Trial Outcomes & Findings for Two Way Crossover Closed Loop Study MPC vs FMPD (NCT NCT04771403)
NCT ID: NCT04771403
Last Updated: 2023-05-17
Results Overview
Assess the percent of time that the Dexcom G6 reported sensor glucose values less than 70 mg/dl using Dexcom sensor across the duration of the 12 hour inpatient stay (either Day 3 or Day 1 MPC vs. Day 1 FMPD).
COMPLETED
NA
25 participants
12 hour inpatient stay (either Day 3 or Day 1 MPC vs. Day 1 FMPD)
2023-05-17
Participant Flow
Participant milestones
| Measure |
MPC to FMPD
The randomization order for participants in this arm was Model Predictive Control (MPC) followed by Fading-Memory Proportional Derivative (FMPD). Each visit was about 76 hours and included an inpatient and outpatient portion. The first 8 participants using the MPC remained as inpatients in clinic during the day and went home with system turned off at night (7pm-7am).
|
FMPD to MPC
The randomization order for participants in this arm was Fading-Memory Proportional Derivative (FMPD) followed by Model Predictive Control (MPC). Each visit was about 76 hours and included an inpatient and outpatient portion. The first 8 participants using the MPC remained as inpatients in clinic during the day and went home with system turned off at night (7pm-7am).
|
|---|---|---|
|
Dexcom Training Visit (1 Week)
STARTED
|
13
|
12
|
|
Dexcom Training Visit (1 Week)
COMPLETED
|
13
|
12
|
|
Dexcom Training Visit (1 Week)
NOT COMPLETED
|
0
|
0
|
|
First Rest Period (1-12 Weeks)
STARTED
|
13
|
12
|
|
First Rest Period (1-12 Weeks)
COMPLETED
|
13
|
12
|
|
First Rest Period (1-12 Weeks)
NOT COMPLETED
|
0
|
0
|
|
First Intervention (~76 Hours)
STARTED
|
13
|
12
|
|
First Intervention (~76 Hours)
COMPLETED
|
9
|
10
|
|
First Intervention (~76 Hours)
NOT COMPLETED
|
4
|
2
|
|
Second Rest Period (1-10 Weeks)
STARTED
|
13
|
12
|
|
Second Rest Period (1-10 Weeks)
COMPLETED
|
12
|
12
|
|
Second Rest Period (1-10 Weeks)
NOT COMPLETED
|
1
|
0
|
|
Second Intervention Visit (~76 Hours)
STARTED
|
12
|
12
|
|
Second Intervention Visit (~76 Hours)
COMPLETED
|
11
|
12
|
|
Second Intervention Visit (~76 Hours)
NOT COMPLETED
|
1
|
0
|
Reasons for withdrawal
| Measure |
MPC to FMPD
The randomization order for participants in this arm was Model Predictive Control (MPC) followed by Fading-Memory Proportional Derivative (FMPD). Each visit was about 76 hours and included an inpatient and outpatient portion. The first 8 participants using the MPC remained as inpatients in clinic during the day and went home with system turned off at night (7pm-7am).
|
FMPD to MPC
The randomization order for participants in this arm was Fading-Memory Proportional Derivative (FMPD) followed by Model Predictive Control (MPC). Each visit was about 76 hours and included an inpatient and outpatient portion. The first 8 participants using the MPC remained as inpatients in clinic during the day and went home with system turned off at night (7pm-7am).
|
|---|---|---|
|
First Intervention (~76 Hours)
FMPD study stopped after 7 hours: Pod occlusion with hyperglycemia (data not analyzed)
|
0
|
1
|
|
First Intervention (~76 Hours)
MPC study stopped after 8 hours due to algorithm safety concerns (data not analyzed)
|
1
|
0
|
|
First Intervention (~76 Hours)
MPC Study stopped after 34 hrs for safety due to high ketones (data analyzed)
|
1
|
0
|
|
First Intervention (~76 Hours)
MPC study stopped after 61 hrs due to cloud server issues (data analyzed)
|
1
|
0
|
|
First Intervention (~76 Hours)
MPC study stopped after 32 hours due to algorithm safety concerns (data analyzed)
|
1
|
0
|
|
First Intervention (~76 Hours)
FMPD study stopped after 6 hours due to algorithm safety concerns (data not analyzed)
|
0
|
1
|
|
Second Rest Period (1-10 Weeks)
Subject withdrawn before completing FMPD study due to safety concerns due to keto diet
|
1
|
0
|
|
Second Intervention Visit (~76 Hours)
FMPD study stopped after 25 hrs due to stopping rules for hypoglycemia (data analyzed)
|
1
|
0
|
Baseline Characteristics
Two Way Crossover Closed Loop Study MPC vs FMPD
Baseline characteristics by cohort
| Measure |
MPC to FMPD
n=13 Participants
The randomization order for participants in this arm was Model Predictive Control (MPC) followed by Fading-Memory Proportional Derivative (FMPD). Each visit was about 72 hours and included a 12 hour inpatient and 60 hour outpatient portion.
|
FMPD to MPC
n=12 Participants
The randomization order for participants in this arm was Fading-Memory Proportional Derivative (FMPD) followed by Model Predictive Control (MPC). Each visit was about 72 hours and included a 12 hour inpatient and 60 hour outpatient portion.
|
Total
n=25 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Categorical
<=18 years
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
13 Participants
n=5 Participants
|
12 Participants
n=7 Participants
|
25 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
|
35.2 years
STANDARD_DEVIATION 8.9 • n=5 Participants
|
33.4 years
STANDARD_DEVIATION 8.9 • n=7 Participants
|
34.0 years
STANDARD_DEVIATION 8.8 • n=5 Participants
|
|
Sex: Female, Male
Female
|
9 Participants
n=5 Participants
|
7 Participants
n=7 Participants
|
16 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
4 Participants
n=5 Participants
|
5 Participants
n=7 Participants
|
9 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
|
13 Participants
n=5 Participants
|
12 Participants
n=7 Participants
|
25 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
|
1 Participants
n=7 Participants
|
1 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
|
13 Participants
n=5 Participants
|
9 Participants
n=7 Participants
|
22 Participants
n=5 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=5 Participants
|
2 Participants
n=7 Participants
|
2 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
|
13 participants
n=5 Participants
|
12 participants
n=7 Participants
|
25 participants
n=5 Participants
|
PRIMARY outcome
Timeframe: 12 hour inpatient stay (either Day 3 or Day 1 MPC vs. Day 1 FMPD)Population: Out of 25 participants enrolled, the MPC study cancelled after 8 hours was not analyzed, the other three MPC studies that were cancelled after 30+ hours were analyzed. Two FMPD studies were cancelled the first day, 6 or 7 hours in and one FMPD study never happened as participant was withdrawn, so three FMPD studies were not analyzed. The other FMPD study that was cancelled after 28 hours was analyzed.
Assess the percent of time that the Dexcom G6 reported sensor glucose values less than 70 mg/dl using Dexcom sensor across the duration of the 12 hour inpatient stay (either Day 3 or Day 1 MPC vs. Day 1 FMPD).
Outcome measures
| Measure |
FMPD AP System
n=22 Participants
Participants will use the FMPD AP system for automated insulin delivery for a 76 hour study visit.
FMPD AP algorithm: The Fading Memory Proportional Derivative (FMPD) insulin infusion algorithm determines insulin delivery rates based on proportional error, defined as the difference between the current CGM level and the target CGM level, and the derivative error, defined as the rate of change of the CGM. The FMPD algorithm utilizes derivative and proportional glucose errors to determine delivery rates of insulin.
|
MPC AP System
n=24 Participants
Participants will use the MPC AP system for automated insulin delivery for a 76 hour study visit.
MPC AP system: The Model Predictive Control (MPC) insulin infusion algorithm contains a model within the controller that takes as an input the aerobic metabolic expenditure in addition to the CGM and meal inputs. The algorithm uses heart rate and accelerometer data collected on the patient's body to calculate metabolic expenditure. The metabolic expenditure then acts on the model for the insulin dynamics, whereby more energy expenditure and longer duration exercise can lead to a more substantial effect of insulin on the CGM.
|
|---|---|---|
|
Percent of Time With Sensed Glucose <70 mg/dl
|
2.5 percentage of time
Standard Deviation 7.0
|
1.3 percentage of time
Standard Deviation 2.9
|
SECONDARY outcome
Timeframe: During each 76 hour intervention study (2 total)Population: Out of 25 participants enrolled, the MPC study cancelled after 8 hours was not analyzed, the other three MPC studies that were cancelled after 30+ hours were analyzed. Two FMPD studies were cancelled the first day, 6 or 7 hours in and one FMPD study never happened as participant was withdrawn, so three FMPD studies were not analyzed. The other FMPD study that was cancelled after 28 hours was analyzed.
Assess the percent of time that the Dexcom G6 reported sensor glucose values between 70-180 mg/dl using Dexcom sensor across both arms.
Outcome measures
| Measure |
FMPD AP System
n=22 Participants
Participants will use the FMPD AP system for automated insulin delivery for a 76 hour study visit.
FMPD AP algorithm: The Fading Memory Proportional Derivative (FMPD) insulin infusion algorithm determines insulin delivery rates based on proportional error, defined as the difference between the current CGM level and the target CGM level, and the derivative error, defined as the rate of change of the CGM. The FMPD algorithm utilizes derivative and proportional glucose errors to determine delivery rates of insulin.
|
MPC AP System
n=24 Participants
Participants will use the MPC AP system for automated insulin delivery for a 76 hour study visit.
MPC AP system: The Model Predictive Control (MPC) insulin infusion algorithm contains a model within the controller that takes as an input the aerobic metabolic expenditure in addition to the CGM and meal inputs. The algorithm uses heart rate and accelerometer data collected on the patient's body to calculate metabolic expenditure. The metabolic expenditure then acts on the model for the insulin dynamics, whereby more energy expenditure and longer duration exercise can lead to a more substantial effect of insulin on the CGM.
|
|---|---|---|
|
Percent of Time With Sensed Glucose Between 70-180 mg/dl
|
75.5 percentage of time
Standard Deviation 10.7
|
71.2 percentage of time
Standard Deviation 16.1
|
SECONDARY outcome
Timeframe: 12 hour inpatient stay (either Day 3 or Day 1 MPC vs. Day 1 FMPD)Population: Out of 25 participants enrolled, the MPC study cancelled after 8 hours was not analyzed, the other three MPC studies that were cancelled after 30+ hours were analyzed. Two FMPD studies were cancelled the first day, 6 or 7 hours in and one FMPD study never happened as participant was withdrawn, so three FMPD studies were not analyzed. The other FMPD study that was cancelled after 28 hours was analyzed.
Assess the percent of time that the Dexcom G6 reported sensor glucose values between 70-180 mg/dl using Dexcom sensor across the duration of the 12 hour inpatient stay (either Day 3 or Day 1 MPC vs. Day 1 FMPD).
Outcome measures
| Measure |
FMPD AP System
n=22 Participants
Participants will use the FMPD AP system for automated insulin delivery for a 76 hour study visit.
FMPD AP algorithm: The Fading Memory Proportional Derivative (FMPD) insulin infusion algorithm determines insulin delivery rates based on proportional error, defined as the difference between the current CGM level and the target CGM level, and the derivative error, defined as the rate of change of the CGM. The FMPD algorithm utilizes derivative and proportional glucose errors to determine delivery rates of insulin.
|
MPC AP System
n=24 Participants
Participants will use the MPC AP system for automated insulin delivery for a 76 hour study visit.
MPC AP system: The Model Predictive Control (MPC) insulin infusion algorithm contains a model within the controller that takes as an input the aerobic metabolic expenditure in addition to the CGM and meal inputs. The algorithm uses heart rate and accelerometer data collected on the patient's body to calculate metabolic expenditure. The metabolic expenditure then acts on the model for the insulin dynamics, whereby more energy expenditure and longer duration exercise can lead to a more substantial effect of insulin on the CGM.
|
|---|---|---|
|
Percent of Time With Sensed Glucose Between 70 - 180 mg/dl
|
59.4 percentage of time
Standard Deviation 23.1
|
63.2 percentage of time
Standard Deviation 23.9
|
SECONDARY outcome
Timeframe: start of the in-clinic exercise session until the start of the next meal, approximately 1 hourPopulation: Out of 25 participants enrolled, the MPC study cancelled after 8 hours was not analyzed, the other three MPC studies that were cancelled after 30+ hours were analyzed. Two FMPD studies were cancelled the first day, 6 or 7 hours in and one FMPD study never happened as participant was withdrawn, so three FMPD studies were not analyzed. The other FMPD study that was cancelled after 28 hours was analyzed.
Assess the percent of time that the Dexcom G6 reported sensor glucose values between 70-180 mg/dl using Dexcom sensor across both arms from the start of the in-clinic exercise session until the start of the next meal.
Outcome measures
| Measure |
FMPD AP System
n=22 Participants
Participants will use the FMPD AP system for automated insulin delivery for a 76 hour study visit.
FMPD AP algorithm: The Fading Memory Proportional Derivative (FMPD) insulin infusion algorithm determines insulin delivery rates based on proportional error, defined as the difference between the current CGM level and the target CGM level, and the derivative error, defined as the rate of change of the CGM. The FMPD algorithm utilizes derivative and proportional glucose errors to determine delivery rates of insulin.
|
MPC AP System
n=24 Participants
Participants will use the MPC AP system for automated insulin delivery for a 76 hour study visit.
MPC AP system: The Model Predictive Control (MPC) insulin infusion algorithm contains a model within the controller that takes as an input the aerobic metabolic expenditure in addition to the CGM and meal inputs. The algorithm uses heart rate and accelerometer data collected on the patient's body to calculate metabolic expenditure. The metabolic expenditure then acts on the model for the insulin dynamics, whereby more energy expenditure and longer duration exercise can lead to a more substantial effect of insulin on the CGM.
|
|---|---|---|
|
Percent of Time With Sensed Glucose Between 70 - 180 mg/dl After Exercise
|
81 percentage of time
Standard Deviation 22
|
87 percentage of time
Standard Deviation 17
|
SECONDARY outcome
Timeframe: start of the in-clinic exercise session until the start of the next meal, approximately 1 hourPopulation: Out of 25 participants enrolled, the MPC study cancelled after 8 hours was not analyzed, the other three MPC studies that were cancelled after 30+ hours were analyzed. Two FMPD studies were cancelled the first day, 6 or 7 hours in and one FMPD study never happened as participant was withdrawn, so three FMPD studies were not analyzed. The other FMPD study that was cancelled after 28 hours was analyzed.
Assess the percent of time that the Dexcom G6 reported sensor glucose values less than 70 mg/dl using Dexcom sensor across both arms from the start of the in-clinic exercise session until the start of the next meal.
Outcome measures
| Measure |
FMPD AP System
n=22 Participants
Participants will use the FMPD AP system for automated insulin delivery for a 76 hour study visit.
FMPD AP algorithm: The Fading Memory Proportional Derivative (FMPD) insulin infusion algorithm determines insulin delivery rates based on proportional error, defined as the difference between the current CGM level and the target CGM level, and the derivative error, defined as the rate of change of the CGM. The FMPD algorithm utilizes derivative and proportional glucose errors to determine delivery rates of insulin.
|
MPC AP System
n=24 Participants
Participants will use the MPC AP system for automated insulin delivery for a 76 hour study visit.
MPC AP system: The Model Predictive Control (MPC) insulin infusion algorithm contains a model within the controller that takes as an input the aerobic metabolic expenditure in addition to the CGM and meal inputs. The algorithm uses heart rate and accelerometer data collected on the patient's body to calculate metabolic expenditure. The metabolic expenditure then acts on the model for the insulin dynamics, whereby more energy expenditure and longer duration exercise can lead to a more substantial effect of insulin on the CGM.
|
|---|---|---|
|
Percent of Time With Sensed Glucose <70 mg/dl After Exercise
|
4.9 percentage of time
Standard Deviation 14.4
|
1.4 percentage of time
Standard Deviation 4.2
|
SECONDARY outcome
Timeframe: During each 76 hour intervention study (2 total)Population: Out of 25 participants enrolled, the MPC study cancelled after 8 hours was not analyzed, the other three MPC studies that were cancelled after 30+ hours were analyzed. Two FMPD studies were cancelled the first day, 6 or 7 hours in and one FMPD study never happened as participant was withdrawn, so three FMPD studies were not analyzed. The other FMPD study that was cancelled after 28 hours was analyzed.
Assess the mean number of carbohydrate treatments (defined as 15 or 20 grams of carbohydrate) across both arms.
Outcome measures
| Measure |
FMPD AP System
n=22 Participants
Participants will use the FMPD AP system for automated insulin delivery for a 76 hour study visit.
FMPD AP algorithm: The Fading Memory Proportional Derivative (FMPD) insulin infusion algorithm determines insulin delivery rates based on proportional error, defined as the difference between the current CGM level and the target CGM level, and the derivative error, defined as the rate of change of the CGM. The FMPD algorithm utilizes derivative and proportional glucose errors to determine delivery rates of insulin.
|
MPC AP System
n=24 Participants
Participants will use the MPC AP system for automated insulin delivery for a 76 hour study visit.
MPC AP system: The Model Predictive Control (MPC) insulin infusion algorithm contains a model within the controller that takes as an input the aerobic metabolic expenditure in addition to the CGM and meal inputs. The algorithm uses heart rate and accelerometer data collected on the patient's body to calculate metabolic expenditure. The metabolic expenditure then acts on the model for the insulin dynamics, whereby more energy expenditure and longer duration exercise can lead to a more substantial effect of insulin on the CGM.
|
|---|---|---|
|
Number of Carbohydrate Treatments
|
1.03 carbohydrate treatments/day
Standard Deviation 1.34
|
0.65 carbohydrate treatments/day
Standard Deviation 0.84
|
SECONDARY outcome
Timeframe: During each 76 hour intervention study (2 total)Population: Out of 25 participants enrolled, the MPC study cancelled after 8 hours was not analyzed, the other three MPC studies that were cancelled after 30+ hours were analyzed. Two FMPD studies were cancelled the first day, 6 or 7 hours in and one FMPD study never happened as participant was withdrawn, so three FMPD studies were not analyzed. The other FMPD study that was cancelled after 28 hours was analyzed.
Assess the mean sensed glucose from the Dexcom G6 reported sensor glucose values across both arms. The Dexcom G6 CGM updates every 5 minutes with a new CGM value for 10 days. The Dexcom G6 reads values between 40-400 mg/dL with an urgent low alert at 55 mg/dl, a low and high alert when CGM goes above or below the alert thresholds set by the user. Physiologically relevant thresholds for the Dexcom G6 CGM sensor glucose values are less than 55 mg/dl, less than 70 mg/dl, above 180 mg/dl and above 250 mg/dl. The Dexcom G6 target range is 70-180 mg/dl.
Outcome measures
| Measure |
FMPD AP System
n=22 Participants
Participants will use the FMPD AP system for automated insulin delivery for a 76 hour study visit.
FMPD AP algorithm: The Fading Memory Proportional Derivative (FMPD) insulin infusion algorithm determines insulin delivery rates based on proportional error, defined as the difference between the current CGM level and the target CGM level, and the derivative error, defined as the rate of change of the CGM. The FMPD algorithm utilizes derivative and proportional glucose errors to determine delivery rates of insulin.
|
MPC AP System
n=24 Participants
Participants will use the MPC AP system for automated insulin delivery for a 76 hour study visit.
MPC AP system: The Model Predictive Control (MPC) insulin infusion algorithm contains a model within the controller that takes as an input the aerobic metabolic expenditure in addition to the CGM and meal inputs. The algorithm uses heart rate and accelerometer data collected on the patient's body to calculate metabolic expenditure. The metabolic expenditure then acts on the model for the insulin dynamics, whereby more energy expenditure and longer duration exercise can lead to a more substantial effect of insulin on the CGM.
|
|---|---|---|
|
Mean Sensed Glucose
|
8.5 mmol/L
Standard Deviation 0.9
|
8.8 mmol/L
Standard Deviation 1.3
|
SECONDARY outcome
Timeframe: During each 76 hour intervention study (2 total)Population: Out of 25 participants enrolled, the MPC study cancelled after 8 hours was not analyzed, the other three MPC studies that were cancelled after 30+ hours were analyzed. Two FMPD studies were cancelled the first day, 6 or 7 hours in and one FMPD study never happened as participant was withdrawn, so three FMPD studies were not analyzed. The other FMPD study that was cancelled after 28 hours was analyzed.
Assess the coefficient of variation of glucose from the Dexcom G6 reported sensor glucose values across both arms. The Dexcom G6 CGM updates every 5 minutes with a new CGM value for 10 days. The Dexcom G6 reads values between 40-400 mg/dL with an urgent low alert at 55 mg/dl, a low and high alert when CGM goes above or below the alert thresholds set by the user. Physiologically relevant thresholds for the Dexcom G6 CGM sensor glucose values are less than 55 mg/dl, less than 70 mg/dl, above 180 mg/dl and above 250 mg/dl. The Dexcom G6 target range is 70-180 mg/dl.The target coefficient of variation is 33% or lower.
Outcome measures
| Measure |
FMPD AP System
n=22 Participants
Participants will use the FMPD AP system for automated insulin delivery for a 76 hour study visit.
FMPD AP algorithm: The Fading Memory Proportional Derivative (FMPD) insulin infusion algorithm determines insulin delivery rates based on proportional error, defined as the difference between the current CGM level and the target CGM level, and the derivative error, defined as the rate of change of the CGM. The FMPD algorithm utilizes derivative and proportional glucose errors to determine delivery rates of insulin.
|
MPC AP System
n=24 Participants
Participants will use the MPC AP system for automated insulin delivery for a 76 hour study visit.
MPC AP system: The Model Predictive Control (MPC) insulin infusion algorithm contains a model within the controller that takes as an input the aerobic metabolic expenditure in addition to the CGM and meal inputs. The algorithm uses heart rate and accelerometer data collected on the patient's body to calculate metabolic expenditure. The metabolic expenditure then acts on the model for the insulin dynamics, whereby more energy expenditure and longer duration exercise can lead to a more substantial effect of insulin on the CGM.
|
|---|---|---|
|
Coefficient of Variation of Glucose
|
28.4 percentage
Standard Deviation 5.9
|
29.6 percentage
Standard Deviation 6.9
|
SECONDARY outcome
Timeframe: During each 76 hour intervention study (2 total)Population: Out of 25 participants enrolled, the MPC study cancelled after 8 hours was not analyzed, the other three MPC studies that were cancelled after 30+ hours were analyzed. Two FMPD studies were cancelled the first day, 6 or 7 hours in and one FMPD study never happened as participant was withdrawn, so three FMPD studies were not analyzed. The other FMPD study that was cancelled after 28 hours was analyzed.
Assess the percent of time that the Dexcom G6 reported sensor glucose values less than 54 mg/dl using Dexcom sensor across both arms
Outcome measures
| Measure |
FMPD AP System
n=22 Participants
Participants will use the FMPD AP system for automated insulin delivery for a 76 hour study visit.
FMPD AP algorithm: The Fading Memory Proportional Derivative (FMPD) insulin infusion algorithm determines insulin delivery rates based on proportional error, defined as the difference between the current CGM level and the target CGM level, and the derivative error, defined as the rate of change of the CGM. The FMPD algorithm utilizes derivative and proportional glucose errors to determine delivery rates of insulin.
|
MPC AP System
n=24 Participants
Participants will use the MPC AP system for automated insulin delivery for a 76 hour study visit.
MPC AP system: The Model Predictive Control (MPC) insulin infusion algorithm contains a model within the controller that takes as an input the aerobic metabolic expenditure in addition to the CGM and meal inputs. The algorithm uses heart rate and accelerometer data collected on the patient's body to calculate metabolic expenditure. The metabolic expenditure then acts on the model for the insulin dynamics, whereby more energy expenditure and longer duration exercise can lead to a more substantial effect of insulin on the CGM.
|
|---|---|---|
|
Percent of Time With Sensed Glucose <54 mg/dl
|
0.13 percentage of time
Standard Deviation 0.33
|
0.05 percentage of time
Standard Deviation 0.15
|
SECONDARY outcome
Timeframe: During each 76 hour intervention study (2 total)Population: Out of 25 participants enrolled, the MPC study cancelled after 8 hours was not analyzed, the other three MPC studies that were cancelled after 30+ hours were analyzed. Two FMPD studies were cancelled the first day, 6 or 7 hours in and one FMPD study never happened as participant was withdrawn, so three FMPD studies were not analyzed. The other FMPD study that was cancelled after 28 hours was analyzed.
Assess the percent of time that the Dexcom G6 reported sensor glucose values greater than 180 mg/dl using Dexcom sensor across both arms
Outcome measures
| Measure |
FMPD AP System
n=22 Participants
Participants will use the FMPD AP system for automated insulin delivery for a 76 hour study visit.
FMPD AP algorithm: The Fading Memory Proportional Derivative (FMPD) insulin infusion algorithm determines insulin delivery rates based on proportional error, defined as the difference between the current CGM level and the target CGM level, and the derivative error, defined as the rate of change of the CGM. The FMPD algorithm utilizes derivative and proportional glucose errors to determine delivery rates of insulin.
|
MPC AP System
n=24 Participants
Participants will use the MPC AP system for automated insulin delivery for a 76 hour study visit.
MPC AP system: The Model Predictive Control (MPC) insulin infusion algorithm contains a model within the controller that takes as an input the aerobic metabolic expenditure in addition to the CGM and meal inputs. The algorithm uses heart rate and accelerometer data collected on the patient's body to calculate metabolic expenditure. The metabolic expenditure then acts on the model for the insulin dynamics, whereby more energy expenditure and longer duration exercise can lead to a more substantial effect of insulin on the CGM.
|
|---|---|---|
|
Percent of Time With Sensed Glucose >180 mg/dl
|
23.2 percentage of time
Standard Deviation 10.9
|
27.8 percentage of time
Standard Deviation 16.0
|
SECONDARY outcome
Timeframe: During each 76 hour intervention study (2 total)Population: Out of 25 participants enrolled, the MPC study cancelled after 8 hours was not analyzed, the other three MPC studies that were cancelled after 30+ hours were analyzed. Two FMPD studies were cancelled the first day, 6 or 7 hours in and one FMPD study never happened as participant was withdrawn, so three FMPD studies were not analyzed. The other FMPD study that was cancelled after 28 hours was analyzed.
Assess the mean amount of insulin delivered per day by the Omnipod through the AP system study in units/kg across both arms.
Outcome measures
| Measure |
FMPD AP System
n=22 Participants
Participants will use the FMPD AP system for automated insulin delivery for a 76 hour study visit.
FMPD AP algorithm: The Fading Memory Proportional Derivative (FMPD) insulin infusion algorithm determines insulin delivery rates based on proportional error, defined as the difference between the current CGM level and the target CGM level, and the derivative error, defined as the rate of change of the CGM. The FMPD algorithm utilizes derivative and proportional glucose errors to determine delivery rates of insulin.
|
MPC AP System
n=24 Participants
Participants will use the MPC AP system for automated insulin delivery for a 76 hour study visit.
MPC AP system: The Model Predictive Control (MPC) insulin infusion algorithm contains a model within the controller that takes as an input the aerobic metabolic expenditure in addition to the CGM and meal inputs. The algorithm uses heart rate and accelerometer data collected on the patient's body to calculate metabolic expenditure. The metabolic expenditure then acts on the model for the insulin dynamics, whereby more energy expenditure and longer duration exercise can lead to a more substantial effect of insulin on the CGM.
|
|---|---|---|
|
Mean Amount of Insulin Delivered Per Day (in Units/Day)
|
40.8 units/day
Standard Deviation 16.0
|
44.6 units/day
Standard Deviation 22.6
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Adverse Events
MPC AP System
FMPD AP System
Dexcom G6 Training Arm
Serious adverse events
Adverse event data not reported
Other adverse events
| Measure |
MPC AP System
n=25 participants at risk
Participants will use the MPC AP system for automated insulin delivery for a 76 hour study visit.
|
FMPD AP System
n=24 participants at risk
Participants will use the FMPD AP system for automated insulin delivery for a 76 hour study visit.
|
Dexcom G6 Training Arm
n=25 participants at risk
Participants will use the Dexcom G6 CGM with the MPC AP algorithm for acquiring sensor glucose values.
|
|---|---|---|---|
|
Nervous system disorders
Headache
|
4.0%
1/25 • Number of events 1 • 12 months
All participants that began/started the Dexcom training visit or an MPC or FMPD arm visit are included in the adverse events. The numbers from the participant flow indicate that 25 subjects began the Dexcom training visit, 25 subjects began an MPC visit and 24 subjects began an FMPD visit.
|
0.00%
0/24 • 12 months
All participants that began/started the Dexcom training visit or an MPC or FMPD arm visit are included in the adverse events. The numbers from the participant flow indicate that 25 subjects began the Dexcom training visit, 25 subjects began an MPC visit and 24 subjects began an FMPD visit.
|
0.00%
0/25 • 12 months
All participants that began/started the Dexcom training visit or an MPC or FMPD arm visit are included in the adverse events. The numbers from the participant flow indicate that 25 subjects began the Dexcom training visit, 25 subjects began an MPC visit and 24 subjects began an FMPD visit.
|
|
Musculoskeletal and connective tissue disorders
Back Sprain
|
0.00%
0/25 • 12 months
All participants that began/started the Dexcom training visit or an MPC or FMPD arm visit are included in the adverse events. The numbers from the participant flow indicate that 25 subjects began the Dexcom training visit, 25 subjects began an MPC visit and 24 subjects began an FMPD visit.
|
0.00%
0/24 • 12 months
All participants that began/started the Dexcom training visit or an MPC or FMPD arm visit are included in the adverse events. The numbers from the participant flow indicate that 25 subjects began the Dexcom training visit, 25 subjects began an MPC visit and 24 subjects began an FMPD visit.
|
4.0%
1/25 • Number of events 1 • 12 months
All participants that began/started the Dexcom training visit or an MPC or FMPD arm visit are included in the adverse events. The numbers from the participant flow indicate that 25 subjects began the Dexcom training visit, 25 subjects began an MPC visit and 24 subjects began an FMPD visit.
|
|
Blood and lymphatic system disorders
High ketones
|
4.0%
1/25 • Number of events 1 • 12 months
All participants that began/started the Dexcom training visit or an MPC or FMPD arm visit are included in the adverse events. The numbers from the participant flow indicate that 25 subjects began the Dexcom training visit, 25 subjects began an MPC visit and 24 subjects began an FMPD visit.
|
0.00%
0/24 • 12 months
All participants that began/started the Dexcom training visit or an MPC or FMPD arm visit are included in the adverse events. The numbers from the participant flow indicate that 25 subjects began the Dexcom training visit, 25 subjects began an MPC visit and 24 subjects began an FMPD visit.
|
0.00%
0/25 • 12 months
All participants that began/started the Dexcom training visit or an MPC or FMPD arm visit are included in the adverse events. The numbers from the participant flow indicate that 25 subjects began the Dexcom training visit, 25 subjects began an MPC visit and 24 subjects began an FMPD visit.
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place