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Evaluation of Satisfaction Regarding Home Healthcare Provider (HHP) Management of Type 1 Diabetic Patients Using a Closed-loop Automatic Insulin Delivery System (SATURN)

Primary Purpose

Diabetes type1

Status
Completed
Phase
Not Applicable
Locations
France
Study Type
Interventional
Intervention
any closed-loop automatic insulin delivery system (or artificial pancreas) CE-marking
Sponsored by
Air Liquide Santé International
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Diabetes type1 focused on measuring Artificial pancreas, Patient management, Technical telemonitoring, Home Healthcare Provider

Eligibility Criteria

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

Inclusion Criteria:

  • Type 1 diabetic patient diagnosed for at least 2 years
  • Patient treated with an external insulin pump for at least 6 months
  • Patient with an HbA1c level less than or equal to 10% in the past 4 months
  • Patient with U100 short-acting insulin (Novorapid or Humalog) requirements between the lower and upper bounds set by the pump of the closed-loop automatic insulin delivery system (or artificial pancreas)
  • Patient who is not isolated, who does not live alone or who has a "resource" person living nearby with her/his own telephone and a key to the patient's home
  • Patient living in an area covered by a GSM (Global System for Mobile Communications) network and not planning to travel outside France or outside an area covered by a GSM network within 30 days of the closed-loop automatic insulin delivery system (or artificial pancreas) being installed
  • Patient at least 18 years old and whose age complies with the eligibility criteria for each medical device of the closed-loop automatic insulin delivery system (or artificial pancreas)
  • Patient registered with a Social Security scheme
  • Patient who has agreed to comply with the requirements of the study and has signed the free and informed consent form
  • Patient who the investigator deems capable of using a closed-loop automatic insulin delivery system (or artificial pancreas) under normal conditions of use.

Exclusion Criteria:

  • Patient with any serious pathology that could affect his/her participation in the study
  • Patient undergoing treatment that could affect the physiology of diabetes, i.e., that leads to interactions with glucose and/or insulin, in the investigator's judgement
  • Patient benefiting from a legal protection measure
  • Pregnant or breastfeeding woman
  • Absence of contraception deemed effective by the investigator for a woman of child-bearing age
  • Psychological and/or physical state which could affect the proper follow-up of the study procedures
  • Severe hypoglycaemia which has led to convulsions or a loss of consciousness in the last 12 months
  • Decrease in the perceived sensation of hypoglycaemia, in the investigator's judgement
  • Altered renal function (creatinine clearance < 30 ml/min measured in the last 6 months)
  • Patient who has had a pancreas or pancreatic islet transplant
  • Patient with serious uncorrected hearing and/or visual problems
  • Patient included in another clinical study or who has taken part in another clinical study in the last 30 days

Sites / Locations

  • CHU de Nantes - Hôpital Nord Laennec
  • CHU de Toulouse - Hôpital Rangueil

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Closed-loop automatic insulin delivery system

Arm Description

Adults type 1 diabetic patients equiped with a closed-loop automatic insulin delivery system (or artificial pancreas)

Outcomes

Primary Outcome Measures

Description of Patient satisfaction at Day 30, by the CSQ-8 questionnaire
CSQ-8 is a validated questionnaire that measures patients' overall satisfaction with their management in general.
Maintenance of Patient satisfaction at Day 90, by the CSQ-8 questionnaire
CSQ-8 is a validated questionnaire that measures patients' overall satisfaction with their management in general.
Description of Patient satisfaction and experience at Day 30 by the "You and your management by your home healthcare provider" questionnaire
The questionnaire "You and your management by your home healthcare provider" is a questionnaire internally developed for the study aiming at evaluating patient satisfaction and experience with their management by the HHP
Description of Patient satisfaction and experience at Day 90 by the "You and your management by your home healthcare provider" questionnaire
The questionnaire "You and your management by your home healthcare provider" is a questionnaire internally developed for the study aiming at evaluating patient satisfaction and experience with their management by the HHP

Secondary Outcome Measures

Description of HHP management: number of HHP interactions
Number of HHP interactions with the patient by phase (pre-installation, installation, and follow-up)
Description of HHP management: characterization of the HHP interactions
Characterization of the HHP interactions by the type (visits / phone calls), the time spent in categories, the reason for these interactions and the location of visits (home / hospital).
Comparison of the HHP observed management with the theoretical management described in the medical device's information record.
Percentage of patients who required increased follow-up/support, identical follow-up/support and reduced follow-up/support in relation to what was recommended in the supplier's information record
Assessment of HHP satisfaction
The satisfaction of HHP nurses is assessed using a questionnaire internally developed by the sponsor
Assessment of patients' experience with medical devices by the "You and medical devices" questionnaire
The questionnaire "You and medical devices" is a questionnaire internally developed for the study and is used to determine the patient's profile with regard to their experience with medical devices.
Assessment of patients' feelings about their current and future state of health by the "You and your health" questionnaire
The questionnaire " You and your health " is a questionnaire internally developed for the study and is used to assess the patient's feelings about their current and future state of health.
Assessment of patients' quality of life by the EQ 5D-5L questionnaire
The EQ-5D-5L is a validated questionnaire that will be used to measure the patient's quality of life in the context of using a "closed-loop" automated insulin delivery system (or "artificial pancreas")
Assessment of patients' quality of life and daily constraints by the HFS-II questionnaire
The HFS-II is a validated questionnaire that will be used to measure quality of life and daily constraints with respect to hypoglycaemia-related behaviours and concerns in adults with type 1 diabetes
Assessment of daily constraints encountered by patients based on the past month, with the question "You and your daily constraints"
The questionnaire " You and your daily constraints " is a questionnaire internally developed for the study and is used to assess the daily constraints encountered by the patient in the past month based on a pre-established multiple-choice list.
Assessment of expected and perceived benefits with respect to the "closed-loop" automated insulin delivery system (or "artificial pancreas") by the questionnaire "You and the "closed-loop" automated insulin delivery system (or "artificial pancreas")
The questionnaire "You and the "closed-loop" automated insulin delivery system (or "artificial pancreas") is a questionnaire internally developed for the study and is used to assess the expected and perceived benefits of the "closed-loop" automated insulin delivery system (or "artificial pancreas").
Assessment of patients' beliefs related to medical treatment by the specific section of the BMQ (Beliefs about Medicines Questionnaire) questionnaire
The BMQ is a validated questionnaire. The specific section of this questionnaire will be used. It describes the patient's perception of the Medical Device in a wider sense.
Assessment of investigator satisfaction
The satisfaction of investigator regarding HHP management is assessed using a questionnaire internally developed.
Evolution of patients' clinical profile
HbA1c (%)
Evolution of patients' clinical profile : Glycemic variability
Variability assessed by the coefficient of variation
Evolution of patients' clinical profile : Percentage of time spent over a 4-week period in glycemic target range, in hypoglycaemia and in hyperglycaemia
Glycemic target range: 70-180 mg/dl, hypoglycaemia: < 70 mg/dl and hyperglycaemia :> 180 mg/dl

Full Information

First Posted
November 4, 2020
Last Updated
July 13, 2022
Sponsor
Air Liquide Santé International
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1. Study Identification

Unique Protocol Identification Number
NCT04635280
Brief Title
Evaluation of Satisfaction Regarding Home Healthcare Provider (HHP) Management of Type 1 Diabetic Patients Using a Closed-loop Automatic Insulin Delivery System
Acronym
SATURN
Official Title
Evaluation of Satisfaction Regarding Home Healthcare Provider (HHP) Management of Type 1 Diabetic Patients Equipped With the "Closed-loop" Automated Insulin Delivery System (or "Artificial Pancreas"), Under Normal Conditions of Use
Study Type
Interventional

2. Study Status

Record Verification Date
July 2022
Overall Recruitment Status
Completed
Study Start Date
May 10, 2021 (Actual)
Primary Completion Date
January 12, 2022 (Actual)
Study Completion Date
January 12, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Air Liquide Santé International

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
SATURN study aims at evaluating Home Healthcare Provider (HHP) Management of type 1 diabetic patients using a closed-loop automatic insulin delivery system (or artificial pancreas), and specifically satisfaction and interactions of all people involved (patients, HHPs, hospital healthcare teams) after 1 and 3 months of follow-up, under normal conditions of use.
Detailed Description
National, multi-centre, longitudinal, non-comparative interventional study with minimal risks and constraints. Two French hospitals and their HHP representatives will participate in the study. A recruitment of a total of 35 patients is expected. Adult type 1 diabetic patients for whom the investigator prescribes the use of a closed-loop automatic insulin delivery system (or artificial pancreas) consisting in an insulin pump with a continuous glucose monitoring system combined with a dedicated terminal. Patients will be monitored for a period of 3 months, starting from the end of the device installation procedure. HHP Management comprises three distinct phases: pre-installation, installation and follow-up during which number, nature and duration of contacts (visits/telephone calls) may vary according to patient's needs, investigator's judgement and practice, and judgement of HHP staff. Pre-installation and installation phases consist of two patients' visits at hospital, and of two to five visits from HHP staff to patients' home (only one visit at hospital). Follow-up phase held after installation consists of four patients' contacts (phone contact and/or home visit) performed by HHP staff.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetes type1
Keywords
Artificial pancreas, Patient management, Technical telemonitoring, Home Healthcare Provider

7. Study Design

Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
35 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Closed-loop automatic insulin delivery system
Arm Type
Experimental
Arm Description
Adults type 1 diabetic patients equiped with a closed-loop automatic insulin delivery system (or artificial pancreas)
Intervention Type
Device
Intervention Name(s)
any closed-loop automatic insulin delivery system (or artificial pancreas) CE-marking
Intervention Description
A closed-loop automatic insulin delivery system includes a combination of an insulin pump, a continuous glucose monitoring system and a dedicated terminal.
Primary Outcome Measure Information:
Title
Description of Patient satisfaction at Day 30, by the CSQ-8 questionnaire
Description
CSQ-8 is a validated questionnaire that measures patients' overall satisfaction with their management in general.
Time Frame
Day 30
Title
Maintenance of Patient satisfaction at Day 90, by the CSQ-8 questionnaire
Description
CSQ-8 is a validated questionnaire that measures patients' overall satisfaction with their management in general.
Time Frame
Day 90
Title
Description of Patient satisfaction and experience at Day 30 by the "You and your management by your home healthcare provider" questionnaire
Description
The questionnaire "You and your management by your home healthcare provider" is a questionnaire internally developed for the study aiming at evaluating patient satisfaction and experience with their management by the HHP
Time Frame
Day 30
Title
Description of Patient satisfaction and experience at Day 90 by the "You and your management by your home healthcare provider" questionnaire
Description
The questionnaire "You and your management by your home healthcare provider" is a questionnaire internally developed for the study aiming at evaluating patient satisfaction and experience with their management by the HHP
Time Frame
Day 90
Secondary Outcome Measure Information:
Title
Description of HHP management: number of HHP interactions
Description
Number of HHP interactions with the patient by phase (pre-installation, installation, and follow-up)
Time Frame
Throughout the study, up to an average of 4 months
Title
Description of HHP management: characterization of the HHP interactions
Description
Characterization of the HHP interactions by the type (visits / phone calls), the time spent in categories, the reason for these interactions and the location of visits (home / hospital).
Time Frame
Throughout the study, up to an average of 4 months
Title
Comparison of the HHP observed management with the theoretical management described in the medical device's information record.
Description
Percentage of patients who required increased follow-up/support, identical follow-up/support and reduced follow-up/support in relation to what was recommended in the supplier's information record
Time Frame
Throughout the study, up to an average of 4 months
Title
Assessment of HHP satisfaction
Description
The satisfaction of HHP nurses is assessed using a questionnaire internally developed by the sponsor
Time Frame
through study completion, an average of 10 months
Title
Assessment of patients' experience with medical devices by the "You and medical devices" questionnaire
Description
The questionnaire "You and medical devices" is a questionnaire internally developed for the study and is used to determine the patient's profile with regard to their experience with medical devices.
Time Frame
At inclusion
Title
Assessment of patients' feelings about their current and future state of health by the "You and your health" questionnaire
Description
The questionnaire " You and your health " is a questionnaire internally developed for the study and is used to assess the patient's feelings about their current and future state of health.
Time Frame
At inclusion and Day 90
Title
Assessment of patients' quality of life by the EQ 5D-5L questionnaire
Description
The EQ-5D-5L is a validated questionnaire that will be used to measure the patient's quality of life in the context of using a "closed-loop" automated insulin delivery system (or "artificial pancreas")
Time Frame
At inclusion, Day 30 and Day 90
Title
Assessment of patients' quality of life and daily constraints by the HFS-II questionnaire
Description
The HFS-II is a validated questionnaire that will be used to measure quality of life and daily constraints with respect to hypoglycaemia-related behaviours and concerns in adults with type 1 diabetes
Time Frame
At inclusion, Day 30 and Day 90.
Title
Assessment of daily constraints encountered by patients based on the past month, with the question "You and your daily constraints"
Description
The questionnaire " You and your daily constraints " is a questionnaire internally developed for the study and is used to assess the daily constraints encountered by the patient in the past month based on a pre-established multiple-choice list.
Time Frame
At inclusion, Day 30 and Day 90
Title
Assessment of expected and perceived benefits with respect to the "closed-loop" automated insulin delivery system (or "artificial pancreas") by the questionnaire "You and the "closed-loop" automated insulin delivery system (or "artificial pancreas")
Description
The questionnaire "You and the "closed-loop" automated insulin delivery system (or "artificial pancreas") is a questionnaire internally developed for the study and is used to assess the expected and perceived benefits of the "closed-loop" automated insulin delivery system (or "artificial pancreas").
Time Frame
At inclusion, Day 30 and Day 90
Title
Assessment of patients' beliefs related to medical treatment by the specific section of the BMQ (Beliefs about Medicines Questionnaire) questionnaire
Description
The BMQ is a validated questionnaire. The specific section of this questionnaire will be used. It describes the patient's perception of the Medical Device in a wider sense.
Time Frame
At inclusion, Day 30 and Day 90
Title
Assessment of investigator satisfaction
Description
The satisfaction of investigator regarding HHP management is assessed using a questionnaire internally developed.
Time Frame
through study completion, an average of 10 months
Title
Evolution of patients' clinical profile
Description
HbA1c (%)
Time Frame
Day 0 and Day 90
Title
Evolution of patients' clinical profile : Glycemic variability
Description
Variability assessed by the coefficient of variation
Time Frame
At inclusion and Day 90
Title
Evolution of patients' clinical profile : Percentage of time spent over a 4-week period in glycemic target range, in hypoglycaemia and in hyperglycaemia
Description
Glycemic target range: 70-180 mg/dl, hypoglycaemia: < 70 mg/dl and hyperglycaemia :> 180 mg/dl
Time Frame
At inclusion, Day 30 and Day 90

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Type 1 diabetic patient diagnosed for at least 2 years Patient treated with an external insulin pump for at least 6 months Patient with an HbA1c level less than or equal to 10% in the past 4 months Patient with U100 short-acting insulin (Novorapid or Humalog) requirements between the lower and upper bounds set by the pump of the closed-loop automatic insulin delivery system (or artificial pancreas) Patient who is not isolated, who does not live alone or who has a "resource" person living nearby with her/his own telephone and a key to the patient's home Patient living in an area covered by a GSM (Global System for Mobile Communications) network and not planning to travel outside France or outside an area covered by a GSM network within 30 days of the closed-loop automatic insulin delivery system (or artificial pancreas) being installed Patient at least 18 years old and whose age complies with the eligibility criteria for each medical device of the closed-loop automatic insulin delivery system (or artificial pancreas) Patient registered with a Social Security scheme Patient who has agreed to comply with the requirements of the study and has signed the free and informed consent form Patient who the investigator deems capable of using a closed-loop automatic insulin delivery system (or artificial pancreas) under normal conditions of use. Exclusion Criteria: Patient with any serious pathology that could affect his/her participation in the study Patient undergoing treatment that could affect the physiology of diabetes, i.e., that leads to interactions with glucose and/or insulin, in the investigator's judgement Patient benefiting from a legal protection measure Pregnant or breastfeeding woman Absence of contraception deemed effective by the investigator for a woman of child-bearing age Psychological and/or physical state which could affect the proper follow-up of the study procedures Severe hypoglycaemia which has led to convulsions or a loss of consciousness in the last 12 months Decrease in the perceived sensation of hypoglycaemia, in the investigator's judgement Altered renal function (creatinine clearance < 30 ml/min measured in the last 6 months) Patient who has had a pancreas or pancreatic islet transplant Patient with serious uncorrected hearing and/or visual problems Patient included in another clinical study or who has taken part in another clinical study in the last 30 days
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Hélène HANAIRE, MD, PhD
Organizational Affiliation
Hôpital de Rangueil - 31059 Toulouse - France
Official's Role
Principal Investigator
Facility Information:
Facility Name
CHU de Nantes - Hôpital Nord Laennec
City
Nantes
ZIP/Postal Code
44093
Country
France
Facility Name
CHU de Toulouse - Hôpital Rangueil
City
Toulouse
ZIP/Postal Code
31059
Country
France

12. IPD Sharing Statement

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Evaluation of Satisfaction Regarding Home Healthcare Provider (HHP) Management of Type 1 Diabetic Patients Using a Closed-loop Automatic Insulin Delivery System

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