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Evaluation of the Safety Use of the InsuPatch Device in Daily Life Conditions (Daily Life)

Primary Purpose

Diabetes Mellitus, Type 1

Status
Completed
Phase
Phase 4
Locations
International
Study Type
Interventional
Intervention
InsuPatch
Sponsored by
Insuline Medical Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Diabetes Mellitus, Type 1 focused on measuring MiniMed Paradigm insulin pump, insulin Lispro, Insulin Aspart, Quick-set infusion set

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Subject's age range 18- 65 years old (including 18 and 65 years old)
  2. BMI: 18-35 kg/m2
  3. Type 1 diabetes patients using a MiniMed Paradigm insulin pump for at least six months, who are administering insulin Lispro or Insulin Aspart and are using the Quick-set infusion set.
  4. Patients with T1DM whose HbA1c values are at or below 9.5% (including 9.5%) and at or above 6% (including 6%).
  5. Agree to sign consent form before any study-specific tests or procedures are to be performed.
  6. Subject's completed at least 14 measurements during the Run-In Phase and readiness to continue the study with at least 5 blood glucose recordings per day and keep a logbook during the study period.
  7. Subject readiness to use the InsuPatch, his comprehension of the study requirements and treatment procedures.
  8. Willingness to comply with all specified follow-up evaluations.

Exclusion Criteria:

  1. Pregnancy
  2. Breast feeding women.
  3. Alcohol addiction
  4. CABG (Coronary Artery Bypass Graft), MI (Myocardial Infarction) or active Ischemic Heart Disease prior to study date.
  5. CVA (cardiovascular accident) or TIA (transient ischemic accident) events prior to study date.
  6. Uncontrolled hypertension (blood pressure in mm HG >160 systolic or > 95 diastolic) .
  7. Any history of gastroparesis or enteroparesis.
  8. Abnormal kidney and/ or liver function tests. (Defined as Creatinine >1.5 mg/dL, liver tests> 2 times the upper limit of normal).
  9. A severe hypoglycemic event requiring a glucagon injection or intravenous glucose infusion within the last six months prior to study inclusion.
  10. Hypoglycemia unawareness.
  11. Diabetic ketoacidosis (severe, with hospitalization) within the last six months prior to study inclusion.
  12. Psychological incompetence.
  13. Signs of drug abuse.
  14. Any other clinical condition or history, which seems to be relevant for the Principle Investigator to disqualify a participant.
  15. Subjects with diminished skin integrity, Excessive fibrosis, lipo-hypertrophy or eczema at infusion sites.
  16. Heat sensitive subjects.
  17. Subjects involved in or planning to participate in other studies.
  18. Subjects using any drug therapy, other than insulin, to control their blood glucose levels.

Sites / Locations

  • Mills-Peninsula Health Services
  • Soroka Medical Center
  • Hillel Yaffe
  • Rambam Medical Center
  • Wolfson Medical Center
  • Haddasah Medical Organization
  • Schneider Children's hospital
  • Sheba Medical Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

Test

Control

Arm Description

InsuPatch use for 3 months.

Outcomes

Primary Outcome Measures

frequency of mild hypoglycemia events (Blood Glucose<60mg/dl) with InsuPatch and without.
The confirmatory safety endpoint is, for each subject, frequency of mild hypoglycemia events (Blood Glucose<60mg/dl) with InsuPatch and without. The number of events will be assessed from subject logbook and will be compared between two arms.

Secondary Outcome Measures

Frequency of hyperglycemic events (BG>300 mg/dl, Fasting BG>250 mg/dl) with InsuPatch and without.
Frequency of hyperglycemic events (BG>300 mg/dl, Fasting BG>250 mg/dl) with InsuPatch and without.The number of events will be assesed from subject logbook and will be compared between two arms.
Adverse events (AE's) count with InsuPatch and without.
Adverse events (AE's) whether or not deemed related to study device with InsuPatch and without.The number of events will be assesed dering the subject visits and bi-weekly calls and will be compared between two arms.

Full Information

First Posted
January 19, 2011
Last Updated
September 3, 2014
Sponsor
Insuline Medical Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT01283425
Brief Title
Evaluation of the Safety Use of the InsuPatch Device in Daily Life Conditions
Acronym
Daily Life
Official Title
An Open-label, Randomized, Two-period Crossover Study to Evaluate the Safety Use of the InsuPatch Device in Daily Life Conditions.
Study Type
Interventional

2. Study Status

Record Verification Date
April 2012
Overall Recruitment Status
Completed
Study Start Date
February 2011 (undefined)
Primary Completion Date
April 2012 (Actual)
Study Completion Date
April 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Insuline Medical Ltd.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The study is an open-label, randomized, two-period crossover study. Up to one hundred and twenty (120) subjects with type 1 diabetes mellitus (T1DM) who use the MiniMed paradigm insulin pump, who meet the inclusion/exclusion criteria and who provide written Informed Consent will be enrolled in the study. The aim of the study is to examine the safety of the InsuPatch device in a home use setting. Mild Hypoglycemia,hyperglycemia and Adverse events will be compared between two phases of the study : 3 months with the use of the device and 3 months without the use of the device.
Detailed Description
The primary objective of this study is to show that safety parameters are similar, when delivering insulin subcutaneously in subjects with type I diabetes using the InsuPatch device along with the Medtronic Minimed Paradigm insulin infusion pump and the Medtronic Minimed Quick-Set® infusion set compared to subcutaneous insulin delivered with the above mentioned equipment, without the InsuPatch device. The participation of each subject in this study will be up to seven months and will include three phases: one week Run in phase , 3 months with device use and 3 months without device use. Study will include 4 clinic visits and bi weekly calls. During the entire study the subjects will be requested to preform at least 5 blood glucose self measurements and record results in a logbook.At each visit blood will be drawn for HBA1C test.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetes Mellitus, Type 1
Keywords
MiniMed Paradigm insulin pump, insulin Lispro, Insulin Aspart, Quick-set infusion set

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
147 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Test
Arm Type
Experimental
Arm Description
InsuPatch use for 3 months.
Arm Title
Control
Arm Type
No Intervention
Intervention Type
Device
Intervention Name(s)
InsuPatch
Intervention Description
Heaters for single use and a permanent control unit.
Primary Outcome Measure Information:
Title
frequency of mild hypoglycemia events (Blood Glucose<60mg/dl) with InsuPatch and without.
Description
The confirmatory safety endpoint is, for each subject, frequency of mild hypoglycemia events (Blood Glucose<60mg/dl) with InsuPatch and without. The number of events will be assessed from subject logbook and will be compared between two arms.
Time Frame
safety will be assesed after 6 months at the study completion
Secondary Outcome Measure Information:
Title
Frequency of hyperglycemic events (BG>300 mg/dl, Fasting BG>250 mg/dl) with InsuPatch and without.
Description
Frequency of hyperglycemic events (BG>300 mg/dl, Fasting BG>250 mg/dl) with InsuPatch and without.The number of events will be assesed from subject logbook and will be compared between two arms.
Time Frame
safety will be assesed after 6 months at the study completion
Title
Adverse events (AE's) count with InsuPatch and without.
Description
Adverse events (AE's) whether or not deemed related to study device with InsuPatch and without.The number of events will be assesed dering the subject visits and bi-weekly calls and will be compared between two arms.
Time Frame
safety will be assesed after 6 months at the study completion

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject's age range 18- 65 years old (including 18 and 65 years old) BMI: 18-35 kg/m2 Type 1 diabetes patients using a MiniMed Paradigm insulin pump for at least six months, who are administering insulin Lispro or Insulin Aspart and are using the Quick-set infusion set. Patients with T1DM whose HbA1c values are at or below 9.5% (including 9.5%) and at or above 6% (including 6%). Agree to sign consent form before any study-specific tests or procedures are to be performed. Subject's completed at least 14 measurements during the Run-In Phase and readiness to continue the study with at least 5 blood glucose recordings per day and keep a logbook during the study period. Subject readiness to use the InsuPatch, his comprehension of the study requirements and treatment procedures. Willingness to comply with all specified follow-up evaluations. Exclusion Criteria: Pregnancy Breast feeding women. Alcohol addiction CABG (Coronary Artery Bypass Graft), MI (Myocardial Infarction) or active Ischemic Heart Disease prior to study date. CVA (cardiovascular accident) or TIA (transient ischemic accident) events prior to study date. Uncontrolled hypertension (blood pressure in mm HG >160 systolic or > 95 diastolic) . Any history of gastroparesis or enteroparesis. Abnormal kidney and/ or liver function tests. (Defined as Creatinine >1.5 mg/dL, liver tests> 2 times the upper limit of normal). A severe hypoglycemic event requiring a glucagon injection or intravenous glucose infusion within the last six months prior to study inclusion. Hypoglycemia unawareness. Diabetic ketoacidosis (severe, with hospitalization) within the last six months prior to study inclusion. Psychological incompetence. Signs of drug abuse. Any other clinical condition or history, which seems to be relevant for the Principle Investigator to disqualify a participant. Subjects with diminished skin integrity, Excessive fibrosis, lipo-hypertrophy or eczema at infusion sites. Heat sensitive subjects. Subjects involved in or planning to participate in other studies. Subjects using any drug therapy, other than insulin, to control their blood glucose levels.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Wainstein Julio, MD
Organizational Affiliation
Wolfsom Medical Center, Holon, Israel
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Itamar Raz, MD
Organizational Affiliation
Hadassah Medical Organization
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Klonoff David, MD
Organizational Affiliation
Mills Peninsula Health Services
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Naim Shhada, MD
Organizational Affiliation
Rambam Health Care Campus
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Orit Hamiel, MD
Organizational Affiliation
Sheba Medical Center
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Moshe Philips, MD
Organizational Affiliation
Schnieder Children's Medical Center
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Anat Yaffe, Md
Organizational Affiliation
Hiullel Yaffe Medical Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Mills-Peninsula Health Services
City
San Mateo
State/Province
California
ZIP/Postal Code
94401
Country
United States
Facility Name
Soroka Medical Center
City
Beer Sheva
Country
Israel
Facility Name
Hillel Yaffe
City
Hadera
Country
Israel
Facility Name
Rambam Medical Center
City
Haifa
Country
Israel
Facility Name
Wolfson Medical Center
City
Holon
Country
Israel
Facility Name
Haddasah Medical Organization
City
Jerusalem
Country
Israel
Facility Name
Schneider Children's hospital
City
Petah Tikva
Country
Israel
Facility Name
Sheba Medical Center
City
Ramat Gan
Country
Israel

12. IPD Sharing Statement

Links:
URL
http://www.insuline-medical.com
Description
Related Info

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Evaluation of the Safety Use of the InsuPatch Device in Daily Life Conditions

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