Sensor-Augmented Insulin Delivery: Insulin Plus Glucagon Versus Insulin Alone
NCT00797823 · Status: COMPLETED · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 14
Last updated 2011-10-07
Summary
This study aims to test an insulin and glucagon delivery algorithm designed to be used in conjunction with a continuous glucose monitoring system. This combined glucose sensing/hormone delivery approach is a step on the way to eventual development of an artificial (or automated) pancreas. The insulin and glucagon delivery algorithm is based on the difference between the current blood glucose and the target glucose (proportional error) and the rate of change in blood glucose (derivative error), both adjusted for the recent glucose history. This algorithm is called the Fading Memory Proportional-Derivative (FMPD) Algorithm. The principal investigator of this study has published previous research regarding the use of this algorithm and found it to be well-suited to control blood glucose in type 1 diabetic animals. The addition of glucagon was helpful; better glycemic control with fewer glucose excursions were observed when small intermittent infusions of subcutaneous glucagon were given during times of impending low blood sugar (Ward et al. 2008).
Conditions
Interventions
- DRUG
-
Insulin, Asp(B28)-
Insulin dosing and frequency calculated by Fading Memory Proportional Derivative algorithm
- DRUG
-
Glucagon
During incipient hypoglycemia, glucagon was given in an attempt to prevent overt hypoglycemia. Dosing and frequency was calculated by the Fading Memory Proportional Derivative algorithm
- DRUG
-
Saline solution 0.9%
Sponsors & Collaborators
-
Juvenile Diabetes Research Foundation
collaborator OTHER -
Oregon Health and Science University
collaborator OTHER -
Legacy Health System
lead OTHER
Principal Investigators
-
William K. Ward, MD · Legacy Health System
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- CROSSOVER
Eligibility
- Min Age
- 21 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2008-11-30
- Primary Completion
- 2009-09-30
- Completion
- 2009-09-30
Countries
- United States
Study Locations
More Related Trials
-
Maximising Time With a Normal Blood Glucose to Restore the Glucagon Response in Type 1 Diabetes
NCT04614168 ·Status: COMPLETED ·Phase: NA
-
Artificial Pancreas With Different Stress Assessments in the Outpatient Setting
NCT04142229 ·Status: COMPLETED ·Phase: NA
-
The Use of Mini-dose Glucagon to Prevent Exercise-induced Hypoglycemia in Type 1 Diabetes
NCT02660242 ·Status: COMPLETED ·Phase: PHASE2
-
Single Hormone Closed Loop Study With PDT Sensor
NCT03528174 ·Status: COMPLETED ·Phase: NA
-
Reduction of Nocturnal Hypoglycemia and Hyperglycemia in the Home Using Predictive Algorithms, Pump Suspension, and Insulin Dosing in Children and Young Adolescents
NCT02714972 ·Status: COMPLETED ·Phase: PHASE2
-
Four Way Crossover Closed Loop With Exercise Detection
NCT02862730 ·Status: COMPLETED ·Phase: NA
-
Closed-loop Control of Glucose Levels (Artificial Pancreas) for 12 Days in Adults With Type 1 Diabetes
NCT02846831 ·Status: COMPLETED ·Phase: PHASE2
-
Artificial Pancreas Control System in an Outpatient Setting
NCT01871870 ·Status: COMPLETED ·Phase: PHASE2
-
Mini-Dose Glucagon to Treat Non-Severe Hypoglycemia
NCT02411578 ·Status: COMPLETED ·Phase: PHASE2
-
Closed-Loop Glucagon Administration For Hypoglycemia Treatment
NCT02181127 ·Status: COMPLETED ·Phase: NA
-
Use of Insulin Adjustment Device DreaMed Endo Digital During Routine Clinical Use for Subjects With Diabetes Type 1
NCT05610722 ·Status: TERMINATED ·Phase: NA
-
Effect of SGLT2i in Conjunction With the Artificial Pancreas on Improving the Glycemia in T1DM in the Outpatient Setting
NCT03979352 ·Status: COMPLETED ·Phase: PHASE3
-
The Steno Opti-Bolus-Timing Studies
NCT07021690 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Efficacy of Automated Insulin Therapy Early Initiated After Diagnosis on Blood Glucose Control in Children and Adolescents With Type 1 Diabetes
NCT06283797 ·Status: RECRUITING ·Phase: NA
-
Blood Glucose Target Before and During Exercise in Adults With Type 1 Diabetes Using an Artificial Pancreas
NCT05821322 ·Status: TERMINATED ·Phase: NA
-
Assessment of the Efficacy of the Artificial Pancreas Combined With a Qualitative Meal Size Estimation to Control Postprandial Glucose Levels
NCT04031599 ·Status: COMPLETED ·Phase: NA
-
Feasibility Study for Training Pump Naïve Subjects To Use The Paradigm® System And Evaluate Effectiveness
NCT00530023 ·Status: COMPLETED ·Phase: PHASE4
-
Integrating Insulin Delivery and Glucose Sensing in Subcutaneous Tissue for the Treatment of Type-1 Diabetic Patients
NCT00812591 ·Status: COMPLETED ·Phase: NA
-
A Study of an Automated Insulin Delivery System in Adult Participants With Type 1 Diabetes Mellitus (T1D)
NCT03743285 ·Status: COMPLETED ·Phase: NA
-
A Study Comparing User Experience of Different Delivery Devices for Glucagon
NCT03765502 ·Status: COMPLETED ·Phase: PHASE1
-
Tissue-Specific Metabolic Reprogramming in Diabetic Complications
NCT01823406 ·Status: COMPLETED ·Phase: NA
-
Clinical Usability of Intranasal Glucagon in Treatment of Hypoglycemia
NCT02171130 ·Status: COMPLETED ·Phase: PHASE3
-
Prevention of Hypoglycaemia With Predictive Insulin Suspend Using Sensor Augmented Insulin Pump in Children
NCT02179281 ·Status: COMPLETED ·Phase: NA
-
A Novel mHealth Application Guided by an Optimization Algorithm for T1D Sensor-Augmented Insulin Injection Users
NCT04123054 ·Status: COMPLETED ·Phase: NA
-
DreaMed Advisor Pro System in Subjects With Type 1 Diabetes Treated With MDI Therapy
NCT04043260 ·Status: COMPLETED ·Phase: NA