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CGM and Insulin Pump, Closed-Loop Control System

Phase 3

Type 1 Diabetes Mellitus | Unknown | Other |Harvard Bioscience, Inc.|Last Updated: Oct 14, 2016

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
ACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment32
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02705053At Home Study of a Zone-Model Predictive Control (MPC) Controller and a Health Monitoring System (HMS) With the Diabetes Assistant (DiAs) System and Run-to-Run AdaptationPHASE3 COMPLETED 32Feb 1, 2016Aug 1, 2016Oct 14, 20163 United States
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Study Endpoints
Primary Endpoints
Change in Hemoglobin A1c (HbA1c) (%) from baseline (week 2) to end of week 15 (end of study), with A1c measured at weeks 7 and 11 as well for repeated measures.
13 Weeks

The primary endpoint is change in HbA1c from baseline (end of week 2) to end of week 15 (end of study). HbA1c will be measured at weeks 7 and 11 as well following each adaptation period, so the overall design of the study includes 4 repeated measures and a baseline-end of study contrast.

Secondary Endpoints
Time within the target range for glucose 70-180 mg/dl overall
1 week
Time within the tight target range for glucose 80-140 mg/dl overnight
1 week
Time within the target range for glucose 70-150 mg/dl postprandial within 5 hours following meals
1 week
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Sensor-Augmented Pump Open-Loop Care (Week 2)ACTIVE_COMPARATORThe subjects' Sensor-Augmented Pump Open-Loop Care for the second week of the study before any adjustments to pump settings, using a CGM and Insulin Pump.
Closed-Loop Control System with Zone MPC and HMSEXPERIMENTALThe artificial pancreas system will be allowed to employ its Model Predictive Control algorithm to make decisions about insulin delivery based on CGM glucose levels. The Health Monitoring System algorithm uses the same CGM data as the MPC control algorithm but utilizes a separate algorithm for trending and predictions of future glucose values. Using a redundant and independent algorithm is an important safety feature of the overall AP device. Algorithmic adjustment of carbohydrate ratios prior to closed-loop initiation, and continued basal rate and carbohydrate ratio algorithmic optimization during closed-loop use will occur.
Interventions
NameTypeDescription
CGM and Insulin PumpDEVICEDexcom G4 Platinum CGM with Share AP Receiver Roche Accu-Chek insulin pump.
Closed-Loop Control SystemDEVICEThe devices that will be used in the Closed-Loop Control System include the following components: DiAs - a smart-phone medical platform; Dexcom G4 Platinum connected to DiAs via Bluetooth CGM receiver; Roche Accu-Chek insulin pump connected to DiAs via wireless Bluetooth; Remote Monitoring Server connected to DiAs via 3G or local Wi-Fi network, and Zone-MPC and HMS algorithms running on DiAs (MPC and HMS)
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Eligibility Criteria
Age Range21 Years — 65 Years
SexALL
Healthy VolunteersNo
Study Sites3

Inclusion Criteria: * Clinical diagnosis, based on investigator assessment, of type 1 diabetes for at least one year and using insulin for at least 1 year and an insulin pump for at least 6 months * Willing to wear the study CGM device for the duration of the study * Age ≥21 to \<65 years * HbA1c \...

Countries:United States
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