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MiniMed™ 670G System China Study for Type I Diabetic

Primary Purpose

Diabetes Mellitus, Type 1

Status
Completed
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
MiniMed™ 670G system
Sponsored by
Medtronic Diabetes
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Diabetes Mellitus, Type 1 focused on measuring Diabetes, Type 1

Eligibility Criteria

14 Years - 75 Years (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Subject is age 14- 75 years at time of Screening.
  2. Subject has a clinical diagnosis of type 1 diabetes for 2 years or more as determined via medical record or source documentation by an individual qualified to make a medical diagnosis.

    Study-specific inclusion criteria

  3. Subject is willing to perform ≥ 4 finger stick BG measurements daily.
  4. Subject is willing to perform required sensor calibrations.
  5. Subject is willing to wear the system continuously throughout the study.
  6. Subject must have a minimum daily insulin requirement (Total Daily Dose) of greater than or equal to 8 units.
  7. Subject has a Glycosylated hemoglobin (HbA1c) less than 10% (as processed by the investigational center lab or their contracted Local Lab) at time of Screening visit.
  8. Subject has thyroid-stimulating hormone (TSH) in the normal range OR if the TSH is out of normal reference range the Free T3 is below or within the lab's reference range and Free T4 is within the normal reference range. Prior labs in the last 6 months are sufficient.
  9. Subject has been on pump therapy for greater than 6 months prior to screening (with or without CGM experience).
  10. Subject is willing to upload data from the study pump and meter at home.
  11. If subject has celiac disease, it has been adequately treated as determined by the investigator.
  12. Subject has been taking and is willing to take one of the following insulins throughout the course of the study:

    • Humalog™* (insulin lispro injection)
    • NovoLog™* (insulin aspart)
  13. Subject must be able to carbohydrate count or willing to learn how to carbohydrate count for the study.

Exclusion Criteria:

  1. Subject has a history of 2 or more episodes of severe hypoglycemia, which resulted in any the following during the 6 months prior to Screening:

    1. Medical assistance (i.e. Paramedics, Emergency Room (ER) or Hospitalization)
    2. Coma
    3. Seizures
  2. Subject has been hospitalized or has visited the ER in the 6 months prior to Screening resulting in a primary diagnosis of uncontrolled diabetes.
  3. Subject has had DKA in the 6 months prior to Screening.
  4. Subject is unable to tolerate tape adhesive in the area of sensor placement.
  5. Subject has any unresolved adverse skin condition in the area of sensor placement (e.g., psoriasis, dermatitis herpetiformis, rash, Staphylococcus infection).
  6. Subject is a female of child-bearing potential who has a positive pregnancy test at Screening or plans to become pregnant during the course of the study.
  7. Subject is a female who is sexually active and able to conceive should be excluded if they are not using an effective method of contraception and do not agree to continue using an effective method of contraception for the duration of the study as determined by investigator.
  8. Subject has had any of the following cardiovascular events within 1 year of screening: 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.
  9. Subject is being treated for hyperthyroidism at time of Screening.
  10. Subject has a diagnosis of adrenal insufficiency.
  11. Subject has taken any oral, injectable, or intravenous (IV) glucocorticoids within 8 weeks from time of Screening, or plans to take any oral, injectable, or IV glucocorticoids during the course of the study.
  12. Subject is actively participating in an investigational study (drug or device) wherein he/she has received treatment from an investigational study drug or investigational study device in the last 2 weeks. (Please note participation in an observational study is acceptable.)
  13. Subject is currently abusing illicit drugs.
  14. Subject is currently abusing alcohol.
  15. Subject is using pramlintide (Symlin), DPP-4 inhibitor, liraglutide (Victoza or other GLP-1 agonists), metformin, canagliflozin (Invokana or other SGLT2 inhibitors) at time of Screening.
  16. Subject has a history of visual impairment which would not allow subject to participate in the study and perform all study procedures safely, as determined by the investigator.
  17. Subject has elective surgery planned that requires general anesthesia during the course of the study.
  18. Subject has a sickle cell disease, hemoglobinopathy; or has received red blood cell transfusion or erythropoietin within 3 months prior to time of Screening
  19. Subject plans to receive red blood cell transfusion or erythropoietin over the course of study participation.
  20. Subject diagnosed with current eating disorder such as anorexia or bulimia
  21. Subject has been diagnosed with chronic kidney disease that results in chronic anemia.
  22. Subject has a hematocrit (Hct) that is below the normal reference range of lab used. Prior labs in the last 6 months are sufficient.
  23. Subject is on dialysis.
  24. Subject has an estimated glomerular filtration rate (eGFR) of < 30.
  25. Subject has a pediatric BMI category of underweight (less than the 5th percentile) as defined by Centers for Disease Control (CDC) (https://www.cdc.gov/healthyweight/assessing/bmi/childrens_bmi/about_childrens_bmi.html)
  26. Subject is a member the research staff involved with the study.

Sites / Locations

  • Chinese PLA General Hospital
  • The First Affiliated Hospital, Sun Yat-sen University
  • Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School
  • Shanghai General Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Subjects with Type 1 diabetes wearing HCL pump system

Arm Description

Subjects 14-75 years of age who have been diagnosed with Type 1 diabetes.

Outcomes

Primary Outcome Measures

Change in Time in Target Range (% of Sensor Glucose (SG)): 70 mg/dL (3.9 mmol/L) ≤ SG ≤ 180 mg/dL (10 mmol/L)
The overall mean change in % of time in target range from run-in period to study period will be estimated and compared by a simple superiority paired test and a significance level of 0.025 (one-sided).

Secondary Outcome Measures

Time in Hypoglycemic Range
Time in hypoglycemic range (% of SG): SG < 70 mg/dL (3.9 mmol/L), SG < 60 mg/dL (3.3 mmol/L), SG < 54 mg/dL (3.0 mmol/L) will be summarized.
Time in Hyperglycemic Range: SG > 180 mg/dL (10 mmol/L), 250 mg/dL (13.9 mmol/L) and 350 mg/dL (19.4 mmol/L)
Time in hyperglycemic range (SG > 180 mg/dL (10 mmol/L), 250 mg/dL (13.9 mmol/L) and 350 mg/dL (19.4 mmol/L)) will be summarized.
Standard Deviation (SD) of SG in mmol/L
In order to evaluate glucose variation, we calculated standard deviation. The standard deviation (SD) of SG will be summarized in the unit of mmol/L
Standard Deviation (SD) of SG in mg/dL
In order to evaluate glucose variation, we calculated standard deviation. The standard deviation (SD) of SG will be summarized in the unit of mg/dL.
Coefficient of Variation (CV) of SG
In order to evaluate glucose variation, we calculated coefficient of variation (CV) of SG. The glucose coefficient of variation (CV) will be summarized in percentage.
Change of Total Daily Dose (TDD) of Insulin From Baseline to End of Study (EOS)
Change of Total Daily Dose (TDD) of insulin from baseline to EOS will be summarized.
Change of Weight From Baseline to EOS
Change of weight from baseline to EOS will be summarized.
Time Spent in Auto Mode (HCL) Versus Time Spent in Manual Mode (Open Loop)
Time spent in Auto Mode (HCL) and time spent in Manual Mode (open loop) will be summarized.
Time in Specific Range Stratified by Baseline HbA1c Ranges (< 7%, 7 - < 7.5%, 7.5 - 8%, > 8%)
Time in target range (% of SG): 70 mg/dL (3.9 mmol/L) ≤ SG ≤ 180 mg/dL (10 mmol/L) in study period Time in hypoglycemic range (% of SG): SG < 70 mg/dL (3.9 mmol/L), 60 mg/dL (3.3 mmol/L) and 54 mg/dL (3.0 mmol/L) in study period Time in hyperglycemic range: SG > 180 mg/dL (10 mmol/L), 250 mg/dL (13.9 mmol/L) and 350 mg/dL (19.4 mmol/L) in study period

Full Information

First Posted
October 28, 2020
Last Updated
August 7, 2022
Sponsor
Medtronic Diabetes
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1. Study Identification

Unique Protocol Identification Number
NCT04663295
Brief Title
MiniMed™ 670G System China Study for Type I Diabetic
Official Title
Safety, Effectiveness and Usability Evaluation of the Hybrid Closed Loop (HCL) System in Type 1 Adult and Adolescent Subjects in Chinese Population
Study Type
Interventional

2. Study Status

Record Verification Date
August 2022
Overall Recruitment Status
Completed
Study Start Date
October 31, 2020 (Actual)
Primary Completion Date
June 22, 2021 (Actual)
Study Completion Date
June 22, 2021 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to obtain clinical data in Chinese patients to support product registration of the MiniMed™ 670G system with the National Medical Product Administration (NMPA) in China. The results from the study will be submitted to the NMPA for product registration.
Detailed Description
This study is a multi-center, single arm study in insulin-requiring subjects with type 1 diabetes who are 14 years of age and older. The run-in period will be approximately up to 35 days long, followed by a study period that will be approximately up to 33 days in duration. The study is anticipated to last no longer than 13 months from investigational center initiation to completion of all data entry and monitoring procedures. The study will target approximately 5 months to complete subject enrollment. Subjects can expect to participate for approximately 2-3 months including the run-in and study periods. A total of up to 75 subjects (aged 14-75) will be enrolled at a minimum 2 investigational centers and up to 6 investigational centers (hospitals) in China to have at least 50 subjects who complete the study. The MiniMed™ HCL system that was employed in this study was the MiniMed™ 670G Bluetooth version (MMT-1883). The MiniMed™ 670G system with Bluetooth™ technology is the MiniMed™ 770G system.

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Subjects with Type 1 diabetes wearing HCL pump system
Arm Type
Experimental
Arm Description
Subjects 14-75 years of age who have been diagnosed with Type 1 diabetes.
Intervention Type
Device
Intervention Name(s)
MiniMed™ 670G system
Intervention Description
Hybrid closed loop insulin pump with associated CGM and blood glucose meter
Primary Outcome Measure Information:
Title
Change in Time in Target Range (% of Sensor Glucose (SG)): 70 mg/dL (3.9 mmol/L) ≤ SG ≤ 180 mg/dL (10 mmol/L)
Description
The overall mean change in % of time in target range from run-in period to study period will be estimated and compared by a simple superiority paired test and a significance level of 0.025 (one-sided).
Time Frame
Baseline to end of 1-month study
Secondary Outcome Measure Information:
Title
Time in Hypoglycemic Range
Description
Time in hypoglycemic range (% of SG): SG < 70 mg/dL (3.9 mmol/L), SG < 60 mg/dL (3.3 mmol/L), SG < 54 mg/dL (3.0 mmol/L) will be summarized.
Time Frame
1-month study
Title
Time in Hyperglycemic Range: SG > 180 mg/dL (10 mmol/L), 250 mg/dL (13.9 mmol/L) and 350 mg/dL (19.4 mmol/L)
Description
Time in hyperglycemic range (SG > 180 mg/dL (10 mmol/L), 250 mg/dL (13.9 mmol/L) and 350 mg/dL (19.4 mmol/L)) will be summarized.
Time Frame
1-month study
Title
Standard Deviation (SD) of SG in mmol/L
Description
In order to evaluate glucose variation, we calculated standard deviation. The standard deviation (SD) of SG will be summarized in the unit of mmol/L
Time Frame
1-month study
Title
Standard Deviation (SD) of SG in mg/dL
Description
In order to evaluate glucose variation, we calculated standard deviation. The standard deviation (SD) of SG will be summarized in the unit of mg/dL.
Time Frame
1-month study
Title
Coefficient of Variation (CV) of SG
Description
In order to evaluate glucose variation, we calculated coefficient of variation (CV) of SG. The glucose coefficient of variation (CV) will be summarized in percentage.
Time Frame
1-month study
Title
Change of Total Daily Dose (TDD) of Insulin From Baseline to End of Study (EOS)
Description
Change of Total Daily Dose (TDD) of insulin from baseline to EOS will be summarized.
Time Frame
Baseline to end of 1-month study
Title
Change of Weight From Baseline to EOS
Description
Change of weight from baseline to EOS will be summarized.
Time Frame
Baseline to end of 1-month study
Title
Time Spent in Auto Mode (HCL) Versus Time Spent in Manual Mode (Open Loop)
Description
Time spent in Auto Mode (HCL) and time spent in Manual Mode (open loop) will be summarized.
Time Frame
1-month study
Title
Time in Specific Range Stratified by Baseline HbA1c Ranges (< 7%, 7 - < 7.5%, 7.5 - 8%, > 8%)
Description
Time in target range (% of SG): 70 mg/dL (3.9 mmol/L) ≤ SG ≤ 180 mg/dL (10 mmol/L) in study period Time in hypoglycemic range (% of SG): SG < 70 mg/dL (3.9 mmol/L), 60 mg/dL (3.3 mmol/L) and 54 mg/dL (3.0 mmol/L) in study period Time in hyperglycemic range: SG > 180 mg/dL (10 mmol/L), 250 mg/dL (13.9 mmol/L) and 350 mg/dL (19.4 mmol/L) in study period
Time Frame
1-month study

10. Eligibility

Sex
All
Minimum Age & Unit of Time
14 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subject is age 14- 75 years at time of Screening. Subject has a clinical diagnosis of type 1 diabetes for 2 years or more as determined via medical record or source documentation by an individual qualified to make a medical diagnosis. Study-specific inclusion criteria Subject is willing to perform ≥ 4 finger stick BG measurements daily. Subject is willing to perform required sensor calibrations. Subject is willing to wear the system continuously throughout the study. Subject must have a minimum daily insulin requirement (Total Daily Dose) of greater than or equal to 8 units. Subject has a Glycosylated hemoglobin (HbA1c) less than 10% (as processed by the investigational center lab or their contracted Local Lab) at time of Screening visit. Subject has thyroid-stimulating hormone (TSH) in the normal range OR if the TSH is out of normal reference range the Free T3 is below or within the lab's reference range and Free T4 is within the normal reference range. Prior labs in the last 6 months are sufficient. Subject has been on pump therapy for greater than 6 months prior to screening (with or without CGM experience). Subject is willing to upload data from the study pump and meter at home. If subject has celiac disease, it has been adequately treated as determined by the investigator. Subject has been taking and is willing to take one of the following insulins throughout the course of the study: Humalog™* (insulin lispro injection) NovoLog™* (insulin aspart) Subject must be able to carbohydrate count or willing to learn how to carbohydrate count for the study. Exclusion Criteria: Subject has a history of 2 or more episodes of severe hypoglycemia, which resulted in any the following during the 6 months prior to Screening: Medical assistance (i.e. Paramedics, Emergency Room (ER) or Hospitalization) Coma Seizures Subject has been hospitalized or has visited the ER in the 6 months prior to Screening resulting in a primary diagnosis of uncontrolled diabetes. Subject has had DKA in the 6 months prior to Screening. 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 placement (e.g., psoriasis, dermatitis herpetiformis, rash, Staphylococcus infection). Subject is a female of child-bearing potential who has a positive pregnancy test at Screening or plans to become pregnant during the course of the study. Subject is a female who is sexually active and able to conceive should be excluded if they are not using an effective method of contraception and do not agree to continue using an effective method of contraception for the duration of the study as determined by investigator. Subject has had any of the following cardiovascular events within 1 year of screening: 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 is being treated for hyperthyroidism at time of Screening. Subject has a diagnosis of adrenal insufficiency. Subject has taken any oral, injectable, or intravenous (IV) glucocorticoids within 8 weeks from time of Screening, or plans to take any oral, injectable, or IV glucocorticoids during the course of the study. Subject is actively participating in an investigational study (drug or device) wherein he/she has received treatment from an investigational study drug or investigational study device in the last 2 weeks. (Please note participation in an observational study is acceptable.) Subject is currently abusing illicit drugs. Subject is currently abusing alcohol. Subject is using pramlintide (Symlin), DPP-4 inhibitor, liraglutide (Victoza or other GLP-1 agonists), metformin, canagliflozin (Invokana or other SGLT2 inhibitors) at time of Screening. Subject has a history of visual impairment which would not allow subject to participate in the study and perform all study procedures safely, as determined by the investigator. Subject has elective surgery planned that requires general anesthesia during the course of the study. Subject has a sickle cell disease, hemoglobinopathy; or has received red blood cell transfusion or erythropoietin within 3 months prior to time of Screening Subject plans to receive red blood cell transfusion or erythropoietin over the course of study participation. Subject diagnosed with current eating disorder such as anorexia or bulimia Subject has been diagnosed with chronic kidney disease that results in chronic anemia. Subject has a hematocrit (Hct) that is below the normal reference range of lab used. Prior labs in the last 6 months are sufficient. Subject is on dialysis. Subject has an estimated glomerular filtration rate (eGFR) of < 30. Subject has a pediatric BMI category of underweight (less than the 5th percentile) as defined by Centers for Disease Control (CDC) (https://www.cdc.gov/healthyweight/assessing/bmi/childrens_bmi/about_childrens_bmi.html) Subject is a member the research staff involved with the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yiming Mu, MD
Organizational Affiliation
Chinese PLA General Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Yan Bi, MD
Organizational Affiliation
The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Yongde Peng, MD
Organizational Affiliation
Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Yanbing Li, MD
Organizational Affiliation
First Affiliated Hospital, Sun Yat-Sen University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Chinese PLA General Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100853
Country
China
Facility Name
The First Affiliated Hospital, Sun Yat-sen University
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510000
Country
China
Facility Name
Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School
City
Nanjing
State/Province
Jiangsu
ZIP/Postal Code
210008
Country
China
Facility Name
Shanghai General Hospital
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200080
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

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MiniMed™ 670G System China Study for Type I Diabetic

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