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DiabetesNCT04113694

Evaluation of Extended Wear Infusion Set (EWIS) in Patients With Type 1 Diabetes

A study testing Extended Infusion Set in people with Diabetes, run by Medtronic MiniMed, Inc. at 15 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

The purpose of this study is to collect confirmatory clinical data to support 6 or 7 days wear of EWIS (Extended Wear Infusion Set). Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Diabetes
What is being tested?
Extended Infusion Set
Could I receive a placebo?
No, everyone receives an active treatment
How many people
291 participants
Where
15 sitesUnited States
Study dates
14 Oct 2019to 5 Nov 2020
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 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject is age 18 - 80 years at the time of screening
  • Subject has type 1 diabetes for more than one year Study specific inclusion criteria
  • Subject is on the MiniMed™ 670G insulin pump therapy within 1 year prior to screening and willing to utilize Auto Mode and CGM with Guardian™ Sensor (3) during the study.
  • Subject is willing and able to perform study procedures as per investigator discretion
  • 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)

Who cannot join

  • 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 female and has a positive pregnancy screening test
  • Subject is female of child bearing age and who is sexually active should be excluded if she is not using a form of contraception deemed reliable by investigator
  • Subject is female and plans to become pregnant during the course of the study
  • Subject has Glycosylated hemoglobin (HbA1c) > 8.5 % at time of screening. 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 had a history of 1 or more episodes of severe hypoglycemia, which resulted in any the following during the 6 months prior to screening
Show all 27Show fewer
  • Medical assistance (i.e. Paramedics, Emergency Room [ER] or Hospitalization)
  • Coma
  • Seizures
  • Subject has taken any oral, injectable, or IV glucocorticoids within 8 weeks from time of screening visit, or plans to take any oral, injectable, or IV glucocorticoids during the course of the study.
  • Subject is unable to tolerate tape adhesive in the area of infusion set
  • Subject has any unresolved adverse skin condition in the area of infusion set placement (e.g., psoriasis, dermatitis herpetiformis, rash, Staphylococcus infection)
  • Subject has infection in the area of infusion set placement at time of screening
  • Subject has had Diabetic Ketoacidosis (DKA) in the 12 months prior to screening visit.
  • Subject is currently abusing illicit drugs
  • Subject is currently abusing alcohol
  • Subject is on dialysis (for renal failure)
  • Subject has history of adrenal disorder
  • Subject has a history of inpatient psychiatric treatment in the past 6 months prior to screening
  • Subject has any condition that the Investigator believes would interfere with study participation
  • 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 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 is using pramlintide (Symlin), SGLT2 inhibitors, GLP agonists, biguanides, DPP-4 inhibitors or sulfonylureas more than 2 weeks from time of screening
  • Subject has been diagnosed with chronic kidney disease requiring dialysis or resulting in chronic anemia
  • Subject has history of cardiovascular disease defined as any ischemic related event or clinically significant arrythmia.
  • Subject has hypothyroidism and has out of reference range thyroid-stimulating hormone (TSH) on screening visit (prior labs in the last 3 months are sufficient). Subject may repeat TSH draw to verify eligibility if not in range

Trial locations and contacts

15 sites in 1 country.

15 sites in 1 country

United States15 sites
  • Atlanta Diabetes Associates

    Atlanta, Georgia, 30318

  • Barbara Davis Center for Childhood Diabetes

    Aurora, Colorado, 80045

  • Grunberger Diabetes Institute

    Bloomfield Hills, Michigan, 48302

  • University of Virginia Health System

    Charlottesville, Virginia, 22908

  • AMCR Institute

    Escondido, California, 92025

  • Diabetes and Endocrinology Consultants of Pennsylvania

    Feasterville-Trevose, Pennsylvania, 19053

  • Medical Investigations

    Little Rock, Arkansas, 72205

  • AM Diabetes and Endocrinology Center

    Memphis, Tennessee, 38133

  • Stanford University

    Palo Alto, California, 94304

  • Rainier Clinical Research Center

    Renton, Washington, 98057

  • Mayo Clinic (Rochester MN)

    Rochester, Minnesota, 55905

  • Endocrine Research Solutions

    Roswell, Georgia, 30076

  • SoCal Diabetes

    West Covina, California, 91790

  • Iowa Diabetes and Endocrinology Center

    West Des Moines, Iowa, 50265

  • Metabolic Research Institute

    West Palm Beach, Florida, 33401

Other trials in United States

About this study

The purpose of this study is to collect confirmatory clinical data to support 6 or 7 days wear of EWIS (Extended Wear Infusion Set).

Read the detailed description

This study is a multi-center, non-randomized, prospective single arm study with Type 1 patients with diabetes on insulin pump therapy with Continuous Glucose Monitoring (CGM). A total of up to 300 subjects age 18-80 will be enrolled at up to 20 investigational centers in the US. Each subject will wear their own MiniMed™ 670G insulin system. Each subject will be given 12 infusion sets to wear (each infusion set for at least 174 hours, or until infusion set failure if this occurs before 174 hours). Subjects will change insulin reservoirs at least every 174 hours. The time of infusion set insertion will be taken from Daily Log. Subjects can expect to participate for approximately 12-16 weeks.

Conditions
Diabetes
Being tested
Extended Infusion Set
Medical subject headings
Diabetes Mellitus

What participants receive

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

  • Extended Infusion SetDevice

    Also called Extended Wear Infusion Set

    Each subject is asked to wear each Extended Wear Infusion Set for at least 174 hours.

Study groups in NCT04113694
Study groupRoleWhat they receive
Extended Wear Infusion SetExperimentalEach subject is given 12 Extended Wear Infusion Sets to wear.
Receives: Device: Extended Infusion Set

What is being measured

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

  1. Humalog Subjects - Rate of Infusion Set Failure at the End of Day 6

    Evaluate rate of infusion set failure due to unexplained hyperglycemia (i.e. suspected occlusion) at the end of Day 6.

    Measured: 144 hours

  2. Novolog Subjects - Rate of Infusion Set Failure at the End of Day 6

    Independently evaluate rate of infusion set failure due to unexplained hyperglycemia (i.e. suspected occlusion) at the end of Day 6.

    Measured: 144 hours

Secondary outcomes (2)
  1. Humalog Subject - Rate of Infusion Set Failure at the End of Day 7.

    Evaluate rate of infusion set failure due to unexplained hyperglycemia (i.e. suspected occlusion) at the end of Day 7.

    Measured: 168 hours

  2. Novolog Subjects - Rate of Infusion Set Failure at the End of Day 7.

    Independently evaluated rate of infusion set failure due to unexplained hyperglycemia (i.e. suspected occlusion) at the end of Day 7.

    Measured: 168 hours

Timeline

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

  1. First posted3 Oct 2019
  2. Study start14 Oct 2019
  3. Primary completion5 Nov 2020
  4. Study completion5 Nov 2020

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
291 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04113694
Sponsor's protocol ID
CEP298
Status last verified
Sep 2021
First submitted
1 Oct 2019
Last updated
1 Oct 2021
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes

Publications

  • Brazg R, Garg SK, Bhargava A, Thrasher JR, Latif K, Bode BW, Bailey TS, Horowitz BS, Cavale A, Kudva YC, Kaiserman KB, Grunberger G, Reed JC, Chattaraj S, Zhang G, Shin J, Chen V, Lee SW, Cordero TL, Rhinehart AS, Vigersky RA, Buckingham BA. Evaluation of Extended Infusion Set Performance in Adults with Type 1 Diabetes: Infusion Set Survival Rate and Glycemic Outcomes from a Pivotal Trial. Diabetes Technol Ther. 2022 Aug;24(8):535-543. doi: 10.1089/dia.2021.0540. Epub 2022 Mar 24.

    PubMed 35263188

Questions about this trial

What is this clinical trial studying?

A study testing Extended Infusion Set in people with Diabetes, run by Medtronic MiniMed, Inc. at 15 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 7 inclusion and 27 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 1 Oct 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 15 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 1 Oct 2021). 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?

Humalog Subjects - Rate of Infusion Set Failure at the End of Day 6 (time frame: 144 hours). 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 NCT04113694, which also lists 1 linked publication.

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 1 Oct 2021.

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