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新型美敦力实验性自动胰岛素输送系统(NMX8)在糖尿病患者中的安全性与性能评估(NEXUS) (NEXUS)

2026年9月18日 更新者：Medtronic MiniMed, Inc.

新型美敦力实验性自动胰岛素输注系统(NMX8)在糖尿病患者中的安全性与性能评估

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.

研究概览

地位

招聘中

条件

干预/治疗

详细说明

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.

研究类型

介入性

注册 (估计的)

116

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习联系方式

研究联系人备份

学习地点

  • 丹麦
      • Aarhus、丹麦
        • 招聘中
        • Steno Diabetes Center Aarhus
        • 首席研究员：
          • Rakel Fuglsang Johansen
      • Herlev、丹麦
        • 招聘中
        • Steno Diabetes Center Copenhagen
        • 首席研究员：
          • Kirsten Noergaard
  • 以色列
      • Ramat Gan、以色列
        • 招聘中
        • Sheba Medical Center, Edmond and Lily Safra Children's Hospital
        • 首席研究员：
          • Noah Gruber
      • Ramat Gan、以色列
        • 招聘中
        • Sheba Medical Center
        • 首席研究员：
          • Amir Tirosh
  • 斯洛文尼亚
      • Ljubljana、斯洛文尼亚
        • 招聘中
        • University Medical Centre Ljubljana
        • 首席研究员：
          • Klemen Dovc
  • 比利时
      • Antwerp、比利时
        • 招聘中
        • Universitair Ziekenhuis Antwerpen
        • 首席研究员：
          • Christophe De Block
      • Brussels、比利时
        • 招聘中
        • Cliniques Universitaires de Bruxelles - Hôpital Erasme
        • 首席研究员：
          • Laurent Crenier
      • Leuven、比利时
        • 招聘中
        • UZ Leuven
        • 首席研究员：
          • Kristina Casteels
        • 首席研究员：
          • Pieter Gillard

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

2年 及以上 (孩子、成人、年长者)

接受健康志愿者

不

有资格学习的性别

全部

描述

Inclusion Criteria:

  1. Is aged ≥2 years old at time of screening.
  2. 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.
  3. Is on MiniMed™ 780G with Simplera Sync sensor for at least 3 months before screening.
  4. Has a glycosylated hemoglobin (HbA1c) <11% (97 mmol/mol) at time of screening visit as processed at Point of Care (PoC) or local lab.
  5. Must have a minimum daily insulin requirement (Total Daily Dose) of ≥ 6 units and a maximum of 250 units
  6. Willing to switch to approved insulin per insulin pump labeling.
  7. 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.
  8. Subject, Parent(s)/legal guardian(s) is willing to participate in all training sessions as directed by study staff.
  9. Subject, Parent(s)/legal guardian(s) is willing and able to provide written informed consent.
  10. 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.
  11. For Israel only: Subject, Parents(s)/legal guardian(s) is fluent in English.

Exclusion Criteria:

  1. Has Addison's disease, growth hormone deficiency, hypopituitarism or definite gastroparesis, uncontrolled coeliac disease, uncontrolled thyroid disorder, or poorly controlled asthma, per investigator judgment.
  2. 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).
  3. 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
  4. 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.
  5. Has active or severe retinopathy in the last 6 months before screening
  6. Has any unresolved adverse skin conditions in the area of sensor placement (e.g. psoriasis, dermatitis herpetiformis, rash, Staphylococcus infection).
  7. Has any other disease or condition that may preclude the patient from participating in the study, per investigator judgment.
  8. History of 2 or more DKA events in the last 3 months before screening.
  9. Has had Hyperosmolar Hyperglycemic State (HHS) in the last 6 months before screening.
  10. Is using hydroxyurea at time of screening or plans to use it during the study
  11. Women of child-bearing potential who have a positive pregnancy test at screening or plan to become pregnant during the course of the study.
  12. Women who are breastfeeding.
  13. 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.
  14. Subject is currently abusing illicit drugs, marijuana, alcohol or prescription drugs (other than nicotine), per investigator judgment.
  15. Subject, Parent(s)/legal guardian(s) are part of research staff involved with the study.
  16. Subject, Parent(s)/legal guardian (s) are legally incompetent, illiterate, or vulnerable.

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 主要用途：治疗
  • 分配：随机化
  • 介入模型：并行分配
  • 屏蔽：无（打开标签）

武器和干预

参与者组/臂
干预/治疗
实验性的：Treatment arm (NMX8)

Subjects randomized to the Treatment group will use the MiniMed™ NMX8 system
设备：NMX8

Subjects will start using the MiniMed™ NMX8 system for 12 weeks
有源比较器：Control arm (780G)

Subjects randomized to the Control arm will continue to use the MiniMed™ 780G.
设备：780G

Subjects will continue to use the MiniMed™ 780G for 12 weeks

研究衡量的是什么？

主要结果指标

结果测量
措施说明
大体时间
Primary Endpoint
大体时间：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

次要结果测量

结果测量
措施说明
大体时间
Secondary Endpoint 1
大体时间：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
大体时间：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
大体时间：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

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

Medtronic MiniMed, Inc.

调查人员

  • 学习椅：Pr. Ohad Cohen, MD、Medtronic MiniMed, Inc.

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2026年7月19日

初级完成 (估计的)

2027年3月17日

研究完成 (估计的)

2027年3月17日

研究注册日期

首次提交

2025年11月11日

首先提交符合 QC 标准的

2025年11月11日

首次发布 (实际的)

2025年11月13日

研究记录更新

最后更新发布 (实际的)

2026年9月21日

上次提交的符合 QC 标准的更新

2026年9月18日

最后验证

2026年7月1日

更多信息

与本研究相关的术语

其他相关的 MeSH 术语

其他研究编号

  • CIP352

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)？

不

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

是的

在美国制造并从美国出口的产品

是的

此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.

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