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OpenTrials
Completed

NCT Number: NCT01857973

Overnight Closed Loop Study in U.S.

This is a multicenter feasibility study. Up to 85 subjects will be enrolled in the study. The goal of the study is to demonstrate that the Hybrid Closed Loop (HCL) System is safe to be used in an even larger study outside of hospital.

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Key information

Age range

2 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

AMCR Institute, Inc. 700 West El Norte Parkway, Suite 201, Escondido, California, United States

Loading trial locations.

About this study

Subjects that have met eligibility criteria will undergo treatment with the hybrid closed loop system under various experimental conditions.There is no statistically powered study hypothesis testing.

The investigational centers will be encouraged to include subjects of different ethnicities including Hispanic, Native American, and African-American.

The study is anticipated to last no more than 12 months from investigational center initiation to finalization of all data entry and monitoring procedures. Subjects are expected to participate for approximately 1- 2 months.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Subject is 2-75 years of age at time of screening
  • A clinical diagnosis of type 1 diabetes as determined by either medical record or source documentation from qualified individual to make medical diagnosis

Exclusion criteria

that are Based on Demands of In-Clinic Study Procedures :

  • Pump therapy for greater than 6 months with use of real time CGM for any period of time (ie. one day) 3 months prior to screening
  • Adequate venous access as assessed by investigator or appropriate staff
  • Subject should have an established insulin carbohydrate and insulin sensitivity ratio.
  • Subject reports at the time of screening that their average fasting glucose is 60 mg/dL - 200 mg/dL
  • Subject reports at the time of screening that their average total daily insulin dose is 15 units - 110 units. (Insulin pump memory for this information may be used)

Treatment and study plan

Hybrid Closed Loop

Device

The Hybrid Closed Loop System is an investigational device intended for closed loop control of blood glucose.

Primary outcomes

  1. Percentage of Time in Euglycemic Range - Phase 3 (Closed-loop Using the NGP Pump Platform)

    Time frame: 12 days

    time in euglycemic range (% of Senosr Glucose (SG) 70-180 mg/dL), Phase 3 (closed-loop using the Next Generation Pump (NGP) platform). The experiment was conducted in a monitored setting which lasted for 12 days with the following stressors: missed meal bolus, exercise, missed transmission, Umax (maximum insulin limit) challenges. The study was conducted in a clinic or hotel/house environment for 12 days/11 nights with no dietary or activity restrictions.

Secondary outcomes

  1. Percentage of Time in Euglycemic Range - Exploratory A Phase

    Time frame: 1 day

    Percentage of time in euglycemic range (% of SG 70-180 mg/dL) - Exploratory A phase. An overnight closed-loop experiment was performed using the Android Development Platform, software version 2.0 A system's closed-loop algorithm without implementing the upper-limit for insulin delivery.

  2. Number of Subject With YSI (Yellow Spring Instrument) Dipped Below 50mg/dL - Exploratory B Phase

    Time frame: 1 day

    The purpose of exploratory B study was to evaluate the efficacy and safety of the insulin upper-limit, Umax. The Umax is a patient-specific parameter which is calculated based on historical data from the pump that includes SG tracings, insulin delivery information, and the carbohydrate inputs from the user. The main objective of Umax is to prevent the user from being severely hypoglycemic (less than 50 mg/dL) by restricting the controller from over-delivery of insulin.

  3. Number of Subject Under-calibrated to Introduce a Persistent Under-reading Sensor Measurement Bias- Phase 1

    Time frame: 1 day

    Number of subject under-calibrated to introduce a persistent under-reading sensor measurement bias- Phase 1

  4. Percentage of Time in Euglycemic Range - Phase 2

    Time frame: 3 days

    Percentage of time in euglycemic range (% of SG 70-180 mg/dL) - Phase 2

  5. Percentage of Time in Euglycemic Range - Phase 4

    Time frame: 12 days

    Percentage of time in euglycemic range (% of SG 70-180 mg/dL) - Phase 4

  6. Percentage of Time in Euglycemic Range - Phase 6

    Time frame: 7 days

    Percentage of time in euglycemic range (% of SG 70-180 mg/dL) - Phase 6

  7. Percentage of Time in Euglycemic Range - Phase 7

    Time frame: 7 days

    Percentage of time in euglycemic range (% of SG 70-180 mg/dL) - Phase 7

Sponsors and collaborators

Lead sponsor

Medtronic MiniMed, Inc.

Industry

Registry information

Official study title

In-Clinic Feasibility Study to Observe the Overnight Closed Loop System

Acronym: OCL

Important dates

Study start
2013
Primary completion
2016
Study completion
2016
First posted
May 20, 2013
Registry last updated
Feb 28, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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