Evaluierung der Sicherheit und Leistung des neuartigen Medtronic experimentellen automatisierten Insulinabgabesystems (NMX8) bei Menschen mit Diabetes (NEXUS) (NEXUS)
Bewertung der Sicherheit und Leistung des neuartigen experimentellen automatisierten Insulinabgabesystems von Medtronic (NMX8) bei Menschen mit Diabetes
This study will demonstrate the safety and performance of the Novel Medtronic Experimental Automated Insulin Delivery system named MiniMed™ NMX8 system in people living with insulin-requiring diabetes in comparison with the MiniMed™ 780G system.
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
This study is a pre-market, interventional, prospective, open-label, multi-center and randomized controlled clinical study.
The study consists of a run-in phase and a study phase.
Run-in Phase:
The purpose of the run-in phase is to collect baseline CGM data while subjects are on 780G therapy in Auto Mode. All subjects will use the Simplera Sync sensor.
At the end of the run-in phase, subjects will be randomly allocated to one of the two study arms (Treatment arm or Control arm).
Study Phase:
During the 12-week study phase, subjects will either start using the MiniMed™ NMX8 system (Treatment arm) or will continue to use the MiniMed™ 780G in Auto Mode (Control arm). During the study phase, all subjects will use the Simplera™ Sync sensor.
Studientyp
Studientyp
Einschreibung (Geschätzt)
Einschreibung
Phase
Phase
- Unzutreffend
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: Renée Tillie, PhD
- Telefonnummer: +31627363854
- E-Mail: renee.tillie@medtronic.com
Studieren Sie die Kontaktsicherung
- Name: Bérangère Lacroix
- Telefonnummer: +41797187595
- E-Mail: berangere.lacroix@medtronic.com
Studienorte
-
-
-
Antwerp, Belgien
- Rekrutierung
- Universitair Ziekenhuis Antwerpen
-
Hauptermittler:
- Christophe De Block
-
Brussels, Belgien
- Rekrutierung
- Cliniques Universitaires de Bruxelles - Hôpital Erasme
-
Hauptermittler:
- Laurent Crenier
-
Leuven, Belgien
- Rekrutierung
- UZ Leuven
-
Hauptermittler:
- Kristina Casteels
-
Hauptermittler:
- Pieter Gillard
-
-
-
-
-
Aarhus, Dänemark
- Rekrutierung
- Steno Diabetes Center Aarhus
-
Hauptermittler:
- Rakel Fuglsang Johansen
-
Herlev, Dänemark
- Rekrutierung
- Steno Diabetes Center Copenhagen
-
Hauptermittler:
- Kirsten Noergaard
-
-
-
-
-
Ramat Gan, Israel
- Rekrutierung
- Sheba Medical Center, Edmond and Lily Safra Children's Hospital
-
Hauptermittler:
- Noah Gruber
-
Ramat Gan, Israel
- Rekrutierung
- Sheba Medical Center
-
Hauptermittler:
- Amir Tirosh
-
-
-
-
-
Ljubljana, Slowenien
- Rekrutierung
- University Medical Centre Ljubljana
-
Hauptermittler:
- Klemen Dovc
-
-
Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
- Is aged ≥2 years old at time of screening.
- Has a clinical diagnosis of Type 1 or Type 2 diabetes for ≥ 6 months prior to screening as determined via medical record by an individual qualified to make a medical diagnosis.
- Is on MiniMed™ 780G with Simplera Sync sensor for at least 3 months before screening.
- Has a glycosylated hemoglobin (HbA1c) <11% (97 mmol/mol) at time of screening visit as processed at Point of Care (PoC) or local lab.
- Must have a minimum daily insulin requirement (Total Daily Dose) of ≥ 6 units and a maximum of 250 units
- Willing to switch to approved insulin per insulin pump labeling.
- Investigator has confidence that the subject, parent(s)/legal guardian(s) can successfully operate all study devices and is capable of adhering to study visit schedule per protocol.
- Subject, Parent(s)/legal guardian(s) is willing to participate in all training sessions as directed by study staff.
- Subject, Parent(s)/legal guardian(s) is willing and able to provide written informed consent.
- For subject with Type 2 Diabetes only: Is on stable dose of anti-diabetic medication (other than insulin) (e.g., pramlintide, DPP-4 inhibitor, GLP-1 and GIP agonists/mimetics, metformin, SGLT2 inhibitors) for the last 3 months prior to screening. NB: Subject should not change type or dose of medication during the course of the study.
- For Israel only: Subject, Parents(s)/legal guardian(s) is fluent in English.
Exclusion Criteria:
- Has Addison's disease, growth hormone deficiency, hypopituitarism or definite gastroparesis, uncontrolled coeliac disease, uncontrolled thyroid disorder, or poorly controlled asthma, per investigator judgment.
- For subjects with Type 1 Diabetes only: Is using any anti-diabetic medication other than insulin 6 months before screening or plan on using during the study (e.g., pramlintide, DPP-4 inhibitor, GLP-1 and GIP agonists/mimetics, metformin, SGLT2 inhibitors).
- Has taken any oral, injectable, or intravenous (IV) glucocorticoids within 8 weeks from time of screening visit, or plans to take any chronically oral, injectable, or IV glucocorticoids during the course of the study, per investigator judgement
- Has had renal failure defined by creatinine clearance <30 ml/min, as assessed by local lab test ≤ 6 months before screening or performed at screening at local lab, as defined by the creatinine-based Cockcroft, CKD-EPI or MDRD equations.
- Has active or severe retinopathy in the last 6 months before screening
- Has any unresolved adverse skin conditions in the area of sensor placement (e.g. psoriasis, dermatitis herpetiformis, rash, Staphylococcus infection).
- Has any other disease or condition that may preclude the patient from participating in the study, per investigator judgment.
- History of 2 or more DKA events in the last 3 months before screening.
- Has had Hyperosmolar Hyperglycemic State (HHS) in the last 6 months before screening.
- Is using hydroxyurea at time of screening or plans to use it during the study
- Women of child-bearing potential who have a positive pregnancy test at screening or plan to become pregnant during the course of the study.
- Women who are breastfeeding.
- Is actively participating in an investigational study (drug or device) wherein he/she has received treatment from an investigational study drug or device in the last 2 weeks before screening, as per investigator judgment.
- Subject is currently abusing illicit drugs, marijuana, alcohol or prescription drugs (other than nicotine), per investigator judgment.
- Subject, Parent(s)/legal guardian(s) are part of research staff involved with the study.
- Subject, Parent(s)/legal guardian (s) are legally incompetent, illiterate, or vulnerable.
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Keine (Offenes Etikett)
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
|
Experimental: Treatment arm (NMX8)
Subjects randomized to the Treatment group will use the MiniMed™ NMX8 system |
Subjects will start using the MiniMed™ NMX8 system for 12 weeks |
|
Aktiver Komparator: Control arm (780G)
Subjects randomized to the Control arm will continue to use the MiniMed™ 780G. |
Subjects will continue to use the MiniMed™ 780G for 12 weeks |
Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Primary Endpoint
Zeitfenster: During the 12-week study phase
|
The between-treatment (control arm with 780G system versus treatment arm with NMX8 system) difference during the study phase in the percentage of time that the sensor glucose measurement is in the target range, 70 to 180 mg/dL (3.9-10.0 mmol/L) with a non-inferiority testing. |
During the 12-week study phase
|
Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Secondary Endpoint 1
Zeitfenster: End of 12-week Study Phase
|
The between-treatment (NMX8 system arm versus 780Gm system arm) difference in HbA1c (%) at the end of the 3-month study phase with a non-inferiority testing. |
End of 12-week Study Phase
|
|
Secondary endpoint 2
Zeitfenster: During the 12-week Study Phase
|
The between-treatment (NMX8 system arm versus 780Gm system arm) difference in % of Time spent in target range (70 to 180 mg/dL [3.9 - 10.0 mmol/L]) during the study phase with superiority test. |
During the 12-week Study Phase
|
|
Secondary Endpoint 3
Zeitfenster: End of the 12-week Study Phase
|
The between-treatment (NMX8 system arm versus 780Gm system arm) difference in HbA1c (%) at the end of the 3-month study phase with superiority testing. |
End of the 12-week Study Phase
|
Mitarbeiter und Ermittler
Sponsor
Sponsor
Ermittler
Ermittler
- Studienstuhl: Pr. Ohad Cohen, MD, Medtronic MiniMed, Inc.
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Geschätzt)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- CIP352
Plan für individuelle Teilnehmerdaten (IPD)
Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?
Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
Produkt, das in den USA hergestellt und aus den USA exportiert wird
Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .