Determination of Automated Multiple Insulin Dose Injections Settings Using the MDI/SMBG Advisor for Patients With Type 1 Diabetes -Data Collection, Observational & Proof of Concept Study

Determination of Automated Multiple Insulin Dose Injections Settings Using the MDI/SMBG Advisor for Patients With Type 1 Diabetes -Data Collection, Observational & Proof of Concept Study

Sponsors

Lead Sponsor: Rabin Medical Center

Collaborator: DreaMed
Harvard University

Source Rabin Medical Center
Brief Summary

The MDI (Multiple Daily Injections) plus SMBG |(Self Monitoring Blood Glucose) Advisor (MPSA) is a software product that is designed to assist in insulin dosage decision making for subjects with T1DM using multiple daily injection and SMBG.

The study will focus on the development, validation and eventually testing of the MPSA algorithm use. The major objective of the project is to develop an algorithm that will be able to optimize treatment plan parameters of MDI patients who use SMBG as glucose monitoring method. The clinical study has two segments. Segment A is an observational study needed for the development of the algorithm (this segment was already completed at the time of the registration) and Segment B is a proof of concept interventional study to validate the algorithm's Safety and Efficacy.

Up to 20 patients using MDI and SMBG or Flash Glucose Monitoring (FGM) without using glucose trends will be enrolled to this proof of concept study. The study will evaluate the algorithm use for a period of 11 weeks. Post screening, patients will undergo a two weeks run-in period while using MDI and SMBG or FGM (patients that do not use FGM will be provided with blinded Libre Flash to be used during the run-in period and 2 weeks prior to arriving to end of study visit). Then, patients will undergo insulin treatment plan changes every week for 7 weeks. At the first 3 weeks insulin dose adjustments will be done for basal insulin dose only, week 4 will be without changes, and in the next 3 weeks the carbohydrate ratio will be amended. No recommendations will be given during the last two weeks of the study. These two weeks will be used for data analysis. Each recommendation of the Advisor will be approved by a physician before implementation. Glucose outcomes will be evaluated comparing the two weeks run-in period to the last two weeks of the study.

Overall Status Recruiting
Start Date May 2, 2018
Completion Date September 2020
Primary Completion Date August 2020
Phase N/A
Study Type Interventional
Primary Outcome
Measure Time Frame
Percentage of sensor glucose readings within range of 70-180 mg/dl Final visit (day 42)
Secondary Outcome
Measure Time Frame
Percentage of sensor glucose readings below 54 mg/dl Final visit (day 42)
HbA1c Final visit (day 42)
Number of Severe Hypoglycemia events Final visit (day 42)
Number of Diabetic Ketoacidosis events Final visit (day 42)
Enrollment 20
Condition
Intervention

Intervention Type: Device

Intervention Name: MPSA Algorithm

Description: Insulin dosing will be adjusted using the MPSA Algorithm

Arm Group Label: MPSA Algorithm

Eligibility

Criteria:

Inclusion Criteria:

- Documented T1D for at least 1 year prior to study enrolment

- Subjects aged ≥ 14 years and up to 30 years

- A1c at inclusion ≥ 7 % and ≤ 10%

- Using MDI of Basal/bolus therapy - basal insulin either Glargine/Lantus or Tregludec insulin and bolus short acting insulin analogs either aspart/Novorapid or Lispro/Humalog

- Using SMBG or flash glucose monitoring (FGM/Libre) without using glucose trends

- BMI SDS - below the 97th percentile for age

- Subjects willing to follow study instructions

Exclusion Criteria:

- An episode of diabetic keto-acidosis within the month prior to study entry and/or severe hypoglycemia resulting in seizure or loss of consciousness in the month prior to enrolment

- Concomitant diseases/ treatment that influence metabolic control or any significant diseases /conditions including psychiatric disorders and substance abuse that in the opinion of the investigator is likely to affect the subject's ability to complete the study or compromise patient's safety

- Participation in any other interventional study

- Known or suspected allergy to trial products

- Female subject who is pregnant or planning to become pregnant within the planned study duration

- Subject needs to travel by air during the study duration

Gender: All

Minimum Age: 14 Years

Maximum Age: 30 Years

Healthy Volunteers: No

Overall Contact

Last Name: Moshe Phillip, Prof.

Phone: 972-3-9253282

Email: [email protected]

Location
Facility: Status: Contact: Investigator: Schnider children medical center Moshe Phillip, Professor 972-3-9253778 [email protected] Shlomit Shalitin, Dr. Sub-Investigator Liat De Vries, Dr. Sub-Investigator Liora Lazar, Dr. Sub-Investigator Tal Oron, Dr. Sub-Investigator Ravital Nimri, Dr. Sub-Investigator Ariel Tenenbaum, Dr. Sub-Investigator Rachel Bello, Dr. Sub-Investigator Noa Shffer, Dr. Sub-Investigator Michal Nevo, Dr. Sub-Investigator Sari Karpel, Dr. Sub-Investigator
Location Countries

Israel

Verification Date

December 2019

Responsible Party

Type: Sponsor

Has Expanded Access No
Condition Browse
Number Of Arms 1
Arm Group

Label: MPSA Algorithm

Type: Experimental

Description: Insulin dosing will be adjusted using the MPSA algorithm

Patient Data No
Study Design Info

Allocation: N/A

Intervention Model: Single Group Assignment

Primary Purpose: Treatment

Masking: None (Open Label)

Source: ClinicalTrials.gov