CODIAC: Android Artificial Pancreas System (Android APS) Versus Control-IQ
Study Details
Study Description
Brief Summary
The aim of the investigator's study is to compare two different closed loop hybrid systems - certified Control-IQ and noncertified AndroidAPS in adult patients with Type 1 Diabetes (T1D), who had been using AndroidAPS previously from their own decision, during 12 weeks of follow-up.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: AndroidAPS versus Control-IQ Patients with use of the Control-IQ system (closed-loop hybrid system) and previous users of AndroidAPS (closed-loop hybrid system) |
Device: Insulin Pump t:slim X2 with Control-IQ technology
Usage of Insulin pump t:slim X2 with Control-IQ technology in previous users of AndroidAPS
Other Names:
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Outcome Measures
Primary Outcome Measures
- Percentage of time in target ranges [Up to 28 weeks]
3.9-10.0 mmol/L (70-180 mg/dl)
Secondary Outcome Measures
- Percentage of time in hypoglycemic ranges [Up to 28 weeks]
<3.9 mmol/L (70 mg/dl) and <3.0 mmol/L (54 mg/dl)
- Percentage of time in hyperglycemic ranges [Up to 28 weeks]
>10.0 mmol/L (180 mg/dl) and >13.9 mmol/L (250 mg/dl)
- Changes in glycemic variability [Up to 28 weeks]
Expressed as the coefficient of variation
- Incidence of severe hypoglycaemia [Up to 28 weeks]
Requiring third-party assistance to treat
- Changes in glycated haemoglobin (HbA1c) [Up to 28 weeks]
Differences between HbA1c values in the initial period and after follow-up
- Hypoglycemia Attitudes and Behavior Scale (HABS) [Up to 28 weeks]
This validated questionnaire contains in total 14 questions that highlights two critical dimensions of hypoglycemia-related concerns (anxiety and avoidance) and one positive dimension (confidence). 14 items use Likert scales from 1 to 5, total score from 14 to 70, the higher total score means worse outcome.
- Diabetes Distress Scale (DDS) [Up to 28 weeks]
This validated questionnaire assess diabetes-related emotional stress. This 17-item tool uses the Likert scales from 1 to 6. Total score is from 17 to 102, while higher total score means worse outcome.
- The 5-item World Health Organization well-being index (WHO-5 index) [Up to 28 weeks]
This validated questionnaire contains in total 5 questions with Likert scales from 5 to 0. Total score is multiplied by 4 to give a final score ranging from 0 to 100, higher score denote higher quality of life (better outcome).
Eligibility Criteria
Criteria
Inclusion Criteria:
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Type 1 diabetes diagnosed >2 years
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≥ 18 years old
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written informed consent prior to starting study related activity
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previous user of AndroidAPS at least for 3 months
Exclusion Criteria:
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severe noncompliance
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lactation, pregnancy, intending to become pregnant during study
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use of medication with effects on carbohydrate metabolism
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | 3rd Department of Internal Medicine, 1st Faculty of Medicine, Charles University | Prague | Czechia |
Sponsors and Collaborators
- Charles University, Czech Republic
Investigators
- Principal Investigator: Jan Soupal, Charles University, Prague
Study Documents (Full-Text)
None provided.More Information
Publications
- Fisher L, Hessler DM, Polonsky WH, Mullan J. When is diabetes distress clinically meaningful?: establishing cut points for the Diabetes Distress Scale. Diabetes Care. 2012 Feb;35(2):259-64. doi: 10.2337/dc11-1572. Epub 2012 Jan 6.
- Hajos TR, Pouwer F, Skovlund SE, Den Oudsten BL, Geelhoed-Duijvestijn PH, Tack CJ, Snoek FJ. Psychometric and screening properties of the WHO-5 well-being index in adult outpatients with Type 1 or Type 2 diabetes mellitus. Diabet Med. 2013 Feb;30(2):e63-9. doi: 10.1111/dme.12040.
- Hásková A, Radovnická L, Petruželková L, Parkin CG, Grunberger G, Horová E, Navrátilová V, Kádě O, Matoulek M, Prázný M, Šoupal J. Real-time CGM Is Superior to Flash Glucose Monitoring for Glucose Control in Type 1 Diabetes: The CORRIDA Randomized Controlled Trial. Diabetes Care. 2020 Nov;43(11):2744-2750. doi: 10.2337/dc20-0112. Epub 2020 Aug 28.
- Polonsky WH, Fisher L, Hessler D, Liu J, Fan L, McAuliffe-Fogarty AH. Worries and concerns about hypoglycemia in adults with type 1 diabetes: An examination of the reliability and validity of the Hypoglycemic Attitudes and Behavior Scale (HABS). J Diabetes Complications. 2020 Jul;34(7):107606. doi: 10.1016/j.jdiacomp.2020.107606. Epub 2020 Apr 23.
- Šoupal J, Petruželková L, Flekač M, Pelcl T, Matoulek M, Daňková M, Škrha J, Svačina Š, Prázný M. Comparison of Different Treatment Modalities for Type 1 Diabetes, Including Sensor-Augmented Insulin Regimens, in 52 Weeks of Follow-Up: A COMISAIR Study. Diabetes Technol Ther. 2016 Sep;18(9):532-8. doi: 10.1089/dia.2016.0171. Epub 2016 Aug 2.
- Šoupal J, Petruželková L, Grunberger G, Hásková A, Flekač M, Matoulek M, Mikeš O, Pelcl T, Škrha J Jr, Horová E, Škrha J, Parkin CG, Svačina Š, Prázný M. Glycemic Outcomes in Adults With T1D Are Impacted More by Continuous Glucose Monitoring Than by Insulin Delivery Method: 3 Years of Follow-Up From the COMISAIR Study. Diabetes Care. 2020 Jan;43(1):37-43. doi: 10.2337/dc19-0888. Epub 2019 Sep 17.
- CODIAC