- ICH GCP
- Registro de ensaios clínicos dos EUA
- Ensaio Clínico NCT07579702
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
Visão geral do estudo
Status
Intervenção / Tratamento
Descrição detalhada
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
Tipo de estudo
Inscrição (Estimado)
Estágio
- Não aplicável
Contactos e Locais
Contato de estudo
- Nome: Trang Ly, MBBS, PhD
- Número de telefone: 978-600-7000
- E-mail: APClinical@insulet.com
Estude backup de contato
- Nome: Bonnie Dumais, RN
- E-mail: APClinical@insulet.com
Locais de estudo
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California
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Los Angeles, California, Estados Unidos, 90022
- Ainda não está recrutando
- University of Southern California
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Contato:
- Martha Walker
- Número de telefone: 323-605-4442
- E-mail: mawalker@usc.edu
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Investigador principal:
- Anne Peters
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Santa Barbara, California, Estados Unidos, 93105
- Recrutamento
- Sansum Diabetes Research Institute
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Investigador principal:
- Kristin Castorino
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Contato:
- Juliana Lopez
- Número de telefone: 8057059465
- E-mail: jlopez@sansum.org
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Colorado
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Aurora, Colorado, Estados Unidos, 80045
- Ainda não está recrutando
- University of Colorado
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Investigador principal:
- Gregory Forlenza
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Contato:
- Estella Escobar
- Número de telefone: (720) 305-7817
- E-mail: Estella.Escobar@cuanschutz.edu
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Connecticut
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New Haven, Connecticut, Estados Unidos, 06511
- Ainda não está recrutando
- Yale
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Contato:
- Amy Steffen
- Número de telefone: 203-737-8852
- E-mail: Amy.steffen@yale.edu
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Investigador principal:
- Amy Steffen
-
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Florida
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Tampa, Florida, Estados Unidos, 33612
- Ainda não está recrutando
- University of South Florida
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Contato:
- Janet Rodriguez
- Número de telefone: 813-821-8011
- E-mail: janetrodriguez@usf.edu
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Investigador principal:
- Dorothy Shulman
-
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Georgia
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Atlanta, Georgia, Estados Unidos, 30308
- Ainda não está recrutando
- Emory University
-
Contato:
- Sabeena Usman
-
Investigador principal:
- Georgia Davis
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Illinois
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Chicago, Illinois, Estados Unidos, 60611
- Ainda não está recrutando
- Northwestern University
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Investigador principal:
- Grazia Aleppo
-
Contato:
- Evelyn Fronczyk
- Número de telefone: 312-908-9002
- E-mail: Evelyn.guevara@northwestern.ed
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Indiana
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Indianapolis, Indiana, Estados Unidos, 46202
- Ainda não está recrutando
- Indiana University
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Investigador principal:
- Viral Shah
-
Contato:
- Kathy Bohanan
- Número de telefone: 317-278-0651
- E-mail: kkremer@iu.edu
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Massachusetts
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Boston, Massachusetts, Estados Unidos, 02215
- Recrutamento
- Joslin Diabetes Center
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Investigador principal:
- Lori Laffel
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Contato:
- Louise Ambler-Osborn
- Número de telefone: 617-975-8206
- E-mail: louise.ambler-osborn@joslin.harvard.edu
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Michigan
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Detroit, Michigan, Estados Unidos, 48202
- Recrutamento
- Henry Ford Health Systems
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Investigador principal:
- Davida Kruger
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Contato:
- Lydia Oehring
- Número de telefone: +1 (313) 916-3906
- E-mail: loehrin1@hfhs.org
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Minnesota
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Minneapolis, Minnesota, Estados Unidos, 55416
- Recrutamento
- Health Partners
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Contato:
- Stephanie Zimmerman
- Número de telefone: 952-993-2048
- E-mail: H.Zimmerman@HealthPartners.com
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Investigador principal:
- Amy Criego
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Texas
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Houston, Texas, Estados Unidos, 77030
- Ainda não está recrutando
- Baylor College of Medicine
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Contato:
- Anh Nguyen
- Número de telefone: (832) 822-3870
- E-mail: Anh.Nguyen2@bcm.edu
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Investigador principal:
- Daniel DeSalvo
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Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
- Filho
- Adulto
- Adulto mais velho
Aceita Voluntários Saudáveis
Descrição
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
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: Randomizado
- Modelo Intervencional: Atribuição cruzada
- Mascaramento: Nenhum (rótulo aberto)
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
|---|---|
|
Comparador Ativo: Omnipod 5 System
|
The Omnipod 5 System with the study CGM
|
|
Experimental: Omnipod 6 System
|
The Omnipod 6 System with the study CGM
|
O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Time in Range 70-180 mg/dL
Prazo: 13 weeks
|
Change in CGM percent time 70-180 mg/dL compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
|
Time <54 mg/dL
Prazo: 13 weeks
|
Change in CGM percent time <54 mg/dL compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
|
Time <70 mg/dL
Prazo: 13 weeks
|
Change in CGM percent time <70 mg/dL compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
|
Time >180 mg/dL
Prazo: 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
Prazo: 13 weeks
|
Change in CGM percent time 70-140 mg/dL compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
|
HbA1c
Prazo: 13 weeks
|
Change in HbA1c (%) between Omnipod 6 and Omnipod 5
|
13 weeks
|
|
Mean sensor glucose
Prazo: 13 weeks
|
Change in mean CGM glucose mg/dL compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
|
Time >250 mg/dL
Prazo: 13 weeks
|
Change in CGM percent time >250 mg/dL compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Total boluses per day
Prazo: 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
Prazo: 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
Prazo: 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%
Prazo: 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
Prazo: 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
Prazo: 13 weeks
|
Percentage with >= 50% time in range will be compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
|
Diabetes treatment satisfaction
Prazo: 13 weeks
|
Patient Reported Outcome with treatment period comparison and baseline to Omnipod 6
|
13 weeks
|
|
System Usability
Prazo: 13 weeks
|
Patient Reported Outcome Survey evaluated at the end of each 13-week period
|
13 weeks
|
|
System Opinion
Prazo: 13 weeks
|
Patient Reported Outcome Survey evaluated at the end of each 13-week period
|
13 weeks
|
|
Health Related Quality of Life (HR-QOL)
Prazo: 13 weeks
|
Patient Reported Outcome Survey with treatment period comparison and baseline to Omnipod 6
|
13 weeks
|
|
Hypoglycemia confidence
Prazo: 13 weeks
|
Patient Reported Outcome Survey with treatment period comparison and baseline to Omnipod 6
|
13 weeks
|
|
Missed Meal - Peak glucose
Prazo: 13 weeks
|
Peak glucose 4-hours post-prandial compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
|
Missed Meal - AUC
Prazo: 13 weeks
|
AUC 4-hours post-prandial compared between Omnipod 6 and Omnipod 5
|
13 weeks
|
|
Missed Meal - Time in Range
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 13 weeks
|
13 weeks
|
|
|
Number of DKA or HHS events
Prazo: 13 weeks
|
13 weeks
|
|
|
Other related serious adverse events
Prazo: 13 weeks
|
13 weeks
|
|
|
Unanticipated adverse device effects
Prazo: 13 weeks
|
13 weeks
|
|
|
Reportable device-related adverse events
Prazo: 13 weeks
|
13 weeks
|
Colaboradores e Investigadores
Patrocinador
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Real)
Conclusão Primária (Estimado)
Conclusão do estudo (Estimado)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Termos MeSH relevantes adicionais
Outros números de identificação do estudo
- STRIVE 2
Plano para dados de participantes individuais (IPD)
Planeja compartilhar dados de participantes individuais (IPD)?
Informações sobre medicamentos e dispositivos, documentos de estudo
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