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Fast-Acting Insulin Aspart and Insulin Pump Settings 4상 40

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임상시험 NCT04620967은(는) 치료을(를) 알아보기 위한 연구입니다. 이 연구는 제1형 당뇨병에 대해 진행되며, 4상 중재연구으로 현재 상태는 미상입니다. 연구는 2021년 2월 1일에 시작되어 40명의 참여자를 모집하고 있습니다. Kirsten Nørgaard이(가) 진행하며, 2022년 6월 30일까지 완료될 예정입니다. ClinicalTrials.gov의 가장 최근 정보는 2021년 2월 16일에 갱신되었습니다.
간단한 개요

To clarify the role of fast-acting insulin aspart (Fiasp) in insulin pump-treated type 1 diabetes more research is needed.

The aim of this study is twofold:

  1. to compare the effects of Fiasp and Iasp in adults with type 1 diabetes who are using insulin pump and CGM and who are attending a diabetes out-patient clinic with extensive expertise in insulin pump and CGM therapy.
  2. to determine differences in insulin pu...
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공식 제목

Fast-Acting Insulin Aspart and Insulin Pump Settings: THE FAST PUMP SETTING STUDY

질환명
제1형 당뇨병
기타 연구 식별자
  • 2020-001158-23
  • H-20022359 (기타 식별자) (Scientific Ethical Committee of the Capital Region of Denmark)
NCT 번호
실제 연구 시작일
2021-02-01
최신 업데이트 게시
2021-02-16
예상 연구 완료일
2022-06-30
계획된 등록 인원
40
연구종류
중재연구
단계/상
4상
상태
미상
키워드
Insulin pump
주요 목적
치료
설계 할당
무작위배정
중재 모델
교차 설계
맹검 (마스킹)
삼중맹검
시험군 / 개입
참가자 그룹/시험군개입/치료
실험적Iasp-Fiasp
First period: Insulin pump with Iasp Second period: Insulin pump with Fiasp
Insulin aspart
Insulin aspart (Iasp) in insulin pump
Fast-acting insulin aspart
Fast-acting insulin aspart (Fiasp) in insulin pump
실험적Fiasp-Iasp
First period: Insulin pump with Fiasp Second period: Insulin pump with Iasp
Insulin aspart
Insulin aspart (Iasp) in insulin pump
Fast-acting insulin aspart
Fast-acting insulin aspart (Fiasp) in insulin pump
주요결과변수
결과변수측정값 설명시간 범위
Time in range
Difference in time spent with glucose values in the range 3.9-10.0 mmol/l between Fiasp and Iasp treatment assessed by continuous glucose monitoring
Last two weeks of the 16-week interventions
이차결과변수
결과변수측정값 설명시간 범위
Mean glucose
Difference in mean glucose between Fiasp and Iasp treatment assessed by continuous glucose monitoring
Last two weeks of the 16-week interventions
Coefficient of variation
Difference in coefficient of variation between Fiasp and Iasp treatment assessed by continuous glucose monitoring
Last two weeks of the 16-week interventions
Time below range level 1
Difference in time spent with glucose values below 3.9 mmol/l between Fiasp and Iasp treatment assessed by continuous glucose monitoring
Last two weeks of the 16-week interventions
Time below range level 2
Difference in time spent with glucose values below 3.0 mmol/l between Fiasp and Iasp treatment assessed by continuous glucose monitoring
Last two weeks of the 16-week interventions
Time above range level 1
Difference in time spent with glucose values above 10.0 mmol/l between Fiasp and Iasp treatment assessed by continuous glucose monitoring
Last two weeks of the 16-week interventions
Time above range level 2
Difference in time spent with glucose values above 13.9 mmol/l between Fiasp and Iasp treatment assessed by continuous glucose monitoring
Last two weeks of the 16-week interventions
Fructosamine
Difference in change in fructosamine between Fiasp and Iasp treatment
16 weeks
Total daily insulin dose
Difference between Fiasp and Iasp treatment in total daily insulin dose
Last two weeks of the 16-week interventions
Total daily basal insulin dose
Difference between Fiasp and Iasp treatment in total daily basal insulin dose
Last two weeks of the 16-week interventions
Total daily bolus insulin dose
Difference between Fiasp and Iasp treatment in total daily bolus insulin dose
Last two weeks of the 16-week interventions
Severe hypoglycemia
Difference between Fiasp and Iasp treatment in number of severe hypoglycemia events
16 weeks
Ketoacidosis
Difference between Fiasp and Iasp treatment in number of ketoacidosis events
16 weeks
적격성 기준

연령대
성인, 노인
최소 연령
18 Years
참여 가능한 성별
전체
  • Type 1 diabetes for ≥ 5 years
  • HbA1c 53-75 mmol/mol (7.0-9.0%)
  • Insulin pump treatment for ≥ 6 months (all insulin pump makes except hybrid closed-loop systems are eligible for inclusion)
  • CGM use for ≥ 6 months (all CGM makes are eligible for inclusion)
  • Carbohydrate counting for all snacks and meals
  • Use of the insulin pump bolus calculator for all meals and snacks

  • Breast-feeding, pregnant, planning to become pregnant or of child-bearing potential and not using adequate contraceptive methods
  • Gastroparesis (clinical assessment)
  • Shift work
  • Changing insulin needs throughout the menstrual cycle that requires different basal rate patterns
  • Use of a hybrid closed-loop system
  • Use of flash glucose monitoring
  • Use of anti-diabetic medicine (other than insulin), corticosteroids or other drugs affecting glucose metabolism during the study period or within 30 days prior to study start
  • Chronic paracetamol use
  • Alcohol or drug abuse
  • Severe cardiac disease or retinopathy contraindicating HbA1c below 53 mmol/mol
  • Impaired renal function (eGFR< 60 ml/min/1.73 m2)
  • History of local skin reactions to Fiasp and/or Iasp
  • Other concomitant medical or psychological condition that according to the investigator's assessment makes the patient unsuitable for study participation
  • Lack of compliance with key study procedures at the discretion of the investigator
  • Unacceptable adverse events at the discretion of the investigator
  • Less than 40 weeks guarantee remaining on insulin pump
Kirsten Nørgaard logoKirsten Nørgaard
연구 책임자
Kirsten Nørgaard, 의뢰자-연구자, Senior Consultant, Steno Diabetes Center Copenhagen
연구 대표 연락처
연락처: Signe Schmidt, MD PhD, +45 51174785, [email protected]
1 1개국에 임상시험 장소
Steno Diabetes Center Copenhagen, Gentofte Municipality, 2820, Denmark
Signe Schmidt, MD PhD, 연락처, +45 51174785, [email protected]
Ajenthen Ranjan, MD PhD, 공동연구자
Hanne-Charlotte Andersen, RN, 공동연구자
Signe Schmidt, MD PhD, 공동연구자
모집중