N/A
Completed N=10
Single Hormone Closed Loop Study With PDT Sensor
Source: ClinicalTrials.gov NCT03528174 ↗Enrolled (actual)
10
Serious AEs
10.0%
Results posted
Sep 2019
Primary outcomePrimary: Mean Absolute Relative Difference of Sensed Glucose Values — 13.5 percentage of reference blood glucose
Summary
The study described within this protocol is designed to test a single hormone closed-loop algorithm for managing blood glucose in type 1 diabetes using insulin only and a new device for measuring glucose continuously in the immediate vicinity of subcutaneous insulin delivery. Subjects will undergo one all day closed loop study using insulin only. The closed loop insulin only system includes a Dexcom G5 transmitter, a Nexus 5 smart phone and two Tandem tslim pumps connected to two Pacific Diabetes Technologies glucose sensing cannulas. The closed loop system will be started after G5 2 hour sensor start-up with an IV catheter for frequent blood withdrawal for 10 hours.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Mean Absolute Relative Difference of Sensed Glucose Values |
13.5 | — |
| SECONDARY Percent of Time With Sensed Glucose Between 70-180 mg/dl |
59.8 | — |
| SECONDARY Percent of Time With Sensed Glucose Less Than 70 mg/dl |
3.3 | — |
| SECONDARY Percent of Time With Sensed Glucose Less Than 54 mg/dl |
0.3 | — |
| SECONDARY Percent of Time With Sensed Glucose Greater Than 250 mg/dl |
12.4 | — |
| SECONDARY Mean Sensed Glucose |
167.8 | — |
| SECONDARY Number of Carbohydrate Treatments |
0.6 | — |
| SECONDARY Mean Amount of Insulin Delivered |
0.24 | — |
| SECONDARY Mean Score of Visual Analog Scale at 15 Minutes |
6.4 | — |
| SECONDARY Mean Score of Visual Analog Scale at 120 Minutes |
0.7 | — |
| SECONDARY Mean Score of Visual Analog Scale at End of Study |
8.9 | — |
| SECONDARY Mean Draize Scale for Erythema for the Left Sensing Cannula at End of Study for All Subjects |
0.2 | — |
| SECONDARY Mean Draize Scale for Edema for the Left Sensing Cannula at End of Study for All Subjects |
0.2 | — |
| SECONDARY Mean Draize Scale for Erythema for the Right Sensing Cannula at End of Study for All Subjects |
0.2 | — |
Eligibility Criteria
Inclusion Criteria
- Diagnosis of type 1 diabetes mellitus for at least 1 year.
- Male or female subjects 21 to 65 years of age.
- Current use of an insulin pump for at least 3 months with stable insulin pump settings for > 2 weeks.
- HbA1c ≤ 10% at screening.
- Body Mass Index ≥ 22.
- Total daily insulin requirement is less than 200 units/day.
- Willingness to follow all study procedures, including attending all clinic visits.
- Willingness to sign informed consent and HIPAA documents.
Exclusion Criteria
- Female of childbearing potential who is pregnant or intending to become pregnant or breast-feeding, or is not using adequate contraceptive methods. Acceptable contraception includes birth control pill / patch / vaginal ring, Depo-Provera, Norplant, an IUD, the double barrier method (the woman uses a diaphragm and spermicide and the man uses a condom), or abstinence.
- Any cardiovascular disease, defined as a clinically significant EKG abnormality at the time of screening or any history of: stroke, heart failure, myocardial infarction, angina pectoris, or coronary arterial bypass graft or angioplasty. Diagnosis of 2nd or 3rd degree heart block or any non-physiological arrhythmia judged by the investigator to be exclusionary.
- Renal insufficiency (GFR < 60 ml/min, using the MDRD equation as reported by the OHSU laboratory).
- Liver failure, cirrhosis, or any other liver disease that compromises liver function as determined by the investigator.
- Hematocrit of less than 36% for men, less than 32% for women.
- History of severe hypoglycemia during the past 12 months prior to screening visit or hypoglycemia unawareness as judged by the investigator.
- History of Diabetic Ketoacidosis during the prior 6 months prior to screening visit, as diagnosed on hospital admission or as judged by the investigator.
- Adrenal insufficiency.
- Any active infection.
- Known or suspected abuse of alcohol, narcotics, or illicit drugs.
- Seizure disorder.
- Active foot ulceration.
- Severe peripheral arterial disease characterized by ischemic rest pain or severe claudication.
- Major surgical operation within 30 days prior to screening.
- Use of an investigational drug within 30 days prior to screening.
- Chronic usage of any immunosuppressive medication (such as cyclosporine, azathioprine, sirolimus, or tacrolimus).
- Bleeding disorder, treatment with warfarin, or platelet count below 50,000.
- Allergy to lispro insulin.
- Allergy to acrylate-based skin adhesives.
- Need for uninterrupted treatment of acetaminophen.
- Current administration of oral or parenteral corticosteroids.
- Any life threatening disease, including malignant neoplasms and medical history of malignant neoplasms within the past 5 years prior to screening (except basal and squamous cell skin cancer).
- Beta blockers or non-dihydropyridine calcium channel blockers.
- Current use of any medication intended to lower glucose other than insulin (ex. use of liraglutide).
- Any clinically significant disease or disorder which in the opinion of the Investigator may jeopardize the subject's safety or compliance with the protocol.
Data sourced from ClinicalTrials.gov (NCT03528174). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.