Continuous Glucose Monitoring and Insulin Pump Therapy in Diabetic Gastroparesis

NCT ID: NCT01030341

Last Updated: 2022-02-09

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

45 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-05-31

Study Completion Date

2015-01-31

Brief Summary

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A pilot study to assess the safety, feasibility, and potential (uncontrolled) efficacy of continuous glucose monitoring (CGMS) in conjunction with an insulin pump to improve glycemic control for treatment of type 1 and type 2 diabetic patients with gastroparesis

Detailed Description

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This multicenter, uncontrolled, open label treatment study is to assess the safety of CGMS in guiding insulin pump therapy for 24 weeks by measuring mild, moderate, and severe hypoglycemic episodes in patients with type 1 and type 2 diabetes and gastroparesis.

Conditions

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Diabetic Gastroparesis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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CGMS and insulin pump

Continuous glucose monitoring in conjunction with insulin pump

Group Type EXPERIMENTAL

CGMS and insulin pump

Intervention Type DEVICE

Use of continuous glucose monitoring system and insulin pump

Interventions

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CGMS and insulin pump

Use of continuous glucose monitoring system and insulin pump

Intervention Type DEVICE

Other Intervention Names

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Paradigm 722 Insulin pump Real-Time Continuous Glucose Monitoring System

Eligibility Criteria

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Inclusion Criteria

* Age 18 - 70 years old at registration
* Type 1 or Type 2 diabetes mellitus for at least 2 years
* Symptoms of gastroparesis (nausea, vomiting, early satiety, bloating, fullness, discomfort) for at least 1 year prior to registration
* Gastroparesis Cardinal Symptom Index (GCSI) score of 18
* Delayed gastric emptying on gastric scintigraphy within 1 year of registration, defined as greater than 60% retention at 2 hours or greater than 10% retention at 4 hours
* Hemoglobin A1c of at least 8.0% at registration regardless of current therapy. Individuals already receiving diabetes therapy via an insulin pump will be eligible for study participation if, in the opinion of the investigators, he/she may acquire additional benefit from continuous glucose monitoring that might improve glycemic control
* Normal upper endoscopy within 1 year of registration
* No clinical or imaging evidence of obstruction
* Successful mastering of use of CGMS during the run-in period

Exclusion Criteria

* Prior gastric surgery including fundoplication
* Other systemic disease potentially causative of gastrointestinal symptoms
* Acute or chronic renal insufficiency with creatinine \>1.5 mg/dL
* Psychiatric disease or eating disorder
* Pregnancy
* Any other condition which, in the opinion of the investigators, would impede compliance or hinder completion of the study
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

NIH

Sponsor Role collaborator

Johns Hopkins Bloomberg School of Public Health

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Frank Hamilton, MD

Role: STUDY_DIRECTOR

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Locations

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California Pacific Medical Center

San Francisco, California, United States

Site Status

Stanford University

Stanford, California, United States

Site Status

University of Michigan Medical Center

Ann Arbor, Michigan, United States

Site Status

University of Mississippi Medical Center

Jackson, Mississippi, United States

Site Status

Wake Forest University Health Sciences

Winston-Salem, North Carolina, United States

Site Status

Temple University Hospital

Philadelphia, Pennsylvania, United States

Site Status

Texas Tech University Health Sciences Center

El Paso, Texas, United States

Site Status

Countries

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United States

Related Links

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https://jhuccs1.us/gpcrc/

Click here for information on gastroparesis research

Other Identifiers

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U01DK073983

Identifier Type: NIH

Identifier Source: secondary_id

View Link

U01DK073975

Identifier Type: NIH

Identifier Source: secondary_id

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U01DK073985

Identifier Type: NIH

Identifier Source: secondary_id

View Link

U01DK074035

Identifier Type: NIH

Identifier Source: secondary_id

View Link

U01DK074008

Identifier Type: NIH

Identifier Source: secondary_id

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U01DK073974

Identifier Type: NIH

Identifier Source: secondary_id

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U01DK074007

Identifier Type: NIH

Identifier Source: secondary_id

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U01DK074008 GLUMIT-DG

Identifier Type: -

Identifier Source: org_study_id

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