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临床试验/NCT02651181
NCT02651181已完成不适用

Feasibility Study to Evaluate the Hybrid-Logic Closed Loop System in Type 1 Diabetes -Single-arm, Single-center, in Clinic Study-The DREAMED Trail

Rabin Medical Center1 个研究点 分布在 1 个国家目标入组 10 人开始时间: 2016年6月1日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
10
试验地点
1
主要终点
Time in range of sensor glucose data between 70 mg/dL to 180 mg/dL,

研究概览

简要总结

Closed loop technology has been shown to reduce both hypoglycemia and hyperglycemia, as well as reduce glycemic variability.

Several groups around the world investigate efforts in developing closed-loop systems. Investigators combined two closed-loop systems with different mode of operation in order to enhance the closed-loop system. The two systems are Hybrid closed-loop system and the MD-Logic closed-loop system . The combined algorithm Hybrid logic closed loop (HLCL) was tested 'In silico' and was proved to be safe and effective. The next step is to test the system in a clinical study in a supervised environment in a camp.

The two systems were tested separately in several clinical studies and were proven to be safe and effective in a diverse population of patients with type 1 diabetes. The MD-Logic system for overnight use "the GlucoSitter" has a CE mark.

The purpose of this study is to collect data on the feasibility of the HLCL system in a camp setting.

详细描述

Closed loop technology has been shown to reduce both hypoglycemia and hyperglycemia, as well as reduce glycemic variability.

Several groups around the world investigate efforts in developing closed-loop systems. Investigators combined two closed-loop systems with different mode of operation in order to enhance the closed-loop system. The two systems are Hybrid closed-loop system and the MD-Logic closed-loop system . The combined algorithm Hybrid logic closed loop (HLCL) was tested 'In silico' and was proved to be safe and effective. The next step is to test the system in a clinical study in a supervised environment in a camp.

The two systems were tested separately in several clinical studies and were proven to be safe and effective in a diverse population of patients with type 1 diabetes. The MD-Logic system for overnight use "the GlucoSitter" has a CE mark.

The primary objective of the study is to characterize the overall management of the glycemic control using this system including Safety. The data collected in this study will be used to confirm/develop the HLCL System further.

Secondary objectives of this study include evaluation of the HLCL system in a monitored setting (camp) with the following stresses:Exercise, high carbohydrate and high fat meals

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 40 Years(Adult)
性别
All
接受健康志愿者
否

入选标准

  • •Diabetes duration > 1 year since diagnosis
  • •Pump therapy for at least 6 months and Experience with sensor use
  • •Age 18-40
  • •A1C <10.0 at time of screening visit
  • •Willing to follow study instructions
  • •Willing to perform ≥ 5 finger stick blood glucose measurements daily
  • •Willing to perform required sensor calibrations
  • •Patient capable of reading and understand instructions in English

排除标准

  • •Subject is unable to tolerate tape adhesive in the area of sensor placement
  • •Subject has any unresolved adverse skin condition in the area of sensor or device placement (e.g., psoriasis, rash, Staphylococcus infection)
  • •Subject is actively participating in an investigational study (drug or device) wherein they have received treatment from an investigational study drug or device in the last 2 weeks
  • •Subject has a positive pregnancy screening test
  • •Subject is female, sexually active without the use of contraception, and plans/able to become pregnant during the course of the study and is not using an acceptable method of contraception
  • •Subject has had a hypoglycemic seizure within the past 5 months prior to screening visit
  • •Subject has had hypoglycemia resulting in loss of consciousness within the past 5 months prior to screening visit
  • •Subject has had an episode of diabetic ketoacidosis within the past 6 months prior to screening visit
  • •Subject has a history of a seizure disorder
  • •Subject has central nervous system or cardiac disorder resulting in syncope
  • •Subject has a history of myocardial infarction, unstable angina, coronary artery bypass surgery, coronary artery stenting, transient ischemic attack (TIA), cerebrovascular accident (CVA), angina, congestive heart failure, ventricular rhythm disturbances or thromboembolic disease
  • •Subjects with hematocrit lower than the normal reference range or local lab testing
  • •Subjects with a history or findings on screening electrocardiogram (EKG) of any cardiac arrhythmia, including atrial arrhythmias
  • •Subjects with a history of adrenal insufficiency
  • •Subjects with history of migraines that have occurred at least 2 times in the last 3 months prior to enrollment
  • •Any disease or condition that may influence the A1C testing e.g abnormal red blood cell indices and iron deficiency, sickle cell disease, hemoglobinopathy

研究组 & 干预措施

Closed Loop System

Experimental

干预措施: HLCL- Hybrid Logic Closed Loop System (Device)

结局指标

主要结局

Time in range of sensor glucose data between 70 mg/dL to 180 mg/dL,

时间窗: End of the study- day 5 of the camp

Time in range of sensor glucose data between 70 mg/dL to 180 mg/dL,during day time (6am-12am)

时间窗: End of the study- day 5 of the camp

Time in range of sensor glucose data between 70 mg/dL to 180 mg/dL,during night time (12am-6am)

时间窗: End of the study- day 5 of the camp

次要结局

  • Incidence of Severe Hypoglycemia(End of study -day 5 of the camp)
  • Event rate of Serious Adverse Device Events(End of the study- day 5 of the camp)
  • Event rate of unanticipated Adverse Device Effects(End of the study-day 5 of the camp)
  • Incidence of Diabetic Ketoacidosis(End of the study-day 5 of the camp)
  • Area under the curve of time in the hyperglycemia range(End of the study-day 5 of the camp)
  • Area Under the curve of time in the hypoglycemic range(End of the study-day 5 of the camp)
  • Event rate of Serious Adverse Events(End of the study- day 5 of the camp)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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