Status:

COMPLETED

Dual-hormone Closed-loop Glucose Control in Type 1 Diabetes

Lead Sponsor:

Steno Diabetes Center Copenhagen

Collaborating Sponsors:

Technical University of Denmark

University of Copenhagen

Conditions:

Type 1 Diabetes

Hypoglycemia

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

Despite recent pharmacological and technological advantages, hypoglycemia remains to be the key limiting factor in achieving optimal glycemic control in people with type 1 diabetes. State-of-the-art t...

Detailed Description

Rationale: We hypothesize that our newly developed dual-hormone insulin-glucagon closed-loop system (DCL) is safe, efficient and superior to our single-hormone insulin-only closed-loop system (SCL). T...

Eligibility Criteria

Inclusion

  • Inclusion criteria
  • Age ≥ 18 years
  • T1D ≥ 2 years
  • Insulin pump therapy ≥ 1
  • Currently treated with FiAsp® - insulin
  • HbA1c ≤ 8.5% (69 mmol/mol) Exclusion criteria
  • Pregnancy or nursing
  • Inability and willingness to comply with all protocol procedures, e.g. exercise, sleeping, blood sampling, and meal consumption
  • Plan to become pregnant or sexually active and not using adequate contraceptive methods (sterilization, intrauterine device, contraceptive pill, patch or injection)
  • Hypoglycemia unawareness (self-reported lack of hypoglycemia symptoms when blood glucose is \< 3.0 mmol/l)
  • Use of anti-diabetic medicine (other than insulin), corticosteroids or other drugs affecting glucose metabolism during or within 30 days prior to study participation
  • History of coronary artery disease or congestive heart failure
  • Abnormal ECG suggestive of coronary artery disease and increased risk of malignant arrhythmia
  • Allergy to glucagon or lactose
  • Pheochromocytoma
  • Other concomitant medical or psychological condition that according to the investigator's assessment makes the patient unsuitable for study participation
  • Withdrawal criteria
  • In case of pregnancy (or desire for pregnancy), female subjects are withdrawn
  • Lack of compliance to any of the important study procedures in the discretion of the investigator
  • Unacceptable adverse effects in the discretion of the investigator
  • Withdrawal on participants request will be accepted at any time without further justification
  • Patients who complete or withdraw from the study continue their usual quarterly follow-up visits at the diabetes clinic. Withdrawal does not affect their statutory patient rights.

Exclusion

    Key Trial Info

    Start Date :

    July 16 2019

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    March 19 2021

    Estimated Enrollment :

    13 Patients enrolled

    Trial Details

    Trial ID

    NCT04053712

    Start Date

    July 16 2019

    End Date

    March 19 2021

    Last Update

    August 18 2022

    Active Locations (1)

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    Steno Diabetes Center Copenhagen

    Gentofte Municipality, Denmark