QUality of Control and slEep in Children With diabeteS, Using New Technology

NCT ID: NCT03103867

Last Updated: 2018-08-03

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

32 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-02-23

Study Completion Date

2018-07-15

Brief Summary

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The study is an open label single centre randomised cross over study to evaluate the impact of a sensor augmented pump (SAP) with a predictive algorithm to suspend temporarily insulin administration (640G® with the Smart Guard feature) versus the use of the same pump for insulin administration with 'only' continuous glucose measurements (not interacting with the pump, Freestyle Libre ® ) on the time in glucose target , in hypo- and hyperglycemia. Exploratory endpoints are the effect on sleep and quality of life in children with type 1 diabetes and their caregivers.

Detailed Description

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Optimising metabolic control in children with Type 1Diabetes Mellitus (T1DM) is essential to prevent late complications. Fear of nocturnal hypoglycemia is pervasive amongst parents of children with T1DM, leading to a heightened vigilance by parents to control regularly their children's blood sugar values or to check the sensor information during the night. This leads to chronic sleep interruption and to lack of sleep as well in the parents as in their children with diabetes.

In this study, the impact of new technologies on glucose time in target , hypo fear and quality of life will be evaluated, using continuous interstitial glucose measurements either with a direct impact on insulin administration (640G medtronic pump (R)) and with alerts , or without impact on insulin administration and without alerts.

Conditions

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Diabetes Mellitus, Type 1

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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CGM augmented pump with PLGS (A)

Administration of Subcutaneous administration of Continuous subcutaneous insulin infusion with integrated continuous glucose monitoring and predicted low glucose suspense (PLGS) Randomised cross over treatment during 5 weeks

Group Type EXPERIMENTAL

CGM augmented pump with PLGS ,

Intervention Type DEVICE

5 weeks treatment CGM augmented pump with PLGS compared with 5 weeks treatment with insulin pump with CGM , without integration

Insulin pump with CGM (B)

Administration of Subcutaneous administration of Continuous subcutaneous insulin infusion with second device measuring continuous glucose Randomised cross over treatment during 5 weeks

Group Type ACTIVE_COMPARATOR

Insulin pump with CGM

Intervention Type DEVICE

5 weeks treatment continuous subcutaneous insulin infusion pump with CGM without data integration,

Interventions

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CGM augmented pump with PLGS ,

5 weeks treatment CGM augmented pump with PLGS compared with 5 weeks treatment with insulin pump with CGM , without integration

Intervention Type DEVICE

Insulin pump with CGM

5 weeks treatment continuous subcutaneous insulin infusion pump with CGM without data integration,

Intervention Type DEVICE

Other Intervention Names

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640G, Enlite Sensors , Freestyle Libre 640G , freestyle libre

Eligibility Criteria

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Inclusion Criteria

* Type 1 diabetes
* Duration of diabetes ≥ 6 months
* Insulin pump treatment ≥ 6 months
* HbA1c ≤ 11%
* Parental written informed consent

Exclusion Criteria

. No parental consent

* Physical or psychological disease likely to interfere with an appropriate conduct of the study
* Current drug therapy knowing to interfere with glucose metabolism
* Chronic sleep medication in the primary caregiver or the patient -
Minimum Eligible Age

6 Years

Maximum Eligible Age

14 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier du Luxembourg

OTHER

Sponsor Role lead

Responsible Party

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Carine de Beaufort

Guest Professor , MD, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Carine de Beaufort, MD,PhD

Role: STUDY_CHAIR

Centre Hospitalier du Luxembourg

Locations

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Clinique des Enfants CHluxembourg

Luxembourg, , Luxembourg

Site Status

Countries

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Luxembourg

References

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Schierloh U, Aguayo GA, Fichelle M, De Melo Dias C, Schritz A, Vaillant M, Barnard-Kelly K, Cohen O, Gies I, de Beaufort C. Fear of hypoglycemia and sleep in children with type 1 diabetes and their parents. Front Endocrinol (Lausanne). 2024 Dec 16;15:1419502. doi: 10.3389/fendo.2024.1419502. eCollection 2024.

Reference Type DERIVED
PMID: 39736868 (View on PubMed)

Schierloh U, Aguayo GA, Schritz A, Fichelle M, De Melo Dias C, Vaillant MT, Cohen O, Gies I, de Beaufort C. Intermittent Scanning Glucose Monitoring or Predicted Low Suspend Pump Treatment: Does It Impact Time in Glucose Target and Treatment Preference? The QUEST Randomized Crossover Study. Front Endocrinol (Lausanne). 2022 May 31;13:870916. doi: 10.3389/fendo.2022.870916. eCollection 2022.

Reference Type DERIVED
PMID: 35712259 (View on PubMed)

Schierloh U, Aguayo GA, Fichelle M, De Melo Dias C, Celebic A, Vaillant M, Barnard K, Cohen O, de Beaufort C. Effect of predicted low suspend pump treatment on improving glycaemic control and quality of sleep in children with type 1 diabetes and their caregivers: the QUEST randomized crossover study. Trials. 2018 Dec 4;19(1):665. doi: 10.1186/s13063-018-3034-4.

Reference Type DERIVED
PMID: 30509293 (View on PubMed)

Other Identifiers

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QUEST

Identifier Type: -

Identifier Source: org_study_id

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