Hybrid Closed Loop Insulin Delivery System in Hypoglycemia
NCT03215914 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 10
Last updated 2024-10-24
Summary
Can a type 1 diabetic adult avoid low glucoses and regain hypoglycemia awareness using a hybrid closed loop insulin delivery system? Involvement is 22 months (13 visits) and includes a 4-week Screening Phase and an 18-month Intervention Phase. Participants will undergo 3 Hyperinsulinemic Clamps done at: Baseline (before starting the device and after completing the screening), 6 months (after using the device 6 months), and after using the device for 18 months. This metabolic testing will allow us to measure improvement in hypoglycemia awareness.
Conditions
- Type1diabetes
- Hypoglycemia Unawareness
- Nocturnal Hypoglycemia
- Hypoglycemia Night
- Hypoglycemia
Interventions
- DEVICE
-
MiniMed 670G system
Eligible subjects with type 1 diabetes will initiate hybrid closed-loop insulin delivery based on interstitial glucose monitoring via the MiniMed 670G system according to Medtronic's labeling. This system combines subject-delivered pre-meal boluses with automatic interprandial insulin delivery that includes automated functions for both predictive and threshold suspension of insulin delivery intended to minimize exposure to glucose levels \< 70 mg/dl.
Sponsors & Collaborators
-
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
collaborator NIH - lead OTHER
Principal Investigators
-
Michael R Rickels, MD · University of Pennsylvania
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 25 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-08-01
- Primary Completion
- 2022-05-31
- Completion
- 2024-10-01
- FDA Device
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Efficacy of Closed-loop Insulin Therapy in Adults Prone to Hypoglycemia
NCT04266379 ·Status: UNKNOWN ·Phase: NA
-
Closed-loop Control of Glucose Levels (Artificial Pancreas) for 12 Days in Adults With Type 1 Diabetes
NCT02846831 ·Status: COMPLETED ·Phase: PHASE2
-
An Open-label, Two-center, Randomized, Cross-over Study to Evaluate the Safety and Efficacy of Glycemic Control Using Hybrid-closed Loop vs. Advanced Hybrid Closed-loop in Young Subjects With Type 1 Diabetes
NCT04269668 ·Status: COMPLETED ·Phase: NA
-
Evaluation of Minimed 670G in T1D Patients on Multiple Daily Injection
NCT03755479 ·Status: COMPLETED
-
Dual-hormone Closed-loop Glucose Control in Type 1 Diabetes
NCT04053712 ·Status: COMPLETED ·Phase: PHASE4
-
Closing the Loop in Adults With Type 1 Diabetes and HbA1C<7.5% Under Free Living Conditions
NCT02727231 ·Status: COMPLETED ·Phase: NA
-
The Impact of Daily Carbohydrate Intake on Glycemic Control in Children and Adolescents With Type 1 Diabetes Using an Advanced Hybrid Closed-loop System
NCT05866900 ·Status: UNKNOWN
-
Safety and Efficacy Study of Mini-Dose Glucagon (G-Pen Mini) in Patients With Type 1 Diabetes
NCT02081014 ·Status: COMPLETED ·Phase: PHASE2
-
Multi-center Trial in Adult and Pediatric Patients With Type 1 Diabetes Using Hybrid Closed Loop System and Control at Home
NCT02748018 ·Status: COMPLETED ·Phase: NA
-
Hybrid Closed Loop System for Patients on Multiple Daily Insulin Injections
NCT04145804 ·Status: UNKNOWN ·Phase: NA
-
"MiniMed 640G System" User Evaluation With the Question of Reducing the Rate of Hypoglycemia
NCT02325193 ·Status: COMPLETED
-
Fuzzy Logic Automated Insulin Regulation
NCT03040414 ·Status: COMPLETED ·Phase: NA
-
Outpatient Pump Shutoff Pilot Feasibility and Efficacy Study
NCT01591681 ·Status: COMPLETED ·Phase: PHASE2
-
Closed-loop Control of Glucose Levels (Artificial Pancreas) for 15 Weeks in Adolescents and Adults With Type 1 Diabetes
NCT02846857 ·Status: WITHDRAWN ·Phase: PHASE2
-
Study of MiniMed™ 640G Insulin Pump With SmartGuard™ in Prevention of Low Glucose Events in Adults With Type 1 Diabetes
NCT02733991 ·Status: COMPLETED ·Phase: NA
-
Comparison of Two Management Systems in Patients With Type 1 Diabetes (Pediatric SmartHome)
NCT03815487 ·Status: COMPLETED ·Phase: NA
-
Automated Closed-loop in Children and Adolescents With Type 1 Diabetes
NCT02129868 ·Status: COMPLETED ·Phase: NA
-
Mixed Meal Test in Type 1 Diabetes on Insulin Pump Therapy: Optimization of Artificial Pancreas
NCT02003274 ·Status: UNKNOWN ·Phase: NA
-
Reduction of Nocturnal Hypoglycemia and Hyperglycemia in the Home Using Predictive Algorithms
NCT02438189 ·Status: COMPLETED ·Phase: PHASE2
-
Preventing Hypoglycemia During Exercise With Proactive Snacking on Closed Loop
NCT02135068 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Simple Meal Management Using Automated Insulin Delivery System
NCT06130215 ·Status: RECRUITING ·Phase: NA
-
Medtronic MiniMed Implantable Insulin Pump
NCT00298740 ·Status: COMPLETED ·Phase: NA
-
Prevention of Severe Hypoglycemia in Type 1 Diabetes
NCT00360984 ·Status: COMPLETED ·Phase: PHASE4
-
Multiday Fully Closed Loop Insulin Delivery in Monitored Outpatient Conditions
NCT02127827 ·Status: UNKNOWN ·Phase: NA
-
Mini-Dose Glucagon to Treat Non-Severe Hypoglycemia
NCT02411578 ·Status: COMPLETED ·Phase: PHASE2