Closed-Loop Impact on Chronic Kidney Disease in Type 2 Diabetes
NCT06925217 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 76
Last updated 2026-02-12
Summary
The main objective of this study is to evaluate the effect of fully automated closed-loop glucose control on renal tissue oxygenation among people with type 2 diabetes and chronic kidney disease.
This is a single-center, open-label parallel design study that will compare 26 weeks of fully-automated closed-loop glucose control with standard insulin therapy and continuous glucose monitoring, following a run-in period. A total of up to 76 adults with type 2 diabetes and chronic kidney disease will be recruited through outpatient diabetes and nephrology clinics.
The primary outcome is renal tissue oxygenation measured using blood oxygenation level-dependent magnetic resonance imaging at 26 weeks. Other key outcomes include glycated hemoglobin at 26 weeks and time spent with glucose levels within and above the target glucose range (3.9-10.0mmol/L). Other glycemic and renal outcomes (including renal function) will also be assessed, as well as patient-reported outcome measures using validated questionnaires. Safety evaluations include severe hypoglycemic episodes and other adverse and serious adverse events.
Conditions
- Type 2 Diabetes
- Chronic Kidney Disease Stage 3
Interventions
- DEVICE
-
CamAPS HX
The CamAPS HX fully closed-loop system consists of an insulin pump, a continuous glucose monitoring (CGM) sensor, as well as the CamAPS HX app, which resides on a smartphone and communicates wirelessly with the insulin pump.
- DEVICE
-
Standard insulin therapy with CGM
Participants will continue their standard insulin therapy with a Freestyle Libre 3 CGM
Sponsors & Collaborators
-
Swiss National Science Foundation, Switzerland
collaborator UNKNOWN -
Institute of Primary Health Care (BIHAM), Switzerland
collaborator UNKNOWN -
Heba Al-Alwan
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-06-16
- Primary Completion
- 2027-05-31
- Completion
- 2027-05-31
Countries
- Switzerland
Study Locations
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