Trial Outcomes & Findings for Hybrid Closed Loop Insulin Delivery System in Hypoglycemia (NCT NCT03215914)

NCT ID: NCT03215914

Last Updated: 2024-10-24

Results Overview

The primary outcome measure will be endogenous glucose production in response to insulin-induced hypoglycemia.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

10 participants

Primary outcome timeframe

After 6 months of hybrid closed-loop insulin delivery.

Results posted on

2024-10-24

Participant Flow

Participant milestones

Participant milestones
Measure
Subjects With Type 1 Diabetes Using MiniMed 670G System
Eligible subjects with type 1 diabetes will initiate hybrid closed-loop insulin delivery based on interstitial glucose monitoring via the MiniMed 670G system according to Medtronic's labeling. This system combines subject-delivered pre-meal boluses with automatic interprandial insulin delivery that includes automated functions for both predictive and threshold suspension of insulin delivery intended to minimize exposure to glucose levels \< 70 mg/dl. MiniMed 670G system: Eligible subjects with type 1 diabetes will initiate hybrid closed-loop insulin delivery based on interstitial glucose monitoring via the MiniMed 670G system according to Medtronic's labeling. This system combines subject-delivered pre-meal boluses with automatic interprandial insulin delivery that includes automated functions for both predictive and threshold suspension of insulin delivery intended to minimize exposure to glucose levels \< 70 mg/dl.
Overall Study
STARTED
10
Overall Study
COMPLETED
10
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Hybrid Closed Loop Insulin Delivery System in Hypoglycemia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Subjects With Type 1 Diabetes Using MiniMed 670G System
n=10 Participants
Eligible subjects with type 1 diabetes will initiate hybrid closed-loop insulin delivery based on interstitial glucose monitoring via the MiniMed 670G system according to Medtronic's labeling. This system combines subject-delivered pre-meal boluses with automatic interprandial insulin delivery that includes automated functions for both predictive and threshold suspension of insulin delivery intended to minimize exposure to glucose levels \< 70 mg/dl. MiniMed 670G system: Eligible subjects with type 1 diabetes will initiate hybrid closed-loop insulin delivery based on interstitial glucose monitoring via the MiniMed 670G system according to Medtronic's labeling. This system combines subject-delivered pre-meal boluses with automatic interprandial insulin delivery that includes automated functions for both predictive and threshold suspension of insulin delivery intended to minimize exposure to glucose levels \< 70 mg/dl.
Age, Categorical
<=18 years
0 Participants
n=93 Participants
Age, Categorical
Between 18 and 65 years
9 Participants
n=93 Participants
Age, Categorical
>=65 years
1 Participants
n=93 Participants
Age, Continuous
49 years
STANDARD_DEVIATION 16 • n=93 Participants
Sex: Female, Male
Female
7 Participants
n=93 Participants
Sex: Female, Male
Male
3 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
10 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=93 Participants
Race (NIH/OMB)
White
10 Participants
n=93 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
Region of Enrollment
United States
10 participants
n=93 Participants
Endogenous Glucose Produciton
.73 [mg/(kgxmin)]
STANDARD_DEVIATION .23 • n=93 Participants

PRIMARY outcome

Timeframe: After 6 months of hybrid closed-loop insulin delivery.

The primary outcome measure will be endogenous glucose production in response to insulin-induced hypoglycemia.

Outcome measures

Outcome measures
Measure
Subjects With Type 1 Diabetes Using MiniMed 670G System
n=10 Participants
Eligible subjects with type 1 diabetes will initiate hybrid closed-loop insulin delivery based on interstitial glucose monitoring via the MiniMed 670G system according to Medtronic's labeling. This system combines subject-delivered pre-meal boluses with automatic interprandial insulin delivery that includes automated functions for both predictive and threshold suspension of insulin delivery intended to minimize exposure to glucose levels \< 70 mg/dl. MiniMed 670G system: Eligible subjects with type 1 diabetes will initiate hybrid closed-loop insulin delivery based on interstitial glucose monitoring via the MiniMed 670G system according to Medtronic's labeling. This system combines subject-delivered pre-meal boluses with automatic interprandial insulin delivery that includes automated functions for both predictive and threshold suspension of insulin delivery intended to minimize exposure to glucose levels \< 70 mg/dl.
Endogenous Glucose Production
.66 [mg/(kgxmin)]
Standard Deviation .13

SECONDARY outcome

Timeframe: After 18 months of hybrid closed-loop insulin delivery.

The secondary outcome measure will be endogenous glucose production in response to insulin-induced hypoglycemia.

Outcome measures

Outcome measures
Measure
Subjects With Type 1 Diabetes Using MiniMed 670G System
n=10 Participants
Eligible subjects with type 1 diabetes will initiate hybrid closed-loop insulin delivery based on interstitial glucose monitoring via the MiniMed 670G system according to Medtronic's labeling. This system combines subject-delivered pre-meal boluses with automatic interprandial insulin delivery that includes automated functions for both predictive and threshold suspension of insulin delivery intended to minimize exposure to glucose levels \< 70 mg/dl. MiniMed 670G system: Eligible subjects with type 1 diabetes will initiate hybrid closed-loop insulin delivery based on interstitial glucose monitoring via the MiniMed 670G system according to Medtronic's labeling. This system combines subject-delivered pre-meal boluses with automatic interprandial insulin delivery that includes automated functions for both predictive and threshold suspension of insulin delivery intended to minimize exposure to glucose levels \< 70 mg/dl.
Endogenous Glucose Production
.69 [mg/(kgxmin)]
Standard Deviation .11

Adverse Events

Subjects With Type 1 Diabetes Using MiniMed 670G System

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Subjects With Type 1 Diabetes Using MiniMed 670G System
n=10 participants at risk
Eligible subjects with type 1 diabetes will initiate hybrid closed-loop insulin delivery based on interstitial glucose monitoring via the MiniMed 670G system according to Medtronic's labeling. This system combines subject-delivered pre-meal boluses with automatic interprandial insulin delivery that includes automated functions for both predictive and threshold suspension of insulin delivery intended to minimize exposure to glucose levels \< 70 mg/dl. MiniMed 670G system: Eligible subjects with type 1 diabetes will initiate hybrid closed-loop insulin delivery based on interstitial glucose monitoring via the MiniMed 670G system according to Medtronic's labeling. This system combines subject-delivered pre-meal boluses with automatic interprandial insulin delivery that includes automated functions for both predictive and threshold suspension of insulin delivery intended to minimize exposure to glucose levels \< 70 mg/dl.
Endocrine disorders
Hypoglycemia
40.0%
4/10 • Number of events 5 • 18 months
Infections and infestations
URI
20.0%
2/10 • Number of events 2 • 18 months
Infections and infestations
Bacterial Infections
20.0%
2/10 • Number of events 2 • 18 months

Additional Information

Cornelia V. Dalton Bakes

University of Pennsylvania

Phone: 215-746-2085

Results disclosure agreements

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