Does the Use of Fiasp vs. Asp Lead to the Prolonged TIR in Children With Type 1 Diabetes?

NCT ID: NCT04772729

Last Updated: 2021-02-26

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

77 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-01

Study Completion Date

2024-03-01

Brief Summary

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The aim of the study is to assess whether the implementation of faster insulin aspart in children with Type 1 diabetes treated with intensive insulin therapy with the use of an insulin pump and using Real Time Continuous Glucose Monitoring (RT-CGM) systems leads to prolonged time in range (TIR) compared to insulin aspart.

Detailed Description

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Conditions

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Diabetes type1 Diabetes Mellitus, Type 1

Keywords

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CGM continuous glucose monitoring system TIR Time In Range insulin aspart insulin faster aspart

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

A cross-over, open-label, randomized study.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Insulin Aspart

Patients will use the continuous subcutaneous insulin infusion of insulin aspart (Novo Rapid, Novo Nordisk) and RT-CGM for 4 weeks.

Group Type ACTIVE_COMPARATOR

Insulin faster aspart (Fiasp, Novo Nordisk)

Intervention Type DRUG

Duration of the study: 10 weeks.

It is assumed that the patients will attend 4 visits in Pediatric Diabetology Clinic, and 3 telephone consultations.

W0: The study will start with a 2-week run-in period in order to normalize glycemia.

W1: RT-CGM will be inserted. Subsequently, the participants will be randomly assigned to one of two groups (Fa-A or A-Fa), basing on which the order of insulin use will be determined.

W2: after 2 weeks, diabetology telephone consultation (washout period).

W3: after 2 weeks, diabetology consultation. Changing insulin type according to the allocation.

W4: after 2 weeks, diabetology telephone consultation (washout period).

W5: after 2 weeks, diabetology telephone consultation.

W6: the results obtained throughout the study will be discussed with the patient and the parent.

Insulin Fiasp

Patients will use the continuous subcutaneous insulin infusion of insulin faster aspart (Fiasp, Novo Nordisk) and RT-CGM for 4 weeks.

Group Type EXPERIMENTAL

Insulin faster aspart (Fiasp, Novo Nordisk)

Intervention Type DRUG

Duration of the study: 10 weeks.

It is assumed that the patients will attend 4 visits in Pediatric Diabetology Clinic, and 3 telephone consultations.

W0: The study will start with a 2-week run-in period in order to normalize glycemia.

W1: RT-CGM will be inserted. Subsequently, the participants will be randomly assigned to one of two groups (Fa-A or A-Fa), basing on which the order of insulin use will be determined.

W2: after 2 weeks, diabetology telephone consultation (washout period).

W3: after 2 weeks, diabetology consultation. Changing insulin type according to the allocation.

W4: after 2 weeks, diabetology telephone consultation (washout period).

W5: after 2 weeks, diabetology telephone consultation.

W6: the results obtained throughout the study will be discussed with the patient and the parent.

Interventions

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Insulin faster aspart (Fiasp, Novo Nordisk)

Duration of the study: 10 weeks.

It is assumed that the patients will attend 4 visits in Pediatric Diabetology Clinic, and 3 telephone consultations.

W0: The study will start with a 2-week run-in period in order to normalize glycemia.

W1: RT-CGM will be inserted. Subsequently, the participants will be randomly assigned to one of two groups (Fa-A or A-Fa), basing on which the order of insulin use will be determined.

W2: after 2 weeks, diabetology telephone consultation (washout period).

W3: after 2 weeks, diabetology consultation. Changing insulin type according to the allocation.

W4: after 2 weeks, diabetology telephone consultation (washout period).

W5: after 2 weeks, diabetology telephone consultation.

W6: the results obtained throughout the study will be discussed with the patient and the parent.

Intervention Type DRUG

Other Intervention Names

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Insulin aspart (Novo Rapid, Novo Nordisk)

Eligibility Criteria

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Inclusion Criteria

* ≥1 year of a history of type 1 diabetes;
* treatment with intensive insulin therapy with the use of an insulin pump (continuous subcutaneous insulin infusion, CSII) ≥3 months;
* using continuous glucose monitoring system for at least 1 month;
* HbA1c\<8%;
* consent to participate in the study obtained from the parent and the patient (\>16 years of age).

Exclusion Criteria

* diabetes treated with multiple insulin injections with insulin pens (Multiple Daily Injections, MDI);
* concomitant medical problems which might significantly affect glucose levels;
* the withdrawal of the consent to participate in the study.
Minimum Eligible Age

6 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medical University of Warsaw

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Agnieszka Szypowska, Prof.

Role: STUDY_CHAIR

Department of Pediatric Diabetology and Pediatrics, Pediatric Teaching Clinical Hospital of the Medical University of Warsaw, Poland

Central Contacts

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Emilia Kowalczyk, MD

Role: CONTACT

Phone: +48 223179538

Email: [email protected]

Agnieszka Szypowska, Prof.

Role: CONTACT

Phone: +48 223179539

Email: [email protected]

Other Identifiers

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TIR: Fiasp vs. Asp

Identifier Type: -

Identifier Source: org_study_id