Effect of HCL Insulin Delivery System on Glycemic Control in Patients With T1D

NCT ID: NCT05924932

Last Updated: 2023-11-03

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

RECRUITING

Total Enrollment

120 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-12-01

Study Completion Date

2024-05-01

Brief Summary

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The goal of this study is compare the effect of hybrid closed loop system (HCL) for automatic insulin dosing treatment on the glycemic control of type 1 diabetes (T1D) in patient with different initial glycated hemoglobin.

Detailed Description

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Rationale for the Study:

According to our hypothesis, even T1D patients with an initially optimal glucose level should benefit from this treatment method in the form of a reduction in glycemic variability.

There are very few clinical studies from real practice in a larger group of patients.

Conditions

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Diabetes Mellitus, Type 1

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Study Groups

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group 1 with Control IQ system

Tandem t:slim X2 with hybrid closed loop system Control IQ, glucose sensor: Dexcom G6

Tandem t:slim X2 with hybrid closed loop system Control IQ, glucose sensor: Dexcom G6

Intervention Type DEVICE

type of hybrid close loop insulin delivery system

Group 2 with SmartGuard system

MiniMed 780G, with hybrid closed loop system SmartGuard, sensor Guardien 4

MiniMed 780G, with hybrid closed loop system SmartGuard, sensor Guardien 4

Intervention Type DEVICE

type of hybrid close loop insulin delivery system

Interventions

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Tandem t:slim X2 with hybrid closed loop system Control IQ, glucose sensor: Dexcom G6

type of hybrid close loop insulin delivery system

Intervention Type DEVICE

MiniMed 780G, with hybrid closed loop system SmartGuard, sensor Guardien 4

type of hybrid close loop insulin delivery system

Intervention Type DEVICE

Other Intervention Names

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Control IQ SmartGuard

Eligibility Criteria

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Inclusion Criteria

* patients with T1D
* Type 1 diabetes for \> 1 years
* ≥ 18 years old
* CSII (without HCL) or MDI

Exclusion Criteria

* Severe noncompliance
* Known severe diabetic retinopathy and/or macular edema,
* Lactation, pregnancy, or intending to become pregnant during the study;
* A condition likely to require MRI. Use of acetaminophen-containing medication;
* Unwillingness to use the study device for \>70% of time.
* Conditions that affect red blood cell turnover (hemolytic and other anemias, glucose-6-phosphate dehydrogenase deficiency, recent blood transfusion, use of drugs that stimulate erythropoesis, end-stage kidney disease).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Masaryk Hospital Usti nad Labem

OTHER

Sponsor Role lead

Responsible Party

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Lucie Radovnická

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jiri Lastuvka

Role: STUDY_CHAIR

Masaryk hospital

Locations

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Lucie Radovnická

Ústí nad Labem, , Czechia

Site Status RECRUITING

Countries

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Czechia

Central Contacts

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Lucie Radovnická

Role: CONTACT

+420777624793

Jiri Lastuvka

Role: CONTACT

1420477114202

Facility Contacts

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Lucie Radovnická

Role: primary

+420777624793

References

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Leelarathna L, Choudhary P, Wilmot EG, Lumb A, Street T, Kar P, Ng SM. Hybrid closed-loop therapy: Where are we in 2021? Diabetes Obes Metab. 2021 Mar;23(3):655-660. doi: 10.1111/dom.14273. Epub 2020 Dec 20.

Reference Type RESULT
PMID: 33269551 (View on PubMed)

Bergenstal RM, Nimri R, Beck RW, Criego A, Laffel L, Schatz D, Battelino T, Danne T, Weinzimer SA, Sibayan J, Johnson ML, Bailey RJ, Calhoun P, Carlson A, Isganaitis E, Bello R, Albanese-O'Neill A, Dovc K, Biester T, Weyman K, Hood K, Phillip M; FLAIR Study Group. A comparison of two hybrid closed-loop systems in adolescents and young adults with type 1 diabetes (FLAIR): a multicentre, randomised, crossover trial. Lancet. 2021 Jan 16;397(10270):208-219. doi: 10.1016/S0140-6736(20)32514-9.

Reference Type RESULT
PMID: 33453783 (View on PubMed)

Other Identifiers

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Masaryk Hospital

Identifier Type: -

Identifier Source: org_study_id

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