Trial Outcomes & Findings for Performance Evaluation of an Advanced Algorithm With CGM in Adults, Adolescents, and Pediatrics (NCT NCT03966911)

NCT ID: NCT03966911

Last Updated: 2021-06-07

Results Overview

Mean of daily percentage of sensor values within 20% of Yellow Springs Instrument (YSI™\*) reference value (within 20 mg/dL if sensor values \< 80 mg/dL), across all participants and all Frequent Sample Testing (FST) days. Note Self-Monitoring Blood Glucose (SMBG) was used for age 2-6, instead of YSI.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

335 participants

Primary outcome timeframe

7 days (170 hours)

Results posted on

2021-06-07

Participant Flow

335 subjects (188 adult subjects and 147 pediatric subjects) consented and enrolled in the overall study. Of them, 311 subjects (169 adult subjects and 142 pediatric subjects) were eligible.

Participant milestones

Participant milestones
Measure
Adult Subjects (Age 18-80) With Diabetes Wearing Guardian™ Sensor (3)
Adult subjects (age 18-80) wear Guardian™ Sensor (3) over 7 days and participate in FSTs. Guardian™ Sensor (3) connected to a Guardian™ Connect Transmitter: Continuous Glucose Monitoring and frequent sample testing
Pediatric Subjects (Age 2-17) With Diabetes Wearing Guardian™ Sensor (3)
Pediatric subjects (age 2-17) wear Guardian™ Sensor (3) over 7 days and participate in FSTs. Guardian™ Sensor (3) connected to a Guardian™ Connect Transmitter: Continuous Glucose Monitoring and frequent sample testing
Overall Study
STARTED
169
142
Overall Study
COMPLETED
160
126
Overall Study
NOT COMPLETED
9
16

Reasons for withdrawal

Reasons for withdrawal
Measure
Adult Subjects (Age 18-80) With Diabetes Wearing Guardian™ Sensor (3)
Adult subjects (age 18-80) wear Guardian™ Sensor (3) over 7 days and participate in FSTs. Guardian™ Sensor (3) connected to a Guardian™ Connect Transmitter: Continuous Glucose Monitoring and frequent sample testing
Pediatric Subjects (Age 2-17) With Diabetes Wearing Guardian™ Sensor (3)
Pediatric subjects (age 2-17) wear Guardian™ Sensor (3) over 7 days and participate in FSTs. Guardian™ Sensor (3) connected to a Guardian™ Connect Transmitter: Continuous Glucose Monitoring and frequent sample testing
Overall Study
Adverse Event
1
1
Overall Study
Withdrawal by Subject
8
2
Overall Study
Unable to complete study visits due to COVID-19
0
13

Baseline Characteristics

Performance Evaluation of an Advanced Algorithm With CGM in Adults, Adolescents, and Pediatrics

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Adult Subjects (Age 18-80) With Diabetes Wearing Guardian™ Sensor (3)
n=169 Participants
Adult subjects (age 18-80) wear Guardian™ Sensor (3) over 7 days and participate in FSTs. Guardian™ Sensor (3) connected to a Guardian™ Connect Transmitter: Continuous Glucose Monitoring and frequent sample testing
Pediatric Subjects (Age 2-17) With Diabetes Wearing Guardian™ Sensor (3)
n=142 Participants
Pediatric subjects (age 2-17) wear Guardian™ Sensor (3) over 7 days and participate in FSTs. Guardian™ Sensor (3) connected to a Guardian™ Connect Transmitter: Continuous Glucose Monitoring and frequent sample testing
Total
n=311 Participants
Total of all reporting groups
Age, Continuous
45.9 years
STANDARD_DEVIATION 17.8 • n=99 Participants
10.9 years
STANDARD_DEVIATION 4.0 • n=107 Participants
29.9 years
STANDARD_DEVIATION 22.0 • n=206 Participants
Sex: Female, Male
Female
91 Participants
n=99 Participants
59 Participants
n=107 Participants
150 Participants
n=206 Participants
Sex: Female, Male
Male
78 Participants
n=99 Participants
83 Participants
n=107 Participants
161 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
21 Participants
n=99 Participants
17 Participants
n=107 Participants
38 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
148 Participants
n=99 Participants
125 Participants
n=107 Participants
273 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
United States
169 participants
n=99 Participants
142 participants
n=107 Participants
311 participants
n=206 Participants

PRIMARY outcome

Timeframe: 7 days (170 hours)

Population: Subjects with at least 1 sensor-YSI (or sensor-SMBG for subjects 2-6 years) paired point during the sensor wear

Mean of daily percentage of sensor values within 20% of Yellow Springs Instrument (YSI™\*) reference value (within 20 mg/dL if sensor values \< 80 mg/dL), across all participants and all Frequent Sample Testing (FST) days. Note Self-Monitoring Blood Glucose (SMBG) was used for age 2-6, instead of YSI.

Outcome measures

Outcome measures
Measure
Adult Subjects (Age 18-80) With Diabetes Wearing Guardian™ Sensor (3) on the Arm
n=169 Participants
Adult subjects (age 18-80) wear Guardian™ Sensor (3) on the arm over 7 days and participate in FSTs. Zero calibration sensor algorithm applied to raw sensor data. Guardian™ Sensor (3) connected to a Guardian™ Connect Transmitter: Continuous Glucose Monitoring and frequent sample testing
Adult Subjects (Age 18-80) With Diabetes Wearing Guardian™ Sensor (3) on the Abdomen
n=169 Participants
Adult subjects (age 18-80) wear Guardian™ Sensor (3) on the abdomen over 7 days and participate in FSTs. Zero calibration sensor algorithm applied to raw sensor data. Guardian™ Sensor (3) connected to a Guardian™ Connect Transmitter: Continuous Glucose Monitoring and frequent sample testing
Pediatric Subjects (Age 2-17) With Diabetes Wearing Guardian™ Sensor (3) on the Arm
n=142 Participants
Pediatric subjects (age 2-17) wear Guardian™ Sensor (3) on the arm over 7 days and participate in FSTs. Zero calibration sensor algorithm applied to raw sensor data. Guardian™ Sensor (3) connected to a Guardian™ Connect Transmitter: Continuous Glucose Monitoring and frequent sample testing
Pediatric Subjects (Age 2-17) With Diabetes Wearing Guardian™ Sensor (3) on the Buttock
n=142 Participants
Pediatric subjects (age 2-17) wear Guardian™ Sensor (3) on the buttock over 7 days and participate in FSTs. Zero calibration sensor algorithm applied to raw sensor data. Guardian™ Sensor (3) connected to a Guardian™ Connect Transmitter: Continuous Glucose Monitoring and frequent sample testing
Percentage of Readings Within 20% Agreement
88.00 Percentage of Readings
Interval 86.05 to 89.95
87.96 Percentage of Readings
Interval 86.13 to 89.8
84.59 Percentage of Readings
Interval 82.02 to 87.17
81.05 Percentage of Readings
Interval 77.58 to 84.53

Adverse Events

Adult Subjects (Age 18-80) With Diabetes Wearing Guardian™ Sensor (3)

Serious events: 2 serious events
Other events: 37 other events
Deaths: 0 deaths

Pediatric Subjects (Age 2-17) With Diabetes Wearing Guardian™ Sensor (3)

Serious events: 2 serious events
Other events: 32 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Adult Subjects (Age 18-80) With Diabetes Wearing Guardian™ Sensor (3)
n=169 participants at risk
Adult subjects (age 18-80) wear Guardian™ Sensor (3) over 7 days and participate in FSTs. Guardian™ Sensor (3) connected to a Guardian™ Connect Transmitter: Continuous Glucose Monitoring and frequent sample testing
Pediatric Subjects (Age 2-17) With Diabetes Wearing Guardian™ Sensor (3)
n=142 participants at risk
Pediatric subjects (age 2-17) wear Guardian™ Sensor (3) over 7 days and participate in FSTs. Guardian™ Sensor (3) connected to a Guardian™ Connect Transmitter: Continuous Glucose Monitoring and frequent sample testing
Reproductive system and breast disorders
Prostatomegaly
0.59%
1/169 • Number of events 1 • Throughout the course of the study, up to 91 days
0.00%
0/142 • Throughout the course of the study, up to 91 days
Metabolism and nutrition disorders
Hypoglycaemia
0.59%
1/169 • Number of events 1 • Throughout the course of the study, up to 91 days
0.00%
0/142 • Throughout the course of the study, up to 91 days
Metabolism and nutrition disorders
Diabetic ketoacidosis
0.00%
0/169 • Throughout the course of the study, up to 91 days
0.70%
1/142 • Number of events 1 • Throughout the course of the study, up to 91 days
Metabolism and nutrition disorders
Hyperglycaemia
0.00%
0/169 • Throughout the course of the study, up to 91 days
0.70%
1/142 • Number of events 1 • Throughout the course of the study, up to 91 days

Other adverse events

Other adverse events
Measure
Adult Subjects (Age 18-80) With Diabetes Wearing Guardian™ Sensor (3)
n=169 participants at risk
Adult subjects (age 18-80) wear Guardian™ Sensor (3) over 7 days and participate in FSTs. Guardian™ Sensor (3) connected to a Guardian™ Connect Transmitter: Continuous Glucose Monitoring and frequent sample testing
Pediatric Subjects (Age 2-17) With Diabetes Wearing Guardian™ Sensor (3)
n=142 participants at risk
Pediatric subjects (age 2-17) wear Guardian™ Sensor (3) over 7 days and participate in FSTs. Guardian™ Sensor (3) connected to a Guardian™ Connect Transmitter: Continuous Glucose Monitoring and frequent sample testing
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/169 • Throughout the course of the study, up to 91 days
0.70%
1/142 • Number of events 1 • Throughout the course of the study, up to 91 days
Injury, poisoning and procedural complications
Arthropod bite
0.59%
1/169 • Number of events 1 • Throughout the course of the study, up to 91 days
0.00%
0/142 • Throughout the course of the study, up to 91 days
Respiratory, thoracic and mediastinal disorders
Asthma
0.59%
1/169 • Number of events 1 • Throughout the course of the study, up to 91 days
0.00%
0/142 • Throughout the course of the study, up to 91 days
Psychiatric disorders
Attention deficit/hyperactivity disorder
0.00%
0/169 • Throughout the course of the study, up to 91 days
0.70%
1/142 • Number of events 1 • Throughout the course of the study, up to 91 days
Musculoskeletal and connective tissue disorders
Back pain
0.59%
1/169 • Number of events 1 • Throughout the course of the study, up to 91 days
0.00%
0/142 • Throughout the course of the study, up to 91 days
Injury, poisoning and procedural complications
Contusion
0.59%
1/169 • Number of events 1 • Throughout the course of the study, up to 91 days
0.70%
1/142 • Number of events 1 • Throughout the course of the study, up to 91 days
Skin and subcutaneous tissue disorders
Dermatitis allergic
0.59%
1/169 • Number of events 1 • Throughout the course of the study, up to 91 days
0.00%
0/142 • Throughout the course of the study, up to 91 days
Skin and subcutaneous tissue disorders
Dermatitis contact
0.59%
1/169 • Number of events 1 • Throughout the course of the study, up to 91 days
1.4%
2/142 • Number of events 2 • Throughout the course of the study, up to 91 days
Infections and infestations
Ear infection
0.00%
0/169 • Throughout the course of the study, up to 91 days
0.70%
1/142 • Number of events 1 • Throughout the course of the study, up to 91 days
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.00%
0/169 • Throughout the course of the study, up to 91 days
0.70%
1/142 • Number of events 1 • Throughout the course of the study, up to 91 days
Infections and infestations
Folliculitis
0.59%
1/169 • Number of events 1 • Throughout the course of the study, up to 91 days
0.00%
0/142 • Throughout the course of the study, up to 91 days
Injury, poisoning and procedural complications
Foot fracture
0.00%
0/169 • Throughout the course of the study, up to 91 days
0.70%
1/142 • Number of events 1 • Throughout the course of the study, up to 91 days
Infections and infestations
Fungal skin infection
0.59%
1/169 • Number of events 1 • Throughout the course of the study, up to 91 days
0.00%
0/142 • Throughout the course of the study, up to 91 days
Infections and infestations
Gastroenteritis
0.00%
0/169 • Throughout the course of the study, up to 91 days
0.70%
1/142 • Number of events 1 • Throughout the course of the study, up to 91 days
Infections and infestations
Gastroenteritis viral
0.00%
0/169 • Throughout the course of the study, up to 91 days
1.4%
2/142 • Number of events 2 • Throughout the course of the study, up to 91 days
Nervous system disorders
Headache
2.4%
4/169 • Number of events 4 • Throughout the course of the study, up to 91 days
1.4%
2/142 • Number of events 2 • Throughout the course of the study, up to 91 days
Vascular disorders
Hot flush
0.59%
1/169 • Number of events 1 • Throughout the course of the study, up to 91 days
0.00%
0/142 • Throughout the course of the study, up to 91 days
Metabolism and nutrition disorders
Hyperglycaemia
0.59%
1/169 • Number of events 1 • Throughout the course of the study, up to 91 days
2.8%
4/142 • Number of events 5 • Throughout the course of the study, up to 91 days
Metabolism and nutrition disorders
Hypertriglyceridaemia
0.00%
0/169 • Throughout the course of the study, up to 91 days
0.70%
1/142 • Number of events 1 • Throughout the course of the study, up to 91 days
Infections and infestations
Influenza
0.00%
0/169 • Throughout the course of the study, up to 91 days
0.70%
1/142 • Number of events 1 • Throughout the course of the study, up to 91 days
General disorders
Infusion site pain
0.59%
1/169 • Number of events 1 • Throughout the course of the study, up to 91 days
0.00%
0/142 • Throughout the course of the study, up to 91 days
Metabolism and nutrition disorders
Insulin resistance
0.00%
0/169 • Throughout the course of the study, up to 91 days
0.70%
1/142 • Number of events 1 • Throughout the course of the study, up to 91 days
General disorders
Medical device site bruise
0.59%
1/169 • Number of events 1 • Throughout the course of the study, up to 91 days
0.00%
0/142 • Throughout the course of the study, up to 91 days
General disorders
Medical device site haemorrhage
2.4%
4/169 • Number of events 4 • Throughout the course of the study, up to 91 days
0.00%
0/142 • Throughout the course of the study, up to 91 days
Infections and infestations
Medical device site infection
0.00%
0/169 • Throughout the course of the study, up to 91 days
0.70%
1/142 • Number of events 1 • Throughout the course of the study, up to 91 days
General disorders
Medical device site pain
0.59%
1/169 • Number of events 1 • Throughout the course of the study, up to 91 days
1.4%
2/142 • Number of events 2 • Throughout the course of the study, up to 91 days
Injury, poisoning and procedural complications
Muscle strain
0.59%
1/169 • Number of events 1 • Throughout the course of the study, up to 91 days
0.00%
0/142 • Throughout the course of the study, up to 91 days
Infections and infestations
Nasopharyngitis
0.00%
0/169 • Throughout the course of the study, up to 91 days
4.9%
7/142 • Number of events 8 • Throughout the course of the study, up to 91 days
Gastrointestinal disorders
Nausea
0.59%
1/169 • Number of events 1 • Throughout the course of the study, up to 91 days
0.00%
0/142 • Throughout the course of the study, up to 91 days
Renal and urinary disorders
Nephrolithiasis
0.59%
1/169 • Number of events 1 • Throughout the course of the study, up to 91 days
0.00%
0/142 • Throughout the course of the study, up to 91 days
Infections and infestations
Oral herpes
0.00%
0/169 • Throughout the course of the study, up to 91 days
0.70%
1/142 • Number of events 1 • Throughout the course of the study, up to 91 days
Infections and infestations
Pharyngitis
0.00%
0/169 • Throughout the course of the study, up to 91 days
0.70%
1/142 • Number of events 1 • Throughout the course of the study, up to 91 days
Infections and infestations
Pharyngitis streptococcal
0.00%
0/169 • Throughout the course of the study, up to 91 days
0.70%
1/142 • Number of events 1 • Throughout the course of the study, up to 91 days
Infections and infestations
Pneumonia
0.00%
0/169 • Throughout the course of the study, up to 91 days
0.70%
1/142 • Number of events 1 • Throughout the course of the study, up to 91 days
Nervous system disorders
Presyncope
0.59%
1/169 • Number of events 1 • Throughout the course of the study, up to 91 days
0.00%
0/142 • Throughout the course of the study, up to 91 days
Skin and subcutaneous tissue disorders
Rash
0.59%
1/169 • Number of events 1 • Throughout the course of the study, up to 91 days
0.00%
0/142 • Throughout the course of the study, up to 91 days
Skin and subcutaneous tissue disorders
Rash generalised
0.59%
1/169 • Number of events 1 • Throughout the course of the study, up to 91 days
0.00%
0/142 • Throughout the course of the study, up to 91 days
Injury, poisoning and procedural complications
Road traffic accident
1.2%
2/169 • Number of events 2 • Throughout the course of the study, up to 91 days
0.00%
0/142 • Throughout the course of the study, up to 91 days
Infections and infestations
Sinusitis
0.59%
1/169 • Number of events 1 • Throughout the course of the study, up to 91 days
0.00%
0/142 • Throughout the course of the study, up to 91 days
Injury, poisoning and procedural complications
Skin laceration
0.59%
1/169 • Number of events 1 • Throughout the course of the study, up to 91 days
0.00%
0/142 • Throughout the course of the study, up to 91 days
Nervous system disorders
Syncope
1.8%
3/169 • Number of events 4 • Throughout the course of the study, up to 91 days
0.00%
0/142 • Throughout the course of the study, up to 91 days
Infections and infestations
Tooth infection
0.59%
1/169 • Number of events 1 • Throughout the course of the study, up to 91 days
0.00%
0/142 • Throughout the course of the study, up to 91 days
Infections and infestations
Upper respiratory tract infection
2.4%
4/169 • Number of events 4 • Throughout the course of the study, up to 91 days
0.70%
1/142 • Number of events 1 • Throughout the course of the study, up to 91 days
Infections and infestations
Urinary tract infection
0.59%
1/169 • Number of events 1 • Throughout the course of the study, up to 91 days
0.00%
0/142 • Throughout the course of the study, up to 91 days
Infections and infestations
Viral upper respiratory tract infection
0.00%
0/169 • Throughout the course of the study, up to 91 days
1.4%
2/142 • Number of events 2 • Throughout the course of the study, up to 91 days
Gastrointestinal disorders
Vomiting
1.2%
2/169 • Number of events 2 • Throughout the course of the study, up to 91 days
0.00%
0/142 • Throughout the course of the study, up to 91 days

Additional Information

Robin Mottackel

Medtronic Diabetes

Phone: 8185764886

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60