NCT03478969

Brief Summary

This interventional device study aims to compare mainly standard Multiple Daily Injection (MDI) therapy vs. Accu-Chek® Solo Micropump System and investigates participant satisfaction. In addition, a third arm is included to compare to only similar product on the market which is OmniPod. The third arm is for data collection purpose.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
181

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started May 2018

Typical duration for not_applicable

Geographic Reach
4 countries

21 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 13, 2018

Completed
14 days until next milestone

First Posted

Study publicly available on registry

March 27, 2018

Completed
2 months until next milestone

Study Start

First participant enrolled

May 17, 2018

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 18, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 18, 2020

Completed
1.2 years until next milestone

Results Posted

Study results publicly available

August 16, 2021

Completed
Last Updated

August 20, 2021

Status Verified

August 1, 2021

Enrollment Period

2 years

First QC Date

March 13, 2018

Results QC Date

May 13, 2021

Last Update Submit

August 19, 2021

Conditions

Outcome Measures

Primary Outcomes (2)

  • Treatment Satisfaction: Accu-Chek® Micropump System vs. MDI, Measured by the Difference in the Diabetes Technology Questionnaire (DTQ) Total Change Score

    The two comparisons will be performed using a hierarchical procedure. First, the comparison between the Accu-Chek® Solo system vs. MDI will be performed and only if the corresponding Null hypothesis of no difference between both systems can be rejected, then the second comparison between Accu-Chek® Solo system and versus mylife™ OmniPod® will also be performed. The DTQ questionnaire consists of 30 questions with the individual Change Scores ranging from 1 to 5, where 1 represents 'Much worse' and 5 represents 'Much better'. The Total Change Score Range on this questionnaire is from 30 to 150 with higher scores representing lower impairment and improved outcomes.

    26 weeks

  • Treatment Satisfaction: Accu-Chek® Micropump System vs. Mylife™ OmniPod®, Measured by the Difference in the Diabetes Technology Questionnaire (DTQ) Total Change Score

    The two comparisons will be performed using a hierarchical procedure. First, the comparison between the Accu-Chek® Solo system vs. MDI will be performed and only if the corresponding Null hypothesis of no difference between both systems can be rejected, then the second comparison between Accu-Chek® Solo system and versus mylife™ OmniPod® will also be performed. The DTQ questionnaire consists of 30 questions with the individual Change Scores ranging from 1 to 5, where 1 represents 'Much worse' and 5 represents 'Much better'. The Total Change Score Range on this questionnaire is from 30 to 150 with higher scores representing lower impairment and improved outcomes.

    26 weeks

Secondary Outcomes (19)

  • Diabetes-Related Emotional Distress Assessed by Problem Areas in Diabetes Scale (PAID)-5

    Week 26 up to Week 39

  • Device Satisfaction and Treatment Preference

    Baseline up to Week 39

  • Therapy Success Confirmed by Glycated Hemoglobin (Hb1Ac) Levels

    Baseline up to Week 39

  • Therapy Success Indicated by Change in Body Mass Index (BMI)

    Baseline up to Week 39

  • Therapy Success Indicated by Change in Weight

    Baseline up to Week 39

  • +14 more secondary outcomes

Study Arms (3)

Group A: Accu-Chek® Solo

EXPERIMENTAL

Continuous subcutaneous insulin infusion (CSII) with Accu-Chek® Solo Micropump system for 26 weeks. From Week 26 until Week 39, all Groups will be using the Accu-Chek® Solo Micropump system for CSII therapy.

Device: Accu-Chek® Solo micropump system

Group B: MDI, then Accu-Chek® Solo

EXPERIMENTAL

Multiple daily injections (MDI) for 26 weeks. From Week 26 until Week 39, all Groups will be using the Accu-Chek® Solo Micropump system for CSII therapy.

Device: Accu-Chek® Solo micropump systemOther: Multiple Daily Injections (MDI) therapy

Group C: mylife™ OmniPod®, then Accu-Chek® Solo

EXPERIMENTAL

Continuous subcutaneous insulin infusion (CSII) with the mylife™ OmniPod® Insulin Management system for 26 weeks. From Week 26 until Week 39, all Groups will be using the Accu-Chek® Solo Micropump system for CSII therapy.

Device: Accu-Chek® Solo micropump systemDevice: mylife™ OmniPod® Insulin Management System

Interventions

Medical device for subcutaneous delivery of insulin in a personalized way.

Group A: Accu-Chek® SoloGroup B: MDI, then Accu-Chek® SoloGroup C: mylife™ OmniPod®, then Accu-Chek® Solo

A patch pump system delivering insulin.

Group C: mylife™ OmniPod®, then Accu-Chek® Solo

Injecting insulin as per participant's need.

Group B: MDI, then Accu-Chek® Solo

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Diagnosed type 1 diabetes mellitus
  • At least 6 months experience with MDI therapy
  • Age ≥18 years and age ≤ 65
  • Able to perform carbohydrate counting
  • Clinically suitable for CSII including willingness to measure blood glucose at least 4 times per day or to use flash or real-time continuous glucose monitoring consistently
  • HbA1c between 7.5% (58 millimoles per mole (mmol/mol)) and 9.0% (75 mmol/mol) (determined within the last 2 months)
  • Ability and willingness to read and understand study materials (participant information, data protection and written consent form, all questionnaires etc.) and to comply with study procedures
  • Ability and willingness to use investigational devices independently and respond to alarms after training and run-in phase
  • Using a blood glucose (BG)-meter or real-time continuous glucose monitoring device that can be downloaded via Accu-Chek® Smart Pix or willingness to use a compatible meter that will be provided for the duration of the study

You may not qualify if:

  • Prior insulin pump use
  • Relevantly impaired hypoglycemia awareness
  • History of \>1 hospitalization due to severe hypoglycemia within the previous 3 months
  • History of \>1 hospitalization due diabetic ketoacidosis within the last 3 months
  • Significant manifestation of diabetes-related late complications
  • Pregnant or planning to become pregnant or breastfeeding
  • Known allergic reactions to plaster adhesive
  • Chronic use (therapy lasting for more than 3 months) of steroids in adrenal suppressive doses, immunosuppressive medication, or chemotherapy
  • Serious or unstable chronic medical or psychological condition(s)
  • Addiction to alcohol or other substance(s) of abuse as determined by the investigator
  • Psychological condition rendering the participant unable to understand the nature and the scope of the study
  • Plans for relocation or extensive travel
  • Participation in another clinical study within 4 weeks prior to the screening visit
  • Dependency on Sponsor or Investigator (e.g. co-worker or family member)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (21)

VIVIT Institut am LKH Felkirch

Feldkirch, 6800, Austria

Location

LKH Graz, Medizinische Universität Graz

Graz, 8036, Austria

Location

Medizinische Universität Innsbruck

Innsbruck, 6020, Austria

Location

Salzburger Landeskliniken - Universitätsklinikum Salzburg (SALK)

Salzburg, 5020, Austria

Location

Diakonissen & Wehrle Privatklinik GmbH, Standort Andräviertel

Salzburg, 5026, Austria

Location

Hietzing Hospital

Vienna, 1130, Austria

Location

Diabetes Klinik Bad Mergentheim GmbH

Bad Mergentheim, 97980, Germany

Location

InnoDiab Forschung GmbH

Essen, 45136, Germany

Location

Gemeinschaftspraxis im Altstadt-Carree

Fulda, 36037, Germany

Location

Gemeinschaftspraxis Drs Bieber Kraus Nolte Vortherms

Lage, 32791, Germany

Location

Diabeteszentrum am CKQ

Quakenbrück, 49610, Germany

Location

Diabendo Praxiszentrum

Rostock, 18057, Germany

Location

Regionalne Centrum Diabetologii - Uniwersyteckie Centrum Kliniczne

Gdansk, 80-952, Poland

Location

Jagiellonian University

Krakow, 31-501, Poland

Location

Central Clinical Hospital of the MSWiA in Warsaw

Warsaw, 02-507, Poland

Location

Bournemouth Diabetes and Endocrine Centre

Bournemouth, BH7 7DW, United Kingdom

Location

Wolfson Diabetes & Endocrine Clinic

Cambridge, CB2 0QQ, United Kingdom

Location

Centre for Clinical Research and Innovation

Darlington, DL3 6HX, United Kingdom

Location

King's College London, Diabetes Research Group

London, SE5 9RS, United Kingdom

Location

Imperial College London, Diabetes, Endocrinology and Metabolism Division

London, W12 0NN, United Kingdom

Location

Manchester Royal Infirmary, University Hospital

Manchester, M13 9WL, United Kingdom

Location

Related Publications (1)

  • Barnard-Kelly K, Thienel F, Mader JK, Oliver N, Franek E, Vesper I, Dagenbach N, Vogt G, Etter T, Kunsting T. A Three-Arm Randomized Controlled Study Comparing Patient-Reported Outcomes in People With Type 1 Diabetes Using Continuous Subcutaneous Insulin Infusion or Multiple Daily Injections. J Diabetes Sci Technol. 2025 Sep;19(5):1310-1316. doi: 10.1177/19322968241234055. Epub 2024 Mar 8.

MeSH Terms

Conditions

Diabetes Mellitus, Type 1

Interventions

Therapeutics

Condition Hierarchy (Ancestors)

Diabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System DiseasesAutoimmune DiseasesImmune System Diseases

Results Point of Contact

Title
Medical Communications
Organization
Hoffmann-La Roche

Study Officials

  • Iris Vesper

    Hoffmann-La Roche

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
DIAGNOSTIC
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 13, 2018

First Posted

March 27, 2018

Study Start

May 17, 2018

Primary Completion

May 18, 2020

Study Completion

May 18, 2020

Last Updated

August 20, 2021

Results First Posted

August 16, 2021

Record last verified: 2021-08

Locations