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Completed

NCT Number: NCT04782934

The GLOW Study - The YANG System

This is an open label, interventional, monocentric, prospective early feasibility study, designed to evaluate the safety of implant and short-term integration into the tissue of the YANG sensor. In addition, the set up will enable data collection which will be used to develop the software algorithm to allow real-time, continuous measurement of glucose, ketone and lactate levels in the interstitial fluid in adults with diabetes mellitus, in a future version of the device.

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Key information

Age range

18 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University Hospital Antwerp

Edegem, Antwerp, 2650, Belgium

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

T1DM patients

  • Subjects willing to sign an informed consent form (ICF),
  • Adult subjects, age ≥ 18, ≤ 50 years old
  • Body Mass Index (BMI) 20≥, ≤ 27.5 [kg/m2]
  • Subjects willing to comply to study protocol requirements (exercises, ketone ester drinks, alcohol, study visits, blood sampling etc)
  • Patients with type 1 diabetes mellitus (T1DM) according to WHO criteria, diagnosed for at least 12 months prior to screening
  • Subjects being on insulin pump for at least 12 months

Healthy Volunteers

  • Subjects willing to sign an informed consent form (ICF),
  • Adult subjects, age ≥ 18, ≤ 50 years old
  • BMI 20≥, ≤ 27.5
  • Subjects willing to comply to study protocol requirements (exercises, ketone ester drinks, alcohol, study visits, blood sampling etc)
  • Healthy subjects, as self-declared and confirmed by screening assessments and Principal Investigator's judgment

Exclusion criteria

  • Subjects with a contraindication to undergo challenging tests (i.e., ischemic heart disease, epilepsy, panhypopituitarism, hypoadrenalism, hypothyroidism, known allergic reaction to ibuprofen/paracetamol/acetylsalicylic acid)
  • For people with diabetes: History of severe hypoglycaemia in the previous 6 months. Severe hypoglycaemia is defined as hypoglycaemia resulting in loss of consciousness or seizure
  • For people with diabetes: History of diabetic ketoacidosis requiring emergency room visit or hospitalization in the previous 6 months
  • Any blood disorder identified by haematocrit <30% or >55%
  • History of hepatitis B, hepatitis C, or HIV
  • A condition requiring or likely to require magnetic resonance imaging (MRI) during the study duration
  • Female subjects who are pregnant, planning on becoming pregnant or nursing
  • Any disorder, which in the investigator's opinion might jeopardise subject's safety or compliance with the protocol.
  • Coagulation disorder, wound healing and bleeding disorder or taking anticoagulant medication
  • Any long-term drug treatments other than insulin, such as statins, low-dose aspirin, fibrates etc.
  • The presence of any other active implanted device except for insulin pumps (as defined further in protocol)
  • The presence of any other CGM sensor or transmitter located in abdomen (other location is acceptable)
  • Impaired fasting glucose or impaired glucose tolerance (for healthy volunteers)
  • Any contraindication to the use of the Yang system as listed in the device IFU (i.e. any known allergy to PDMS)

Treatment and study plan

The YANG SENSOR is an active implantable device, for Real Time Continuous Glucose, Lactate and Ketone Measurement

Device

The YANG SENSOR is an active implantable device, that is intended to be implanted in the subcutaneous abdominal tissue, approximately 10mm below the skin. The SENSOR is battery powered. The battery is wirelessly recharged through the skin by the YANGEXD, using a charging coil ('Donut') applied to the skin with an adhesive patch at the level of the SENSOR. The 'Donut' also receives data from the sensor.

Primary outcomes

  1. Incidence of device-related or sensor insertion/removal procedure-related adverse events

    Time frame: 57 days

  2. Assessment of foreign body reaction due subcutaneous implantation with biopsy

    Time frame: 27 days

    Assessment of i.e. inflammation, infection, tissue vascularization, formation of fibrotic scar tissue

  3. Incidence of sensor failure

    Time frame: 27 days

Secondary outcomes

  1. Collection of users feedback in the form of clinical questionnaire to assess the 'easiness' of surgical procedure with questionnaire

    Time frame: 1 day

  2. Requirements of duration of implantation and explantation procedure

    Time frame: 27 days

  3. Post explantation follow-up

    Time frame: 30 days

    Removal of sutures and wound healing after 10 days post explantation of the sensor. Follow-up via phone call after 30 days

Other outcomes

  1. Assessment of sensor ability to measure glucose and β-hydroxybutyrate and lactate levels to allow the development of the algorithm

    Time frame: 27 days

    Exploratory endpoint

  2. Assessment of influence of interference substances (i.e. ethanol, lactate, ketones, paracetamol, acetylsalicylic acid, sorbitol, fructose, aspartame, ibuprofen, caffeine and ascorbic acid [Vitamin C])

    Time frame: 27 days

    Exploratory endpoint: blood samples will be taken each 2.5 or 5 min to measure glucose, lactate and ketones. Glucose will also be measured with a CGM. The influence of the confounders on the glucose measurement by the sensor in the interstitial fluid will be investigated.

Sponsors and collaborators

Lead sponsor

Indigo Diabetes NV

Industry

Collaborators

  • University Hospital, Antwerp

Registry information

Official study title

Early Feasibility and First in Human Study of the YANG System for Continuous Monitoring of Glucose, Ketones and Lactate - The GLOW Study

Important dates

Study start
2021
Primary completion
2021
Study completion
2021
First posted
Mar 4, 2021
Registry last updated
Sep 21, 2021

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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