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

Onbekend
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De klinische studie NCT04620967 onderzoekt behandeling bij Type 1 diabetes. Deze Fase 4 interventioneel-studie heeft de status onbekend. Het doel is om 40 deelnemers te includeren vanaf 1 februari 2021. De studie wordt geleid door Kirsten Nørgaard en de voltooiing is gepland op 30 juni 2022. Laatste update op ClinicalTrials.gov: 16 februari 2021.
Beknopte samenvatting

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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Officiële titel

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

Aandoeningen
Type 1 diabetes
Andere studie-ID's
  • 2020-001158-23
  • H-20022359 (Overige identificatiecode) (Scientific Ethical Committee of the Capital Region of Denmark)
NCT-ID
Startdatum (Werkelijk)
2021-02-01
Laatste update geplaatst
2021-02-16
Verwachte einddatum
2022-06-30
Inschrijving (Geschat)
40
Studietype
Interventioneel
FASE
Fase 4
Status
Onbekend
Trefwoorden
Insulin pump
Primaire doel
Behandeling
Toewijzing
Gerandomiseerd
Interventiemodel
Cross-over
Blindering
Drievoudig blind
Armen / Interventies
Deelnemersgroep/StudiearmInterventie/Behandeling
ExperimenteelIasp-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
ExperimenteelFiasp-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
Primaire uitkomst
UitkomstmaatBeschrijving van de uitkomstmaatTijdsbestek
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
Secundaire uitkomst
UitkomstmaatBeschrijving van de uitkomstmaatTijdsbestek
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
Geschiktheidscriteria

Leeftijd van deelnemers
Volwassene, Oudere volwassene
Minimumleeftijd
18 Years
Geslachten die in aanmerking komen voor de studie
Allen
  • 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
Verantwoordelijke instantie
Kirsten Nørgaard, Sponsor-Onderzoeker, Senior Consultant, Steno Diabetes Center Copenhagen
Centraal Contactpersoon
Contact: Signe Schmidt, MD PhD, +45 51174785, [email protected]
1 Studielocaties in 1 landen
Steno Diabetes Center Copenhagen, Gentofte Municipality, 2820, Denmark
Signe Schmidt, MD PhD, Contact, +45 51174785, [email protected]
Ajenthen Ranjan, MD PhD, Subonderzoeker
Hanne-Charlotte Andersen, RN, Subonderzoeker
Signe Schmidt, MD PhD, Subonderzoeker
Rekruterend