A Study to Investigate a Transdermal Continuous Glucose Monitoring System in Diabetic Patients for a Period of 28 Days (FiberSense)
A Study to Investigate the Function, Safety and Tolerability of a Transdermal Continuous Glucose Monitoring System in Diabetic Patients (type 1 and 2) for a Period of 28 Days
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
This study is an investigational study, which will be conducted only at one site in Germany. The investigators, the patient and the sponsor will be unblinded.
The eligibility of the patient is determined in up to two steps, a screening (see inclusion criteria) and in case of women of childbearing potential a urine pregnancy test at the day of sensor insertion (independent of any re-screening). Women of childbearing potential are only enrolled after a negative outcome of the urine pregnancy test. The screening results are valid up to 42 days. Within that time the first measurement visit including the insertion of the device should be performed. If the first measurement visit is delayed a re-screening has to be performed. Should the patient not pass the re-screening, the patient is considered as a screening failure and must be excluded.
The trial is structured into three phases, the screening/enrolment phase, the insertion/measurement phase and the follow-up phase.
Screening/Enrolment Phase: Up to 6 weeks (42 days), 1 visit
Insertion/Measurement phase: Up to 4 weeks (28 days), up to 6 in-house measurement visits
Follow-up Phase: 1 week (7 days), 1 visit
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Heidelberg, Germany, 69115
- Diabetes Instiut Heidelberg
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Body mass index within the range of 19-40 kg/m2, inclusive
- Diabetes type 1 and 2
- Females (if of childbearing potential) must agree to abstain from sexual intercourse or use reliable forms of contraception e.g. condom or diaphragm with spermicide or oral contraceptives to prevent pregnancy during the study
- Negative urine pregnancy test immediately before sensor insertion (only women of childbearing potential)
- Signed written Informed Consent
Exclusion Criteria:
- Inability to follow the protocol schedule
- Participating in another clinical trial
- Pregnant or lactating females, , including positive urine pregnancy test immediately before sensor insertion
- Any known hypersensitivity to any of the products used in the study, including preservatives etc. Especially hypersensitivity against legumes
- Tattoos at the abdominal or upper arm skin area where the fiber sensor is supposed to be placed
- Malignancies requiring therapy during the study
- Severe chronic diseases e.g. renal failure, liver cirrhosis etc. which may interfere with the conduct or completion of the study
- Acute severe infection disease at the time of enrolment
- Alcohol and/or drug addiction
- Vulnerable patients (e.g. persons kept in detention)
- Poorly controlled diabetes mellitus with hemoglobin A1C higher than 10%
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Device Feasibility
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Cohort A
Subjects will wear 2 FiberSense systems (arm and abdomen) inserted on day 00 and a comparator continuous glucose monitoring (CGM) system on abdomen, changed on weekly basis. They will participate in six clinic in-house sessions on days 00, 03, 07, 14, 21 and 28. There will be no home use days, solely several hours of extended use blood glucose readings after selected in-clinic sessions. |
FiberSense system, a novel CGM system using interstitial fluid (ISF) glucose as an indicator of blood glucose levels by diabetic patients
|
|
Experimental: Cohort B
Subjects will wear 2 FiberSense systems (arm and abdomen) inserted on day 00 and a comparator CGM system on abdomen, changed on weekly basis. They will participate in six clinic in-house sessions on days 00, 03, 07, 14, 21 and 28. Home use measurement days will be scheduled to wear FiberSense systems for 8-12 hours on days directly before and after a measurement visit day - day 6, 8, 13, 15, 20, 22, and 27. |
FiberSense system, a novel CGM system using interstitial fluid (ISF) glucose as an indicator of blood glucose levels by diabetic patients
|
|
Experimental: Cohort C
Subjects will wear 2 FiberSense systems (arm and abdomen) inserted on day 00 and a comparator CGM system on abdomen, changed on weekly basis. They will participate in six clinic in-house sessions on days 00, 03, 07, 14, 21 and 28. Home use measurement days will be scheduled to handle and wear FiberSense systems independently on daily basis (min. 8 hours) between measurement visit days - day 4-6, 8-13, 15-20, and 22-27. In addition, interim visits are scheduled at Day 10, 17, and 24 for sensor site and adverse event assessment. |
FiberSense system, a novel CGM system using interstitial fluid (ISF) glucose as an indicator of blood glucose levels by diabetic patients
|
|
Experimental: Cohort D
Subjects will wear 2 FiberSense systems (arm and abdomen) inserted on day 00 and a comparator CGM system on abdomen, changed on weekly basis. They will participate in six clinic in-house sessions on days 00, 03, 07, 14, 21 and 28. Home use measurement days will be scheduled to handle and wear FiberSense systems independently on daily basis (min. 8 hours) between measurement visit days - day 4-6, 8-13, 15-20, and 22-27. In addition, interim visits are scheduled at Day 10, 17, and 24 for sensor site and adverse event assessment. |
FiberSense system, a novel CGM system using interstitial fluid (ISF) glucose as an indicator of blood glucose levels by diabetic patients
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Short and mid term performance of the transdermal CGM sensor determined as MARD
Time Frame: 0, 3, 7, 14, 21 and 28 days
|
Mean absolute relative difference (MARD) of FiberSense system to blood glucose
|
0, 3, 7, 14, 21 and 28 days
|
|
Incidence of adverse events
Time Frame: 0, 3, 7,14, 21, 28 and 35-38 days
|
Assessment of adverse events and local tolerability occurred during the study
|
0, 3, 7,14, 21, 28 and 35-38 days
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Stability of the blood glucose to fluorescence correlation
Time Frame: 0, 3, 7, 14, 21 and 28 days
|
FiberSense fluorescence measurement signals calculated in glucose values and compared to glucose values measured with: a: SMBG device (Bayer Contour next USB), b: CGM device (Dexcom Seven plus), c: Laborat orysystem (Hitado Super GL compact)
|
0, 3, 7, 14, 21 and 28 days
|
|
Changes in blood glucose to fluorescence lag time over a period of up to 28 days
Time Frame: 0, 3, 7, 14, 21 and 28 days
|
Lag time (in minutes) between FiberSense readings and corresponding laboratory blood glucose values during glucose excursions
|
0, 3, 7, 14, 21 and 28 days
|
|
Correlation between the fluorescence readings of the sensor and capillary blood glucose measurements
Time Frame: 0, 3, 7, 14, 21 and 28 days
|
Calculation of MARD of FiberSense against a commercial self-monitoring blood glucose meter
|
0, 3, 7, 14, 21 and 28 days
|
|
Signal-to-noise ratio
Time Frame: 0, 3, 7, 14, 21 and 28 days
|
0, 3, 7, 14, 21 and 28 days
|
|
|
Signal drift
Time Frame: 0, 3, 7, 14, 21 and 28 days
|
Drift of the FiberSense fluorescent measurement signals over the wearing time
|
0, 3, 7, 14, 21 and 28 days
|
|
User satisfaction assessed by the Likert scale
Time Frame: 35-38 days
|
Subjective impression of the patients assessed by 5-point Likert scale (1- strongly agree to 5 - strongly disagree)
|
35-38 days
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Christoph Hasslacher, Prof. Dr., Diabetesinstitut Heidelberg
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
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
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- P-4.2-C-0.1
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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