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Type 1 Diabetes MellitusNCT04476472

Omnipod Horizon™ Automated Glucose Control System Preschool Cohort

A study of Type 1 Diabetes Mellitus, run by Insulet Corporation at 10 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

Subjects will undergo a 14-day outpatient, standard therapy phase during which sensor and insulin data will be collected. This will be followed by a 94-day (13-week) hybrid closed-loop phase conducted in an outpatient setting, and an optional 12-month extension phase. Read more about this study

Who is it for?
Ages 2 to 5 years
Conditions the study is for
Type 1 Diabetes Mellitus
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
80 participants
Where
10 sitesUnited States
Study dates
8 Sep 2020to 12 Oct 2022
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 2 to 5 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Age at time of consent 2.0-5.9 years
  • Living with parent/legal guardian
  • Diagnosed with type 1 diabetes. Diagnosis is based on investigator's clinical judgment
  • Deemed appropriate for pump therapy per investigator's assessment taking into account previous history of severe hypoglycemic and hyperglycemic events, and other comorbidities
  • Investigator has confidence that the subject and/or parent/guardian/caregiver can successfully operate all study devices and is capable of adhering to the protocol
  • Willing to use only the following types of insulin during the study: Humalog, Novolog, Admelog or Apidra during the study
Show all 12Show fewer
  • Willing to wear the system continuously throughout the study
  • Willing to participate in challenges for 2 consecutive days, consisting of a minimum of 3 hours of activity per day and dietary challenge by reducing the number of carbohydrates entered for a given meal by 50%
  • A1C <10% at screening visit
  • Subject and/or parent/guardian must be willing to use the Dexcom App on the Omnipod Horizon™ PDM as the sole source of Dexcom data (with the exception of the Dexcom Follow App) during the hybrid closed-loop phase
  • Subject and/or parent/guardian is able to read and speak English fluently
  • Has a parent/legal guardian willing and able to sign the ICF.

Who cannot join

  • A medical condition, which in the opinion of the investigator, would put the subject at an unacceptable safety risk
  • History of severe hypoglycemia in the past 6 months
  • History of DKA in the past 6 months, unrelated to an intercurrent illness, infusion set failure or initial diagnosis
  • Diagnosed with sickle cell disease
  • Diagnosed with hemophilia or any other bleeding disorders
  • Plans to receive blood transfusion over the course of the study
Show all 15Show fewer
  • Clinical evidence of acute or chronic kidney disease (e.g. estimated GFR < 45) or currently on hemodialysis
  • History of adrenal insufficiency
  • Has taken oral or injectable steroids within the past 8-weeks or plans to take oral or injectable steroids during the course of the study
  • Unable to tolerate adhesive tape or has any unresolved skin condition in the area of sensor or pump placement
  • Plans to use insulin other than U-100 insulin intended for use in the study device during the course of the study
  • Use of non-insulin anti-diabetic medication other than metformin (e.g. GLP1 agonist, SGLT2 inhibitor, DPP-4 inhibitor, pramlintide)
  • Thyroid Stimulating Hormone (TSH) is outside of normal range with clinical signs of hypothyroidism or hyperthyroidism
  • Currently participating or plans to participate in another clinical study using an investigational drug or device other than the Omnipod Horizon™ Automated Glucose Control System during this study period
  • Unable to follow clinical protocol for the duration of the study or is otherwise deemed unacceptable to participate in the study per the investigator's clinical judgment

Trial locations and contacts

10 sites in 1 country.

10 sites in 1 country

United States10 sites
  • Atlanta Diabetes

    Atlanta, Georgia, 30318

  • Joslin Diabetes Center

    Boston, Massachusetts, 02215

  • University of Virginia

    Charlottesville, Virginia, 22904

  • University Hospitals Cleveland

    Cleveland, Ohio, 44106

  • University of Colorado Denver

    Denver, Colorado, 80045

  • Baylor College of Medicine

    Houston, Texas, 77030

  • Yale University School of Medicine

    New Haven, Connecticut, 06511

  • Stanford University

    Palo Alto, California, 94305

  • International Diabetes Center

    Saint Louis Park, Minnesota, 55416

  • SUNY Syracuse

    Syracuse, New York, 13244

Other trials in United States

About this study

Official title: Evaluating the Safety and Effectiveness of the Omnipod Horizon™ Automated Glucose Control System in Children With Type 1 Diabetes Aged 2.0-5.9 Years: Preschool Cohort

Subjects will undergo a 14-day outpatient, standard therapy phase during which sensor and insulin data will be collected. This will be followed by a 94-day (13-week) hybrid closed-loop phase conducted in an outpatient setting, and an optional 12-month extension phase.

Read the detailed description

The study schedule will consist of a standard therapy data collection phase followed by a hybrid closed-loop phase.

Subjects will undergo a 14-day outpatient, standard therapy phase during which sensor and insulin data will be collected. Subjects, or their caregivers, will manage their diabetes at home per their usual routine using the study continuous glucose monitoring system (CGM) and remain on current multiple daily injections (MDI) or pump therapy. This will be followed by a 94-day (13-week) hybrid closed-loop phase, conducted in an outpatient setting where subjects, or their caregivers, will manage their diabetes at home using the Omnipod Horizon™ Automated Glucose Control System. After completing the 94-day hybrid closed-loop phase, subjects will have the option to continue using the system for an additional 12 months.

During the hybrid closed-loop phase, a subset of subjects will participate in 2-days of supervised meal and exercise challenges.

The hybrid closed-loop phase will begin on Study Day 1.

Being tested
Omnipod Horizon™ Automated Glucose Control System
Keywords
T1D, Omnipod
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.

  • Omnipod Horizon™ Automated Glucose Control SystemDevice

    The Omnipod Horizon™ Automated Glucose Control System will provide automated insulin delivery.

Study groups in NCT04476472
Study groupRoleWhat they receive
TreatmentExperimentalAll subjects wearing the Omnipod Horizon™ Automated Glucose Control System using the closed-loop algorithm.
Receives: Device: Omnipod Horizon™ Automated Glucose Control System

What is being measured

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

  1. Incidence Rate of Severe Hypoglycemia (Events Per Person Months)

    Number of severe hypoglycemia events reported in "events per person months" units.

    Measured: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (450 days)

  2. Incidence Rate of Diabetic Ketoacidosis (DKA) (Events Per Person Months)

    Number of DKA events reported in "events per person months" units.

    Measured: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (450 days)

  3. Glycated Hemoglobin (A1C)

    Measures device effectiveness

    Measured: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (180 days, 270 days, 360 days, and 450 days) compared to baseline

  4. Time in Range 70-180 mg/dL

    Measures device effectiveness

    Measured: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (450 days) compared to Phase 1 standard therapy (14 days)

Secondary outcomes (19)
  1. Glycated Hemoglobin (A1C)

    Measures device effectiveness

    Measured: Hybrid closed-loop (94 days, 180 days, 270 days, and 450 days) compared to baseline

  2. Percent of Time in Range 70-140 mg/dL

    Glucose metric from study continuous glucose monitoring system (CGM)

    Measured: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (450 days) compared to Phase 1 standard therapy (14 days) during the day, overnight, and overall

  3. Percent of Time > 180 mg/dL

    Glucose metric from study continuous glucose monitoring system (CGM)

    Measured: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (450 days) compared to Phase 1 standard therapy (14 days) during the day, overnight, and overall

  4. Percent of Time ≥ 250 mg/dL

    Glucose metric from study continuous glucose monitoring system (CGM)

    Measured: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (450 days) compared to Phase 1 standard therapy (14 days) during the day, overnight, and overall

  5. Percent of Time ≥ 300 mg/dL

    Glucose metric from study continuous glucose monitoring system (CGM)

    Measured: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (450 days) compared to Phase 1 standard therapy (14 days) during the day, overnight, and overall

  6. Percent of Time < 70 mg/dL

    Glucose metric from study continuous glucose monitoring system (CGM)

    Measured: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (450 days) compared to Phase 1 standard therapy (14 days) during the day, overnight, and overall

  7. Percent of Time < 54 mg/dL

    Glucose metric from study continuous glucose monitoring system (CGM)

    Measured: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (450 days) compared to Phase 1 standard therapy (14 days) during the day, overnight, and overall

  8. Mean Glucose

    Glucose metric from study continuous glucose monitoring system (CGM)

    Measured: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (450 days) compared to Phase 1 standard therapy (14 days) during the day, overnight, and overall

  9. Standard Deviation

    Glucose metric from study continuous glucose monitoring system (CGM)-measured glucose variability with the standard deviation (SD)

    Measured: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (450 days) compared to Phase 1 standard therapy (14 days) during the day, overnight, and overall

  10. Coefficient of Variation

    Glucose metric from study continuous glucose monitoring system (CGM)-measured glucose variability with the coefficient of variation (CV)

    Measured: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (450 days) compared to Phase 1 standard therapy (14 days) during the day, overnight, and overall

  11. Percentage of Time in Hybrid Closed-loop as Proportion of Overall Device Usage Time

    Measure of system usage in Automated and Manual modes. Percentage of time in Automated and Manual mode do not add up to 100% due to missing data from participants not using the Omnipod 5 system (e.g., not wearing a Pod).

    Measured: Phase 2 hybrid closed-loop (94 days) and Phase 3 (450 days)

  12. Glucose Management Indicator (GMI)

    Glucose Management Indicator (%) approximates the laboratory hemoglobin A1c (%) expected based on average glucose readings from continuous glucose monitors from the last 14 days or more.

    Measured: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (450 days) compared to the Phase 1 standard therapy (14 days)

  13. Total Daily Insulin (TDI) (Units)

    Measure of insulin requirements

    Measured: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (450 days) compared to the Phase 1 standard therapy (14 days)

  14. Total Daily Insulin (TDI) (Units/kg)

    Measure of insulin requirements

    Measured: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (450 days) compared to the Phase 1 standard therapy (14 days)

  15. Total Daily Basal Insulin (Units)

    Measure of insulin requirements

    Measured: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (450 days) compared to the Phase 1 standard therapy (14 days)

  16. Total Daily Basal Insulin (Units/kg)

    Measure of insulin requirements

    Measured: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (450 days) compared to the Phase 1 standard therapy (14 days)

  17. Total Daily Bolus Insulin (Units)

    Measure of insulin requirements

    Measured: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (450 days) compared to the Phase 1 standard therapy (14 days)

  18. Total Daily Bolus Insulin (Units/kg)

    Measure of insulin requirements

    Measured: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (450 days) compared to the Phase 1 standard therapy (14 days)

  19. Body Mass Index (BMI) (kg/m^2)

    Measure of change in weight

    Measured: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (450 days) compared to baseline

Timeline

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

  1. First posted20 Jul 2020
  2. Study start8 Sep 2020
  3. Primary completion17 Jan 2022
  4. Study completion12 Oct 2022

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
Model description
single-arm, multi-center, prospective clinical study
Masking
None (open label)
Enrolment
80 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04476472
Sponsor's protocol ID
Horizon™ Preschool Cohort
Status last verified
Jan 2024
First submitted
15 Jul 2020
Last updated
14 Feb 2024
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Publications

  • DeSalvo DJ, Bode BW, Forlenza GP, Laffel LM, Buckingham BA, Criego AB, Schoelwer M, MacLeish SA, Sherr JL, Hansen DW, Ly TT. Glycemic Outcomes Persist for up to 2 Years in Very Young Children with the Omnipod(R) 5 Automated Insulin Delivery System. Diabetes Technol Ther. 2024 Jun;26(6):383-393. doi: 10.1089/dia.2023.0506. Epub 2024 Feb 21.

    PubMed 38277156
  • Sherr JL, Bode BW, Forlenza GP, Laffel LM, Schoelwer MJ, Buckingham BA, Criego AB, DeSalvo DJ, MacLeish SA, Hansen DW, Ly TT; Omnipod 5 in Preschoolers Study Group:; Sherr JL, Weyman K, Tichy E, VanName M, Brei M, Zgorski M, Steffen A, Carria L, Bode BW, Busby A, Forlenza GP, Wadwa RP, Slover R, Cobry E, Messer L, Laffel LM, Isganaitis E, Ambler-Osborn L, Freiner E, Turcotte C, Volkening L, Schoelwer M, Brown SA, Krauthause K, Emory E, Oliveri M, Buckingham BA, Ekhlaspour L, Kingman R, Criego AB, Schwartz BL, Gandrud LM, Grieme A, Hyatt J, DeSalvo DJ, McKay S, DeLaO K, Villegas C, MacLeish SA, Wood JR, Kaminski BA, Casey T, Campbell W, Behm K, Adams R, Hansen DW, Stone SL, Bzdick S, Bulger J, Agostini L, Doolittle S, Kivilaid K, Kleve K, Ly TT, Dumais B, Vienneau T, Huyett LM, Lee JB, O'Connor J, Benjamin E. Safety and Glycemic Outcomes With a Tubeless Automated Insulin Delivery System in Very Young Children With Type 1 Diabetes: A Single-Arm Multicenter Clinical Trial. Diabetes Care. 2022 Aug 1;45(8):1907-1910. doi: 10.2337/dc21-2359.

    PubMed 35678724

Questions about this trial

What is this clinical trial studying?

A study of Type 1 Diabetes Mellitus, run by Insulet Corporation at 10 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 12 inclusion and 15 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 Feb 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 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 14 Feb 2024). 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?

Incidence Rate of Severe Hypoglycemia (Events Per Person Months) (time frame: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (450 days)). 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?

On the ClinicalTrials.gov record for NCT04476472, which also lists 2 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 Feb 2024.

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