Efficacy and Safety of the APGO Algorithm for Automated Insulin Delivery
1 other identifier
interventional
200
1 country
1
Brief Summary
The Medtrum TouchCare Nano system with the APGO algorithm is the only patch pump-based automated insulin delivery system available in the Czech Republic. However, until now, no prospective clinical study has evaluated its efficacy and safety under real-world conditions. The RENEW study is the first to address this topic.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jun 2025
Typical duration for not_applicable
1 active site
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
Study Start
First participant enrolled
June 19, 2025
CompletedFirst Submitted
Initial submission to the registry
December 3, 2025
CompletedFirst Posted
Study publicly available on registry
January 6, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 19, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
June 19, 2028
January 6, 2026
December 1, 2025
2 years
December 3, 2025
December 25, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Changes in glycated haemoglobin (HbA1c)
Differences between HbA1c values in the Visit 0 and Visit 24
Up to 24 months
Changes in percentage of time in target ranges 3,9-10,0 mmol/L (70-180 mg/dl)
Differences between percentage of time in target ranges in the Visit 0 and Visit 24
Up to 24 months
Secondary Outcomes (7)
Changes in percentage of time in hypoglycemic ranges <3.9 mmol/L (70 mg/dl) and <3.0 mmol/L (54 mg/dl)
Up to 24 months
Changes in percentage of time in hyperglycemic ranges >10,0 mmol/L (180 mg/dl) and >13,9 mmol/L (250 mg/dl)
Up to 24 months
Changes in percentage of time in tight target ranges 3,9-7,8 mmol/L (70-140 mg/dl)
Up to 24 months
Changes in average glycemia (mmol/L)
Up to 24 months
Changes in estimated glycated haemoglobin GMI (%)
Up to 24 months
- +2 more secondary outcomes
Study Arms (1)
Patients with TouchCare Nano A8 insulin pump with the APGO system
EXPERIMENTALPatients with type 1 diabetes, who initiated use of the TouchCare Nano A8 insulin pump with the APGO system.
Interventions
Insulin pump Medtrum TouchCare Nano A8 with the APGO algorithm is the only patch pump-based automated insulin delivery system available in the Czech Republic.
Eligibility Criteria
You may qualify if:
- patients with T1D
- type 1 diabetes for ≥1 years
- ≥ 18 years old
- written informed consent prior to starting study related activity
You may not qualify if:
- severe noncompliance
- lactation, pregnancy, intending to become pregnant during study
- use of medication with effects on carbohydrate metabolism
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
3rd Department of Internal Medicine, 1st Faculty of Medicine, Charles University, Prague, Czechia
Prague, Czechia
Related Publications (3)
Rimon MTI, Hasan MW, Hassan MF, Cesmeci S. Advancements in Insulin Pumps: A Comprehensive Exploration of Insulin Pump Systems, Technologies, and Future Directions. Pharmaceutics. 2024 Jul 15;16(7):944. doi: 10.3390/pharmaceutics16070944.
PMID: 39065641RESULTGinsberg BH. Patch Pumps for Insulin. J Diabetes Sci Technol. 2019 Jan;13(1):27-33. doi: 10.1177/1932296818786513. Epub 2018 Aug 2.
PMID: 30070604RESULTKulzer B, Freckmann G, Heinemann L, Schnell O, Hinzmann R, Ziegler R. Patch Pumps: What are the advantages for people with diabetes? Diabetes Res Clin Pract. 2022 May;187:109858. doi: 10.1016/j.diabres.2022.109858. Epub 2022 Apr 1.
PMID: 35367523RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 3, 2025
First Posted
January 6, 2026
Study Start
June 19, 2025
Primary Completion (Estimated)
June 19, 2027
Study Completion (Estimated)
June 19, 2028
Last Updated
January 6, 2026
Record last verified: 2025-12
Data Sharing
- IPD Sharing
- Will not share