NCT04129424

Brief Summary

Continuous subcutaneous insulin infusion (CSII), known as insulin pump therapy, has been widely used for diabetes patients in recent years. Many clinical studies have proved the priority of CSII to multiple insulin injections including better glycaemic control with lower daily insulin requirement, lower glycated haemoglobin (HbA1c) level and reduced risk of severe hypoglycaemia. The best mode of CSII is a kind of programmed and individualized insulin infusion mode. But at present, the applying of insulin pump is mainly during hospitalization period in China, which is not conformed with daily living scenarios of patients. The outpatient insulin pump treatment is much closer to the real living scenarios of patients. However, lack of management experience and widely accepted formative model of insulin pump applying in clinic restricted use of insulin pumps in clinical in China. The investigators aimed to explore a safe and effective management mode of insulin pump operating to enable a wide population to have access to daily use of CSII, and to maximize the rational use of limited medical resources.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
180

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Dec 2019

Geographic Reach
1 country

1 active site

Status
unknown

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

First Submitted

Initial submission to the registry

September 20, 2019

Completed
26 days until next milestone

First Posted

Study publicly available on registry

October 16, 2019

Completed
2 months until next milestone

Study Start

First participant enrolled

December 1, 2019

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2020

Completed
Last Updated

October 16, 2019

Status Verified

October 1, 2019

Enrollment Period

1 year

First QC Date

September 20, 2019

Last Update Submit

October 14, 2019

Conditions

Keywords

Diabetes mellitusInsulin pumpContinuous subcutaneous insulin infusion

Outcome Measures

Primary Outcomes (4)

  • The basal insulin dose of insulin pump at the end of the study

    Day-7 or day-14 or day-28 for different groups

  • The preprandial insulin dose of insulin pump at the end of the study

    Day-7 or day-14 or day-28 for different groups

  • The basal insulin dose of insulin pump at the end of the 6-day follow-up

    Day-14 or day-28 or day-35 for different groups

  • The preprandial insulin dose of insulin pump at the end of the 6-day follow-up

    Day-14 or day-28 or day-35 for different groups

Secondary Outcomes (9)

  • The frequency of hypoglycemia

    Day-7 or day-14 or day-28 for different groups

  • The time in range of goal blood glucose during follow-up

    Day-14 or day-28 or day-35 for different groups

  • The frequency of pain at puncture site

    Day-7 or day-14 or day-28 for different groups

  • The frequency of errors in patency of infusion pipeline connection

    Day-7 or day-14 or day-28 for different groups

  • The blood glucose value of hypoglycemia

    Day-7 or day-14 or day-28 for different groups

  • +4 more secondary outcomes

Study Arms (18)

Type 1 diabetes mellitus_7-day group

EXPERIMENTAL

Type 1 diabetes mellitus patients aimed to reach goal blood glucose in 7 days. After 7 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.

Device: Insulin pump (Microtech, Equil®)

Type 1 diabetes mellitus_14-day group

EXPERIMENTAL

Type 1 diabetes mellitus patients aimed to reach goal blood glucose in 14 days. After 14 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.

Device: Insulin pump (Microtech, Equil®)

Type 1 diabetes mellitus_28-day group

EXPERIMENTAL

Type 1 diabetes mellitus patients aimed to reach goal blood glucose in 28 days. After 28 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.

Device: Insulin pump (Microtech, Equil®)

Type 2 diabetes mellitus_7-day group

EXPERIMENTAL

Type 2 diabetes mellitus patients aimed to reach goal blood glucose in 7 days. After 7 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.

Device: Insulin pump (Microtech, Equil®)

Type 2 diabetes mellitus_14-day group

EXPERIMENTAL

Type 2 diabetes mellitus patients aimed to reach goal blood glucose in 14 days. After 14 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.

Device: Insulin pump (Microtech, Equil®)

Type 2 diabetes mellitus_28-day group

EXPERIMENTAL

Type 2 diabetes mellitus patients aimed to reach goal blood glucose in 28 days. After 28 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.

Device: Insulin pump (Microtech, Equil®)

Gestational diabetes mellitus_7-day group

EXPERIMENTAL

Gestational diabetes mellitus patients aimed to reach goal blood glucose in 7 days. After 7 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.

Device: Insulin pump (Microtech, Equil®)

Gestational diabetes mellitus_14-day group

EXPERIMENTAL

Gestational diabetes mellitus patients aimed to reach goal blood glucose in 14 days. After 14 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.

Device: Insulin pump (Microtech, Equil®)

Gestational diabetes mellitus_28-day group

EXPERIMENTAL

Gestational diabetes mellitus patients aimed to reach goal blood glucose in 28 days. After 28 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.

Device: Insulin pump (Microtech, Equil®)

Pregestational diabetes mellitus_7-day group

EXPERIMENTAL

Pregestational diabetes mellitus patients aimed to reach goal blood glucose in 7 days. After 7 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.

Device: Insulin pump (Microtech, Equil®)

Pregestational diabetes mellitus_14-day group

EXPERIMENTAL

Pregestational diabetes mellitus patients aimed to reach goal blood glucose in 14 days. After 14 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.

Device: Insulin pump (Microtech, Equil®)

Pregestational diabetes mellitus_28-day group

EXPERIMENTAL

Pregestational diabetes mellitus patients aimed to reach goal blood glucose in 28 days. After 28 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.

Device: Insulin pump (Microtech, Equil®)

Pancreatogenic diabetes mellitus _7-day group

EXPERIMENTAL

Pancreatogenic diabetes mellitus patients aimed to reach goal blood glucose in 7 days. After 7 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.

Device: Insulin pump (Microtech, Equil®)

Pancreatogenic diabetes mellitus _14-day group

EXPERIMENTAL

Pancreatogenic diabetes mellitus patients aimed to reach goal blood glucose in 14 days. After 14 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.

Device: Insulin pump (Microtech, Equil®)

Pancreatogenic diabetes mellitus _28-day group

EXPERIMENTAL

Pancreatogenic diabetes mellitus patients aimed to reach goal blood glucose in 28 days. After 28 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.

Device: Insulin pump (Microtech, Equil®)

Diabetes patients in perioperative period _7-day group

EXPERIMENTAL

Diabetes patients in perioperative period aimed to reach goal blood glucose in 7 days. After 7 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.

Device: Insulin pump (Microtech, Equil®)

Diabetes patients in perioperative period _14-day group

EXPERIMENTAL

Diabetes patients in perioperative period aimed to reach goal blood glucose in 14 days. After 14 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.

Device: Insulin pump (Microtech, Equil®)

Diabetes patients in perioperative period _28-day group

EXPERIMENTAL

Diabetes patients in perioperative period aimed to reach goal blood glucose in 28 days. After 28 days, CGM was planed to apply for another 6 days to evaluate their blood glucose level and adjust insulin dose if necessary.

Device: Insulin pump (Microtech, Equil®)

Interventions

Those patients of different types of diabetes mellitus were assigned to different groups, those groups were classified by the time to reach target blood glucose .

Diabetes patients in perioperative period _14-day groupDiabetes patients in perioperative period _28-day groupDiabetes patients in perioperative period _7-day groupGestational diabetes mellitus_14-day groupGestational diabetes mellitus_28-day groupGestational diabetes mellitus_7-day groupPancreatogenic diabetes mellitus _14-day groupPancreatogenic diabetes mellitus _28-day groupPancreatogenic diabetes mellitus _7-day groupPregestational diabetes mellitus_14-day groupPregestational diabetes mellitus_28-day groupPregestational diabetes mellitus_7-day groupType 1 diabetes mellitus_14-day groupType 1 diabetes mellitus_28-day groupType 1 diabetes mellitus_7-day groupType 2 diabetes mellitus_14-day groupType 2 diabetes mellitus_28-day groupType 2 diabetes mellitus_7-day group

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients in clinic of type 1 diabetes mellitus, type 2 diabetes mellitus, gestational/pregestational diabetes mellitus, perioperative diabetes mellitus and patients with diabetes mellitus after pancreatectomy, including those with poor blood glucose control using multiple subcutaneous insulin injections or those are willing to use insulin pump therapy;
  • Age: 18-80 years old;
  • Patients and family members understand the research program and are willing to participate in the study and sign written informed consent.

You may not qualify if:

  • allergic to dressings and subcutaneous transfusion tubes;
  • allergic to insulin;
  • Severe diabetic acute complications within 6 months(diabetic ketoacidosis, diabetic hyperglycemia and hyperosmolar state, diabetic lactic acidosis).
  • Severe chronic complications of diabetes mellitus, such as peripheral vascular lesions leading to amputation or chronic foot ulcer, end-stage renal disease, etc. who researchers thought not suitable for this study.
  • Two or more times of severe hypoglycemia occured in the past year (such as consciousness disturbance and coma caused by hypoglycemia), or severe unconscious hypoglycemia.
  • Patients with severe impairment of cardiac function (NYHA grade III or above), liver function (alanine aminotransferase, aspartate aminotransferase or total bilirubin higher than the upper limit of normal value 2 times or more), renal function (serum creatinine higher than the upper limit of normal value) or circulation disorder;
  • Patients with mental illness and self-care ability;
  • Patients or their families could not understand the conditions and objectives of this study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Peking Union Medical College Hospital

Beijing, Beijing Municipality, 100730, China

Location

MeSH Terms

Conditions

Diabetes Mellitus, Type 1Diabetes Mellitus, Type 2Diabetes, GestationalDiabetes Mellitus

Condition Hierarchy (Ancestors)

Glucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System DiseasesAutoimmune DiseasesImmune System DiseasesPregnancy ComplicationsFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital Diseases

Central Study Contacts

Study Design

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

Study Record Dates

First Submitted

September 20, 2019

First Posted

October 16, 2019

Study Start

December 1, 2019

Primary Completion

December 1, 2020

Study Completion

December 1, 2020

Last Updated

October 16, 2019

Record last verified: 2019-10

Data Sharing

IPD Sharing
Will not share

Locations