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
Studie Overzicht
Toestand
Toestand
Conditie
Conditie
Interventie / Behandeling
Interventie / Behandeling
Gedetailleerde beschrijving
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
Studietype
Studietype
Inschrijving (Geschat)
Inschrijving
Fase
Fase
- Niet toepasbaar
Contacten en locaties
Studiecontact
Studiecontact
- Naam: Trang Ly, MBBS, PhD
- Telefoonnummer: 978-600-7000
- E-mail: APClinical@insulet.com
Studie Contact Back-up
- Naam: Bonnie Dumais, RN
- E-mail: APClinical@insulet.com
Studie Locaties
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California
-
Los Angeles, California, Verenigde Staten, 90022
- Werving
- University of Southern California
-
Contact:
- Martha Walker
- Telefoonnummer: 323-605-4442
- E-mail: mawalker@usc.edu
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Hoofdonderzoeker:
- Anne Peters
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Santa Barbara, California, Verenigde Staten, 93105
- Werving
- Sansum Diabetes Research Institute
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Hoofdonderzoeker:
- Kristin Castorino
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Contact:
- Juliana Lopez
- Telefoonnummer: 8057059465
- E-mail: jlopez@sansum.org
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Colorado
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Aurora, Colorado, Verenigde Staten, 80045
- Werving
- University of Colorado
-
Hoofdonderzoeker:
- Gregory Forlenza
-
Contact:
- Estella Escobar
- Telefoonnummer: (720) 305-7817
- E-mail: Estella.Escobar@cuanschutz.edu
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Connecticut
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New Haven, Connecticut, Verenigde Staten, 06511
- Werving
- Yale
-
Contact:
- Amy Steffen
- Telefoonnummer: 203-737-8852
- E-mail: Amy.steffen@yale.edu
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Hoofdonderzoeker:
- Amy Steffen
-
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Georgia
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Atlanta, Georgia, Verenigde Staten, 30308
- Werving
- Emory University
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Contact:
- Sabeena Usman
-
Hoofdonderzoeker:
- Georgia Davis
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Illinois
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Chicago, Illinois, Verenigde Staten, 60611
- Werving
- Northwestern University
-
Hoofdonderzoeker:
- Grazia Aleppo
-
Contact:
- Evelyn Fronczyk
- Telefoonnummer: 312-908-9002
- E-mail: Evelyn.guevara@northwestern.ed
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Indiana
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Indianapolis, Indiana, Verenigde Staten, 46202
- Werving
- Indiana University
-
Hoofdonderzoeker:
- Viral Shah
-
Contact:
- Kathy Bohanan
- Telefoonnummer: 317-278-0651
- E-mail: kkremer@iu.edu
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Massachusetts
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Boston, Massachusetts, Verenigde Staten, 02215
- Werving
- Joslin Diabetes Center
-
Hoofdonderzoeker:
- Lori Laffel
-
Contact:
- Louise Ambler-Osborn
- Telefoonnummer: 617-975-8206
- E-mail: louise.ambler-osborn@joslin.harvard.edu
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Michigan
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Detroit, Michigan, Verenigde Staten, 48202
- Werving
- Henry Ford Health Systems
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Hoofdonderzoeker:
- Davida Kruger
-
Contact:
- Lydia Oehring
- Telefoonnummer: +1 (313) 916-3906
- E-mail: loehrin1@hfhs.org
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Minnesota
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Minneapolis, Minnesota, Verenigde Staten, 55416
- Werving
- Health Partners
-
Contact:
- Stephanie Zimmerman
- Telefoonnummer: 952-993-2048
- E-mail: H.Zimmerman@HealthPartners.com
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Hoofdonderzoeker:
- Amy Criego
-
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Texas
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Houston, Texas, Verenigde Staten, 77030
- Werving
- Baylor College of Medicine
-
Contact:
- Anh Nguyen
- Telefoonnummer: (832) 822-3870
- E-mail: Anh.Nguyen2@bcm.edu
-
Hoofdonderzoeker:
- Daniel DeSalvo
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Deelname Criteria
Geschiktheidscriteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Kind
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Beschrijving
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
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Crossover-opdracht
- Masker: Geen (open label)
Aantal wapens
Wapens en interventies
Deelnemersgroep / ArmDeelnemersgroep / Arm |
Interventie / BehandelingInterventie / Behandeling |
|---|---|
|
Actieve vergelijker: Omnipod 5 System
|
The Omnipod 5 System with the study CGM
|
|
Experimenteel: Omnipod 6 System
|
The Omnipod 6 System with the study CGM
|
Wat meet het onderzoek?
Primaire uitkomstmaten
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Time in Range 70-180 mg/dL
Tijdsspanne: 13 weeks
|
Change in CGM percent time 70-180 mg/dL compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
|
Time <54 mg/dL
Tijdsspanne: 13 weeks
|
Change in CGM percent time <54 mg/dL compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
|
Time <70 mg/dL
Tijdsspanne: 13 weeks
|
Change in CGM percent time <70 mg/dL compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
|
Time >180 mg/dL
Tijdsspanne: 13 weeks
|
Change in CGM percent time >180 mg/dL compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
|
Time in Range 70-140 mg/dL
Tijdsspanne: 13 weeks
|
Change in CGM percent time 70-140 mg/dL compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
|
HbA1c
Tijdsspanne: 13 weeks
|
Change in HbA1c (%) between Omnipod 6 and Omnipod 5
|
13 weeks
|
|
Mean sensor glucose
Tijdsspanne: 13 weeks
|
Change in mean CGM glucose mg/dL compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
|
Time >250 mg/dL
Tijdsspanne: 13 weeks
|
Change in CGM percent time >250 mg/dL compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
Secundaire uitkomstmaten
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Total boluses per day
Tijdsspanne: 13 weeks
|
Total blues per day will be compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
|
Total daily insulin per kg and total insulin delivered via automation
Tijdsspanne: 13 weeks
|
Total daily insulin per kg and total insulin delivered via automation will be compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
|
Percentage of time in automated mode
Tijdsspanne: 13 weeks
|
Percentage of time in automated mode will be compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
|
Percentage with HbA1c <7.0% and <7.5%
Tijdsspanne: 13 weeks
|
Percentage with HbA1c <7.0% and <7.5% will be compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
|
Percentage with >= 70% time in range
Tijdsspanne: 13 weeks
|
Percentage with >= 70% time in range will be compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
|
Percentage with >= 50% time in range
Tijdsspanne: 13 weeks
|
Percentage with >= 50% time in range will be compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
|
Diabetes treatment satisfaction
Tijdsspanne: 13 weeks
|
Patient Reported Outcome with treatment period comparison and baseline to Omnipod 6
|
13 weeks
|
|
System Usability
Tijdsspanne: 13 weeks
|
Patient Reported Outcome Survey evaluated at the end of each 13-week period
|
13 weeks
|
|
System Opinion
Tijdsspanne: 13 weeks
|
Patient Reported Outcome Survey evaluated at the end of each 13-week period
|
13 weeks
|
|
Health Related Quality of Life (HR-QOL)
Tijdsspanne: 13 weeks
|
Patient Reported Outcome Survey with treatment period comparison and baseline to Omnipod 6
|
13 weeks
|
|
Hypoglycemia confidence
Tijdsspanne: 13 weeks
|
Patient Reported Outcome Survey with treatment period comparison and baseline to Omnipod 6
|
13 weeks
|
|
Missed Meal - Peak glucose
Tijdsspanne: 13 weeks
|
Peak glucose 4-hours post-prandial compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
|
Missed Meal - AUC
Tijdsspanne: 13 weeks
|
AUC 4-hours post-prandial compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
|
Missed Meal - Time in Range
Tijdsspanne: 13 weeks
|
Time in Range 4-hours post-prandial compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
|
Missed Meal - Percentage of Time > 180 mg/dL
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 13 weeks
|
13 weeks
|
|
|
Number of DKA or HHS events
Tijdsspanne: 13 weeks
|
13 weeks
|
|
|
Other related serious adverse events
Tijdsspanne: 13 weeks
|
13 weeks
|
|
|
Unanticipated adverse device effects
Tijdsspanne: 13 weeks
|
13 weeks
|
|
|
Reportable device-related adverse events
Tijdsspanne: 13 weeks
|
13 weeks
|
Medewerkers en onderzoekers
Sponsor
Sponsor
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Studie start
Primaire voltooiing (Geschat)
Primaire voltooiing
Studie voltooiing (Geschat)
Studie voltooiing
Studieregistratiedata
Eerst ingediend
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Eerst geplaatst
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update geplaatst
Laatste update ingediend die voldeed aan QC-criteria
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
Andere studie-ID-nummers
- STRIVE 2
Plan Individuele Deelnemersgegevens (IPD)
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