Outpatient Study to Evaluate Safety and Effectiveness of the Low Glucose Suspend Feature



Status:Completed
Conditions:Diabetes
Therapuetic Areas:Endocrinology
Healthy:No
Age Range:Any
Updated:11/18/2012
Start Date:December 2011
End Date:June 2013
Contact:Thomas Troub
Email:thomas.troub@medtronic.com
Phone:(818) 576-3142

Use our guide to learn which trials are right for you!

ASPIRE (Automation to Simulate Pancreatic Insulin Response): Pivotal In Home Study to Determine Safety and Efficacy of the LGS Feature in Sensor-augmented Pumps


Introduction:

The purpose of the pivotal In Home study is to collect clinical data on the safety and
efficacy of the Paradigm LGS System in the actual use environment and by the intended use
population. ASPIRE is a multi-center, in home, randomized parallel adaptive study design
with type 1 diabetes. The study will compare A1C and CGM based nocturnal hypoglycemic events
in a treatment arm to a control arm. Arms are defined as:

- Treatment Arm (LGS ON) using Paradigm® VEO™ Pump

- Control Arm (NO LGS FEATURE ) using Paradigm® Revel™2.0 Pump

The study's objectives are two-fold:

1. The first study objective is to demonstrate that home use of Low Glucose Suspend (LGS)
is safe and is not associated with glycemic deterioration, as measured by change in A1C
from baseline to end of study participation.

2. The second study objective is to demonstrate that home use of Low Glucose Suspend (LGS)
is associated with reduction in nocturnal hypoglycemia when patients fail to respond.

Primary Safety Endpoint:

The change in A1C from randomization to the end of the treatment period will be used to
demonstrate that the automatic insulin delivery suspension (LGS ON) does not result in an
unacceptable worsening of glycemic control.


Inclusion Criteria:

- Subjects who are 16-21 years are determined by the investigator to have the
appropriate, requisite support (family, caregiver or social network) to successfully
participate in this study

- Subjects who are determined by the investigator to be psychologically sound in order
to successfully participate in this study.

- Subject was < 40 years at disease onset

- Subject has been diagnosed with type 1 diabetes ≥ 2 years

- Subject is willing to perform ≥ 4 finger stick blood glucose measurements daily

- Subject is willing to perform required sensor calibrations

- Subject is willing to wear the system continuously throughout the study

- Subject is willing to keep a log to record at minimum:

- Sick days

- Days with exercise and days with symptoms of low glucose

- Subject has an A1C value 5.8% to 10.0% (as processed by Central Lab) at time of
screening visit

- Subject must be on pump therapy use for >6 months prior to Screening

- Subject has been followed by a well trained diabetes health care provider(s) for 6
months prior to screening

- Subject is willing to upload data weekly from the study pump, must have Internet
access and a computer system that meets the requirements for uploading the study pump

- If subject has celiac disease, it has been adequately treated as determined by the
investigator

- Subject is willing to take one of the following insulins and can financially afford
to use either of the 2 insulin preparations throughout the course of the study (i.e.
co-payments for insulin with insurance or able to pay full amount)

- Humalog® (insulin lispro injection)

- NovoLog® (insulin aspart)

Exclusion Criteria:

- Subject has a history of 2 or more episodes of severe hypoglycemia, which resulted in
any the following during the 6 months prior to screening:

- Medical assistance (i.e. Paramedics, Emergency room or Hospitalization)

- Coma

- Seizures

- Subject is unable to tolerate tape adhesive in the area of sensor placement

- Subject has any unresolved adverse skin condition in the area of sensor placement
(e.g., psoriasis, rash, Staphylococcus infection)

- Women of child-bearing potential who have a positive pregnancy test at screening or
plan to become pregnant during the course of the study

- Subject has had any of the following new diagnoses within 1 year of screening:
myocardial infarction, unstable angina, coronary artery bypass surgery, coronary
artery stenting, transient ischemic attack, cerebrovascular accident, angina,
congestive heart failure, ventricular rhythm disturbances or thromboembolic disease

- Subject is being treated for hyperthyroidism at time of screening

- Subject has an abnormality (out of upper reference range, as processed by Central
Lab) in creatinine at time of screening visit

- Subject has an abnormality (out of reference range, as processed by Central Lab) in
thyroid-stimulating hormone (TSH) at time of screening visit

- Subject has taken any oral, injectable, or IV steroids within 8 weeks from time of
screening visit, or plans to take any oral, injectable, or IV steroids during the
course of the study

- Subject is actively participating in an investigational study (drug or device)
wherein he/she has received treatment from an investigational study drug or
investigational study device in the last 2 weeks

- Subject has been hospitalized or has visited the emergency room in the 6 months prior
to screening resulting in a primary diagnosis of uncontrolled diabetes

- Subject is currently abusing illicit drugs

- Subject is currently abusing prescription drugs

- Subject is currently abusing alcohol

- Subject is using pramlintide (Symlin) at time of screening

- Subject has a history of visual impairment which would not allow subject to
participate in the study and perform all study procedures safely, as determined by
the investigator

- Subject has elective surgery planned that requires general anesthesia during the
course of the study

- Subject is a shift worker with working hours between 10pm and 8am.

- Subject has a sickle cell disease, hemoglobinopathy; or has received red blood cell
transfusion or erythropoietin within 3 months prior to time of screening

- Subject plans to receive red blood cell transfusion or erythropoietin over the course
of study participation

- Subject diagnosed with current eating disorder such as anorexia or bulimia

- Subject plans to use significant quantity of herbal preparations (use of over the
counter herbal preparation for 30 consecutive days or longer period during the study)
or significant quantity of vitamin supplements (four times the recommended daily
allowance used for 30 consecutive days or longer period during the study) during the
course of their participation in the study

- Subject has been diagnosed with chronic kidney disease that results in chronic anemia

- Subject is on dialysis
We found this trial at
17
sites
Syracuse, New York 13210
?
mi
from
Syracuse, NY
Click here to add this to my saved trials
?
mi
from
Athens, OH
Click here to add this to my saved trials
Atlanta, Georgia 30309
?
mi
from
Atlanta, GA
Click here to add this to my saved trials
?
mi
from
Aurora, CO
Click here to add this to my saved trials
Austin, Texas 78731
?
mi
from
Austin, TX
Click here to add this to my saved trials
?
mi
from
Des Moines, IA
Click here to add this to my saved trials
Escondido, California 92026
?
mi
from
Escondido, CA
Click here to add this to my saved trials
?
mi
from
Idaho Falls, ID
Click here to add this to my saved trials
Lawrenceville, Georgia 30046
?
mi
from
Lawrenceville, GA
Click here to add this to my saved trials
Little Rock, Arkansas 72205
?
mi
from
Little Rock, AR
Click here to add this to my saved trials
Madison, Wisconsin 53706
(608) 263-2400
University of Wisconsin-Madison In achievement and prestige, the University of Wisconsin-Madison has long been recognized...
?
mi
from
Madison, WI
Click here to add this to my saved trials
Minneapolis, Minnesota 55416
?
mi
from
Minneapolis, MN
Click here to add this to my saved trials
New York, New York 10032
?
mi
from
New York, NY
Click here to add this to my saved trials
Renton, Washington 98057
?
mi
from
Renton, WA
Click here to add this to my saved trials
Roswell, Georgia 30046
?
mi
from
Roswell, GA
Click here to add this to my saved trials
?
mi
from
San Mateo, CA
Click here to add this to my saved trials
West Palm Beach, Florida 33401
?
mi
from
West Palm Beach, FL
Click here to add this to my saved trials