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临床试验/NCT06414564
NCT06414564招募中不适用

Effects of Advanced Hybrid Closed-loop System on Glycemic Control and Psychosocial Outcomes in Pediatric Patients With Type 1 Diabetes

Seoul National University Hospital2 个研究点 分布在 2 个国家目标入组 30 人开始时间: 2024年2月1日最近更新:
适应症

试验速览

阶段
不适用
状态
招募中
入组人数
30
试验地点
2
主要终点
Time In Range (TIR)

研究概览

简要总结

Prospective, non-randomized, single-arm clinical trial to investigate the effects of advanced hybrid close-loop (AHCL) system insulin pump in pediatric patients with type 1 diabetes

详细描述

This trial consists of baseline phase of 3 weeks sustaining the treatment previously maintained by the patient, followed by study phase of 12 weeks of AHCL system application.

研究设计

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

入排标准

年龄范围
7 Years 至 19 Years(Child, Adult)
性别
All
接受健康志愿者

入选标准

  • The subject is age 7-19
  • The subject with one or more of the below
  • serum c-peptide ≤ 0.6 ng/mL at diagnosis
  • positive glutamic acid decarboxylase (GAD) antibody
  • positive islet cell antibody
  • positive anti-Insulin antibody
  • positive anti-islet Antigen-2 (IA-2) antibody
  • The subject was diagnosed with type 1 diabetes ≥ 1 year
  • The subject has been continuously treated at least for 8 weeks at the start of the study, by one of the existing insulin treatment methods [insulin multi-injection (MDII), general insulin pump (CSII), sensor-linked insulin pump (SAP), or 770G insulin pump (HCL system)]
  • The subject has been applied with real-time continuous glucose monitoring at least for 8 weeks at the start of the study

排除标准

  • Any systemic treatment with drugs known to interfere with glucose metabolism within 8 weeks prior to trial
  • Subjects with underlying hematologic disorders that can affect the HbA1c levels
  • Subjects with underlying medical disorders that can affect glucose metabolism
  • Subjects with a neuropsychiatric disorder such as depression or eating disorder
  • Subjects with underlying thyroid disorders and abnormal thyroid function

结局指标

主要结局

Time In Range (TIR)

时间窗: baseline (3 weeks) and intervention (12 weeks) period

glucose level between 70-180 mg/dL derived from continuous glucose monitoring

次要结局

  • Coefficient of variation (CV)(baseline (3 weeks) and intervention (12 weeks) period)
  • Time Above Range (TAR)(baseline (3 weeks) and intervention (12 weeks) period)
  • Glycated albumin(before and at the end of intervention, which in average lasts 12 weeks)
  • HbA1c(before and at the end of intervention, which in average lasts 12 weeks)
  • Time Below Range (TBR)(baseline (3 weeks) and intervention (12 weeks) period)
  • mean sensor glucose(baseline (3 weeks) and intervention (12 weeks) period)
  • Quality of life measurements (general) of patients and parents(baseline (3 weeks) and intervention (12 weeks) period)
  • Children's Depression Inventory(CDI) (age 7-17) or Beck Depression Inventory (BDI) (age 18-19) of patients(baseline (3 weeks) and intervention (12 weeks) period)
  • Glucose management indicator (GMI)(baseline (3 weeks) and intervention (12 weeks) period)
  • Quality of life measurements (diabetes-specific) of patients and parents(baseline (3 weeks) and intervention (12 weeks) period)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Lee Young Ah

Associate professor

Seoul National University Hospital

研究点 (2)

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