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Assess the Efficacy of the Low Glucose Suspend (LGS) Feature in the MiniMed Paradigm® X54 System

Primary Purpose

Type 1 Diabetes Mellitus

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
The MiniMed Paradigm® X54 System
Sponsored by
Medtronic Diabetes
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Type 1 Diabetes Mellitus focused on measuring ASPIRE (Automation to Simulate Pancreatic Insulin Response), X54, Medtronic Diabetes, Diabetes Mellitus, Type 1

Eligibility Criteria

16 Years - 60 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Subject is between the ages of 16 - 60 years old
  • A clinical diagnosis of Type 1 Diabetes Mellitus, as determined by the Investigator, for a minimum of 12 months duration
  • Subject has been on a Medtronic insulin pump for at least 3 months, which includes but is not limited to those on sensor augmented insulin pump therapy
  • Subject has an A1C value between ≥ 7.0% and ≤ 10.0% at time of enrollment; as measured during the screening visit
  • Subject must have a documented stress treadmill test within the last three years of enrollment if the subject had diabetes for >20 years
  • Subject willing to follow protocol and procedures for study.

Exclusion Criteria:

  • Systolic blood pressure on screening visit is >140 Millimeters of Mercury
  • Diastolic blood pressure on screening visit is >90 Millimeters of Mercury
  • Subject has a history of hypoglycemic seizure or hypoglycemic coma within the last two years
  • Subject unable to tolerate tape adhesive in the area of sensor placement;
  • Subject has any active adverse skin condition in the area of sensor placement (i.e. psoriasis, rash, staphylococcus infection) that is not resolved at the time of enrollment
  • Subject is pregnant or plans to become pregnant during the course of the study
  • Subject has a history of myocardial infarction, unstable angina, coronary artery bypass surgery, coronary artery stenting, transient ischemic attack, cerebrovascular accident, angina, congestive heart failure, ventricular rhythm disturbances or thromboembolic disease
  • Subject has active Graves disease
  • Subject with renal impairment or creatinine above the normal reference range (of the laboratory that the clinical site is utilizing), as demonstrated by the screening laboratory value
  • Subject is outside of the normal reference range (of the laboratory that the clinical site is utilizing) for hematocrit, as demonstrated by screening laboratory value
  • Subject is outside of the normal reference range (of the laboratory that the clinical site is utilizing) for potassium, as demonstrated by screening laboratory value
  • Subject is outside of the normal reference range (of the laboratory that the clinical site is utilizing) for Thyroid-Stimulating Hormone (TSH), as demonstrated by screening laboratory value
  • Subject is outside of the normal reference range (of the laboratory that the clinical site is utilizing) for free Thyroxine (T4), as demonstrated by screening laboratory value
  • Subject has history of smoking for >5 years
  • Electrocardiogram findings observed during the screening visit, which are deemed by the investigator to represent active ischemia or a condition that would compromise subject safety
  • The stress treadmill (if subject met inclusion criteria #7) results are deemed by the investigator to represent active ischemia or a condition that would compromise subject safety
  • Subject is currently participating in an investigational study (drug or device)
  • Subject is currently on beta blocker medication
  • Subject has taken oral or injectable steroids within the last 30 days
  • Subject is deemed by the Investigator to be unwilling or unable to follow the protocol
  • Subject has a history of diagnosed medical eating disorder
  • Subject has a history of known illicit drug abuse
  • Subject has a history of known abuse with prescription medication
  • Subject has a history of visual impairment which would not allow subject to participate in the study and perform all study procedures safely per investigator discretion
  • Subject has a history of current alcohol abuse
  • Any other condition including abnormalities found on the screening tests which in the opinion of the Investigator, may preclude him/her from participating in the study

Sites / Locations

  • AMCR Institute
  • Stanford University
  • Barbara Davis Center of Childhood Diabetes
  • Barbara Davis Center for Childhood Diabetes
  • Rainier Clinical Research Institute

Arms of the Study

Arm 1

Arm 2

Arm Type

Other

Other

Arm Label

Group A

Group B

Arm Description

Group A will wear the MiniMed Paradigm® X54 System with the Low Glucose Suspend (LGS) feature activated

Group B will wear the MiniMed Paradigm® X54 System with the Low Glucose Suspend (LGS) feature deactivated

Outcomes

Primary Outcome Measures

The Primary Treatment Comparison is the Evaluation of the Duration (Minutes) of Induced Hypoglycemia.
Duration (minutes) of induced hypoglycemia (YSI < 70 mg/dL)
The Primary Treatment Comparison is the Evaluation of the Severity (Milligrams Per Deciliter) of Induced Hypoglycemia.
Severity (Milligrams per Deciliter) of induced hypoglycemia (YSI < 70 Milligrams per Deciliter) is defined as 70 Milligrams per Deciliter minus absolute lowest blood sugar level

Secondary Outcome Measures

Full Information

First Posted
June 17, 2010
Last Updated
March 2, 2017
Sponsor
Medtronic Diabetes
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1. Study Identification

Unique Protocol Identification Number
NCT01148862
Brief Title
Assess the Efficacy of the Low Glucose Suspend (LGS) Feature in the MiniMed Paradigm® X54 System
Official Title
An In-clinic, Randomized, Cross-Over Study to Assess the Efficacy of the Low Glucose Suspend (LGS) Feature in the MiniMed Paradigm® X54 System With Hypoglycemic Induction From Exercise
Study Type
Interventional

2. Study Status

Record Verification Date
March 2017
Overall Recruitment Status
Completed
Study Start Date
June 2010 (undefined)
Primary Completion Date
November 2011 (Actual)
Study Completion Date
November 2011 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to assess the efficacy of the Low Glucose Suspend (LGS) feature in reducing hypoglycemia with the MiniMed Paradigm® X54 System with hypoglycemic induction from exercise. The study will consist of a total of 50 subjects, age 16 through 60 years with Type 1 Diabetes Mellitus.
Detailed Description
50 subjects with previously diagnosed Type 1 Diabetes Mellitus will be studied. The subject population includes the following subsets: 4 pediatric subjects aged 16 -17 years, 4 young adult subjects age 18-21 years, and 42 adult subjects age 22-60 years at time of enrollment. Results for all subjects will be analyzed.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type 1 Diabetes Mellitus
Keywords
ASPIRE (Automation to Simulate Pancreatic Insulin Response), X54, Medtronic Diabetes, Diabetes Mellitus, Type 1

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
50 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group A
Arm Type
Other
Arm Description
Group A will wear the MiniMed Paradigm® X54 System with the Low Glucose Suspend (LGS) feature activated
Arm Title
Group B
Arm Type
Other
Arm Description
Group B will wear the MiniMed Paradigm® X54 System with the Low Glucose Suspend (LGS) feature deactivated
Intervention Type
Device
Intervention Name(s)
The MiniMed Paradigm® X54 System
Other Intervention Name(s)
MiniMed Paradigm® X54 Pump (X54 Pump)
Intervention Description
The MiniMed Paradigm® X54 System: A insulin pump equipped with a number of features to actively manage the user's glucose levels. One example is the "Low Glucose Suspend (LGS)" feature. The LGS feature is only available when the pump is used with the subcutaneous glucose sensor for continuous glucose monitoring. To use this feature, the user will be required to select a sensor low suspend limit, or threshold, at which the LGS feature will be triggered. When this feature is selected, if the sensor glucose reading reaches the level that is equal to or less than the programmed threshold, the user receives an alert and the pump suspends.
Primary Outcome Measure Information:
Title
The Primary Treatment Comparison is the Evaluation of the Duration (Minutes) of Induced Hypoglycemia.
Description
Duration (minutes) of induced hypoglycemia (YSI < 70 mg/dL)
Time Frame
approximately 8 hours per induction experiment
Title
The Primary Treatment Comparison is the Evaluation of the Severity (Milligrams Per Deciliter) of Induced Hypoglycemia.
Description
Severity (Milligrams per Deciliter) of induced hypoglycemia (YSI < 70 Milligrams per Deciliter) is defined as 70 Milligrams per Deciliter minus absolute lowest blood sugar level
Time Frame
approximately 8 hours per induction experiment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
16 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject is between the ages of 16 - 60 years old A clinical diagnosis of Type 1 Diabetes Mellitus, as determined by the Investigator, for a minimum of 12 months duration Subject has been on a Medtronic insulin pump for at least 3 months, which includes but is not limited to those on sensor augmented insulin pump therapy Subject has an A1C value between ≥ 7.0% and ≤ 10.0% at time of enrollment; as measured during the screening visit Subject must have a documented stress treadmill test within the last three years of enrollment if the subject had diabetes for >20 years Subject willing to follow protocol and procedures for study. Exclusion Criteria: Systolic blood pressure on screening visit is >140 Millimeters of Mercury Diastolic blood pressure on screening visit is >90 Millimeters of Mercury Subject has a history of hypoglycemic seizure or hypoglycemic coma within the last two years Subject unable to tolerate tape adhesive in the area of sensor placement; Subject has any active adverse skin condition in the area of sensor placement (i.e. psoriasis, rash, staphylococcus infection) that is not resolved at the time of enrollment Subject is pregnant or plans to become pregnant during the course of the study Subject has a history of myocardial infarction, unstable angina, coronary artery bypass surgery, coronary artery stenting, transient ischemic attack, cerebrovascular accident, angina, congestive heart failure, ventricular rhythm disturbances or thromboembolic disease Subject has active Graves disease Subject with renal impairment or creatinine above the normal reference range (of the laboratory that the clinical site is utilizing), as demonstrated by the screening laboratory value Subject is outside of the normal reference range (of the laboratory that the clinical site is utilizing) for hematocrit, as demonstrated by screening laboratory value Subject is outside of the normal reference range (of the laboratory that the clinical site is utilizing) for potassium, as demonstrated by screening laboratory value Subject is outside of the normal reference range (of the laboratory that the clinical site is utilizing) for Thyroid-Stimulating Hormone (TSH), as demonstrated by screening laboratory value Subject is outside of the normal reference range (of the laboratory that the clinical site is utilizing) for free Thyroxine (T4), as demonstrated by screening laboratory value Subject has history of smoking for >5 years Electrocardiogram findings observed during the screening visit, which are deemed by the investigator to represent active ischemia or a condition that would compromise subject safety The stress treadmill (if subject met inclusion criteria #7) results are deemed by the investigator to represent active ischemia or a condition that would compromise subject safety Subject is currently participating in an investigational study (drug or device) Subject is currently on beta blocker medication Subject has taken oral or injectable steroids within the last 30 days Subject is deemed by the Investigator to be unwilling or unable to follow the protocol Subject has a history of diagnosed medical eating disorder Subject has a history of known illicit drug abuse Subject has a history of known abuse with prescription medication Subject has a history of visual impairment which would not allow subject to participate in the study and perform all study procedures safely per investigator discretion Subject has a history of current alcohol abuse Any other condition including abnormalities found on the screening tests which in the opinion of the Investigator, may preclude him/her from participating in the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bruce Buckingham, MD
Organizational Affiliation
Stanford University
Official's Role
Principal Investigator
Facility Information:
Facility Name
AMCR Institute
City
Escondido
State/Province
California
ZIP/Postal Code
92026
Country
United States
Facility Name
Stanford University
City
Stanford
State/Province
California
ZIP/Postal Code
94305
Country
United States
Facility Name
Barbara Davis Center of Childhood Diabetes
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80045
Country
United States
Facility Name
Barbara Davis Center for Childhood Diabetes
City
Denver
State/Province
Colorado
ZIP/Postal Code
80045
Country
United States
Facility Name
Rainier Clinical Research Institute
City
Renton
State/Province
Washington
ZIP/Postal Code
98057
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
22316089
Citation
Garg S, Brazg RL, Bailey TS, Buckingham BA, Slover RH, Klonoff DC, Shin J, Welsh JB, Kaufman FR. Reduction in duration of hypoglycemia by automatic suspension of insulin delivery: the in-clinic ASPIRE study. Diabetes Technol Ther. 2012 Mar;14(3):205-9. doi: 10.1089/dia.2011.0292. Epub 2012 Feb 8.
Results Reference
derived

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Assess the Efficacy of the Low Glucose Suspend (LGS) Feature in the MiniMed Paradigm® X54 System

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