Trial Outcomes & Findings for Preservation of Pancreatic Beta Cell Function Through Insulin Pump Therapy (NCT NCT00574405)

NCT ID: NCT00574405

Last Updated: 2017-09-13

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

24 participants

Primary outcome timeframe

12 months

Results posted on

2017-09-13

Participant Flow

104 children with T1D were screened between 04/05-02/09; 64 declined to participate; 16 did not meet inclusion/exclusion criteria. 24 subjects (12 per group) were enrolled. 1 subject in each group withdrew after initial randomization. Of the remaining 22, 1 completed the 9-mo visit, 1 completed the 6-mo visit, and 1 completed the 1-mo visit.

One subject in each group withdrew from further participation after initial randomization, possibly because of dissatisfaction with the assigned mode of treatment.

Participant milestones

Participant milestones
Measure
Multiple Daily Injection Therapy
Multiple daily injection therapy, using split-mix NPH insulin + regular insulin or Lantus + Novolog® (or Humalog®) started at the time of diagnosis of Type 1 diabetes in patient 8-18 years of age and monitored for 12 months after diagnosis.
Insulin Pump Therapy, Started at Diagnosis.
Continuous subcutaneous infusion therapy (insulin pump therapy), using Animas Corporation insulin pump, model IR 1200, started within 1 month of diagnosis with Type 1 diabetes, in patients 8-18 years of age, and monitored for 12 months after diagnosis.
Overall Study
STARTED
12
12
Overall Study
COMPLETED
9
10
Overall Study
NOT COMPLETED
3
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Multiple Daily Injection Therapy
Multiple daily injection therapy, using split-mix NPH insulin + regular insulin or Lantus + Novolog® (or Humalog®) started at the time of diagnosis of Type 1 diabetes in patient 8-18 years of age and monitored for 12 months after diagnosis.
Insulin Pump Therapy, Started at Diagnosis.
Continuous subcutaneous infusion therapy (insulin pump therapy), using Animas Corporation insulin pump, model IR 1200, started within 1 month of diagnosis with Type 1 diabetes, in patients 8-18 years of age, and monitored for 12 months after diagnosis.
Overall Study
Withdrawal by Subject
3
2

Baseline Characteristics

Preservation of Pancreatic Beta Cell Function Through Insulin Pump Therapy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Multiple Daily Injection Therapy
n=12 Participants
Multiple daily injection therapy, using split-mix NPH insulin + regular insulin or Lantus + Novolog® (or Humalog®) started at the time of diagnosis of Type 1 diabetes in patient 8-18 years of age and monitored for 12 months after diagnosis.
Insulin Pump Therapy, Started at Diagnosis.
n=12 Participants
Continuous subcutaneous infusion therapy (insulin pump therapy), using Animas Corporation insulin pump, model IR 1200, started within 1 month of diagnosis with Type 1 diabetes, in patients 8-18 years of age, and monitored for 12 months after diagnosis.
Total
n=24 Participants
Total of all reporting groups
Age, Categorical
<=18 years
12 Participants
n=5 Participants
12 Participants
n=7 Participants
24 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
12.1 years
STANDARD_DEVIATION 2.5 • n=5 Participants
12.1 years
STANDARD_DEVIATION 3.6 • n=7 Participants
12.1 years
STANDARD_DEVIATION 2.8 • n=5 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
7 Participants
n=7 Participants
13 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
5 Participants
n=7 Participants
11 Participants
n=5 Participants
Region of Enrollment
United States
12 participants
n=5 Participants
12 participants
n=7 Participants
24 participants
n=5 Participants

PRIMARY outcome

Timeframe: 12 months

Population: Per protocol

Outcome measures

Outcome measures
Measure
Multiple Daily Injection Therapy
n=9 Participants
Multiple daily injection therapy, using split-mix NPH insulin + regular insulin or Lantus + Novolog® (or Humalog®) started at the time of diagnosis of Type 1 diabetes in patient 8-18 years of age and monitored for 12 months after diagnosis.
Insulin Pump Therapy, Started at Diagnosis.
n=10 Participants
Continuous subcutaneous infusion therapy (insulin pump therapy), using Animas Corporation insulin pump, model IR 1200, started within 1 month of diagnosis with Type 1 diabetes, in patients 8-18 years of age, and monitored for 12 months after diagnosis.
Change in Mixed-meal-stimulated Peak C-peptide Value (Via Mixed-meal Tolerance Test) After 12 Months of Insulin Pump Therapy, Compared With MDI.
1.8 ng/mL
Standard Deviation 1.4
3.1 ng/mL
Standard Deviation 2.2

SECONDARY outcome

Timeframe: 12 months

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 months

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 months

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 months

Outcome measures

Outcome data not reported

Adverse Events

Multiple Daily Injection Therapy

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Insulin Pump Therapy, Started at Diagnosis.

Serious events: 1 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Multiple Daily Injection Therapy
n=12 participants at risk
Multiple daily injection therapy, using split-mix NPH insulin + regular insulin or Lantus + Novolog® (or Humalog®) started at the time of diagnosis of Type 1 diabetes in patient 8-18 years of age and monitored for 12 months after diagnosis.
Insulin Pump Therapy, Started at Diagnosis.
n=12 participants at risk
Continuous subcutaneous infusion therapy (insulin pump therapy), using Animas Corporation insulin pump, model IR 1200, started within 1 month of diagnosis with Type 1 diabetes, in patients 8-18 years of age, and monitored for 12 months after diagnosis.
Renal and urinary disorders
Hospitilized for treatment of Urinary tract infection
0.00%
0/12 • 12 months
8.3%
1/12 • Number of events 1 • 12 months

Other adverse events

Other adverse events
Measure
Multiple Daily Injection Therapy
n=12 participants at risk
Multiple daily injection therapy, using split-mix NPH insulin + regular insulin or Lantus + Novolog® (or Humalog®) started at the time of diagnosis of Type 1 diabetes in patient 8-18 years of age and monitored for 12 months after diagnosis.
Insulin Pump Therapy, Started at Diagnosis.
n=12 participants at risk
Continuous subcutaneous infusion therapy (insulin pump therapy), using Animas Corporation insulin pump, model IR 1200, started within 1 month of diagnosis with Type 1 diabetes, in patients 8-18 years of age, and monitored for 12 months after diagnosis.
Gastrointestinal disorders
Abdominal pain/constipation
25.0%
3/12 • Number of events 3 • 12 months
8.3%
1/12 • Number of events 1 • 12 months
Musculoskeletal and connective tissue disorders
Chest pain
8.3%
1/12 • Number of events 1 • 12 months
8.3%
1/12 • Number of events 1 • 12 months
Investigations
Pump malfunction
0.00%
0/12 • 12 months
33.3%
4/12 • Number of events 4 • 12 months
Infections and infestations
Infections
58.3%
7/12 • Number of events 13 • 12 months
41.7%
5/12 • Number of events 10 • 12 months
Injury, poisoning and procedural complications
Injury
25.0%
3/12 • Number of events 3 • 12 months
8.3%
1/12 • Number of events 1 • 12 months
Respiratory, thoracic and mediastinal disorders
pharyngitis
25.0%
3/12 • Number of events 3 • 12 months
8.3%
1/12 • Number of events 1 • 12 months
Eye disorders
Vision change
16.7%
2/12 • Number of events 3 • 12 months
0.00%
0/12 • 12 months
Musculoskeletal and connective tissue disorders
myalgia
8.3%
1/12 • Number of events 3 • 12 months
0.00%
0/12 • 12 months

Additional Information

Kathryn Thrailkill, MD

Arkansas Children's Hospital Research Institute

Phone: 501-364-1430

Results disclosure agreements

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

Restriction type: LTE60