Pilot Study Assessing Insulin Pump Therapy in Type 2 Diabetes

NCT ID: NCT00922649

Last Updated: 2017-09-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

58 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-02-01

Study Completion Date

2009-01-01

Brief Summary

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16-week, open-label, multi-center pilot study. Insulin pump naïve subjects with type 2 diabetes who are not achieving glycemic targets (screening A1C ≥ 7.0%) on an established regimen of either: 1) ≥ 2 OAs (Cohort A), 2) basal insulin ± OAs (Cohort B), or 3) basal-bolus insulin ± OAs (Cohort C) will initiate basal-bolus therapy with an insulin pump using a rapid-acting insulin analog.

Detailed Description

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Conditions

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Type 2 Diabetes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DEVICE_FEASIBILITY

Blinding Strategy

NONE

Study Groups

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A

Insulin pump naïve subjects with type 2 diabetes who are not achieving glycemic targets (screening A1C ≥ 7.0%) on an established regimen of ≥ 2 OAs

Group Type OTHER

Insulin Pump therapy

Intervention Type DEVICE

Initiation of Insulin pump therapy in patients on \>2 OAs (Cohort A), basal insulin ± OAs (Cohort B), or basal-bolus insulin ± OAs (Cohort C.

B

Insulin pump naïve subjects with type 2 diabetes who are not achieving glycemic targets (screening A1C ≥ 7.0%) on an established regimen of basal insulin ± OAs

Group Type OTHER

Insulin Pump therapy

Intervention Type DEVICE

Initiation of Insulin pump therapy in patients on \>2 OAs (Cohort A), basal insulin ± OAs (Cohort B), or basal-bolus insulin ± OAs (Cohort C.

C

Insulin pump naïve subjects with type 2 diabetes who are not achieving glycemic targets (screening A1C ≥ 7.0%) on an established regimen basal-bolus insulin ± OAs

Group Type OTHER

Insulin Pump therapy

Intervention Type DEVICE

Initiation of Insulin pump therapy in patients on \>2 OAs (Cohort A), basal insulin ± OAs (Cohort B), or basal-bolus insulin ± OAs (Cohort C.

Interventions

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Insulin Pump therapy

Initiation of Insulin pump therapy in patients on \>2 OAs (Cohort A), basal insulin ± OAs (Cohort B), or basal-bolus insulin ± OAs (Cohort C.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Is 18 to 75 years of age, inclusive;
2. Has a clinical diagnosis of type 2 diabetes mellitus;
3. Is anti-glutamic acid decarboxylase (GAD) antibody negative;
4. Has an A1C ≥ 7.0% and ≤ 10.5%;
5. Has a body mass index (BMI) ≥ 25 kg/m2 and ≤ 40 kg/m2;
6. Is treated with either ≥ 2 oral antidiabetic agents (OA) or basal insulin ± OA(s) or basal-bolus insulin ± OA(s) for at least 3 months (Subjects may also be treated with exenatide \[Byetta\] or pramlintide \[Symlin\].
7. If on concomitant metformin, has serum creatinine \< 1.5 mg/dL (male) or \<1.4 mg/dL (female);
8. If female, has a negative urine pregnancy test

Exclusion Criteria

1. Has experienced recurrent severe hypoglycemia (\> 2 episodes) requiring assistance during the past 6 months;
2. Has clinical cardiovascular disease (CVD) as evidenced by prior myocardial infarction, stroke, arterial revascularization and/or angina with ischemic changes on ECG at rest, changes on graded exercise test, or positive cardiac imaging test results;
3. Has abnormalities on the screening (Visit 1) 12-lead ECG that are deemed by the investigator to be clinically significant;
4. Is currently being treated with or expected to require or undergo treatment with systemic steroids by oral, intravenous, or intramuscular route or potent inhaled,intrapulmonary, intranasal, or topical steroids that are known to have a high rate of systemic absorption;
5. Currently abuses drugs or alcohol or has a history of abuse that in the investigator's opinion would cause the individual to be non-compliant;
6. Has any significant medical condition, laboratory findings, or medical history that in the investigator's opinion may affect successful completion of the study and/or personal well-being;
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Animas Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Timothy Bailey, MD

Role: PRINCIPAL_INVESTIGATOR

AMCR Institute, Inc.

Bruce Bode, MD

Role: PRINCIPAL_INVESTIGATOR

Atlanta Diabetes Associates, Inc.

Mark Kipnes, MD

Role: PRINCIPAL_INVESTIGATOR

dgd Research, Inc.

John Liljenquist, MD

Role: PRINCIPAL_INVESTIGATOR

Rocky Mountain Diabetes and Osteoporosis Center, PA

Lyle Myers, M.D

Role: PRINCIPAL_INVESTIGATOR

Kentucky Diabetes Endocrinology Center

Sunder Mudaliar, MD

Role: PRINCIPAL_INVESTIGATOR

University of California, San Diego

Locations

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The Regents of the University of California on behalf of its San Diego campus

La Jolla, California, United States

Site Status

AMCR Institute, Inc.

San Diego, California, United States

Site Status

Atlanta Diabetes Associates, Inc.

Atlanta, Georgia, United States

Site Status

Rocky Mountain Diabetes and Osteoporosis Center, PA

Idaho Falls, Idaho, United States

Site Status

Kentucky Diabetes Endocrinology Center

Lexington, Kentucky, United States

Site Status

dgd Research, Inc.

San Antonio, Texas, United States

Site Status

Countries

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United States

References

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Peyrot M, Rubin RR, Chen X, Frias JP. Associations between improved glucose control and patient-reported outcomes after initiation of insulin pump therapy in patients with type 2 diabetes mellitus. Diabetes Technol Ther. 2011 Apr;13(4):471-6. doi: 10.1089/dia.2010.0167. Epub 2011 Feb 28.

Reference Type DERIVED
PMID: 21355725 (View on PubMed)

Rubin RR, Peyrot M, Chen X, Frias JP. Patient-reported outcomes from a 16-week open-label, multicenter study of insulin pump therapy in patients with type 2 diabetes mellitus. Diabetes Technol Ther. 2010 Nov;12(11):901-6. doi: 10.1089/dia.2010.0075. Epub 2010 Sep 30.

Reference Type DERIVED
PMID: 20879963 (View on PubMed)

Other Identifiers

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ANM002

Identifier Type: -

Identifier Source: org_study_id