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Feasibility Study to Evaluate the Hybrid-Logic Closed Loop System in Type 1 Diabetes (DREAMED)

Primary Purpose

Type 1 Diabetes

Status
Withdrawn
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Hybrid-logic closed loop 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

Eligibility Criteria

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

Inclusion Criteria:

  1. Diabetes duration > 1 year since diagnosis
  2. Sensor augmented Pump for at least 6 months
  3. Age 18-25
  4. A1C <10.0 at time of screening visit
  5. Willing to follow study instructions
  6. Willing to perform ≥ 5 finger stick blood glucose measurements daily
  7. Willing to perform required sensor calibrations
  8. Patient capable of reading and understand instructions in English

Exclusion Criteria:

  1. Subject is unable to tolerate tape adhesive in the area of sensor placement
  2. Subject has any unresolved adverse skin condition in the area of sensor or device placement (e.g., psoriasis, rash, Staphylococcus infection)
  3. Subject is actively participating in an investigational study (drug or device) wherein they have received treatment from an investigational study (drug or device) in the last 2 weeks
  4. Subject has a positive pregnancy screening test
  5. Subject is female, sexually active without the use of contraception, and plans/able to become pregnant during the course of the study and is not using an acceptable method of contraception
  6. Subject has had a hypoglycemic seizure within the past 6 months prior to screening visit
  7. Subject has had hypoglycemia resulting in loss of consciousness within the past 6 months prior to screening visit
  8. Subject has had an episode of diabetic ketoacidosis (DKA) within the past 6 months prior to screening visit
  9. Subject has a history of a seizure disorder
  10. Subject has central nervous system or cardiac disorder resulting in syncope
  11. Subject has a history of myocardial infarction, unstable angina, coronary artery bypass surgery, coronary artery stenting, transient ischemic attack (TIA), cerebrovascular accident (CVA), angina, congestive heart failure, ventricular rhythm disturbances or thromboembolic disease
  12. Subjects with hematocrit lower than the normal reference range per POC or local lab testing
  13. Subjects with a history or findings on screening electrocardiogram (EKG) of any cardiac arrhythmia, including atrial arrhythmias
  14. Subjects with a history of adrenal insufficiency
  15. Subjects with history of migraines that have occurred at least 2 times in the last 3 months prior to enrollment

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Other

    Arm Label

    Hybrid-logic closed loop system

    Arm Description

    All patients get to wear the pump. only 1 arm. There is no comparator in this study, as all patients wear the pump.

    Outcomes

    Primary Outcome Measures

    Descriptive endpoints
    Time in different range SG 70 mg/dL ≤ SG ≤ 180 mg/dL

    Secondary Outcome Measures

    Descriptive endpoints
    Serious Adverse Events (SAE)

    Full Information

    First Posted
    December 3, 2015
    Last Updated
    January 17, 2018
    Sponsor
    Medtronic Diabetes
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02692547
    Brief Title
    Feasibility Study to Evaluate the Hybrid-Logic Closed Loop System in Type 1 Diabetes
    Acronym
    DREAMED
    Official Title
    Feasibility Study to Evaluate the Hybrid-Logic Closed Loop System in Type 1 Diabetes
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    January 2018
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    Study Cancelled
    Study Start Date
    February 2016 (Actual)
    Primary Completion Date
    February 2016 (Actual)
    Study Completion Date
    February 2016 (Actual)

    3. Sponsor/Collaborators

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

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The purpose of this study is to collect data on the feasibility of the HLCL system in a camp setting.
    Detailed Description
    This study is a single-arm, single-center, in clinic Investigation in subjects with type 1 diabetes on insulin pump therapy. Run-in Period A total of up 10 subjects will be enrolled (age 18-25). A minimum of 6 days run-in period with the 640G (sensor augmented pump) will be used to collect sensors and insulin data and to allow the subject to become familiar. Study Period - Camp Following the run-in period subjects will participate in a 5 day, 4 night study period in an camp setting during which the CL feature will be studied. Subjects will receive 3 meals each day, one night they receive a high fat dinner, one morning they will receive breakfast high in carbohydrates. Subjects will be asked to exercise for up to 60 minutes on one day during their study period. Subjects will be asked to take a minimum of 5 fingersticks a day (before each meal, morning and before bedtime)

    6. Conditions and Keywords

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

    7. Study Design

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

    8. Arms, Groups, and Interventions

    Arm Title
    Hybrid-logic closed loop system
    Arm Type
    Other
    Arm Description
    All patients get to wear the pump. only 1 arm. There is no comparator in this study, as all patients wear the pump.
    Intervention Type
    Device
    Intervention Name(s)
    Hybrid-logic closed loop system
    Intervention Description
    All patients get to wear the pump
    Primary Outcome Measure Information:
    Title
    Descriptive endpoints
    Description
    Time in different range SG 70 mg/dL ≤ SG ≤ 180 mg/dL
    Time Frame
    after 4 days of camp
    Secondary Outcome Measure Information:
    Title
    Descriptive endpoints
    Description
    Serious Adverse Events (SAE)
    Time Frame
    after 4 days of camp

    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: Diabetes duration > 1 year since diagnosis Sensor augmented Pump for at least 6 months Age 18-25 A1C <10.0 at time of screening visit Willing to follow study instructions Willing to perform ≥ 5 finger stick blood glucose measurements daily Willing to perform required sensor calibrations Patient capable of reading and understand instructions in English Exclusion Criteria: Subject is unable to tolerate tape adhesive in the area of sensor placement Subject has any unresolved adverse skin condition in the area of sensor or device placement (e.g., psoriasis, rash, Staphylococcus infection) Subject is actively participating in an investigational study (drug or device) wherein they have received treatment from an investigational study (drug or device) in the last 2 weeks Subject has a positive pregnancy screening test Subject is female, sexually active without the use of contraception, and plans/able to become pregnant during the course of the study and is not using an acceptable method of contraception Subject has had a hypoglycemic seizure within the past 6 months prior to screening visit Subject has had hypoglycemia resulting in loss of consciousness within the past 6 months prior to screening visit Subject has had an episode of diabetic ketoacidosis (DKA) within the past 6 months prior to screening visit Subject has a history of a seizure disorder Subject has central nervous system or cardiac disorder resulting in syncope Subject has a history of myocardial infarction, unstable angina, coronary artery bypass surgery, coronary artery stenting, transient ischemic attack (TIA), cerebrovascular accident (CVA), angina, congestive heart failure, ventricular rhythm disturbances or thromboembolic disease Subjects with hematocrit lower than the normal reference range per POC or local lab testing Subjects with a history or findings on screening electrocardiogram (EKG) of any cardiac arrhythmia, including atrial arrhythmias Subjects with a history of adrenal insufficiency Subjects with history of migraines that have occurred at least 2 times in the last 3 months prior to enrollment
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Moshe Philip, MD
    Organizational Affiliation
    National Center for Childhood Diabetes, Schneider Children's Medical Center of Israel
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No

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    Feasibility Study to Evaluate the Hybrid-Logic Closed Loop System in Type 1 Diabetes

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