Trial Outcomes & Findings for Optimizing Closed-Loop Control of Type 1 Diabetes Mellitus in Adolescents (NCT NCT01890954)

NCT ID: NCT01890954

Last Updated: 2022-09-13

Results Overview

Percentage of time that blood glucose (BG) values (measured with both finger-stick and CGM) were near normoglycemia (70-180 mg/dL).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

17 participants

Primary outcome timeframe

8 hours

Results posted on

2022-09-13

Participant Flow

Participant milestones

Participant milestones
Measure
Usual Care First, Then Closed Loop Control
8 hours observational (09:00-17:00) during usual care with a missed insulin bolus for 30g carbohydrates snack (09:00) and an under-bolus (75% meal insulin with full correction insulin) for an 80g lunch (13:00). 1 day of wash-out. 8 hours using Closed Loop Control with DiAs with a missed insulin bolus for 30g of carbohydrates snack (09:00) and an under-bolus (75% meal insulin with no correction insulin) for an 80g lunch (13:00).
Closed Loop Control First, Then Usual Care
8 hours observational (09:00-17:00) using Closed Loop Control with DiAs with a missed insulin bolus for 30g of carbohydrates snack (09:00) and an under-bolus (75% meal insulin with no correction insulin) for an 80g lunch (13:00). 1 day of wash-out. 8 hours observational (09:00-17:00) during usual care with a missed insulin bolus for 30g carbohydrates snack (09:00) and an under-bolus (75% meal insulin with full correction insulin) for an 80g lunch (13:00).
Overall Study
STARTED
9
8
Overall Study
COMPLETED
8
8
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Optimizing Closed-Loop Control of Type 1 Diabetes Mellitus in Adolescents

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Usual Care First, Then Closed Loop Control
n=8 Participants
8 hours observational (09:00-17:00) during usual care with a missed insulin bolus for 30g carbohydrates snack (09:00) and an under-bolus (75% meal insulin with full correction insulin) for an 80g lunch (13:00). 1 day of wash-out. 8 hours using Closed Loop Control with DiAs with a missed insulin bolus for 30g of carbohydrates snack (09:00) and an under-bolus (75% meal insulin with no correction insulin) for an 80g lunch (13:00).
Closed Loop Control First, Then Usual Care
n=8 Participants
8 hours observational (09:00-17:00) using Closed Loop Control with DiAs with a missed insulin bolus for 30g of carbohydrates snack (09:00) and an under-bolus (75% meal insulin with no correction insulin) for an 80g lunch (13:00). 1 day of wash-out. 8 hours observational during usual care with a missed insulin bolus for 30g carbohydrates snack (09:00) and an under-bolus (75% meal insulin with full correction insulin) for an 80g lunch (13:00).
Total
n=16 Participants
Total of all reporting groups
Age, Categorical
<=18 years
8 Participants
n=5 Participants
8 Participants
n=7 Participants
16 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
15 years
STANDARD_DEVIATION 2 • n=5 Participants
15 years
STANDARD_DEVIATION 2 • n=7 Participants
15 years
STANDARD_DEVIATION 2 • n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=5 Participants
8 Participants
n=7 Participants
16 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
8 Participants
n=5 Participants
8 Participants
n=7 Participants
16 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
8 participants
n=5 Participants
8 participants
n=7 Participants
16 participants
n=5 Participants

PRIMARY outcome

Timeframe: 8 hours

Percentage of time that blood glucose (BG) values (measured with both finger-stick and CGM) were near normoglycemia (70-180 mg/dL).

Outcome measures

Outcome measures
Measure
Closed Loop Control With DiAs System
n=16 Participants
8 hours observational (09:00-17:00) during closed-loop control (DiAs) with a missed insulin bolus for 30g carbohydrates snack (09:00) and an under-bolus (75% meal insulin with full correction insulin) for an 80g lunch (13:00).
Usual Care Without DiAs System (CGM Only)
n=16 Participants
8 hours observational (09:00-17:00) during usual care with a missed insulin bolus for 30g carbohydrates snack (09:00) and an under-bolus (75% meal insulin with full correction insulin) for an 80g lunch (13:00).
Percent of Time Spent Near Normoglycemia
Overall (8 hours)
43.4 percentage time near normoglycemia
Standard Error 6.5
18.9 percentage time near normoglycemia
Standard Error 7
Percent of Time Spent Near Normoglycemia
Post-snack (4 hours)
45.1 percentage time near normoglycemia
Standard Error 8.7
21.3 percentage time near normoglycemia
Standard Error 7.7
Percent of Time Spent Near Normoglycemia
Post-lunch (4 hours)
42.3 percentage time near normoglycemia
Standard Error 9.2
16.9 percentage time near normoglycemia
Standard Error 7.4

Adverse Events

Closed Loop Control With DiAs System

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

Usual Care Without DiAs System (CGM Only)

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Daniel Chernavvsky

University of Virginia

Phone: 434-243-1395

Results disclosure agreements

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