Prepivotal Omnipod Horizon™ Automated Glucose Control System

Insulet

Status

Completed

Conditions

Type 1 Diabetes Mellitus

Treatments

Device: Omnipod Horizon™ Automated Glucose Control System

Study type

Interventional

Funder types

Industry

Identifiers

NCT04176731

Horizon™ Prepivotal Study

Details and patient eligibility

About

Subjects will undergo a 14-day outpatient, standard therapy phase during which sensor and insulin data will be collected. This will be followed by a 14-day hybrid closed-loop phase conducted in both a hotel/rental house setting and outpatient setting.

Full description

The study schedule will consist of a standard therapy data collection phase followed by a hybrid closed-loop phase.

Subjects will undergo a 14-day outpatient, standard therapy phase during which sensor and insulin data will be collected. Subjects, or their caregivers, will manage their diabetes at home per their usual routine using the study continuous glucose monitoring system (CGM) and remain on current multiple daily injections (MDI) or pump therapy. This will be followed by a 14-day hybrid closed-loop phase conducted in both a hotel/rental house setting and an outpatient setting.

The hybrid closed-loop phase will begin on Study Day 1.

During the hybrid closed-loop phase, subjects will be divided into two groups. The first group of subjects will commence the hybrid closed-loop phase in the hotel/rental house setting. On Study Day 3, subjects will transition to an outpatient setting for the remaining 12 days. After all subjects from the first group have completed the 2-day hotel/rental house phase, the second group of subjects may commence the hybrid closed-loop phase in an outpatient setting for 14-days.

During the hybrid closed-loop phase, all subjects will participate in specific target blood glucose (BG) challenges.

After each subject in the prepivotal study has successfully completed 14-days of hybrid-closed-loop, they may immediately transition to and enroll in the pivotal study.

Enrollment

36 patients

Sex

All

Ages

6 to 70 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Age at time of consent/assent 6-70 years
Subjects aged < 18 years must be living with parent/legal guardian
Diagnosed with type 1 diabetes for at least 6 months. Diagnosis is based on investigator's clinical judgment.
Deemed appropriate for pump therapy per investigator's assessment taking into account previous history of severe hypoglycemic and hyperglycemic events, and other comorbidities
Investigator has confidence that the subject can successfully operate all study devices and is capable of adhering to the protocol
Willing to use only the following types of insulin during the study: Humalog, Novolog, Admelog, or Apidra during the study
Must be willing to set target glucose between 130-150 mg/dL each for approximately 72-hours on predefined days during the hybrid closed-loop phase
Must be willing to extend their participation into the pivotal study if they continue to meet the protocol criteria
Willing to wear the system continuously throughout the study
A1C <10% at screening visit
Must be willing to use the Dexcom App on the Omnipod Horizon™ PDM as the sole source of Dexcom data (with the exception of the Dexcom Follow App) during the hybrid closed-loop phase
Subjects scoring ≥ 4 on the Clarke Questionnaire must agree to have an overnight companion, defined as someone who resides in the same home or building as the study subject and who can be available overnight
Able to read and speak English fluently
Subject must be in an AT&T covered area
Willing and able to sign the Informed Consent Form (ICF) and/or has a parent/guardian willing and able to sign the ICF. Assent will be obtained from pediatric and adolescent subjects aged < 18 years per State requirements.

Exclusion criteria

A medical condition, which in the opinion of the investigator, would put the subject at an unacceptable safety risk
History of severe hypoglycemia (as defined in Section 11.3.3) in the past 6 months
History of DKA (as defined in Section 11.3.4) in the past 6 months, unrelated to an intercurrent illness, infusion set failure or initial diagnosis
Diagnosed with sickle cell disease
Diagnosed with hemophilia or any other bleeding disorders
Plans to receive blood transfusion over the course of the study
Currently diagnosed with anorexia nervosa or bulimia
Acute or chronic kidney disease (e.g. estimated GFR < 45) or currently on hemodialysis
History of adrenal insufficiency
Has taken oral or injectable steroids within the past 8 weeks or plans to take oral or injectable steroids during the course of the study
Unable to tolerate adhesive tape or has any unresolved skin condition in the area of sensor or pump placement
Plans to use insulin other than U-100 insulin intended for use in the study device during the course of the study
Use of non-insulin anti-diabetic medication other than metformin (e.g. GLP1 agonist, SGLT2 inhibitor, DPP-4 inhibitor, pramlintide)
Current or known history of coronary artery disease that is not stable with medical management, including unstable angina, or angina that prevents moderate exercise despite medical management, or a history of myocardial infarction, percutaneous coronary intervention, or coronary artery bypass grafting within the previous 12 months.
For subjects >50 years old or with diabetes duration >20 years, abnormal electrocardiogram consistent with increased risk of arrhythmia, ischemia, or prolonged QTc interval (> 450 ms)
Thyroid Stimulating Hormone (TSH) is outside of normal range with clinical signs of hypothyroidism or hyperthyroidism
Pregnant or lactating, or is a woman of childbearing potential and not on acceptable form of birth control (acceptable includes abstinence, condoms, oral/injectable contraceptives, IUD or implant)
Participation in another clinical study using an investigational drug or device within the preceding 30-days or intends to participate during the study period
Unable to follow clinical protocol for the duration of the study or is otherwise deemed unacceptable to participate in the study per the investigator's clinical judgment.