Efficacy of the Omnipod® 6 System Compared With the Omnipod® 5 System (STRIVE 2)
Efficacy of the Omnipod® 6 System Compared With the Omnipod® 5 System in Individuals With Type 1 or Type 2 Diabetes and Suboptimal Glycemia
연구 개요
상태
상태
정황
정황
개입 / 치료
개입 / 치료
상세 설명
Following a 2-week standard therapy phase for baseline data collection, participants will be randomly assigned to the order in which they receive Omnipod 6 or Omnipod 5.
After completion of the first 13-week period, participants will cross-over to the opposite system for an additional 13 weeks. An optional 4-week extension will be offered to all participants to assess the response of the Omnipod 6 System with restricted boluses
연구 유형
연구 유형
등록 (추정된)
등록
단계
단계
- 해당 없음
연락처 및 위치
연구 연락처
연구 연락처
- 이름: Trang Ly, MBBS, PhD
- 전화번호: 978-600-7000
- 이메일: APClinical@insulet.com
연구 연락처 백업
- 이름: Bonnie Dumais, RN
- 이메일: APClinical@insulet.com
연구 장소
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California
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Los Angeles, California, 미국, 90022
- 모병
- University of Southern California
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연락하다:
- Martha Walker
- 전화번호: 323-605-4442
- 이메일: mawalker@usc.edu
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수석 연구원:
- Anne Peters
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Santa Barbara, California, 미국, 93105
- 모병
- Sansum Diabetes Research Institute
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수석 연구원:
- Kristin Castorino
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연락하다:
- Juliana Lopez
- 전화번호: 8057059465
- 이메일: jlopez@sansum.org
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Colorado
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Aurora, Colorado, 미국, 80045
- 모병
- University of Colorado
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수석 연구원:
- Gregory Forlenza
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연락하다:
- Estella Escobar
- 전화번호: (720) 305-7817
- 이메일: Estella.Escobar@cuanschutz.edu
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Connecticut
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New Haven, Connecticut, 미국, 06511
- 모병
- Yale
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연락하다:
- Amy Steffen
- 전화번호: 203-737-8852
- 이메일: Amy.steffen@yale.edu
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수석 연구원:
- Amy Steffen
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Georgia
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Atlanta, Georgia, 미국, 30308
- 모병
- Emory University
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연락하다:
- Sabeena Usman
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수석 연구원:
- Georgia Davis
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Illinois
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Chicago, Illinois, 미국, 60611
- 모병
- Northwestern University
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수석 연구원:
- Grazia Aleppo
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연락하다:
- Evelyn Fronczyk
- 전화번호: 312-908-9002
- 이메일: Evelyn.guevara@northwestern.ed
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Indiana
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Indianapolis, Indiana, 미국, 46202
- 모병
- Indiana University
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수석 연구원:
- Viral Shah
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연락하다:
- Kathy Bohanan
- 전화번호: 317-278-0651
- 이메일: kkremer@iu.edu
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Massachusetts
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Boston, Massachusetts, 미국, 02215
- 모병
- Joslin Diabetes Center
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수석 연구원:
- Lori Laffel
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연락하다:
- Louise Ambler-Osborn
- 전화번호: 617-975-8206
- 이메일: louise.ambler-osborn@joslin.harvard.edu
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Michigan
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Detroit, Michigan, 미국, 48202
- 모병
- Henry Ford Health Systems
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수석 연구원:
- Davida Kruger
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연락하다:
- Lydia Oehring
- 전화번호: +1 (313) 916-3906
- 이메일: loehrin1@hfhs.org
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Minnesota
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Minneapolis, Minnesota, 미국, 55416
- 모병
- Health Partners
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연락하다:
- Stephanie Zimmerman
- 전화번호: 952-993-2048
- 이메일: H.Zimmerman@HealthPartners.com
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수석 연구원:
- Amy Criego
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Texas
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Houston, Texas, 미국, 77030
- 모병
- Baylor College of Medicine
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연락하다:
- Anh Nguyen
- 전화번호: (832) 822-3870
- 이메일: Anh.Nguyen2@bcm.edu
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수석 연구원:
- Daniel DeSalvo
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참여기준
자격 기준
자격 기준
공부할 수 있는 나이
- 어린이
- 성인
- 고령자
건강한 자원 봉사자를 받아들입니다
설명
Inclusion Criteria:
- Age at time of consent 14-75 years (inclusive)
- Type 1 diabetes diagnosis for at least 6 months or type 2 diabetes diagnosis for at least 1 year, based on Investigator's clinical judgment
- Basal/Bolus insulin delivery via multiple daily doses or insulin pump with or without automation
- HbA1c ≥ 7.5%
- Average # of user-initiated boluses less than 4 per day over the 14 days prior to screening through review of device data or self-reported if non-pump user
- Average # of user-initiated boluses less than 4 per day over 14 days, during Standard Therapy Phase through review of device data or self-reported if non-pump user
- Currently using a continuous glucose monitor
- Willing to use only the following types of U-100 insulin during the study: Humalog U-100, Novolog, Admelog, Kirsty, Fiasp, Lyumjev or their generic equivalents.
- Participant agrees to provide their own insulin for the duration of the study
- Deemed appropriate for study participation per Investigator's assessment; Investigator has confidence that the participant and/or caregiver can safely operate all study devices and can adhere to the protocol
- Deemed appropriate for study participation per Investigator's assessment; Investigator has confidence that the participant and/or caregiver can safely operate all study devices and can adhere to the protocol
- If using noninsulin glucose-lowering medications (such as GLP-1 receptor agonist, SGLT2 inhibitor (T2D only), or other) or weight-reduction medications, dose has been stable for 6-weeks prior to screening; and participant is willing to not change the dose unless required for safety purposes.
- Willing to wear the system continuously throughout the study
- Willing and able to sign the Informed Consent Form (ICF) or has a parent/guardian willing and able to sign the ICF. Assent will be obtained from adolescent participants aged < 18 years per local regulatory requirements
- Able to read and understand English and operate the study device in English
- If of childbearing potential, willing and able to have pregnancy testing
Exclusion Criteria:
- Any medical condition, which in the opinion of the investigator, would put the participant at an unacceptable safety risk
- Current or known history of coronary artery disease that is not stable with medical management per investigator judgment, including unstable angina, or angina that prevents moderate exercise despite medical management, or a history of myocardial infarction, percutaneous coronary intervention, or coronary artery bypass grafting within the 12 months prior to screening
- Any planned surgery during the study which could be considered major in the judgment of the investigator
- History of severe hypoglycemia in the past 6 months. Severe hypoglycemia is defined as an event that requires the assistance of another person due to altered mental and/or physical status, and requires another person to actively administer carbohydrate, glucagon, or other resuscitative actions.
- History of diabetic ketoacidosis (DKA) or hyperosmolar hyperglycemic state (HHS) in the past 6 months, unrelated to an intercurrent illness or infusion failure
- Unable to tolerate adhesive tape or has any unresolved skin condition in the area of sensor or pump placement
- Blood disorder or dyscrasia within 3 months prior to screening, which in the Investigator's opinion could interfere with determination of HbA1c
- Use of hydroxyurea
- Plans to receive blood transfusion over the course of the study
- Has taken systemic steroids (oral or injectable) within 4 weeks or has had a local steroid injection (e.g. intraarticular, epidural) within 1 week prior to screening or plans to take oral or injectable steroids during the study
- Has type 1 diabetes and is taking non insulin glucose lowering medication other than metformin and GLP1, in the 4 weeks prior to screening.
- Has type 2 diabetes and is taking sulfonylureas in the 4 weeks prior to screening
- Pregnant or lactating, or of childbearing potential and not on acceptable form of birth control (acceptable forms of contraception include abstinence, barrier methods such as condoms, hormonal contraceptives, intrauterine device, surgical sterilization such as tubal ligation or hysterectomy, or vasectomized partner).
- Participation in another clinical study using an investigational drug or device within 30-days or intends to participate in any other study during this study period
- Unable to follow clinical protocol for the duration of the study or is otherwise deemed unacceptable to participate in the study per the Investigator's clinical judgment
- Participant is an employee of Insulet, an Investigator or Investigator's study team, or immediate family member of any of the aforementioned
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 크로스오버 할당
- 마스킹: 없음(오픈 라벨)
팔의 수
무기와 개입
참가자 그룹 / 팔참가자 그룹 / 팔 |
개입 / 치료개입 / 치료 |
|---|---|
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활성 비교기: Omnipod 5 System
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The Omnipod 5 System with the study CGM
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실험적: Omnipod 6 System
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The Omnipod 6 System with the study CGM
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연구는 무엇을 측정합니까?
주요 결과 측정
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Time in Range 70-180 mg/dL
기간: 13 weeks
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Change in CGM percent time 70-180 mg/dL compared between Omnipod 6 and Omnipod 5
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13 weeks
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Time <54 mg/dL
기간: 13 weeks
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Change in CGM percent time <54 mg/dL compared between Omnipod 6 and Omnipod 5
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13 weeks
|
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Time <70 mg/dL
기간: 13 weeks
|
Change in CGM percent time <70 mg/dL compared between Omnipod 6 and Omnipod 5
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13 weeks
|
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Time >180 mg/dL
기간: 13 weeks
|
Change in CGM percent time >180 mg/dL compared between Omnipod 6 and Omnipod 5
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13 weeks
|
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Time in Range 70-140 mg/dL
기간: 13 weeks
|
Change in CGM percent time 70-140 mg/dL compared between Omnipod 6 and Omnipod 5
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13 weeks
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HbA1c
기간: 13 weeks
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Change in HbA1c (%) between Omnipod 6 and Omnipod 5
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13 weeks
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Mean sensor glucose
기간: 13 weeks
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Change in mean CGM glucose mg/dL compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
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Time >250 mg/dL
기간: 13 weeks
|
Change in CGM percent time >250 mg/dL compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
2차 결과 측정
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Total boluses per day
기간: 13 weeks
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Total blues per day will be compared between Omnipod 6 and Omnipod 5
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13 weeks
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Total daily insulin per kg and total insulin delivered via automation
기간: 13 weeks
|
Total daily insulin per kg and total insulin delivered via automation will be compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
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Percentage of time in automated mode
기간: 13 weeks
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Percentage of time in automated mode will be compared between Omnipod 6 and Omnipod 5
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13 weeks
|
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Percentage with HbA1c <7.0% and <7.5%
기간: 13 weeks
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Percentage with HbA1c <7.0% and <7.5% will be compared between Omnipod 6 and Omnipod 5
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13 weeks
|
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Percentage with >= 70% time in range
기간: 13 weeks
|
Percentage with >= 70% time in range will be compared between Omnipod 6 and Omnipod 5
|
13 weeks
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Percentage with >= 50% time in range
기간: 13 weeks
|
Percentage with >= 50% time in range will be compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
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Diabetes treatment satisfaction
기간: 13 weeks
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Patient Reported Outcome with treatment period comparison and baseline to Omnipod 6
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13 weeks
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System Usability
기간: 13 weeks
|
Patient Reported Outcome Survey evaluated at the end of each 13-week period
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13 weeks
|
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System Opinion
기간: 13 weeks
|
Patient Reported Outcome Survey evaluated at the end of each 13-week period
|
13 weeks
|
|
Health Related Quality of Life (HR-QOL)
기간: 13 weeks
|
Patient Reported Outcome Survey with treatment period comparison and baseline to Omnipod 6
|
13 weeks
|
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Hypoglycemia confidence
기간: 13 weeks
|
Patient Reported Outcome Survey with treatment period comparison and baseline to Omnipod 6
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13 weeks
|
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Missed Meal - Peak glucose
기간: 13 weeks
|
Peak glucose 4-hours post-prandial compared between Omnipod 6 and Omnipod 5
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13 weeks
|
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Missed Meal - AUC
기간: 13 weeks
|
AUC 4-hours post-prandial compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
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Missed Meal - Time in Range
기간: 13 weeks
|
Time in Range 4-hours post-prandial compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
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Missed Meal - Percentage of Time > 180 mg/dL
기간: 13 weeks
|
Percentage of Time > 180 mg/dL 4-hours post-prandial compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
|
Missed Meal - Percentage of Time > 250 mg/dL
기간: 13 weeks
|
Percentage of Time > 250 mg/dL 4-hours post-prandial compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
|
Missed Meal - Percentage of Time <54 mg/dL
기간: 13 weeks
|
Percentage of Time <54 mg/dL (NI margin of 0.5%) 4-hours post-prandial compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
|
Missed Meal - Percentage of Time <70 mg/dL
기간: 13 weeks
|
Percentage of Time <70 mg/dL (NI margin of 0.5%) 4-hours post-prandial compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
|
Number of severe hypoglycemic events
기간: 13 weeks
|
13 weeks
|
|
|
Number of DKA or HHS events
기간: 13 weeks
|
13 weeks
|
|
|
Other related serious adverse events
기간: 13 weeks
|
13 weeks
|
|
|
Unanticipated adverse device effects
기간: 13 weeks
|
13 weeks
|
|
|
Reportable device-related adverse events
기간: 13 weeks
|
13 weeks
|
공동 작업자 및 조사자
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
연구 시작
기본 완료 (추정된)
기본 완료
연구 완료 (추정된)
연구 완료
연구 등록 날짜
최초 제출
최초 제출
QC 기준을 충족하는 최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
처음 게시됨
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
마지막 업데이트 게시됨
QC 기준을 충족하는 마지막 업데이트 제출
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
기타 연구 ID 번호
기타 연구 ID 번호
- STRIVE 2
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
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