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Closed LoopDBL4TNCT04725591

Diabeloop for Teens

A study testing Dexcom G6 Continuous Glucose Monitoring, MEDISAFE WITH External Insulin Pump and Declaration of meals in people with Closed Loop and Diabetes Mellitus, Type 1, run by Centre d'Etudes et de Recherche pour l'Intensification du Traitement du Diabète at 3 sites in 3 countries.

Completed

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

Official record
Search all trials

Trial summary

An open-label, three-centers, controlled, randomized, and crossover study containing 14 days of baseline period with standard of care (SOC) therapy followed by two-sessions of 4-weeks home study phase with Diabeloop closed-loop (CL) system comparing the declaration of meals and the non-declaration of meals. Read more about this study

Who is it for?
Ages 12 to 17 years
What is being tested?
Dexcom G6 Continuous Glucose Monitoring, MEDISAFE WITH External Insulin Pump and Declaration of meals
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
49 participants
Where
3 sitesin 3 countries
Study dates
25 Jan 2023to 19 May 2024
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 12 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Device-related inclusion criteria
  • age 12 - <18 years (i.e 17 years and 364 days) at time of screening
  • Type 1 diabetes Study-specific inclusion criteria
  • Subject has a clinical diagnosis of type 1 diabetes for at least 1 year as determined via medical records or source documentation by an individual qualified to make a medical diagnosis or confirmed C peptide negative.
  • An insulin pump user, or patient under Multiple Daily Injection (MDI), with or without CGM experience.
  • Subject having a Glycosylated hemoglobin (HbA1c) blood value > 8 % at time of screening visit-based on analysis from local laboratory within 3 months.
Show all 11Show fewer
  • Living in an area covered by a GSM (Global System for Mobile Communications) network
  • Patient not isolated, does not live alone, or has a person living nearby who has a telephone and a key to his or her home
  • Patient willing to wear the system continuously throughout the study
  • Must be able to speak and be literate in French, in Dutch or in German
  • Having provided written assent \& parents/guardian having provided written informed consent

Who cannot join

  • Device-related exclusion criteria
  • Patient receiving a total daily dose of insulin lower than 8 U
  • Patient having severe uncorrected problems of hearing and/or visual acuity
  • Patient unable to understand and perform all of the instructions provided by Diabeloop SA Study-specific exclusion criteria
  • Subject is unable to tolerate tape adhesive around the sensor or pump placements
  • Has any unresolved adverse skin condition in the area of sensor placement (e.g., psoriasis, dermatitis herpetiformis, rash, Staphylococcus infection)
Show all 38Show fewer
  • 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
  • Is being treated for hyperthyroidism at time of screening
  • Has diagnosis of adrenal insufficiency
  • Has taken any oral, injectable, or intravenous (IV) steroids within 8 weeks from time of screening visit, or plans to take any oral, injectable, or IV steroids during 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.
  • 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
  • Currently abusing illicit drugs
  • Currently abusing marijuana
  • Currently abusing prescription drugs
  • Currently abusing alcohol
  • Subject is using pramlintide (Symlin), DDP-4 inhibitor, liraglutide (Victoza or other GLP-1 agonists), metformin, canagliflozin (Invokana or other SGLT2 inhibitors) at time of screening
  • Subject has elective surgery planned that requires general anesthesia during the study
  • Has a sickle cell disease, hemoglobinopathy; or has received red blood cell transfusion or erythropoietin within 3 months prior to time of screening
  • Plans to receive red blood cell transfusion or erythropoietin over study participation
  • Diagnosed with current eating disorder such as anorexia or bulimia
  • Diagnosed with chronic kidney disease that results in chronic anemia
  • Hematocrit that is below the normal reference range of lab used
  • Patient who has had a pancreatectomy or who has pancreatic malfunctions
  • Patient with pancreatic islet transplantation or pancreas transplantation
  • Patient on dialysis
  • Patient with impaired hepatic functions
  • Serum creatinine > 176 µmol/L
  • Any other physical or psychological disease, or medication likely to interfere with the conduct of the study and interpretation of the study results as judged by the investigator.
  • Pregnancy or breastfeeding
  • Untreated coeliac disease (2 x ULN local laboratory)
  • Untreated or unstable thyroid disease
  • Subject has a history of 2 or more episodes of severe hypoglycemia, which resulted in any of the following during the 6 months prior to screening:
  • Medical assistance (i.e. Paramedics, Emergency Room or Hospitalization)
  • Coma
  • Seizures
  • Subject having severe diabetic ketoacidosis in the 6 months prior to screening visit
  • Impaired awareness of hypoglycemia (Gold Score > 4)

Trial locations and contacts

3 sites in 3 countries.

3 sites in 3 countries

Belgium1 site
  • University Hospitals Leuven

    Leuven

Other trials in Belgium

France1 site
  • Necker Hospital

    Paris

Other trials in France

Germany1 site
  • Diabetes Center for Children and Adolescents Auf Der Bult

    Hanover

Other trials in Germany

About this study

Official title: An Open-label, Multicenter, Randomized, Crossover Study, to Assess 4 Weeks Outpatient, the Clinical Efficacy of the Diabeloop Closed-loop Glucose Control Without the Declaration of Meals Compared with the Diabeloop Closed-loop Glucose Control with the Declaration of Meals, in Adolescent Patients with Type 1 Diabetes Poorly Controlled.

An open-label, three-centers, controlled, randomized, and crossover study containing 14 days of baseline period with standard of care (SOC) therapy followed by two-sessions of 4-weeks home study phase with Diabeloop closed-loop (CL) system comparing the declaration of meals and the non-declaration of meals.

Being tested
Dexcom G6 Continuous Glucose Monitoring, MEDISAFE WITH External Insulin Pump, Diabeloop Software (Model predictive control), Declaration of meals, No declaration of meals
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.

  • Dexcom G6 Continuous Glucose MonitoringDevice

    Collection of glucose data

  • MEDISAFE WITH External Insulin PumpDevice

    Insulin delivery

  • Diabeloop Software (Model predictive control)Device

    Diabeloop software embeds a regulation algorithm to automatically regulate the patient's glycaemia. It takes as input glycaemia value received every 5 minutes from the CGM and patient inputs related to meals and physical activities and it calculates the amount of insulin to be delivered. It sends this information to the pump that automatically delivers this quantity.

  • Declaration of mealsOther

    Patient inputs related to meals

  • No declaration of mealsOther

    No patient inputs related to meals

  • Remote monitoring (Telemedicine)Other

    Remote follow up by care health providers team

Study groups in NCT04725591
Study groupRoleWhat they receive
Diabeloop closed-loop glucose control session with the declaration of mealsActive comparatorDiabeloop software (an MPC-based glucose control algorithm) running on handset associated with the six-generation glucose sensor (Dexcom G6) and MEDISAFE WITH insulin pump. Subjects are asked to declare their meals for 4 weeks. A remote monitoring system is provided in closed-loop session.
Receives: Device: Dexcom G6 Continuous Glucose Monitoring; Device: MEDISAFE WITH External Insulin Pump; Device: Diabeloop Software (Model predictive control); Other: Declaration of meals; Other: Remote monitoring (Telemedicine)
Diabeloop closed-loop glucose control session without the declaration of mealsExperimentalDiabeloop software (an MPC-based glucose control algorithm) running on handset associated with the six-generation glucose sensor (Dexcom G6) and MEDISAFE WITH insulin pump. Subjects are asked to not declare their meals for 4 weeks. A remote monitoring system is provided in closed-loop session.
Receives: Device: Dexcom G6 Continuous Glucose Monitoring; Device: MEDISAFE WITH External Insulin Pump; Device: Diabeloop Software (Model predictive control); Other: No declaration of meals; Other: Remote monitoring (Telemedicine)

What is being measured

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

  1. The primary outcome is the time spent of the glucose level in the widened target range 3.9-10.0 mmol/L over the 2 last weeks of each cross-over period, as recorded by continuous subcutaneous glucose monitoring (CGM).

    Measurement of glucose by CGM

    Measured: 2 weeks

Secondary outcomes (28)
  1. Incidence of severe hypoglycemia as defined by the ISPAD guidelines:

    • Number of severe hypoglycemic episodes needing a third-party intervention
    • Number of severe hypoglycemic episodes with loss of consciousness
    • Number of hospitalizations because of a severe hypoglycemia episode
    • Number of hypoglycemic episodes, defined by any crossing of the threshold of 3.33 mmol/L, 3.9 mmol/L, 3.0mmol/L and < 2.8 mmol/L measured continuous glucose monitoring.

    Measured: 10 weeks

  2. • Number of severe hyperglycemia episodes with beginning and end episode as measured by the Dexcom G6 CGM

    • >19.4 mmol/L or significant ketosis (plasmatic ketones > 3 mmol/L) as defined by the ADA.

    Measured: 10 weeks

  3. • Incidence of severe hyperglycemia

    • Number of events requiring an emergency room visit or hospitalizations because of ketoacidosis (i.e. incidence of DKA)

    Measured: 10 weeks

  4. • Percent of CGM time with glucose < 3.9 mmol/L

    Measurement of glucose by CGM

    Measured: 10 weeks

  5. • Percent of CGM time in glucose range 3.9-10.0 mmol/L

    Measurement of glucose by CGM

    Measured: 10 weeks

  6. • Mean CGM glucose

    Measurement of glucose by CGM

    Measured: 10 weeks

  7. • Percentage of sensor time in glucose level measured by the Dexcom G6 CGM, for 24 hours (12:00am-12:00am) and during the following periods: from 12:00am to 6:00am, from 6:00am to 12:00am

    • < 2.8 mmol/L
    • < 3.0 mmol/L
    • < 3.3 mmol/L
    • < 3.9 mmol/L

    Measured: 24 hours

  8. • Number of hypoglycemic episodes with beginning and end of episode as measured by the Dexcom G6 CGM for at least 15 minutes

    • < 3.9 mmol/L
    • < 3.0 mmol/L
    • ≤ 2.8 mmol/L

    Measured: 10 weeks

  9. • Percentage of sensor time in glucose level measured by the Dexcom G6 CGM, for 24 hours (12:00am-12:00am) and during the following periods: from 12:00am to 6:00am, from 6:00am to 12:00am

    • > 10.0 mmol/L
    • > 13.9 mmol/L
    • > 16.7 mmol/L
    • > 19.4 mmol/L

    Measured: 24 hours

  10. • Number of severe hyperglycemia episodes with beginning and end of episode as measured by the Dexcom G6 CGM

    • > 19.4 mmol/L

    Measured: 10 weeks

  11. • Number of serious adverse events, serious adverse device events, unanticipated adverse device effects

    Measured: 10 weeks

  12. • Risk of hypoglycemia and hyperglycemia (LBGI/HBGI)

    Measurement of glucose by CGM

    Measured: 10 weeks

  13. • Percentage of time spent in the 3.9-10.0 mmol/L target range, for the last 2 weeks of each cross-over session during nights, for 24 hours (12:00am-12:00am) and during the following periods: from 12:00am to 6:00am, from 6:00am to 12:00am

    Measurement of glucose by CGM

    Measured: 2 weeks

  14. • Percentage of sensor time in glucose range 2.8 - 3.9 mmol/L, for 24 hours (12:00am-12:00am) and during the following periods: from 12:00am to 6:00am, from 6:00am to 12:00am

    Measurement of glucose by CGM

    Measured: 24 hours

  15. • Percentage of sensor time in glucose range 3.9 - 7.8 mmol/L, for 24 hours (12:00am-12:00am) and during the following periods: from 12:00am to 6:00am, from 6:00am to 12:00am

    Measurement of glucose by CGM

    Measured: 24 hours

  16. • Percentage of sensor time in glucose range 3.9 - 10.0 mmol/L, for 24 hours (12:00am-12:00am) and during the following periods: from 12:00am to 6:00am, from 6:00am to 12:00am

    Measurement of glucose by CGM

    Measured: 24 hours

  17. • Evolution of HbA1c calculated from CGM data

    Measurement of glucose by CGM

    Measured: 10 weeks

  18. • Average CGM glucose level during the entire period

    Measurement of glucose by CGM

    Measured: 10 weeks

  19. • Average fasting CGM glucose level at 6:00 am

    Measurement of glucose by CGM

    Measured: 10 weeks

  20. • Variability of the CGM glucose level

    • the glycemic variation coefficient (CV) intra patient: CV < 36% CV ≥ 36%
    • Standard deviation (SD)

    Measured: 10 weeks

  21. • Average dose of insulin used & its daily evolution during the entire study duration

    Measured: 10 weeks

  22. • Number of technical incidents leading to the interruption of the closed loop

    Measured: 8 weeks

  23. • Evolution over time of the DBL system's performance on a day-to-day and determination of the optimization delay of glycemic control

    Measurement of glucose by CGM

    Measured: 8 weeks

  24. • Evolution of the weekly average number of CHO intake (for patient with closed-loop)

    Measured: 8 weeks

  25. • Percentage of time spent in closed loop mode (i.e. DBL System with loop mode operating)

    Measured: 8 weeks

  26. • Percentage of time spent in operating mode for the Dexcom G6 CGM

    Measured: 10 weeks

  27. • Scoring of a questionnaire to evaluate the acceptance

    • Diabetes Treatment Satisfaction Questionnaire (DTSQ) is a 12-item measure that enables self-reporting of the satisfaction about their current treatment. Scale is from 6 (very satisfied) to 0 (very dissatisfied).

    Measured: 10 weeks

  28. • Scoring of a questionnaire to evaluate the acceptance

    • Diabetes Technology Questionnaire (DTQ) aims to evaluate the impact of the closed-loop system use and diabetes specific quality of life measures in the study participants and their families, as well as satisfaction of system, as compared to conventional treatment options. The subject will answer by choosing from 5 suggestions : Strongly agree - Agree - Neither agree nor disagree - Disagree - Strongly disagree.

    Measured: 10 weeks

Timeline

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

  1. First posted26 Jan 2021
  2. Study start25 Jan 2023
  3. Primary completion14 Feb 2024
  4. Study completion19 May 2024

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
Crossover
Masking
None (open label)
Enrolment
49 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04725591
Sponsor's protocol ID
2020-A02132-37
Acronym
DBL4T
Status last verified
Sep 2024
First submitted
13 Jan 2021
Last updated
26 Sep 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Dexcom G6 Continuous Glucose Monitoring, MEDISAFE WITH External Insulin Pump and Declaration of meals in people with Closed Loop and Diabetes Mellitus, Type 1, run by Centre d'Etudes et de Recherche pour l'Intensification du Traitement du Diabète at 3 sites in 3 countries.

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 11 inclusion and 38 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 26 Sep 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Belgium, France, Germany. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

The primary outcome is the time spent of the glucose level in the widened target range 3.9-10.0 mmol/L over the 2 last weeks of each cross-over period, as recorded by continuous subcutaneous glucose monitoring (CGM). (time frame: 2 weeks). 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 26 Sep 2024; AzTrials last refreshed its copy on 29 Oct 2026.

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