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Diabetes type1780GGSNCT05069727

Simple Initiation of Advanced Hybrid Closed Loop System

A study testing Regular Protocol with advanced carbohydrate counting and Simplified Protocol with fixed carbohydrate content in people with Diabetes type1, run by Sidra Medicine at 1 site in Qatar.

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

Background and Aim. The new and advanced hybrid closed loop (AHCL) system MiniMed 780G automatically adjusts basal insulin delivery in addition to automated bolus corrections, based on continuous glucose monitoring (CGM) readings, to offer protection against both hyperglycemia and hypoglycemia. Read more about this study

Who is it for?
Ages 12 to 18 years
Conditions the study is for
Diabetes type1
What is being tested?
Regular Protocol with advanced carbohydrate counting and Simplified Protocol with fixed carbohydrate content
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
34 participants
Where
1 siteQatar
Study dates
21 Nov 2021to 31 Aug 2022
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 18 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Clinical diagnosis of type 1 diabetes >0.5 year prior to consent date. Diagnosis of type 1 diabetes is based on the investigator's judgment; C peptide level and antibody determinations are not required.
  • Age 12-18 years and above at the initiation of the system
  • Total daily insulin use of great than 8.0 units per day over a 1-week period
  • Willing and able (access to internet from home)
  • Clinically able to start the AHCL system

Who cannot join

  • Pregnancy
  • Untreated diabetes retinopathy, or other causes that in the investigator's opinion , precludes the individual from participating in the trial.
  • Currently in other Clinical Trial

Trial locations and contacts

1 site in 1 country.

Qatar1 site
  • Sidra Medicine

    Doha, Qa, 26999

Other trials in Qatar

About this study

Official title: Evaluation of Two Levels of Health Care Interactions in Adolescents With Type 1 Diabetes on Advanced Hybrid Closed Loop System MiniMed 780G/ Zeus Sensor

Background and Aim. The new and advanced hybrid closed loop (AHCL) system MiniMed 780G automatically adjusts basal insulin delivery in addition to automated bolus corrections, based on continuous glucose monitoring (CGM) readings, to offer protection against both hyperglycemia and hypoglycemia.

The objective of this study is to evaluate whether a simplified approach for patients' follow up using preset of pump settings and a simplified meal announcement, followed by minimal interaction can achieve similar glycemic control of AHCL system MiniMed 780G with Guardian Sensor 4 than a regular protocol that is currently used in adolescents with Type 1 Diabetes (T1D).

Read more

Methods. This study is Randomized Clinical Trial, two arm, single-center, clinical investigation in subjects with type 1 diabetes on AHCL insulin pump in a period of 3 months. A total of 34 individuals (age 12-18 years) will be enrolled to reach 30 individuals who will complete the 3 months study. Participants will be randomized in two groups: Group 1, Regular Clinical Protocol, 17 participants and Group 2, Simplified Clinical Protocol, 17 participants.

All patients will be recruited during the regular clinic visits to the outpatient Endocrine Clinics at Sidra Medicine in Doha. Patients will be chosen on a first-come first-served basis. Inclusion criteria: Clinical diagnosis of type 1 diabetes, , Age 12-18 years, Basal Bolus therapy >8.0 units per day. Exclusion criteria: Diabetic Ketoacidosis (DKA) in the 6 months prior to screening visit. The initiation protocol consists of four stages: HCL system compatibility assessment, HCL system training, Manual Mode Start and Auto Mode start. Patients will have 7 visits in a period of 3 months after initiation of insulin pump therapy.

Pump initiation: Group 1, Finetune ICR, Target 100 or 110 mg/dl and AIT: 2-3 hour and Group 2, Carb Ratio by formula 360 / TDD, ICR 8-10 (TDD 40-60), ICR 5-7 (TDD >60), Target 100 mg/dl, AIT: 2 hours with fixed meals Results. No group difference in Time in Range (TIR) (70-180mg/dl) > 70% and HbA1c < 7.5% in a period of 3 months after initiation of AHCL.

Conclusion. Conclusions will be drawn on completion of the study and evaluation of the results.

Read the detailed description

This study is Randomized Clinical Trial, two arm, single-center, clinical investigation in subjects with type 1 diabetes on AHCL insulin pump in a period of 3 months.

A total of 34 individuals (age 12-18 years) will be enrolled to reach 30 individuals who will complete the 3 months study.

Participants will be randomized in two groups:

  • Group 1, Regular Clinical Protocol, 17 participants
  • Group 2, Simplified Clinical Protocol, 17 participants Intervention Description
  • Intervention in Group 2, Simplified protocol.
  • Insulin Carb Ratio (ICR) by formula 360 / Total Daily Dose (TDD)
  • ICR 8-10 (TDD 40-60)
  • ICR 5-7 (TDD >60)
  • Target 100 mg/dl
  • Active Insulin Time (AIT): 2 hours
  • Meals: Thee sets of meal set of meals announcement carbs calculated by the following formula:
  • Regular meal: Total Carbs per Day x 0.6 / 3
  • Large meal: Total Carbs per Day x 0.6 / 3 x 1.5
  • Small (Snack) meal: Total Carbs per Day x 0.6 / 3 x 1.5 * Efficacy The efficacy shall be measured Time in Ranges (provided by CGM data), for Time in Range (70-180mg/dl), Time below Range(<70mg/dl) and Time above Range (>180 mg/dl) in the third month of the study.
Conditions
Diabetes type1
Being tested
Regular Protocol with advanced carbohydrate counting, Simplified Protocol with fixed carbohydrate content
Keywords
Automated Insulin Delivery, Time in Range, Intervention

What participants receive

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

  • Regular Protocol with advanced carbohydrate countingProcedure or surgery

    • Review 3 Days CGM data in Manual Mode
    • Carb Ratio by formula 360 / TDD
    • Finetune ICR
    • Target 100 or 110 mg/dl
    • AIT: 2-3 hour
    • Insulin Bolus for meal (advanced carb counting)
    • The parameters will be set using clinical assessment and fine-tuned if needed on F-up visits.
    • Follow up visits will be scheduled Day 7, 14,28, 56 and 84 after enabling SmartGuard (AHCL use).
  • Simplified Protocol with fixed carbohydrate contentProcedure or surgery

    • Review 3 Days CGM data in Manual Mode
    • Carb Ratio by formula 360 / TDD ICR 8-10 (TDD 40-60) ICR 5-7 (TDD >60)
    • Target 100 mg/dl
    • AIT: 2 hours
    • Insulin Bolus for meal (Thee sets of meal set of meals announcement carbs will be provided) Regular meal: Total Carbs per Day x 0.6 / 3 Large meal: Total Carbs per Day x 0.6 / 3 x 1.5 Small (Snack) meal: Total Carbs per Day x 0.6 / 3 x 1.5
    • Total carbs per day will be calculated as average on 7-days Food Logbook diary, provided by participant, one week before AHCL initiation.
    • The parameters will be fixed and fine-tuned only in case of hypoglycemia on F-up visits.
Study groups in NCT05069727
Study groupRoleWhat they receive
Group 1, Regular ProtocolActive comparatorParticipants will bolus (insulin), based on carbohydrate content in each meal
Receives: Procedure: Regular Protocol with advanced carbohydrate counting
Group 2, Simplified protocolExperimentalParticipants will bolus (insulin), based on three sets of meal set of meals announcement
Receives: Procedure: Simplified Protocol with fixed carbohydrate content

What is being measured

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

  1. Time in Range( 70-180 mg/dl)

    Group change in the third month of AHCL use

    Measured: Third month

Secondary outcomes (6)
  1. HbA1c

    Change between groups

    Measured: 3 months

  2. Average Sensor Glucose

    Change between groups

    Measured: 3 months

  3. Time Bellow Range (<70 mg/dl, <54 mg/dl)

    Change between groups

    Measured: 3 months

  4. Time Above Range (>180 mg/dl)

    Change between groups

    Measured: 3 months

  5. Diabetic Ketoacidosis

    Number of events in each group

    Measured: 3 months

  6. Severe Hypoglycemia

    Number of events in each group

    Measured: 3 months

Timeline

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

  1. First posted6 Oct 2021
  2. Study start21 Nov 2021
  3. Primary completion30 Jun 2022
  4. Study completion31 Aug 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
Randomised
Intervention model
Parallel groups
Model description
This study is Randomized Clinical Trial, two arm, single-center, clinical investigation in subjects with type 1 diabetes on AHCL insulin pump in a period of 3 months. Participants will be randomized in two groups: * Group 1, Regular Clinical Protocol, 17 participants * Group 2, Simplified Clinical Protocol, 17 participants
Masking
Single blind
Who is masked
Care provider
Enrolment
34 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05069727
Sponsor's protocol ID
600121
Acronym
780GGS
Status last verified
Apr 2023
First submitted
26 Sep 2021
Last updated
12 Apr 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Petrovski G, Al Khalaf F, Campbell J, Fisher H, Umer F, Hussain K. From Multiple Daily Injections to Hybrid Closed-Loop System in Ten Days, Utilizing a Structured Initiation Protocol. J Diabetes Sci Technol. 2020 May;14(3):689-690. doi: 10.1177/1932296819895509. Epub 2019 Dec 26. No abstract available.

    PubMed 31876178
  • Bergenstal RM, Nimri R, Beck RW, Criego A, Laffel L, Schatz D, Battelino T, Danne T, Weinzimer SA, Sibayan J, Johnson ML, Bailey RJ, Calhoun P, Carlson A, Isganaitis E, Bello R, Albanese-O'Neill A, Dovc K, Biester T, Weyman K, Hood K, Phillip M; FLAIR Study Group. A comparison of two hybrid closed-loop systems in adolescents and young adults with type 1 diabetes (FLAIR): a multicentre, randomised, crossover trial. Lancet. 2021 Jan 16;397(10270):208-219. doi: 10.1016/S0140-6736(20)32514-9.

    PubMed 33453783
  • Beato-Vibora PI, Gallego-Gamero F, Ambrojo-Lopez A, Gil-Poch E, Martin-Romo I, Arroyo-Diez FJ. Rapid Improvement in Time in Range After the Implementation of an Advanced Hybrid Closed-Loop System in Adolescents and Adults with Type 1 Diabetes. Diabetes Technol Ther. 2021 Sep;23(9):609-615. doi: 10.1089/dia.2021.0037. Epub 2021 Apr 20.

    PubMed 33784187
  • Lee MH, Vogrin S, Paldus B, Jones HM, Obeyesekere V, Sims C, Wyatt SA, Ward GM, McAuley SA, MacIsaac RJ, Krishnamurthy B, Sundararajan V, Jenkins AJ, O'Neal DN. Glucose Control in Adults with Type 1 Diabetes Using a Medtronic Prototype Enhanced-Hybrid Closed-Loop System: A Feasibility Study. Diabetes Technol Ther. 2019 Sep;21(9):499-506. doi: 10.1089/dia.2019.0120. Epub 2019 Jul 2.

    PubMed 31264889
  • Paldus B, Lee MH, Jones HM, McAuley SA, Horsburgh JC, Roem KL, Ward GM, MacIsaac RJ, Cohen N, Colman PG, Jenkins AJ, O'Neal DN. Glucose Control Using a Standard Versus an Enhanced Hybrid Closed Loop System: A Randomized Crossover Study. Diabetes Technol Ther. 2019 Jan;21(1):56-58. doi: 10.1089/dia.2018.0279.

    PubMed 30620641
  • Petrovski G, Al Khalaf F, Campbell J, Fisher H, Umer F, Hussain K. 10-Day structured initiation protocol from multiple daily injection to hybrid closed-loop system in children and adolescents with type 1 diabetes. Acta Diabetol. 2020 Jun;57(6):681-687. doi: 10.1007/s00592-019-01472-w. Epub 2020 Jan 17.

    PubMed 31953687
  • Petrovski G, Campbell J, Pasha M, Hussain K, Khalifa A, Umer F, Almajaly D, Hamdar M, Heuvel TVD, Edd SN. Twelve-Month Follow-up from a Randomized Controlled Trial of Simplified Meal Announcement Versus Precise Carbohydrate Counting in Adolescents with Type 1 Diabetes Using the MiniMed 780G Advanced Hybrid Closed-Loop System. Diabetes Technol Ther. 2024 Mar;26(S3):76-83. doi: 10.1089/dia.2023.0429.

    PubMed 38377327

Questions about this trial

What is this clinical trial studying?

A study testing Regular Protocol with advanced carbohydrate counting and Simplified Protocol with fixed carbohydrate content in people with Diabetes type1, run by Sidra Medicine at 1 site in Qatar.

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 5 inclusion and 3 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 12 Apr 2023. 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 Qatar. 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?

Time in Range( 70-180 mg/dl) (time frame: Third month). 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 NCT05069727, which also lists 7 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 12 Apr 2023.

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