Type 1 DiabetesPhase 4NCT00453934
Patient Preference of h-Patch vs. Pen or Needle/Syringe as Insulin Administration Device
A Phase 4 study testing h-Patch in people with Type 1 Diabetes and Type 2 Diabetes, run by Valeritas, Inc. at 1 site in United States.
Trial summary
The primary objective of this study is to compare patient preference of the h-Patch as delivery device for insulin lispro compared with either an insulin pen or needle and syringe in patients with diabetes, either Type 1 or Type 2, on stable multiple daily injection regimens. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Type 1 Diabetes, Type 2 Diabetes
- What is being tested?
- h-Patch
- Type of treatment
- Medical device
- How many people
- 11 participants
- Where
- 1 siteUnited States
- Study dates
- May 2007to Sep 2007
- Phase
- Phase 4
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Diagnosis of Type 1or Type 2 diabetes mellitus for at least a year
- Stable insulin regimen for at least 3 months consisting of multiple daily injections of human regular or rapid acting insulin at meal times and long or intermediate acting insulin as basal. In this protocol multiple daily injections requires at least three injections daily.
- Total daily insulin dose between 50 and 80 units.
- If patient is Type 2, can be treated with metformin and/or a thiazolidinedione and/or a sulfonylurea, but other diabetes drugs including α-glucosidase inhibitors, meglitinides, pramlintide exenatide, and DPP-IV's are excluded.
- HbA1c > 7.0% and < 9.0%.
Who cannot join
- Recurrent major hypoglycemia or prolonged unstable blood glucose control (as judged by the Investigator).
- Use of other diabetes drugs including α-glucosidase inhibitors, meglitinides, pramlintide, exenatide or DPP-IV inhibitors (metformin and/or a thiazolidinedione and/or a sulfonylurea are allowed).
- Intend to use any other concomitant drug therapy (prescription or over-the-counter medications) that can affect blood glucose levels.
- Have used systemic glucocorticoids within 1 month prior to Screening or currently on glucocorticoids.
- Have a history of drug or alcohol abuse within 1 year prior to Screening Visit.
- Have a history or presence of cardiovascular, respiratory, hepatic, renal, gastrointestinal, or neurological disease that would, in the investigator's opinion, preclude safe participation in the study.
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- Have a history of major surgery, e.g. laparotomy, thoracotomy, open orthopedic procedure, etc. within 3 months prior to Screening Visit.
- Evidence of significant neuropsychiatric disease.
- Have participated in a medical, surgical, or pharmaceutical investigational new drug/device study in the last 30 days or ≤ 5 half-lives of the investigational drug, whichever is longer, prior to Screening Visit.
- Blood donation of 500 ml or more in the last 2 months prior to Screening Visit.
- Evidence of significant active hematological disease.
- Acute infection with fever.
- Hemoglobin < 10 g/dL; AST, ALT ≥ 1.5 times the upper reference limit at Screening.
- Uncontrolled treated/untreated hypertension (systolic blood pressure > 155 mmHg and diastolic blood pressure > 90 mmHg).
- History of proliferative retinopathy or maculopathy requiring acute treatment
- Mental incapacity, unwillingness or language barrier precluding adequate understanding or co-operation.
- Any condition that the Investigator and/or Sponsor feel would interfere with trial participation or evaluation of results
- Pregnancy, breast-feeding, intention of becoming pregnant for female patients of child-bearing potential.
- -
Trial locations and contacts
1 site in 1 country.
United States1 site
Diabetes and Glandular Research
San Antonio, Texas, 78229
About this study
Official title: h-Patch vs. Pen or Needle and Syringe as Insulin Administration Device in Type 1 or 2 Diabetes Patients Using MDI: Patient Preference and Glycemic Control After Switch in an Open-Label, Randomized Cross-Over Study
The primary objective of this study is to compare patient preference of the h-Patch as delivery device for insulin lispro compared with either an insulin pen or needle and syringe in patients with diabetes, either Type 1 or Type 2, on stable multiple daily injection regimens. This will be assessed using an accepted preference scale.
Read the detailed description
Patients with Type 1 Diabetes have an absolute deficiency in insulin production and benefit from physiologic insulin replacement, defined as administration of background and mealtime insulin. More than half of patients with Type 2 diabetes (T2DM) have less than 50% of their beta cell function at the time of diagnosis. Because of this, these patients would also benefit from the physiologic delivery of insulin. Currently, 4 or more injections per day are required to deliver the various different available insulins in a physiologic manner. Valeritas has developed the h-Patch, a device suitable to make the delivery of basal and bolus insulin effective, simple and discrete. This study will measure patient preference, glucose control and safety of the h-Patch compared with patients' previous therapy. Patients previous therapy will be multiple daily injections delivered either by pens or needle and syringe.
- Conditions
- Type 1 Diabetes, Type 2 Diabetes
- Being tested
- h-Patch
- Keywords
- Diabetes, Type 1 Diabetes, Type 2 Diabetes, Physiologic Insulin, Basal Insulin, Bolus Insulin, Mealtime insulin, Insulin patch, Multiple daily injections
- Medical subject headings
- Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Diabetes Mellitus
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
h-PatchDevice
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Mar 2007 (estimated)
- Study startMay 2007
- Study completionSep 2007
Why it stopped: Endpoint no longer deemed meaningful
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Type 1 DiabetesStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- None (open label)
- Enrolment
- 11 participants (actual)
Sponsor and investigators
- Lead sponsor
- Valeritas, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Investigators
- Mark S Kipnes, MD, Principal investigator, Diabetes and Glandular Research
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00453934
- Sponsor's protocol ID
- V4001
- Status last verified
- Mar 2007
- First submitted
- 27 Mar 2007
- Last updated
- 6 Dec 2007
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 6 Dec 2007. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- h-Patch vs. Pen or Needle and Syringe as Insulin Administration Device in Type 1 or 2 Diabetes Patients Using MDI: Patient Preference and Glycemic Control After Switch in an Open-Label, Randomized Cross-Over Study
- ClinicalTrials.gov ID
- NCT00453934
- Acronym / sponsor ID
- V4001
- Conditions
- Type 1 Diabetes, Type 2 Diabetes
- Keywords
- Diabetes, Type 1 Diabetes, Type 2 Diabetes, Physiologic Insulin, Basal Insulin, Bolus Insulin, Mealtime insulin, Insulin patch
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Endpoint no longer deemed meaningful
- Enrolment
- 11 participants (actual)
- Lead sponsor
- Valeritas, Inc.Industry (pharma, biotech, devices)
- Study start
- May 2007
- Study completion
- Sep 2007 (actual)
- First posted
- 29 Mar 2007 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective of this study is to compare patient preference of the h-Patch as delivery device for insulin lispro compared with either an insulin pen or needle and syringe in patients with diabetes, either Type 1 or Type 2, on stable multiple daily injection regimens. This will be assessed using an accepted preference scale.
Detailed description
Patients with Type 1 Diabetes have an absolute deficiency in insulin production and benefit from physiologic insulin replacement, defined as administration of background and mealtime insulin. More than half of patients with Type 2 diabetes (T2DM) have less than 50% of their beta cell function at the time of diagnosis. Because of this, these patients would also benefit from the physiologic delivery of insulin. Currently, 4 or more injections per day are required to deliver the various different available insulins in a physiologic manner. Valeritas has developed the h-Patch, a device suitable to make the delivery of basal and bolus insulin effective, simple and discrete. This study will measure patient preference, glucose control and safety of the h-Patch compared with patients' previous therapy. Patients previous therapy will be multiple daily injections delivered either by pens or needle and syringe.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- None (open label)
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Diagnosis of Type 1or Type 2 diabetes mellitus for at least a year
- Stable insulin regimen for at least 3 months consisting of multiple daily injections of human regular or rapid acting insulin at meal times and long or intermediate acting insulin as basal. In this protocol multiple daily injections requires at least three injections daily.
- Total daily insulin dose between 50 and 80 units.
- If patient is Type 2, can be treated with metformin and/or a thiazolidinedione and/or a sulfonylurea, but other diabetes drugs including α-glucosidase inhibitors, meglitinides, pramlintide exenatide, and DPP-IV's are excluded.
- HbA1c > 7.0% and < 9.0%.
Key exclusion criteria (19 listed)
- Recurrent major hypoglycemia or prolonged unstable blood glucose control (as judged by the Investigator).
- Use of other diabetes drugs including α-glucosidase inhibitors, meglitinides, pramlintide, exenatide or DPP-IV inhibitors (metformin and/or a thiazolidinedione and/or a sulfonylurea are allowed).
- Intend to use any other concomitant drug therapy (prescription or over-the-counter medications) that can affect blood glucose levels.
- Have used systemic glucocorticoids within 1 month prior to Screening or currently on glucocorticoids.
- Have a history of drug or alcohol abuse within 1 year prior to Screening Visit.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| h-Patch | Device | – |
Primary outcome
Not reported in the source record.
6 secondary outcomes
Mean glucose using CGM.
Time frame: 4 weeks
Glucose SD, MAGE, Proportion of 24 hours in euglycemic range 70-160 mg/dl, using CGM.
Time frame: 4 weeks
End of Study Patient Questions
Time frame: 4 weeks
Hypoglycemia
Time frame: 4 weeks
Proportion of time with glucose < 70 mg/dl, from CGM.
Time frame: 4 weeks
Number and type of adverse events.
Time frame: 4 weeks
Results and safety
The study was stopped early (reason given: Endpoint no longer deemed meaningful). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Dec 2007.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Mark S Kipnes, MD principal investigator
Diabetes and Glandular Research
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing h-Patch in people with Type 1 Diabetes and Type 2 Diabetes, run by Valeritas, Inc. at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 19 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 6 Dec 2007. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study was stopped early (reason given: Endpoint no longer deemed meaningful). Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Dec 2007.