Switch of AndroidAPS to Commercially Available AID Systems
Switch of Open-source Automated Insulin Delivery System - AndroidAPS to Commercially Available AID Systems in Type 1 Diabetes: the Extension of the CODIAC Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Prague 2, Czech Republic, 12808
- 3rd Department of Internal Medicine, 1st Faculty of Medicine, Charles University
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- type 1 diabetes diagnosed >2 years
- ≥ 18 years old
- written informed consent prior to starting study related activity
- previous user of AndroidAPS at least for 3 months
Exclusion Criteria:
- nonadherence to the current treatment regimen
- lactation
- pregnancy
- intending to become pregnant during study
- concomitant therapy influencing glucose metabolism
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Control-IQ or Smartguard system
Patients with use of the Control-IQ system or Smartguard system (closed-loop hybrid system) and previous users of AndroidAPS (closed-loop hybrid system)
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Device: Usage of Insulin pump t:slim X2 with Control-IQ technology or MiniMed 780G with Smartguard technology in previous users of AndroidAPS
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of time in target ranges
Time Frame: 14 weeks
|
3.9-10.0 mmol/L [70-180 mg/dL]
|
14 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of time in hypoglycemic range
Time Frame: 14 weeks
|
<3.9 mmol/L [70 mg/dL] and <3.0 mmol/L [54 mg/dL]
|
14 weeks
|
|
Percentage of time in hyperglycemic range
Time Frame: 14 weeks
|
>10,0 mmol/L [180 mg/dL] and >13,9 mmol/L [250 mg/dL]
|
14 weeks
|
|
Percentage of time in tight range
Time Frame: 14 weeks
|
3.9 mmol/L-7.8
mmol/l [70 mg/dL - 140 mg/dL]
|
14 weeks
|
|
Changes in glycemic variability
Time Frame: 14 weeks
|
Expressed as the coefficient of variation
|
14 weeks
|
|
Icidence of severe hypoglycaemia
Time Frame: 14 weeks
|
Requiring third-party assistance to treat
|
14 weeks
|
|
Changes in glycated haemoglobin (HbA1c)
Time Frame: 14 weeks
|
Differences between HbA1c values in the initial period and after follow-up
|
14 weeks
|
|
Hypoglycemia Attitudes and Behavior Scale (HABS)
Time Frame: 14 weeks
|
This validated questionnaire contains in total 14 questions that highlights two critical dimensions of hypoglycemia related concerns (anxiety and avoidance) and one positive dimension (confidence).
14 items use Likert scales from 1 to 5, total score from 14 to 70, the higher total score means worse outcome.
|
14 weeks
|
|
Diabetec distress as assessed by validated questionnaire
Time Frame: 14 weeks
|
The DDS17 yields a total diabetes distress score plus 4 subscale scores, each addressing a different kind of distress - Emotional Burden, Physician Distress, Regimen Distress, Interpersonal Distress.
Scores in total and each subscales range between 1-21, higher scores denote higher distress.
|
14 weeks
|
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The 5-item World Health Organization well-being index as assessed by validated questionnaire
Time Frame: 14 weeks
|
This questionnaire contains in total 5 questions.
Scores in total range between 0-25, higher scores denote higher quality of life.
|
14 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Jan Soupal, 3rd Department of Internal Medicine, 1st Faculty of Medicine, Charles University
Publications and helpful links
General Publications
- Hajos TR, Pouwer F, Skovlund SE, Den Oudsten BL, Geelhoed-Duijvestijn PH, Tack CJ, Snoek FJ. Psychometric and screening properties of the WHO-5 well-being index in adult outpatients with Type 1 or Type 2 diabetes mellitus. Diabet Med. 2013 Feb;30(2):e63-9. doi: 10.1111/dme.12040.
- Soupal J, Petruzelkova L, Flekac M, Pelcl T, Matoulek M, Dankova M, Skrha J, Svacina S, Prazny M. Comparison of Different Treatment Modalities for Type 1 Diabetes, Including Sensor-Augmented Insulin Regimens, in 52 Weeks of Follow-Up: A COMISAIR Study. Diabetes Technol Ther. 2016 Sep;18(9):532-8. doi: 10.1089/dia.2016.0171. Epub 2016 Aug 2.
- Soupal J, Petruzelkova L, Grunberger G, Haskova A, Flekac M, Matoulek M, Mikes O, Pelcl T, Skrha J Jr, Horova E, Skrha J, Parkin CG, Svacina S, Prazny M. Glycemic Outcomes in Adults With T1D Are Impacted More by Continuous Glucose Monitoring Than by Insulin Delivery Method: 3 Years of Follow-Up From the COMISAIR Study. Diabetes Care. 2020 Jan;43(1):37-43. doi: 10.2337/dc19-0888. Epub 2019 Sep 17.
- Haskova A, Radovnicka L, Petruzelkova L, Parkin CG, Grunberger G, Horova E, Navratilova V, Kade O, Matoulek M, Prazny M, Soupal J. Real-time CGM Is Superior to Flash Glucose Monitoring for Glucose Control in Type 1 Diabetes: The CORRIDA Randomized Controlled Trial. Diabetes Care. 2020 Nov;43(11):2744-2750. doi: 10.2337/dc20-0112. Epub 2020 Aug 28.
- Do QD, Haskova A, Radovnicka L, Konecna J, Horova E, Parkin CG, Grunberger G, Prazny M, Soupal J. Comparison of Control-IQ and open-source AndroidAPS automated insulin delivery systems in adults with type 1 diabetes: The CODIAC study. Diabetes Obes Metab. 2024 Jan;26(1):78-84. doi: 10.1111/dom.15289. Epub 2023 Sep 25.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CODIAC Extension
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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