Closing the Loop in Adults With Type 1 Diabetes
ANGELA01
A Randomised, 2-period Cross-over Study to Assess the Feasibility of Overnight Computer-based Glucose Control Based on Continuous Subcutaneous Glucose Monitoring, and Compare it With Conventional Pump Therapy in Adults With Type 1 Diabetes
1 other identifier
interventional
12
1 country
1
Brief Summary
The main objective of this study is to evaluate the feasibility of closed loop insulin pump therapy to improve overnight glucose control in adults with type 1 diabetes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Feb 2009
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2009
CompletedFirst Submitted
Initial submission to the registry
May 28, 2009
CompletedFirst Posted
Study publicly available on registry
June 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2009
CompletedSeptember 17, 2009
September 1, 2009
5 months
May 28, 2009
September 16, 2009
Conditions
Outcome Measures
Primary Outcomes (1)
Percentage of plasma glucose values in target (3.9 - 8.0 mmol/L)
1900 to 0800hr
Secondary Outcomes (25)
Percentage of CGM (continuous glucose monitoring) values in target (3.9-8.0 mmol/L)
1900 to 0800hr
Percentage of plasma glucose and CGM values in target (3.9-8.0 mmol/L)
0000 to 0800hr
Percentage of plasma glucose and CGM values in target (3.9-8.0 mmol/L)
0800 to 1200hr
Percentage of plasma glucose and CGM values below 3.9 mmol/L
1900 to 0800hr
Percentage of plasma glucose and CGM values below 3.9 mmol/L
0000 to 0800hr
- +20 more secondary outcomes
Study Arms (2)
Closed loop (algorithm)
EXPERIMENTALOpen loop
PLACEBO COMPARATORInterventions
Subcutaneous delivery of Novorapid insulin according to usual pump regime
Subcutaneous delivery of Novorapid insulin, dose calculated by control algorithm, based on continuous glucose sensor readings
Eligibility Criteria
You may qualify if:
- Type 1 diabetes, as defined by WHO for at least 6 months or confirmed C-peptide negative.
- On insulin pump therapy for at least 3 months
You may not qualify if:
- Non-type 1 diabetes mellitus
- Any physical/psychological disease likely to interfere with the study
- Taking medication likely to interfere with interpretation of the results
- Known/suspected allergy against insulin
- Patients with clinically significant nephropathy, neuropathy or retinopathy as judged by the investigator
- Ongoing severe recurrent hypoglycaemia as judged by the investigator.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Cambridgelead
- Cambridge University Hospitals NHS Foundation Trustcollaborator
- Diabetes UKcollaborator
Study Sites (1)
Addenbrooke's Hospital
Cambridge, CB2 0QQ, United Kingdom
Related Publications (1)
Hovorka R, Kumareswaran K, Harris J, Allen JM, Elleri D, Xing D, Kollman C, Nodale M, Murphy HR, Dunger DB, Amiel SA, Heller SR, Wilinska ME, Evans ML. Overnight closed loop insulin delivery (artificial pancreas) in adults with type 1 diabetes: crossover randomised controlled studies. BMJ. 2011 Apr 13;342:d1855. doi: 10.1136/bmj.d1855.
PMID: 21493665DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Mark L Evans, MD FRCP
University of Cambridge, UK
- STUDY DIRECTOR
Roman Hovorka, PhD
University of Cambridge, UK
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
May 28, 2009
First Posted
June 1, 2009
Study Start
February 1, 2009
Primary Completion
July 1, 2009
Study Completion
July 1, 2009
Last Updated
September 17, 2009
Record last verified: 2009-09