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Investigation of Hyposafe H02 Device in Patients With Type 1 Diabetes

Primary Purpose

Type 1 Diabetes

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Hyposafe hypoglycaemia notification device (H02)
Sponsored by
UNEEG Medical A/S
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Type 1 Diabetes

Eligibility Criteria

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

Inclusion Criteria:

  • Informed consent
  • Type 1 diabetes diagnosed at least five years prior to inclusion in the study
  • Age 18-70 years
  • Impaired awareness, i.e., defined as unaware by the Pedersen-Bjergaard scale and history of at least one severe hypoglycaemia within the preceding year
  • Use of continuous glucose monitoring at study start

Exclusion Criteria:

  • High risk of surgical complications
  • Involved in therapies with medical devices that deliver electrical energy into the area around the implant
  • Infection at the site of device implantation
  • Contraindications to the local anaesthetic used during implantation and explantation
  • Have cochlear implant(s)
  • Subject is scheduled to undergo MRI scan, ultrasound, radiation, or electrical current induced close to the implant, within 6 months after enrolment
  • Severe cardiac disease
  • History of stroke/ cerebral haemorrhage and any other structural cerebral disease
  • Active cancer or cancer diagnosis within the past 5 years

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Hyposafe H02 Device

    Arm Description

    Hyposafe H02 Device will be used in the study

    Outcomes

    Primary Outcome Measures

    To collect electrocardiogram (EEG) data to develop a hypoglycaemia notification algorithm.
    Recording of EEG characteristic hypoglycaemic related changes and EEG during normoglycemia measured as number of hours EEG data from each participant.
    To collect self-measured blood glucose (SMBG) data to develop a hypoglycaemia notification algorithm.
    Number SMBG measurements below 3 mmol/L glucose per participant
    To collect continuous glucose monitoring (CGM) data to develop a hypoglycaemia notification algorithm.
    Number of CGM values below 3 mmol/L glucose per participant

    Secondary Outcome Measures

    To evaluate the safety of H02 in participants with type 1 diabetes.
    Number of adverse events 29 weeks after implantation (from visit 3 to visit 14) Number of adverse device effects (ADEs) 29 weeks after implantation (from visit 3 to visit 14)
    To evaluate the performance of H02 in participants with type 1 diabetes.
    Number of device deficiencies (from visit 3 to visit 13)
    To evaluate the surgeon satisfaction of H02 in participants with type 1 diabetes.
    Surgeon satisfaction will be evaluated by questionnaires after the implantation at visit 3 and after explantation at visit 13 of the implantable part of Hyposafe H02 Device

    Full Information

    First Posted
    May 24, 2022
    Last Updated
    August 8, 2022
    Sponsor
    UNEEG Medical A/S
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05495386
    Brief Title
    Investigation of Hyposafe H02 Device in Patients With Type 1 Diabetes
    Official Title
    Investigation of Hypoglycaemia-induced EEG Changes in Participants With Type 1 Diabetes by Use of the Hyposafe H02 Device
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    August 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    September 1, 2022 (Anticipated)
    Primary Completion Date
    January 1, 2024 (Anticipated)
    Study Completion Date
    March 1, 2024 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    UNEEG Medical A/S

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    This clinical study is designed to collect data for further development of a hypoglycaemia notification algorithm. In addition, information regarding safety will be collected and analysed.
    Detailed Description
    H02 is an implantable continuous EEG recorder that consists of an implant and an external device. The H02 system is based on a subcutaneous EEG measurement and acquisition of the EEG signal from the implant. Participant will have the implantable part of H02 implanted under local anaesthesia. After a healing period, the participants will start using the external part of H02. They will wear the external part of H02 as much as possible both during daytime and night-time. The participant will use their own continuous glucose monitoring (CGM) during the study as normal practice. The participants will be exposed to insulin-induced hypoglycaemia once during the study.

    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
    Other
    Study Phase
    Not Applicable
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    25 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Hyposafe H02 Device
    Arm Type
    Experimental
    Arm Description
    Hyposafe H02 Device will be used in the study
    Intervention Type
    Device
    Intervention Name(s)
    Hyposafe hypoglycaemia notification device (H02)
    Other Intervention Name(s)
    H02
    Intervention Description
    The H02 device consists of two parts: An implantable part which records the EEG signal and transmits the signal wirelessly to the external device. The external device receiving signals and storing data from the implant.
    Primary Outcome Measure Information:
    Title
    To collect electrocardiogram (EEG) data to develop a hypoglycaemia notification algorithm.
    Description
    Recording of EEG characteristic hypoglycaemic related changes and EEG during normoglycemia measured as number of hours EEG data from each participant.
    Time Frame
    7-8 months
    Title
    To collect self-measured blood glucose (SMBG) data to develop a hypoglycaemia notification algorithm.
    Description
    Number SMBG measurements below 3 mmol/L glucose per participant
    Time Frame
    7-8 months
    Title
    To collect continuous glucose monitoring (CGM) data to develop a hypoglycaemia notification algorithm.
    Description
    Number of CGM values below 3 mmol/L glucose per participant
    Time Frame
    7-8 months
    Secondary Outcome Measure Information:
    Title
    To evaluate the safety of H02 in participants with type 1 diabetes.
    Description
    Number of adverse events 29 weeks after implantation (from visit 3 to visit 14) Number of adverse device effects (ADEs) 29 weeks after implantation (from visit 3 to visit 14)
    Time Frame
    7-8 months
    Title
    To evaluate the performance of H02 in participants with type 1 diabetes.
    Description
    Number of device deficiencies (from visit 3 to visit 13)
    Time Frame
    7-8 months
    Title
    To evaluate the surgeon satisfaction of H02 in participants with type 1 diabetes.
    Description
    Surgeon satisfaction will be evaluated by questionnaires after the implantation at visit 3 and after explantation at visit 13 of the implantable part of Hyposafe H02 Device
    Time Frame
    0 and 7-8 months

    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: Informed consent Type 1 diabetes diagnosed at least five years prior to inclusion in the study Age 18-70 years Impaired awareness, i.e., defined as unaware by the Pedersen-Bjergaard scale and history of at least one severe hypoglycaemia within the preceding year Use of continuous glucose monitoring at study start Exclusion Criteria: High risk of surgical complications Involved in therapies with medical devices that deliver electrical energy into the area around the implant Infection at the site of device implantation Contraindications to the local anaesthetic used during implantation and explantation Have cochlear implant(s) Subject is scheduled to undergo MRI scan, ultrasound, radiation, or electrical current induced close to the implant, within 6 months after enrolment Severe cardiac disease History of stroke/ cerebral haemorrhage and any other structural cerebral disease Active cancer or cancer diagnosis within the past 5 years

    12. IPD Sharing Statement

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    Investigation of Hyposafe H02 Device in Patients With Type 1 Diabetes

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