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Type 1 Diabetes MellitusNCT04129424

Preliminary Exploration on the Operational Standards of Insulin Pump Installation in Diabetes Clinic in China

A study testing Insulin pump (Microtech, Equil®) in people with Type 1 Diabetes Mellitus and Type 2 Diabetes Mellitus, run by Peking Union Medical College Hospital at 1 site in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Continuous subcutaneous insulin infusion (CSII), known as insulin pump therapy, has been widely used for diabetes patients in recent years. Many clinical studies have proved the priority of CSII to multiple insulin injections including better glycaemic control with lower daily insulin requirement, lower glycated… Read more about this study

Who is it for?
Ages 18 to 80 years
What is being tested?
Insulin pump (Microtech, Equil®)
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
180 participants
Where
1 siteChina
Study dates
1 Dec 2019to 1 Dec 2020
Phase
Interventional
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 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients in clinic of type 1 diabetes mellitus, type 2 diabetes mellitus, gestational/pregestational diabetes mellitus, perioperative diabetes mellitus and patients with diabetes mellitus after pancreatectomy, including those with poor blood glucose control using multiple subcutaneous insulin injections or those are willing to use insulin pump therapy;
  • Age: 18-80 years old;
  • Patients and family members understand the research program and are willing to participate in the study and sign written informed consent.

Who cannot join

  • allergic to dressings and subcutaneous transfusion tubes;
  • allergic to insulin;
  • Severe diabetic acute complications within 6 months(diabetic ketoacidosis, diabetic hyperglycemia and hyperosmolar state, diabetic lactic acidosis).
  • Severe chronic complications of diabetes mellitus, such as peripheral vascular lesions leading to amputation or chronic foot ulcer, end-stage renal disease, etc. who researchers thought not suitable for this study.
  • Two or more times of severe hypoglycemia occured in the past year (such as consciousness disturbance and coma caused by hypoglycemia), or severe unconscious hypoglycemia.
  • Patients with severe impairment of cardiac function (NYHA grade III or above), liver function (alanine aminotransferase, aspartate aminotransferase or total bilirubin higher than the upper limit of normal value 2 times or more), renal function (serum creatinine higher than the upper limit of normal value) or circulation disorder;
  • Patients with mental illness and self-care ability;
  • Patients or their families could not understand the conditions and objectives of this study.

Trial locations and contacts

1 site in 1 country.

China1 site
  • Peking Union Medical College Hospital

    Beijing, Beijing Municipality, 100730

    Weigang Zhao, MD, +86 13910054636, xiehezhaoweigang@163.com

Other trials in China

About this study

Continuous subcutaneous insulin infusion (CSII), known as insulin pump therapy, has been widely used for diabetes patients in recent years. Many clinical studies have proved the priority of CSII to multiple insulin injections including better glycaemic control with lower daily insulin requirement, lower glycated haemoglobin (HbA1c) level and reduced risk of severe hypoglycaemia. The best mode of CSII is a kind of programmed and individualized insulin infusion mode. But at present, the applying of insulin pump is mainly during hospitalization period in China, which is not conformed with daily living scenarios of patients. The outpatient insulin pump treatment is much closer to the real living scenarios of patients. However, lack of management experience and widely accepted formative model of insulin pump applying in clinic restricted use of insulin pumps in clinical in China. The investigators aimed to explore a safe and effective management mode of insulin pump operating to enable a wide population to have access to daily use of CSII, and to maximize the rational use of limited medical resources.

Read the detailed description

In this study, the investigators plan to enroll patients of different types of diabetes, including type 1 diabetes mellitus, type 2 diabetes mellitus, gestational diabetes mellitus, perioperative diabetes mellitus, pancreatogenic diabetes mellitus (after total pancreatectomy) and diabetes patients in perioperative period,each type of diabetes patients were divided into three groups according to the time (7days, 14days and 28days) reaching the target blood glucose. Those patients are educated to record blood glucose and frequency of hypoglycemia during the study period. After achieving goal blood glucose, follow-up will continue one week to evaluate whether the blood glucose reached our goal and adjust the insulin pump parameter if necessary. The investigators plan to apply continuous glucose monitoring(CGM) for each patient during follow up. The investigators aim to explore the best time to reach goal blood glucose considering frequency of hypoglycemia, economic factors, insulin pump parameters at the end of study and the final insulin pump parameters at the end of follow up. The investigators aim to enroll patients with six different types diabetes because those patients have different insulin secretion pattern, which induced to different mode of CSII. The investigators set the goal fasting blood glucose at 4-6mmol/L and the goal postprandial blood glucose at 6-8mmol/L. The blood glucose of hypoglycemia was lower than 3.9mmol/L.

Being tested
Insulin pump (Microtech, Equil®)
Keywords
Diabetes mellitus, Insulin pump, Continuous subcutaneous insulin infusion
Medical subject headings
Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Diabetes, Gestational, Diabetes Mellitus

What participants receive

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

  • Insulin pump (Microtech, Equil®)Device

    Those patients of different types of diabetes mellitus were assigned to different groups, those groups were classified by the time to reach target blood glucose .

Study groups in NCT04129424
Study groupRoleWhat they receive
Type 1 diabetes mellitus_7-day groupExperimentalType 1 diabetes mellitus patients aimed to reach goal blood glucose in 7 days. After 7 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Receives: Device: Insulin pump (Microtech, Equil®)
Type 1 diabetes mellitus_14-day groupExperimentalType 1 diabetes mellitus patients aimed to reach goal blood glucose in 14 days. After 14 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Receives: Device: Insulin pump (Microtech, Equil®)
Type 1 diabetes mellitus_28-day groupExperimentalType 1 diabetes mellitus patients aimed to reach goal blood glucose in 28 days. After 28 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Receives: Device: Insulin pump (Microtech, Equil®)
Type 2 diabetes mellitus_7-day groupExperimentalType 2 diabetes mellitus patients aimed to reach goal blood glucose in 7 days. After 7 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Receives: Device: Insulin pump (Microtech, Equil®)
Type 2 diabetes mellitus_14-day groupExperimentalType 2 diabetes mellitus patients aimed to reach goal blood glucose in 14 days. After 14 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Receives: Device: Insulin pump (Microtech, Equil®)
Type 2 diabetes mellitus_28-day groupExperimentalType 2 diabetes mellitus patients aimed to reach goal blood glucose in 28 days. After 28 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Receives: Device: Insulin pump (Microtech, Equil®)
Gestational diabetes mellitus_7-day groupExperimentalGestational diabetes mellitus patients aimed to reach goal blood glucose in 7 days. After 7 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Receives: Device: Insulin pump (Microtech, Equil®)
Gestational diabetes mellitus_14-day groupExperimentalGestational diabetes mellitus patients aimed to reach goal blood glucose in 14 days. After 14 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Receives: Device: Insulin pump (Microtech, Equil®)
Gestational diabetes mellitus_28-day groupExperimentalGestational diabetes mellitus patients aimed to reach goal blood glucose in 28 days. After 28 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Receives: Device: Insulin pump (Microtech, Equil®)
Pregestational diabetes mellitus_7-day groupExperimentalPregestational diabetes mellitus patients aimed to reach goal blood glucose in 7 days. After 7 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Receives: Device: Insulin pump (Microtech, Equil®)
Pregestational diabetes mellitus_14-day groupExperimentalPregestational diabetes mellitus patients aimed to reach goal blood glucose in 14 days. After 14 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Receives: Device: Insulin pump (Microtech, Equil®)
Pregestational diabetes mellitus_28-day groupExperimentalPregestational diabetes mellitus patients aimed to reach goal blood glucose in 28 days. After 28 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Receives: Device: Insulin pump (Microtech, Equil®)
Pancreatogenic diabetes mellitus _7-day groupExperimentalPancreatogenic diabetes mellitus patients aimed to reach goal blood glucose in 7 days. After 7 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Receives: Device: Insulin pump (Microtech, Equil®)
Pancreatogenic diabetes mellitus _14-day groupExperimentalPancreatogenic diabetes mellitus patients aimed to reach goal blood glucose in 14 days. After 14 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Receives: Device: Insulin pump (Microtech, Equil®)
Pancreatogenic diabetes mellitus _28-day groupExperimentalPancreatogenic diabetes mellitus patients aimed to reach goal blood glucose in 28 days. After 28 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Receives: Device: Insulin pump (Microtech, Equil®)
Diabetes patients in perioperative period _7-day groupExperimentalDiabetes patients in perioperative period aimed to reach goal blood glucose in 7 days. After 7 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Receives: Device: Insulin pump (Microtech, Equil®)
Diabetes patients in perioperative period _14-day groupExperimentalDiabetes patients in perioperative period aimed to reach goal blood glucose in 14 days. After 14 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Receives: Device: Insulin pump (Microtech, Equil®)
Diabetes patients in perioperative period _28-day groupExperimentalDiabetes patients in perioperative period aimed to reach goal blood glucose in 28 days. After 28 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
Receives: Device: Insulin pump (Microtech, Equil®)

What is being measured

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

  1. The basal insulin dose of insulin pump at the end of the study

    Measured: Day-7 or day-14 or day-28 for different groups

  2. The preprandial insulin dose of insulin pump at the end of the study

    Measured: Day-7 or day-14 or day-28 for different groups

  3. The basal insulin dose of insulin pump at the end of the 6-day follow-up

    Measured: Day-14 or day-28 or day-35 for different groups

  4. The preprandial insulin dose of insulin pump at the end of the 6-day follow-up

    Measured: Day-14 or day-28 or day-35 for different groups

Secondary outcomes (9)
  1. The frequency of hypoglycemia

    Measured: Day-7 or day-14 or day-28 for different groups

  2. The time in range of goal blood glucose during follow-up

    Measured: Day-14 or day-28 or day-35 for different groups

  3. The frequency of pain at puncture site

    Measured: Day-7 or day-14 or day-28 for different groups

  4. The frequency of errors in patency of infusion pipeline connection

    Measured: Day-7 or day-14 or day-28 for different groups

  5. The blood glucose value of hypoglycemia

    Measured: Day-7 or day-14 or day-28 for different groups

  6. The symptoms of hypoglycemia

    Measured: Day-7 or day-14 or day-28 for different groups

  7. The frequency of bleeding at puncture site

    Measured: Day-7 or day-14 or day-28 for different groups

  8. The frequency of infection at puncture site

    Measured: Day-7 or day-14 or day-28 for different groups

  9. The frequency of errors in patency of needle fixation

    Measured: Day-7 or day-14 or day-28 for different groups

Timeline

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

  1. First posted16 Oct 2019
  2. Study start1 Dec 2019 (estimated)
  3. Primary completion1 Dec 2020 (estimated)
  4. Study completion1 Dec 2020 (estimated)

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
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
180 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04129424
Sponsor's protocol ID
Zhao insulin pump
Status last verified
Oct 2019
First submitted
20 Sep 2019
Last updated
16 Oct 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Insulin pump (Microtech, Equil®) in people with Type 1 Diabetes Mellitus and Type 2 Diabetes Mellitus, run by Peking Union Medical College Hospital at 1 site in China.

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 3 inclusion and 8 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: status not confirmed, as of the sponsor's last update on 16 Oct 2019. 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 China. 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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Weigang Zhao, MD (+86 13910054636, xiehezhaoweigang@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The basal insulin dose of insulin pump at the end of the study (time frame: Day-7 or day-14 or day-28 for different groups). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

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 16 Oct 2019.

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