Patient Preference of h-Patch vs. Pen or Needle/Syringe as Insulin Administration Device
Primary Purpose
Type 1 Diabetes, Type 2 Diabetes
Status
Terminated
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
h-Patch
Sponsored by
About this trial
This is an interventional treatment trial for Type 1 Diabetes focused on measuring Diabetes, Type 1 Diabetes, Type 2 Diabetes, Physiologic Insulin, Basal Insulin, Bolus Insulin, Mealtime insulin, Insulin patch, Multiple daily injections
Eligibility Criteria
Inclusion Criteria:
- Diagnosis of Type 1or Type 2 diabetes mellitus for at least a year
- Stable insulin regimen for at least 3 months consisting of multiple daily injections of human regular or rapid acting insulin at meal times and long or intermediate acting insulin as basal. In this protocol multiple daily injections requires at least three injections daily.
- Total daily insulin dose between 50 and 80 units.
- If patient is Type 2, can be treated with metformin and/or a thiazolidinedione and/or a sulfonylurea, but other diabetes drugs including α-glucosidase inhibitors, meglitinides, pramlintide exenatide, and DPP-IV's are excluded.
- HbA1c > 7.0% and < 9.0%.
Exclusion Criteria:
- Recurrent major hypoglycemia or prolonged unstable blood glucose control (as judged by the Investigator).
- Use of other diabetes drugs including α-glucosidase inhibitors, meglitinides, pramlintide, exenatide or DPP-IV inhibitors (metformin and/or a thiazolidinedione and/or a sulfonylurea are allowed).
- Intend to use any other concomitant drug therapy (prescription or over-the-counter medications) that can affect blood glucose levels.
- Have used systemic glucocorticoids within 1 month prior to Screening or currently on glucocorticoids.
- Have a history of drug or alcohol abuse within 1 year prior to Screening Visit.
- Have a history or presence of cardiovascular, respiratory, hepatic, renal, gastrointestinal, or neurological disease that would, in the investigator's opinion, preclude safe participation in the study.
- Have a history of major surgery, e.g. laparotomy, thoracotomy, open orthopedic procedure, etc. within 3 months prior to Screening Visit.
- Evidence of significant neuropsychiatric disease.
- Have participated in a medical, surgical, or pharmaceutical investigational new drug/device study in the last 30 days or ≤ 5 half-lives of the investigational drug, whichever is longer, prior to Screening Visit.
- Blood donation of 500 ml or more in the last 2 months prior to Screening Visit.
- Evidence of significant active hematological disease.
- Acute infection with fever.
- Hemoglobin < 10 g/dL; AST, ALT ≥ 1.5 times the upper reference limit at Screening.
- Uncontrolled treated/untreated hypertension (systolic blood pressure > 155 mmHg and diastolic blood pressure > 90 mmHg).
- History of proliferative retinopathy or maculopathy requiring acute treatment
- Mental incapacity, unwillingness or language barrier precluding adequate understanding or co-operation.
- Any condition that the Investigator and/or Sponsor feel would interfere with trial participation or evaluation of results
Pregnancy, breast-feeding, intention of becoming pregnant for female patients of child-bearing potential.
-
Sites / Locations
- Diabetes and Glandular Research
Outcomes
Primary Outcome Measures
Secondary Outcome Measures
Mean glucose using CGM.
Glucose SD, MAGE, Proportion of 24 hours in euglycemic range 70-160 mg/dl, using CGM.
End of Study Patient Questions
Hypoglycemia
Proportion of time with glucose < 70 mg/dl, from CGM.
Number and type of adverse events.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00453934
Brief Title
Patient Preference of h-Patch vs. Pen or Needle/Syringe as Insulin Administration Device
Official Title
h-Patch vs. Pen or Needle and Syringe as Insulin Administration Device in Type 1 or 2 Diabetes Patients Using MDI: Patient Preference and Glycemic Control After Switch in an Open-Label, Randomized Cross-Over Study
Study Type
Interventional
2. Study Status
Record Verification Date
March 2007
Overall Recruitment Status
Terminated
Why Stopped
Endpoint no longer deemed meaningful
Study Start Date
May 2007 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
September 2007 (Actual)
3. Sponsor/Collaborators
Name of the Sponsor
Valeritas, Inc.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The primary objective of this study is to compare patient preference of the h-Patch as delivery device for insulin lispro compared with either an insulin pen or needle and syringe in patients with diabetes, either Type 1 or Type 2, on stable multiple daily injection regimens. This will be assessed using an accepted preference scale.
Detailed Description
Patients with Type 1 Diabetes have an absolute deficiency in insulin production and benefit from physiologic insulin replacement, defined as administration of background and mealtime insulin. More than half of patients with Type 2 diabetes (T2DM) have less than 50% of their beta cell function at the time of diagnosis. Because of this, these patients would also benefit from the physiologic delivery of insulin. Currently, 4 or more injections per day are required to deliver the various different available insulins in a physiologic manner. Valeritas has developed the h-Patch, a device suitable to make the delivery of basal and bolus insulin effective, simple and discrete. This study will measure patient preference, glucose control and safety of the h-Patch compared with patients' previous therapy. Patients previous therapy will be multiple daily injections delivered either by pens or needle and syringe.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Type 1 Diabetes, Type 2 Diabetes
Keywords
Diabetes, Type 1 Diabetes, Type 2 Diabetes, Physiologic Insulin, Basal Insulin, Bolus Insulin, Mealtime insulin, Insulin patch, Multiple daily injections
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
11 (Actual)
8. Arms, Groups, and Interventions
Intervention Type
Device
Intervention Name(s)
h-Patch
Secondary Outcome Measure Information:
Title
Mean glucose using CGM.
Time Frame
4 weeks
Title
Glucose SD, MAGE, Proportion of 24 hours in euglycemic range 70-160 mg/dl, using CGM.
Time Frame
4 weeks
Title
End of Study Patient Questions
Time Frame
4 weeks
Title
Hypoglycemia
Time Frame
4 weeks
Title
Proportion of time with glucose < 70 mg/dl, from CGM.
Time Frame
4 weeks
Title
Number and type of adverse events.
Time Frame
4 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Diagnosis of Type 1or Type 2 diabetes mellitus for at least a year
Stable insulin regimen for at least 3 months consisting of multiple daily injections of human regular or rapid acting insulin at meal times and long or intermediate acting insulin as basal. In this protocol multiple daily injections requires at least three injections daily.
Total daily insulin dose between 50 and 80 units.
If patient is Type 2, can be treated with metformin and/or a thiazolidinedione and/or a sulfonylurea, but other diabetes drugs including α-glucosidase inhibitors, meglitinides, pramlintide exenatide, and DPP-IV's are excluded.
HbA1c > 7.0% and < 9.0%.
Exclusion Criteria:
Recurrent major hypoglycemia or prolonged unstable blood glucose control (as judged by the Investigator).
Use of other diabetes drugs including α-glucosidase inhibitors, meglitinides, pramlintide, exenatide or DPP-IV inhibitors (metformin and/or a thiazolidinedione and/or a sulfonylurea are allowed).
Intend to use any other concomitant drug therapy (prescription or over-the-counter medications) that can affect blood glucose levels.
Have used systemic glucocorticoids within 1 month prior to Screening or currently on glucocorticoids.
Have a history of drug or alcohol abuse within 1 year prior to Screening Visit.
Have a history or presence of cardiovascular, respiratory, hepatic, renal, gastrointestinal, or neurological disease that would, in the investigator's opinion, preclude safe participation in the study.
Have a history of major surgery, e.g. laparotomy, thoracotomy, open orthopedic procedure, etc. within 3 months prior to Screening Visit.
Evidence of significant neuropsychiatric disease.
Have participated in a medical, surgical, or pharmaceutical investigational new drug/device study in the last 30 days or ≤ 5 half-lives of the investigational drug, whichever is longer, prior to Screening Visit.
Blood donation of 500 ml or more in the last 2 months prior to Screening Visit.
Evidence of significant active hematological disease.
Acute infection with fever.
Hemoglobin < 10 g/dL; AST, ALT ≥ 1.5 times the upper reference limit at Screening.
Uncontrolled treated/untreated hypertension (systolic blood pressure > 155 mmHg and diastolic blood pressure > 90 mmHg).
History of proliferative retinopathy or maculopathy requiring acute treatment
Mental incapacity, unwillingness or language barrier precluding adequate understanding or co-operation.
Any condition that the Investigator and/or Sponsor feel would interfere with trial participation or evaluation of results
Pregnancy, breast-feeding, intention of becoming pregnant for female patients of child-bearing potential.
-
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mark S Kipnes, MD
Organizational Affiliation
Diabetes and Glandular Research
Official's Role
Principal Investigator
Facility Information:
Facility Name
Diabetes and Glandular Research
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
12. IPD Sharing Statement
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Patient Preference of h-Patch vs. Pen or Needle/Syringe as Insulin Administration Device
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