom G6 continuous glucose monitoring system
Arm Title
Control Arm
Arm Type
No Intervention
Arm Description
Participant's current insulin pump with Dexcom G6 continuous glucose monitoring system
Intervention Type
Device
Intervention Name(s)
Omnipod 5 System
Intervention Description
Omnipod 5 System automates insulin delivery based on information received from the continuous glucose monitoring system every 5 minutes.
Primary Outcome Measure Information:
Title
Percent of time in range 70-180 mg/dL
Description
Glucose metric from study continuous glucose monitoring system
Time Frame
Comparing intervention group with control group during the 13-week study phase
Secondary Outcome Measure Information:
Title
Percent of time <54 mg/dL (non-inferiority)
Description
Glucose metric from study continuous glucose monitoring system
Time Frame
Comparing intervention group with control group at the end of the 13-week study phase
Title
Percent of time >180 mg/dL
Description
Glucose metric from study continuous glucose monitoring system
Time Frame
Comparing intervention group with control group at the end of the 13-week study phase
Title
Mean Glucose
Description
Glucose metric from study continuous glucose monitoring system
Time Frame
Comparing intervention group with control group at the end of the 13-week study phase
Title
Change in A1C
Description
Measures device effectiveness
Time Frame
Baseline compared to end of study visit (Day -30 to Day 90)
Title
Percent of time <70 mg/dL
Description
Glucose metric from study continuous glucose monitoring system
Time Frame
Comparing intervention group with control group at the end of the 13-week study phase
Title
Change in Diabetes Distress Scale for Adults with Type 1 Diabetes (T1-DDS) total score
Description
A questionnaire that measures seven critical dimensions of distress (28-item scale with 6 choices that range from 1 (Not a Problem) to 6 (A Very Serious Problem)). The total score can range from 1 to 6, with a lower score indicating a better outcome.
Time Frame
Baseline compared to end of study visit (Day -14 to Day 90)
Title
Change in Hypoglycemic Confidence Scale (HCS) total score
Description
A questionnaire that examines the degree to which people with diabetes feel able, secure, and comfortable regarding their ability to stay safe from hypoglycemic-related problems (9-item scale with 4 choices that range from 1 (Not Confident At All) to 4 (Very Confident)). The total score can range from 1 to 4, with a higher score indicating a better outcome.
Time Frame
Baseline compared to end of study visit (Day -14 to Day 90)
Title
Change in Diabetes Quality of Life (DQL)-brief total score
Description
A questionnaire that assesses the relative burden of an intensive diabetes treatment regimen (15-item scale with 5 choices that range from 1 (Very Dissatisfied/All the Time) to 5 (Very Satisfied/Never)). The total score can range from 1 to 5, with a higher score indicating a better outcome.
Time Frame
Baseline compared to end of study visit (Day -14 to Day 90)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age at time of consent 18-70 years of age Diagnosed with type 1 diabetes for at least 1 year. Diagnosis is based on investigator's clinical judgment. On pump therapy for ≥ 3 months prior to screening and familiar with pump therapy concepts such as basal and bolus insulin delivery, and carbohydrate counting. Participants using automated insulin delivery (AID) devices, including devices with predictive low glucose suspend (PLGS), in the 3 months prior to screening, will be excluded from participating. A1C 7.0-11.0% by point-of-care taken at screening visit Willing to use and obtain U-100 insulin: (either insulin aspart (Novolog, NovoRapid), or insulin lispro (Humalog, Admelog)), as the primary insulin treatment Must have a smartphone that supports the Dexcom app download and participants must be willing to use the app throughout the study Investigator has confidence that the participant can safely operate all study devices and can adhere to the protocol Willing to wear the system continuously throughout the study Willing and able to sign the Informed Consent Form (ICF) Exclusion Criteria: Any medical condition, such as untreated malignancy, unstable cardiac disease, unstable or end-stage renal failure, eating disorders, or other conditions which in the opinion of the investigator, would put the participant at an unacceptable safety risk History of severe hypoglycemia in the past 6 months History of diabetic ketoacidosis (DKA) in the past 6 months, unrelated to an intercurrent illness or infusion set failure Blood disorder or dyscrasia within 3 months prior to screening, including use of hydroxyurea, which in the investigator's opinion could interfere with determination of HbA1C. Currently on systemic steroids or intends to receive systemic steroid treatment during study participation, including stable treatment for adrenal insufficiency. Inhaled, ophthalmic, topical, joint injection, and other locally applied steroids are allowed. Unable to tolerate adhesive tape or has any unresolved skin condition in the area of sensor or pump placement Use of non-insulin anti-hyperglycemic medication other than metformin, in the 12 weeks prior to the Baseline Visit. Participants taking metformin should remain on a steady dose during study participation. Pregnant or lactating, or is a woman of childbearing potential and not on acceptable form of birth control (acceptable forms of contraception include abstinence, barrier methods such as condoms, hormonal contraceptives, intrauterine device, surgical sterilization such as tubal ligation or hysterectomy, or vasectomized partner) Participation in another clinical study using an investigational drug or device within 30-days or 5 half-lives (whichever is longer) prior to screening, or intends to participate in any other study during this study period Unable to follow clinical protocol for the duration of the study or is otherwise deemed unacceptable to participate in the study per the investigator's clinical judgment Participant is an employee of Insulet, an Investigator or Investigator's study team, or immediate family member of any of the aforementioned
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ruth Weinstock, MD
Organizational Affiliation
State University of New York - Upstate Medical University
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Eric Renard, Pr
Organizational Affiliation
Lapeyronie Montpellier University Hospital
Official's Role
Study Chair
Facility Information:
Facility Name
Stanford University School of Medicine
City
Palo Alto
State/Province
California
ZIP/Postal Code
94304
Country
United States
Facility Name
Sansum Diabetes Research Institute
City
Santa Barbara
State/Province
California
ZIP/Postal Code
93105
Country
United States
Facility Name
University of Colorado Denver
City
Denver
State/Province
Colorado
ZIP/Postal Code
80045
Country
United States
Facility Name
Atlanta Diabetes
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30318
Country
United States
Facility Name
Northwestern University
City
Evanston
State/Province
Illinois
ZIP/Postal Code
60208
Country
United States
Facility Name
Joslin Diabetes Center
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02215
Country
United States
Facility Name
State University of New York, Upstate Medical University
City
Syracuse
State/Province
New York
ZIP/Postal Code
13244
Country
United States
Facility Name
Diabetes & Glandular Disease Clinic, P.A. (DGD Clinic)
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
University of Virginia
City
Charlottesville
State/Province
Virginia
ZIP/Postal Code
22903
Country
United States
Facility Name
University of Washington
City
Seattle
State/Province
Washington
ZIP/Postal Code
98109
Country
United States
Facility Name
Hopital Sud-Francilien
City
Corbeil-Essonnes
Country
France
Facility Name
Hospices Civils de Lyon - Centre du diabete Diab-eCare
City
Lyon
Country
France
Facility Name
CHRU de Montpellier, Hopital Lapeyronie - Departement d'endocrinologie, Diabete, Nutrition
City
Montpellier
Country
France
Facility Name
Hopital Lariboisiere - Centre Universitaire du Diabete et de ses Complications
City
Paris
Country
France

12. IPD Sharing Statement

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Omnipod 5 System Compared to Pump Therapy

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