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Extended Wear of a Steel and a Teflon Insulin Infusion Set

Not Applicable
Completed
Conditions
Diabetes Mellitus, Type 1
Interventions
Device: YpsoPump Orbit soft
Device: YpsoPump Orbit micro
Registration Number
NCT03683368
Lead Sponsor
Ypsomed AG
Brief Summary

This is a cross-over study to evaluate if insulin infusion sets can be used up to 7 days.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Clinical diagnosis of type 1 diabetes for at least 12 months
  • Using an insulin pump for at least 12 months
  • Age ≥18 years
  • Hemoglobin A1c level less than or equal to 8.5%
  • Willing to use mylife™ YpsoPump® system while they are participating in the study
  • Willing to use NovoRapid® insulin while they are participating in the study
  • An understanding of and willingness to follow the protocol and sign the informed consent
Exclusion Criteria
  • Diabetic ketoacidosis in the past 3 months prior to enrollment
  • Severe hypoglycemia resulting in seizure or loss of consciousness in the 3 months prior to enrollment
  • Urea, Creatinine, ALT more than three times the upper limit of normal, or thrombocytopenia (<150 G/l)
  • Female subjects: pregnancy, lactation period, lack of a negative pregnancy test (except in case of menopause, sterilization or hysterectomy), or unwilling to use an acceptable form of contraception during the study (for sexually active subjects of childbearing potential)
  • Known severe tape reactions or allergies
  • Known severe nickel allergies
  • History of frequent catheter abscesses associated with pump therapy
  • Serious acute or chronic disease besides diabetes mellitus or an anamnesis which might, in the opinion of the investigator, pose a risk to the subject, e.g. seizure disorder, adrenal disorder, dialysis for renal failure, cystic fibrosis, active infection
  • Any incapacity or general condition that, in the opinion of the investigator, prevents adequate compliance with the study procedures, e.g. mental or visual incapacity, language barriers, alcohol or drug misuse
  • Dependency from the sponsor or the clinical investigator

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Soft cannula firstYpsoPump Orbit microSubjects will be randomized (50%) to the soft cannula infusion set for two weeks and then will be switched to the steel needle infusion set for two additional weeks. Participants will aim for 7 day use of each infusion set type twice, starting with the soft cannula infusion set.
Steel cannula firstYpsoPump Orbit softSubjects will be randomized (50%) to the steel cannula infusion set for two weeks and then will be switched to the soft cannula infusion set for two additional weeks. Participants will aim for 7 day use of each infusion set type twice, starting with the steel cannula infusion set.
Steel cannula firstYpsoPump Orbit microSubjects will be randomized (50%) to the steel cannula infusion set for two weeks and then will be switched to the soft cannula infusion set for two additional weeks. Participants will aim for 7 day use of each infusion set type twice, starting with the steel cannula infusion set.
Soft cannula firstYpsoPump Orbit softSubjects will be randomized (50%) to the soft cannula infusion set for two weeks and then will be switched to the steel needle infusion set for two additional weeks. Participants will aim for 7 day use of each infusion set type twice, starting with the soft cannula infusion set.
Primary Outcome Measures
NameTimeMethod
Time to infusion set failure due to an occlusionup to 7 days

an occlusion is defined by blood ketone concentration is \> or = 0.6 mmol/l with blood glucose (BG) concentration \>250 mg/dl, or BG concentration is \>250 mg/dl for more than 2 h and a subsequent correction bolus failed, or pump occlusion alarm that cannot be fixed.

Secondary Outcome Measures
NameTimeMethod
Median infusion set wearing timeup to 7 days
Time to early infusion set changesup to 7 days
Frequency of early infusion set changes due to infusion site infectionup to 7 days
Daily mean glucoseday 1, 2, 3, 4, 5, 6, 7

Based on self measured blood glucose

Frequency of early infusion set changesup to 7 days
Total daily insulin doseday 1, 2, 3, 4, 5, 6, 7
Glucose variabilityday 1, 2, 3, 4, 5, 6, 7

Coefficient of variation

Trial Locations

Locations (1)

Institut für Diabetes-Technologie Forschungs- und Entwicklungsgesellschaft mbH an der Universität Ulm

🇩🇪

Ulm, Germany

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