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Clinical Efficacy of Insulin Pumps in Type 1 Diabetes Mellitus Patients in Spain

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT04761094
Recruitment Status : Completed
First Posted : February 18, 2021
Last Update Posted : February 9, 2022
Sponsor:
Collaborator:
Spanish Diabetes Association
Information provided by (Responsible Party):
Jesús Moreno Fernández, Castilla-La Mancha Health Service

Brief Summary:
Observational cross-sectional multicenter study about clinical efficacy of insulin pumps in type 1 diabetes mellitus patients.

Condition or disease Intervention/treatment
Type 1 Diabetes Device: Insulin pump

Detailed Description:

Observational cross-sectional multicenter study about clinical efficacy of continuous subcutaneous insulin infusion in type 1 diabetes mellitus patients.

All clinical variables are gathered from the Spanish Insulin Pump National Registry.

Data analysis is conducted using SPSS (Chicago, IL) statistic software. Results are presented as mean +/- SD values. A paired Student's t-test or a Wilcoxon signed-rank test were used for the analysis of differences. Comparisons between proportions were analyzed using a chi-squared test. A P value < 0.05 was considered statistically significant.

The protocol was approved by the reference Castilla-La Mancha Public Health Institute Ethic Committee. All participants provided written informed consent.

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Study Type : Observational [Patient Registry]
Actual Enrollment : 2977 participants
Observational Model: Cohort
Time Perspective: Cross-Sectional
Target Follow-Up Duration: 9 Months
Official Title: Clinical Efficacy of Continuous Subcutaneous Insulin Infusion in Type 1 Diabetes Mellitus Patients in Spain
Actual Study Start Date : September 1, 2021
Actual Primary Completion Date : December 31, 2021
Actual Study Completion Date : December 31, 2021

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Diabetes Type 1

Group/Cohort Intervention/treatment
Insulin pump
All patient treated with insulin pump.
Device: Insulin pump
Treatment with continuous subcutaneous insulin infusion




Primary Outcome Measures :
  1. HbA1C [ Time Frame: During the procedure ]
    Glycated haemoglobin A1C


Secondary Outcome Measures :
  1. TIR [ Time Frame: During the procedure ]
    Time in range (TIR, 3.9-10 mmol/L, 70-180 mg/dL) of the interstitial glucose

  2. TAR [ Time Frame: During the procedure ]
    Time above range (TAR, >10 mmol/L, >180 mg/dL) of the interstitial glucose

  3. TUR [ Time Frame: During the procedure ]
    Time under range (TUR, <3.9 mmol/L, <70 mg/dL) of the interstitial glucose

  4. Clinical significant hypoglycemia [ Time Frame: During the procedure ]
    Time in clinical significant hypoglycemia (< 3 mmol/L, <54 mg/dL) of the interstitial glucose

  5. MIG [ Time Frame: During the procedure ]
    Mean interstitial glucose (mmol/L, mg/dL)

  6. %CV [ Time Frame: During the procedure ]
    Percentage of the variation coefficient (%, >36% is considered high levels)

  7. Adherence to CGM [ Time Frame: During the procedure ]
    Time of use of continuous glucose monitoring (% possible time of use)

  8. Weight [ Time Frame: During the procedure ]
    Total corporal weight (Kg)

  9. Insulin dose [ Time Frame: During the procedure ]
    Daily insulin dose requirements (UI/Kg/d)

  10. DKA [ Time Frame: During the procedure ]
    Number of diabetic ketoacidosis (number of events)

  11. Severe hypoglycemia [ Time Frame: During the procedure ]
    Number of severe hypoglycemia (number of events)

  12. Hospital admission [ Time Frame: During the procedure ]
    Number of hospital admission due to insulin pump (number of events)



Information from the National Library of Medicine

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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
All type 1 diabetes patients treated with continuous subcutaneous insulin infusion in Spain.
Criteria

Inclusion Criteria:

  • Type 1 diabetes patients treated with insulin pump.
  • Medical treatment received in Spain.

Exclusion Criteria:

- Any other kinds of diabetes.


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04761094


Locations
Show Show 25 study locations
Sponsors and Collaborators
Castilla-La Mancha Health Service
Spanish Diabetes Association
Publications:

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Responsible Party: Jesús Moreno Fernández, Endocrinologist, Castilla-La Mancha Health Service
ClinicalTrials.gov Identifier: NCT04761094    
Other Study ID Numbers: C-386
First Posted: February 18, 2021    Key Record Dates
Last Update Posted: February 9, 2022
Last Verified: February 2022
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided
Plan Description: IPD will be available after studying each request.

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: Yes
Product Manufactured in and Exported from the U.S.: Yes
Keywords provided by Jesús Moreno Fernández, Castilla-La Mancha Health Service:
Type 1 diabetes
Treatment
Insulin pump
Continuous subcutaneous insulin infusion
Additional relevant MeSH terms:
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Diabetes Mellitus
Diabetes Mellitus, Type 1
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases
Autoimmune Diseases
Immune System Diseases
Insulin
Hypoglycemic Agents
Physiological Effects of Drugs