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Type 1 Diabetes MellitusNCT03959423

Safety Evaluation of the Advanced Hybrid Closed Loop (AHCL) System

A study testing AHCL insulin pump system in people with Type 1 Diabetes Mellitus, run by Medtronic MiniMed, Inc. at 17 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study is a Safety Evaluation of the Advanced Hybrid Closed Loop (AHCL) System in Type 1 Adult and Pediatric Subjects. Read more about this study

Who is it for?
Ages 7 to 75 years
Conditions the study is for
Type 1 Diabetes Mellitus
What is being tested?
AHCL insulin pump system
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
288 participants
Where
17 sitesUnited States
Study dates
24 Jul 2019to 27 Oct 2023
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 7 to 75 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Subject is age 7-75 years at time of Screening
  • Subjects 14-75 years of age: A clinical diagnosis of type 1 diabetes for 2 years or more as determined via medical record or source documentation by an individual qualified to make a medical diagnosis
  • Subjects 7-13 years of age: A clinical diagnosis of type 1 diabetes for 1 year or more as determined via medical record or source documentation by an individual qualified to make a medical diagnosis Study-specific inclusion criteria
  • Subject is willing to perform ≥ 4 finger stick blood glucose measurements daily
  • Subject is willing to perform required sensor calibrations
  • Subject is willing to wear the system continuously throughout the study
Show all 26Show fewer
  • Subject must have a minimum daily insulin requirement (Total Daily Dose) of greater than or equal to 8 units
  • Subject has a Glycosylated hemoglobin (HbA1c) less than 10% (as processed by Central Lab) at time of Screening visit Note: All HbA1c blood specimens will be sent to and tested by a NGSP certified Central Laboratory. HbA1c testing must follow National Glycohemoglobin Standardization Program (NGSP) standards.
  • Subject has TSH in the normal range OR if the TSH is out of normal reference range the Free T3 is below or within the lab's reference range and Free T4 is within the normal reference range.
  • Pump therapy for greater than 6 months prior to screening (with or without CGM experience)
  • Subject must have a companion or caregiver available at night for the duration of the study period who resides (or will live) in in the same building (or home). A companion or caregiver should also be available during exercise challenges in the same building, home or location (if not at home). This requirement may be verified by subject report at screening visit.
  • Subject willing to upload data from the study pump, must have Internet access and a computer system that meets the requirements for uploading the study pump
  • If subject has celiac disease, it has been adequately treated as determined by the investigator
  • Subject is willing to take one of the following insulins and can financially support the use of either of the 2 insulin preparations throughout the course of the study (i.e. co-payments for insulin with insurance or able to pay full amount)
  • Humalog™* (insulin lispro injection)
  • NovoLog™* (insulin aspart)
  • Subjects with history of cardiovascular event 1 year or more from the time of screening must have an EKG within 6 months prior to screening or during screening. If subject has an abnormal EKG, participation is allowed if there is clearance from a cardiologist
  • Subjects with the 3 or more cardiovascular risk factors listed below must have an EKG within 6 months prior to screening or during screening. If subject has an abnormal EKG, participation is allowed if there is clearance from a cardiologist
  • Cardiovascular risk factors include:
  • Age >35 years
  • Type 1 diabetes of >15 years' duration
  • Presence of any additional risk factor for coronary artery disease
  • Presence of microvascular disease (proliferative retinopathy or nephropathy, including microalbuminuria)
  • Presence of peripheral vascular disease
  • Presence of autonomic neuropathy
  • Subjects with history of cardiovascular event 1 year or more from the time of screening must have a stress test within 6 months prior to screening or during run in period. If subject fails stress test, participation is allowed if there is clearance from a cardiologist

Who cannot join

  • Subject has a history of 1 or more episodes of severe hypoglycemia, which resulted in any the following during the 6 months prior to Screening:
  • Medical assistance (i.e. Paramedics, Emergency Room (ER) or Hospitalization)
  • Coma
  • Seizures
  • Subject has been hospitalized or has visited the ER in the 6 months prior to Screening resulting in a primary diagnosis of uncontrolled diabetes
  • Subject has had Diabetic Ketoacidosis (DKA) in the 6 months prior to Screening.
Show all 31Show fewer
  • Subject has Hypoglycemia Unawareness, as measured by the Gold questionnaire (Gold, MacLeod et al. 1994) at Screening
  • 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 placement (e.g., psoriasis, dermatitis herpetiformis, rash, Staphylococcus infection)
  • Women of child-bearing potential who have a positive pregnancy test at Screening or plan to become pregnant during the course of the study
  • Females who are sexually active and able to conceive will be excluded if they are not using an effective method of contraception and do not agree to continue using an effective method of contraception for the duration of the study as determined by investigator.
  • Subject has had any of the following cardiovascular events within 1 year of screening: myocardial infarction, unstable angina, coronary artery bypass surgery, coronary artery stenting, transient ischemic attack, cerebrovascular accident, angina, congestive heart failure, ventricular rhythm disturbances or thromboembolic disease
  • Subject is being treated for hyperthyroidism at time of Screening
  • Subject has a diagnosis of adrenal insufficiency
  • Subject has taken any oral, injectable, or intravenous (IV) glucocorticoids within 8 weeks from time of Screening, or plans to take any oral, injectable, or IV glucocorticoids during the course of the study
  • Subject is actively participating in an investigational study (drug or device) wherein he/she has received treatment from an investigational study drug or investigational study device in the last 2 weeks
  • Subject is currently abusing illicit drugs
  • Subject is currently abusing marijuana
  • Subject is currently abusing prescription drugs
  • Subject is currently abusing alcohol
  • Subject is using pramlintide (Symlin), DPP-4 inhibitor, liraglutide (Victoza or other GLP-1 agonists), metformin, canagliflozin (Invokana or other SGLT2 inhibitors) at time of Screening
  • Subject has a history of visual impairment which would not allow subject to participate in the study and perform all study procedures safely, as determined by the investigator
  • Subject has elective surgery planned that requires general anesthesia during the course of the study
  • Subject has a sickle cell disease, hemoglobinopathy; or has received red blood cell transfusion or erythropoietin within 3 months prior to time of Screening
  • Subject plans to receive red blood cell transfusion or erythropoietin over the course of study participation
  • Subject diagnosed with current eating disorder such as anorexia or bulimia
  • Subject has been diagnosed with chronic kidney disease that results in chronic anemia
  • Subject has a hematocrit that is below the normal reference range of lab used.
  • Subject is on dialysis
  • Subject has serum creatinine of >2 mg/dL.
  • Research staff involved with the study.

Trial locations and contacts

17 sites in 1 country.

17 sites in 1 country

United States17 sites
  • Atlanta Diabetes Associates

    Atlanta, Georgia, 30318

  • Barbara Davis Center - Adults

    Aurora, Colorado, 80045

  • Barbara Davis Center - Pediatric

    Aurora, Colorado, 80045

  • Texas Endocrinology

    Austin, Texas, 78681

  • AM Diabetes & Endocrinology Center

    Bartlett, Tennessee, 38133

  • Rocky Mountain Diabetes Center

    Idaho Falls, Idaho, 83404

  • Scripps Whittier Diabetes Institute

    La Jolla, California, 92037

  • Arkansas Diabetes and Endocrinology Center

    Little Rock, Arkansas, 72211

  • International Diabetes Center

    Minneapolis, Minnesota, 55416

  • Yale Diabetes Research Program

    New Haven, Connecticut, 06511

  • Rainier Clinical Research

    Renton, Washington, 98057

  • Southeastern Endocrine

    Roswell, Georgia, 30076

  • Diabetes and Glandular Disease Clinic

    San Antonio, Texas, 78229

  • Seattle Children's Hospital and Medical Center

    Seattle, Washington, 98105

  • University of South Florida

    Tampa, Florida, 33613

  • SoCal Diabetes

    Torrance, California, 90505

  • Diablo Clinical Research

    Walnut Creek, California, 94598

Other trials in United States

About this study

Official title: Safety Evaluation of the Advanced Hybrid Closed Loop (AHCL) System in Type 1 Adult and Pediatric Subjects

This study is a Safety Evaluation of the Advanced Hybrid Closed Loop (AHCL) System in Type 1 Adult and Pediatric Subjects.

Read the detailed description

The purpose of this study is to evaluate the safety of the Advanced Hybrid Closed Loop system (AHCL) in type 1 diabetes adult and pediatric subjects in a home setting. The main objective in conducting this research is to collect data from patients who use the AHCL system at home, at work, at school and everywhere else. Subjects will use 670G 4.0 system with Guardian Sensor 3 (GS3) during study period, and will be allowed to participate in continued access phase, and use 670G 4.0 system with GS3 and 780G system with Guardian 4 Sensor (G4S).

Being tested
AHCL insulin pump system
Medical subject headings
Diabetes Mellitus, Type 1

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AHCL insulin pump systemDevice

    670G 4.0 system with GS3; 780G system with G4S (continued access phase);

Study groups in NCT03959423
Study groupRoleWhat they receive
Subjects 7-75 years of ageExperimentalSubjects who have been diagnosed with type 1 diabetes
Receives: Device: AHCL insulin pump system

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in HbA1c

    The overall mean difference of the change in HbA1c from baseline to end of 3-month Study Period.

    Measured: Baseline to End of 3-Month Study Period

  2. Change in Percentage of Euglycemia

    The overall mean change in % of time in euglycemia (70-180 mg/dL) from baseline to end of 3-month Study Period will be estimated.

    Measured: Baseline to End of 3-Month Study Period

Secondary outcomes (3)
  1. Number of Severe Hypoglycemic Event

    Number of severe hypoglycemic events occurred during 3-month Study Period

    Measured: 3-month Study Period

  2. Number of Diabetic Ketoacidosis (DKA) Event

    Number of Diabetic Ketoacidosis (DKA) event occurred during 3-month Study Period

    Measured: 3-month Study Period

  3. Change in Percent of Time in Hypoglycemic Range (<70 mg/dL)

    The overall mean change in % of time in hypoglycemic range (<70 mg/dL) from baseline to end of 3-month Study Period will be estimated.

    Measured: Baseline to End of 3-Month Study Period

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 May 2019
  2. Study start24 Jul 2019
  3. Primary completion17 Mar 2021
  4. Study completion27 Oct 2023

Resources

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 N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
288 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03959423
Sponsor's protocol ID
CIP321
Status last verified
Dec 2024
First submitted
20 May 2019
Last updated
14 Jan 2025
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Publications

  • Pihoker C, Shulman DI, Forlenza GP, Kaiserman KB, Sherr JL, Thrasher JR, Buckingham BA, Kipnes MS, Bode BW, Carlson AL, Lee SW, Latif K, Liljenquist DR, Slover RH, Dai Z, Niu F, Shin J, Jonkers RAM, Roy A, Grosman B, Vella M, Cordero TL, McVean J, Rhinehart AS, Vigersky RA; MiniMed AHCL Study Group. Safety and Glycemic Outcomes During the MiniMedTM Advanced Hybrid Closed-Loop System Pivotal Trial in Children and Adolescents with Type 1 Diabetes. Diabetes Technol Ther. 2023 Nov;25(11):755-764. doi: 10.1089/dia.2023.0255. Epub 2023 Oct 25.

    PubMed 37782145
  • Cordero TL, Dai Z, Arrieta A, Niu F, Vella M, Shin J, Rhinehart AS, McVean J, Lee SW, Slover RH, Forlenza GP, Shulman DI, Pop-Busui R, Thrasher JR, Kipnes MS, Christiansen MP, Buckingham BA, Pihoker C, Sherr JL, Kaiserman KB, Vigersky RA. Glycemic Outcomes During Early Use of the MiniMed 780G Advanced Hybrid Closed-Loop System with Guardian 4 Sensor. Diabetes Technol Ther. 2023 Sep;25(9):652-658. doi: 10.1089/dia.2023.0123. Epub 2023 Jun 16.

    PubMed 37252734
  • Carlson AL, Sherr JL, Shulman DI, Garg SK, Pop-Busui R, Bode BW, Lilenquist DR, Brazg RL, Kaiserman KB, Kipnes MS, Thrasher JR, Reed JHC, Slover RH, Philis-Tsimikas A, Christiansen M, Grosman B, Roy A, Vella M, Jonkers RAM, Chen X, Shin J, Cordero TL, Lee SW, Rhinehart AS, Vigersky RA. Safety and Glycemic Outcomes During the MiniMed Advanced Hybrid Closed-Loop System Pivotal Trial in Adolescents and Adults with Type 1 Diabetes. Diabetes Technol Ther. 2022 Mar;24(3):178-189. doi: 10.1089/dia.2021.0319. Epub 2021 Nov 16.

    PubMed 34694909

Questions about this trial

What is this clinical trial studying?

A study testing AHCL insulin pump system in people with Type 1 Diabetes Mellitus, run by Medtronic MiniMed, Inc. at 17 sites 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 26 inclusion and 31 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: finished, as of the sponsor's last update on 14 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 17 sites 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.

Are results available for this study?

Yes. Results are posted in the registry (first posted 8 Apr 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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.

What does the primary outcome measure?

Change in HbA1c (time frame: Baseline to End of 3-Month Study Period). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03959423, which also lists 3 linked publications.

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 14 Jan 2025.

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