- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04129424
Preliminary Exploration on the Operational Standards of Insulin Pump Installation in Diabetes Clinic in China
October 14, 2019 updated by: Peking Union Medical College Hospital
Continuous subcutaneous insulin infusion (CSII), known as insulin pump therapy, has been widely used for diabetes patients in recent years.
Many clinical studies have proved the priority of CSII to multiple insulin injections including better glycaemic control with lower daily insulin requirement, lower glycated haemoglobin (HbA1c) level and reduced risk of severe hypoglycaemia.
The best mode of CSII is a kind of programmed and individualized insulin infusion mode.
But at present, the applying of insulin pump is mainly during hospitalization period in China, which is not conformed with daily living scenarios of patients.
The outpatient insulin pump treatment is much closer to the real living scenarios of patients.
However, lack of management experience and widely accepted formative model of insulin pump applying in clinic restricted use of insulin pumps in clinical in China.
The investigators aimed to explore a safe and effective management mode of insulin pump operating to enable a wide population to have access to daily use of CSII, and to maximize the rational use of limited medical resources.
Study Overview
Status
Unknown
Conditions
Intervention / Treatment
Detailed Description
In this study, the investigators plan to enroll patients of different types of diabetes, including type 1 diabetes mellitus, type 2 diabetes mellitus, gestational diabetes mellitus, perioperative diabetes mellitus, pancreatogenic diabetes mellitus (after total pancreatectomy) and diabetes patients in perioperative period,each type of diabetes patients were divided into three groups according to the time (7days, 14days and 28days) reaching the target blood glucose.
Those patients are educated to record blood glucose and frequency of hypoglycemia during the study period.
After achieving goal blood glucose, follow-up will continue one week to evaluate whether the blood glucose reached our goal and adjust the insulin pump parameter if necessary.
The investigators plan to apply continuous glucose monitoring(CGM) for each patient during follow up.
The investigators aim to explore the best time to reach goal blood glucose considering frequency of hypoglycemia, economic factors, insulin pump parameters at the end of study and the final insulin pump parameters at the end of follow up.
The investigators aim to enroll patients with six different types diabetes because those patients have different insulin secretion pattern, which induced to different mode of CSII.
The investigators set the goal fasting blood glucose at 4-6mmol/L and the goal postprandial blood glucose at 6-8mmol/L.
The blood glucose of hypoglycemia was lower than 3.9mmol/L.
Study Type
Interventional
Enrollment (Anticipated)
180
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Weigang Zhao, MD
- Phone Number: +86 13910054636
- Email: xiehezhaoweigang@163.com
Study Locations
-
-
Beijing
-
Beijing, Beijing, China, 100730
- Peking Union Medical College Hospital
-
Contact:
- Weigang Zhao, MD
- Phone Number: +86 13910054636
- Email: xiehezhaoweigang@163.com
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
16 years to 78 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Patients in clinic of type 1 diabetes mellitus, type 2 diabetes mellitus, gestational/pregestational diabetes mellitus, perioperative diabetes mellitus and patients with diabetes mellitus after pancreatectomy, including those with poor blood glucose control using multiple subcutaneous insulin injections or those are willing to use insulin pump therapy;
- Age: 18-80 years old;
- Patients and family members understand the research program and are willing to participate in the study and sign written informed consent.
Exclusion Criteria:
- allergic to dressings and subcutaneous transfusion tubes;
- allergic to insulin;
- Severe diabetic acute complications within 6 months(diabetic ketoacidosis, diabetic hyperglycemia and hyperosmolar state, diabetic lactic acidosis).
- Severe chronic complications of diabetes mellitus, such as peripheral vascular lesions leading to amputation or chronic foot ulcer, end-stage renal disease, etc. who researchers thought not suitable for this study.
- Two or more times of severe hypoglycemia occured in the past year (such as consciousness disturbance and coma caused by hypoglycemia), or severe unconscious hypoglycemia.
- Patients with severe impairment of cardiac function (NYHA grade III or above), liver function (alanine aminotransferase, aspartate aminotransferase or total bilirubin higher than the upper limit of normal value 2 times or more), renal function (serum creatinine higher than the upper limit of normal value) or circulation disorder;
- Patients with mental illness and self-care ability;
- Patients or their families could not understand the conditions and objectives of this study.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Type 1 diabetes mellitus_7-day group
Type 1 diabetes mellitus patients aimed to reach goal blood glucose in 7 days.
After 7 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
|
Those patients of different types of diabetes mellitus were assigned to different groups, those groups were classified by the time to reach target blood glucose .
|
Experimental: Type 1 diabetes mellitus_14-day group
Type 1 diabetes mellitus patients aimed to reach goal blood glucose in 14 days.
After 14 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
|
Those patients of different types of diabetes mellitus were assigned to different groups, those groups were classified by the time to reach target blood glucose .
|
Experimental: Type 1 diabetes mellitus_28-day group
Type 1 diabetes mellitus patients aimed to reach goal blood glucose in 28 days.
After 28 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
|
Those patients of different types of diabetes mellitus were assigned to different groups, those groups were classified by the time to reach target blood glucose .
|
Experimental: Type 2 diabetes mellitus_7-day group
Type 2 diabetes mellitus patients aimed to reach goal blood glucose in 7 days.
After 7 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
|
Those patients of different types of diabetes mellitus were assigned to different groups, those groups were classified by the time to reach target blood glucose .
|
Experimental: Type 2 diabetes mellitus_14-day group
Type 2 diabetes mellitus patients aimed to reach goal blood glucose in 14 days.
After 14 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
|
Those patients of different types of diabetes mellitus were assigned to different groups, those groups were classified by the time to reach target blood glucose .
|
Experimental: Type 2 diabetes mellitus_28-day group
Type 2 diabetes mellitus patients aimed to reach goal blood glucose in 28 days.
After 28 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
|
Those patients of different types of diabetes mellitus were assigned to different groups, those groups were classified by the time to reach target blood glucose .
|
Experimental: Gestational diabetes mellitus_7-day group
Gestational diabetes mellitus patients aimed to reach goal blood glucose in 7 days.
After 7 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
|
Those patients of different types of diabetes mellitus were assigned to different groups, those groups were classified by the time to reach target blood glucose .
|
Experimental: Gestational diabetes mellitus_14-day group
Gestational diabetes mellitus patients aimed to reach goal blood glucose in 14 days.
After 14 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
|
Those patients of different types of diabetes mellitus were assigned to different groups, those groups were classified by the time to reach target blood glucose .
|
Experimental: Gestational diabetes mellitus_28-day group
Gestational diabetes mellitus patients aimed to reach goal blood glucose in 28 days.
After 28 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
|
Those patients of different types of diabetes mellitus were assigned to different groups, those groups were classified by the time to reach target blood glucose .
|
Experimental: Pregestational diabetes mellitus_7-day group
Pregestational diabetes mellitus patients aimed to reach goal blood glucose in 7 days.
After 7 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
|
Those patients of different types of diabetes mellitus were assigned to different groups, those groups were classified by the time to reach target blood glucose .
|
Experimental: Pregestational diabetes mellitus_14-day group
Pregestational diabetes mellitus patients aimed to reach goal blood glucose in 14 days.
After 14 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
|
Those patients of different types of diabetes mellitus were assigned to different groups, those groups were classified by the time to reach target blood glucose .
|
Experimental: Pregestational diabetes mellitus_28-day group
Pregestational diabetes mellitus patients aimed to reach goal blood glucose in 28 days.
After 28 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
|
Those patients of different types of diabetes mellitus were assigned to different groups, those groups were classified by the time to reach target blood glucose .
|
Experimental: Pancreatogenic diabetes mellitus _7-day group
Pancreatogenic diabetes mellitus patients aimed to reach goal blood glucose in 7 days.
After 7 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
|
Those patients of different types of diabetes mellitus were assigned to different groups, those groups were classified by the time to reach target blood glucose .
|
Experimental: Pancreatogenic diabetes mellitus _14-day group
Pancreatogenic diabetes mellitus patients aimed to reach goal blood glucose in 14 days.
After 14 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
|
Those patients of different types of diabetes mellitus were assigned to different groups, those groups were classified by the time to reach target blood glucose .
|
Experimental: Pancreatogenic diabetes mellitus _28-day group
Pancreatogenic diabetes mellitus patients aimed to reach goal blood glucose in 28 days.
After 28 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
|
Those patients of different types of diabetes mellitus were assigned to different groups, those groups were classified by the time to reach target blood glucose .
|
Experimental: Diabetes patients in perioperative period _7-day group
Diabetes patients in perioperative period aimed to reach goal blood glucose in 7 days.
After 7 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
|
Those patients of different types of diabetes mellitus were assigned to different groups, those groups were classified by the time to reach target blood glucose .
|
Experimental: Diabetes patients in perioperative period _14-day group
Diabetes patients in perioperative period aimed to reach goal blood glucose in 14 days.
After 14 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
|
Those patients of different types of diabetes mellitus were assigned to different groups, those groups were classified by the time to reach target blood glucose .
|
Experimental: Diabetes patients in perioperative period _28-day group
Diabetes patients in perioperative period aimed to reach goal blood glucose in 28 days.
After 28 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.
|
Those patients of different types of diabetes mellitus were assigned to different groups, those groups were classified by the time to reach target blood glucose .
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
The basal insulin dose of insulin pump at the end of the study
Time Frame: Day-7 or day-14 or day-28 for different groups
|
Day-7 or day-14 or day-28 for different groups
|
The preprandial insulin dose of insulin pump at the end of the study
Time Frame: Day-7 or day-14 or day-28 for different groups
|
Day-7 or day-14 or day-28 for different groups
|
The basal insulin dose of insulin pump at the end of the 6-day follow-up
Time Frame: Day-14 or day-28 or day-35 for different groups
|
Day-14 or day-28 or day-35 for different groups
|
The preprandial insulin dose of insulin pump at the end of the 6-day follow-up
Time Frame: Day-14 or day-28 or day-35 for different groups
|
Day-14 or day-28 or day-35 for different groups
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
The frequency of hypoglycemia
Time Frame: Day-7 or day-14 or day-28 for different groups
|
Day-7 or day-14 or day-28 for different groups
|
The time in range of goal blood glucose during follow-up
Time Frame: Day-14 or day-28 or day-35 for different groups
|
Day-14 or day-28 or day-35 for different groups
|
The frequency of pain at puncture site
Time Frame: Day-7 or day-14 or day-28 for different groups
|
Day-7 or day-14 or day-28 for different groups
|
The frequency of errors in patency of infusion pipeline connection
Time Frame: Day-7 or day-14 or day-28 for different groups
|
Day-7 or day-14 or day-28 for different groups
|
The blood glucose value of hypoglycemia
Time Frame: Day-7 or day-14 or day-28 for different groups
|
Day-7 or day-14 or day-28 for different groups
|
The symptoms of hypoglycemia
Time Frame: Day-7 or day-14 or day-28 for different groups
|
Day-7 or day-14 or day-28 for different groups
|
The frequency of bleeding at puncture site
Time Frame: Day-7 or day-14 or day-28 for different groups
|
Day-7 or day-14 or day-28 for different groups
|
The frequency of infection at puncture site
Time Frame: Day-7 or day-14 or day-28 for different groups
|
Day-7 or day-14 or day-28 for different groups
|
The frequency of errors in patency of needle fixation
Time Frame: Day-7 or day-14 or day-28 for different groups
|
Day-7 or day-14 or day-28 for different groups
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Anticipated)
December 1, 2019
Primary Completion (Anticipated)
December 1, 2020
Study Completion (Anticipated)
December 1, 2020
Study Registration Dates
First Submitted
September 20, 2019
First Submitted That Met QC Criteria
October 14, 2019
First Posted (Actual)
October 16, 2019
Study Record Updates
Last Update Posted (Actual)
October 16, 2019
Last Update Submitted That Met QC Criteria
October 14, 2019
Last Verified
October 1, 2019
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Zhao insulin pump
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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