Trial Outcomes & Findings for Neural-net Artificial Pancreas (NAP) (NCT NCT05876273)

NCT ID: NCT05876273

Last Updated: 2024-07-31

Results Overview

The primary outcome is percent of time in 70 to 180 mg/dL range on NAP vs UMPC.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

15 participants

Primary outcome timeframe

36 hours (two 18-hour experiments)

Results posted on

2024-07-31

Participant Flow

This study is intended to assess a Neural-net Artificial Pancreas (NAP) implementation of an established AP controller - the University of Virginia Model Predictive Control Algorithm (UMPC). The health outcomes achieved on NAP will be compared to the health outcomes achieved on UMPC in a randomized crossover design. The investigators will consent up to 20 participants, ages ≥18.0, with a goal of completing 15 participants.

Participant milestones

Participant milestones
Measure
NAP First, Then UMPC
Participants will use the Neural Net Artificial Pancreas (NAP) algorithm for 18 hours. Then switch to the University of Virginia Model-Predictive Control (UMPC) for 18 hours.
UMPC First, Then NAP
Participants will use the UMPC for 18 hours, then switch to NAP for 18 hours.
Overall Study
STARTED
8
7
Overall Study
COMPLETED
8
7
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Neural-net Artificial Pancreas (NAP)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Participants
n=15 Participants
Participants completed two consecutive 20-hour hotel sessions, receiving in random order either NAP or UMPC
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
13 Participants
n=5 Participants
Age, Categorical
>=65 years
2 Participants
n=5 Participants
Age, Continuous
47.9 years
n=5 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
15 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
Race (NIH/OMB)
White
13 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
15 participants
n=5 Participants
Percent Time in Range (70-180 mg/dL)
69.3 Percent of time between 70-180 mg/dl
STANDARD_DEVIATION 13.4 • n=5 Participants

PRIMARY outcome

Timeframe: 36 hours (two 18-hour experiments)

The primary outcome is percent of time in 70 to 180 mg/dL range on NAP vs UMPC.

Outcome measures

Outcome measures
Measure
Overall Study
n=15 Participants
All subjects randomized
Percent of Time-in-Range (TIR) on NAP Versus UMPC.
Time in Range (NAP)
86.08 Percent of time between 70-180 mg/dl
Standard Deviation 6.5
Percent of Time-in-Range (TIR) on NAP Versus UMPC.
Time in Range (UMPC)
87.25 Percent of time between 70-180 mg/dl
Standard Deviation 12.9

SECONDARY outcome

Timeframe: 36 hours (two 18-hour experiments)

Percent CGM readings above 180 mg/dL.

Outcome measures

Outcome measures
Measure
Overall Study
n=15 Participants
All subjects randomized
Percent of Time in Hyperglycemia.
Percent CGM readings above 180 mg/dL (NAP)
11.93 Percent of time above 180 mg/dl
Standard Deviation 6.4
Percent of Time in Hyperglycemia.
Percent CGM readings above 180 mg/dL (UMPC)
10.96 Percent of time above 180 mg/dl
Standard Deviation 13.1

SECONDARY outcome

Timeframe: 36 hours (two 18-hour experiments)

Percent CGM readings below 70 mg/dL.

Outcome measures

Outcome measures
Measure
Overall Study
n=15 Participants
All subjects randomized
Percent of Time in Hypoglycemia.
Percent CGM readings below 70 mg/dL (NAP)
1.88 Percent of time below 70 mg/dl
Standard Deviation 2.25
Percent of Time in Hypoglycemia.
Percent CGM readings below 70 mg/dL (UMPC)
1.79 Percent of time below 70 mg/dl
Standard Deviation 2.1

SECONDARY outcome

Timeframe: 36 hours (two 18-hour experiments)

The investigator will observe, record, and tabulate any system malfunctions requiring study team intervention.

Outcome measures

Outcome measures
Measure
Overall Study
n=15 Participants
All subjects randomized
System Functionality
0 Number of reportable device malfunctions

SECONDARY outcome

Timeframe: 36 hours (two 18-hour experiments)

Population: Data were not collected

The investigator will obtain qualitative feedback form the participants regarding system functionality.

Outcome measures

Outcome data not reported

Adverse Events

NAP First, Then UMPC

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

UMPC First, Then NAP

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

Boris Kovatchev, PhD

Center for Diabetes Technology, University of Virginia School of Medicine

Phone: 434-924-5592

Results disclosure agreements

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