AIDANET Pediatrics

NCT ID: NCT07020936

Last Updated: 2025-12-10

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

Clinical Phase

NA

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-21

Study Completion Date

2026-03-30

Brief Summary

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AIDANET algorithm with smart-phone based control system (study smart phone), specifically modified Tandem insulin system (study insulin pump), and Dexcom G6 CGM (study CGM).

Detailed Description

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This study aims to demonstrate the safety and feasibility of the Automated insulin delivery as Adaptive NETwork (AIDANET) system among children age 6-13 years. This includes use of new features allowing requested correction boluses and setting a tighter glycemia goal.

The proposed work is a safety and feasibility study of the FCL system and is not intended to be powered to fully demonstrate efficacy of the system. The sample size of up to 24 completed participants was selected based on previous experience of the feasible number of individuals to supervise at one time under similar study conditions.

Conditions

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Type 1 Diabetes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

This study is a randomized crossover, device safety/feasibility trial with a supervised house/hotel with transition to home use, interventional trial of AIDANET.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Usual Care before experimental system; system with Normal Glycemia Goal

Participants will complete two weeks Usual Care Control Period before the use of the AIDANET system, with system employing Normal Glycemia Goal.

Group Type OTHER

Normal Glycemia Goal

Intervention Type DEVICE

Participants will use the normal AIDANET system aggressivity adjustment to achieve target glucose for both the hotel and AIDANET at home periods.

Usual Care before experimental system; system with Tight Glycemia Goal

Participants will complete two weeks Usual Care Control Period before the use of the AIDANET system, with system employing Tight Glycemia Goal.

Group Type OTHER

Tight Glycemia Goal

Intervention Type DEVICE

Participants will have the AIDANET system controller target set to have higher aggressivity adjustment to maintain target glucose for both the hotel and AIDANET at home periods.

Usual Care after experimental system; system with Normal Glycemia Goal

Participants will complete two weeks Usual Care Control Period after the use of the AIDANET system, with system employing Normal Glycemia Goal.

Group Type OTHER

Normal Glycemia Goal

Intervention Type DEVICE

Participants will use the normal AIDANET system aggressivity adjustment to achieve target glucose for both the hotel and AIDANET at home periods.

Usual Care after experimental system; system with Tight Glycemia Goal

Participants will complete two weeks Usual Care Control Period after the use of the AIDANET system, with system employing Tight Glycemia Goal.

Group Type OTHER

Tight Glycemia Goal

Intervention Type DEVICE

Participants will have the AIDANET system controller target set to have higher aggressivity adjustment to maintain target glucose for both the hotel and AIDANET at home periods.

Interventions

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Normal Glycemia Goal

Participants will use the normal AIDANET system aggressivity adjustment to achieve target glucose for both the hotel and AIDANET at home periods.

Intervention Type DEVICE

Tight Glycemia Goal

Participants will have the AIDANET system controller target set to have higher aggressivity adjustment to maintain target glucose for both the hotel and AIDANET at home periods.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Age ≥6.0 and ≤13 years old at time of consent
2. Clinical diagnosis, based on investigator assessment, of type 1 diabetes for at least one year
3. Currently using insulin pump for at least three months; Any pump, either open loop or hybrid closed loop may be used.
4. Currently using insulin for at least six months.
5. Willingness to use lispro/aspart in the insulin pump during the study.
6. Currently using a Dexcom G6 or G7 CGM.
7. Has one or more parent/guardian knowledgeable about emergency procedures for severe hypoglycemia and able to contact emergency services and study staff that live with participant.
8. Participant not currently known to be pregnant or breastfeeding.
9. If participant capable of becoming pregnant, must agree to use a form of contraception to prevent pregnancy while a participant in the study (e.g. hormonal contraception, abstinence from heterosexual intercourse). A negative serum or urine pregnancy test will be required for all females of childbearing potential. Participants who become pregnant will be discontinued from the study. Also, participants who during the study develop and express the intention to become pregnant within the timespan of the study will be discontinued.
10. Willingness to use the study FCL system (CGM, pump, and phone) during the relevant study period.
11. Willingness not to start any new non-insulin glucose-lowering agent during the course of the trial.
12. Willingness to participate in all study procedures including the house/hotel session and to consume approximately 3 unannounced meals per day during the relevant portion of the supervised hotel session.
13. Access to internet at-home and willingness to upload data during the study as needed.
14. Investigator has confidence that the participant can successfully operate all study devices and is capable of adhering to the protocol.
15. Participant is proficient in reading and writing English.

Exclusion Criteria

1. Plans to start a new non-insulin glucose-lowering agent (e.g., GLP-1 receptor agonists, Symlin, DPP-4 inhibitors, sulfonylureas). Participants may be on a stable dose of such an agent for at least the past month.
2. Current use of an SGLT-2 or SGLT-1/2 inhibitor due to risk of euglycemic Diabetic ketoacidosis (DKA).
3. Hemophilia or any other bleeding disorder.
4. History of severe hypoglycemic events with seizure or loss of consciousness in the last 6 months.
5. History of diabetic ketoacidosis (DKA) event in the last 6 months.
6. History of chronic renal disease (Stage 4 or unstable Stage 3b per investigator judgment) or currently on peritoneal or hemodialysis.
7. History of adrenal insufficiency.
8. Currently being treated for a seizure disorder.
9. Hypothyroidism or hyperthyroidism that is not adequately treated.
10. Coronary artery disease or other heart condition that would prevent participation in moderate intensity exercise.
11. Use of oral or injectable steroids at the time of enrollment or within the last 4 weeks.
12. Planned surgery during the study period.
13. Known ongoing adhesive intolerance that is not well managed.
14. A condition, which in the opinion of the investigator or designee, would put the participant or study at risk.
15. Participation in another interventional trial at the time of enrollment.
16. Participant with a direct supervisor involved in the conduct of the trial.
Minimum Eligible Age

6 Years

Maximum Eligible Age

13 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tandem Diabetes Care, Inc.

INDUSTRY

Sponsor Role collaborator

DexCom, Inc.

INDUSTRY

Sponsor Role collaborator

Mark D. DeBoer, MD, MSc., MCR

OTHER

Sponsor Role lead

Responsible Party

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Mark D. DeBoer, MD, MSc., MCR

Principal Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Mark DeBoer, MD

Role: STUDY_CHAIR

University of Virginia Center for Diabetes Technology

Locations

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University of California San Francisco

San Francisco, California, United States

Site Status RECRUITING

Barbara Davis Center, University of Colorado

Aurora, Colorado, United States

Site Status RECRUITING

University of Virginia Center for Diabetes Technology

Charlottesville, Virginia, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Lianna Smith

Role: CONTACT

(434) 284-0893

Sara Prince, RN

Role: CONTACT

(434) 320-5599

Facility Contacts

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Laya Ekhlaspour, MD

Role: primary

415.514.8531

Gregory Forlenza, MD

Role: primary

Mark DeBoer, MD

Role: primary

434-924-5956

Other Identifiers

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302210

Identifier Type: -

Identifier Source: org_study_id

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