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Clinical Trial Details — Status: Enrolling by invitation

Administrative data

NCT number NCT06154135
Other study ID # SRB2022123
Secondary ID
Status Enrolling by invitation
Phase
First received
Last updated
Start date December 30, 2022
Est. completion date July 30, 2026

Study information

Verified date November 2023
Source Erasme University Hospital
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

To evaluate the impact of the DBLG1 hybrid closed-loop system on glycemic control and patient-reported outcomes in adults living with type 1 diabetes under real-life conditions.


Description:

This is a multicenter real-world observational study analyzing data on the use of the DBLG1 system in patients with T1D treated in the participating centers in Belgium. Data from patients with T1D who start(ed) with the DBLG1 between may-01 2022 up to and including August-01 2023 will be analyzed. Data will be collected during clinical routine follow-up from electronic medical records, questionnaires, standard of care laboratory tests and CGM-data. Baseline data from before start (up to -12 months) of the DBLG1 system and follow-up data at 4, 8, 12, 16, 20 and 24 months will be analyzed. There are no medical interventions, nor extra visits or laboratory tests planned outside normal clinical routine. Glycemic control and patient-reported outcomes during follow-up will be compared with glycemic control and patient-reported outcome data at baseline.


Recruitment information / eligibility

Status Enrolling by invitation
Enrollment 165
Est. completion date July 30, 2026
Est. primary completion date July 30, 2024
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - patients with type 1 diabetes - aged 18 years and older - starting with the DBLG1 system in the participating centers - who signed the informed consent Exclusion Criteria: - patients who do not have type 1 diabetes - younger than 18 years - who do not start with the DBLG1 system - who are not able to sign the informed consent - who do not want to sign the informed consent

Study Design


Related Conditions & MeSH terms


Locations

Country Name City State
Belgium Department of Endocrinology, OLVZ Aalst Aalst
Belgium Department of Endocrinology, Imeldaziekenhuis Bonheiden
Belgium Department of Endocrinology and Nutrition, Cliniques Universitaires St. Luc Brussels
Belgium Department of Endocrinology, ULB-Hôpital Erasme Brussels
Belgium Department of Endocrinology, UZ Antwerpen Edegem
Belgium Department of Endocrinology and metabolic diseases, UZ Gent Gent
Belgium Department of Endocrino-Diabetology, Grand Hôpital de Charleroi - site Saint-Joseph Gilly
Belgium Department of Endocrinology, UZ Leuven Leuven
Belgium Department of Endocrinology, CHR de la Citadelle Liege
Belgium Department of Diabetes, Nutrition and Metabolic disorders, CHU de Liège - site du Sart Tilman Liège
Belgium Department of internal Medicine, CHU de Charleroi - Hôpital Civil Marie Curie Lodelinsart
Belgium Department of Endocrinology, CHR Mons-Hainaut (Warquignies) Mons

Sponsors (1)

Lead Sponsor Collaborator
Erasme University Hospital

Country where clinical trial is conducted

Belgium, 

Outcome

Type Measure Description Time frame Safety issue
Other Composite endpoint of HbA1c and Time in Hypoglycemia Composite endpoint of the percentage of participants reaching HbA1c <7% AND time in hypoglycemia (sensor glucose < 70 mg/dL) less than 4% of time after start of the DBLG1 system from before start to 4,8,12 and 24 months after start
Other Severe hypoglycemia Change in Severe Hypoglycemia frequency after start of the DBLG1 system from before start to 4,8,12 and 24 months after start
Other Diabetic ketoacidosis Change in diabetic ketoacidosis frequency after start of the DBLG1 system from before start to 4,8,12 and 24 months after start
Other Hospitals visits and/or admissions Evolution of number of hospitals visits and/or admissions because of severe hypoglycemia or diabetic ketoacidosis from before start to 12 months after start of the DBLG1 system from before start to 4,8,12 and 24 months after start
Other Work and school absenteeism Evolution of work and school absenteeism (number of days) after start of the DBLG1 system from before start to 4,8,12 and 24 months after start
Other Unplanned contacts with the diabetes team Evolution of frequency of unplanned contacts with the diabetes team after start of the DBLG1 system from before start to 4,8,12 and 24 months after start
Other Change in body weight Evolution of body weight (kg) after start of the DBLG1 system from before start to 4,8,12 and 24 months after start
Other Change in total daily dose of insulin Evolution of total daily dose of insulin after start of the DBLG1 system from before start to 4,8,12 and 24 months after start
Other Indications for use of the DBLG-1 system (multiple options (non-ordinal)) Indications for use of the DBLG-1 system measured by a self-developed questionnaire (multiple options (non-ordinal)) before start
Other Patients who stop using the DBLG-1 system Number of patients who stop using the DBLG-1 system from 4,8,12 and 24 months after start
Primary Time in range Change in the percentage of time spent in range (sensor glucose 70-180 mg/dL) from before start to 12 months after start of the DBLG1 system 12 months after start
Secondary Time in range [exc. primary outcome] Change in the percentage of time spent in range (sensor glucose 70-180 mg/dL) after start of the DBLG1 system, with exclusion of the primary endpoint from before start to 4,8,12 and 24 months after start, with the exclusion of the primary outcome
Secondary Time in tigh range Change in the percentage of time spent in tigh range (sensor glucose 70-140 mg/dL) after start of the DBLG1 system. from before start to 4,8,12 and 24 months after start
Secondary Time in level 2 hypoglycemia Change in the percentage of time spent in level 2 hypoglycemia (sensor glucose below 54 mg/dL) after start of the DBLG1 system. from before start to 4,8,12 and 24 months after start
Secondary Time in level 1 hypoglycemia Change in the percentage of time spent in level 1 hypoglycemia (sensor glucose < 70 mg/dL and >=54 mg/dl) after start of the DBLG1 system. from before start to 4,8,12 and 24 months after start
Secondary Time below range Change in the percentage of time spent below range (sensor glucose < 70 mg/dL) after start of the DBLG1 system. from before start to 4,8,12 and 24 months after start
Secondary Time above range Change in the percentage of time spent above range (sensor glucose >180 mg/dL) after start of the DBLG1 system. from before start to 4,8,12 and 24 months after start
Secondary Time in level 2 hyperglycemia Change in the percentage of time spent in level 2 hyperglycemia (sensor glucose >250 mg/dL) after start of the DBLG1 system. from before start to 4,8,12 and 24 months after start
Secondary Time in level 1 hyperglycemia Change in the percentage of time spent in level 1 hyperglycemia (sensor glucose >180 mg/dL and <= 250 mg/dl)) after start of the DBLG1 system. from before start to 4,8,12 and 24 months after start
Secondary Glycemic variability Change in Coefficient of variation (CV) and standard deviation (SD) after start of the DBLG1 system. from before start to 4,8,12 and 24 months after start
Secondary Mean glucose concentration Change in mean glucose concentration after start of the DBLG1 system. from before start to 4,8,12 and 24 months after start
Secondary HbA1c Change in HbA1c (%) after start of the DBLG1 system. from before start to 4,8,12 and 24 months after start
Secondary Correlation between clinical characteristics and HbA1c changes Correlation between recorded clinical characteristics and HbA1c changes after start of the DBLG1 system. from before start to 4,8,12 and 24 months after start
Secondary Quality of life measured by the Short Form Health Survey 36-item (SF-36) version 2 Change in Patient's Quality of life measured by the Short Form Health Survey 36-item (SF-36) version 2 questionnaire (scale: 0 (low quality of life) - 100 (high quality of life)) from before start to 4,8,12 and 24 months after start
Secondary Clarke hypoglycemia awareness survey Change in hypoglycemia awareness measured by the Clarke hypoglycemia awareness survey (scale: unaware (=4 times "R" or once "U") or aware (<4 times "R")) from before start to 4,8,12 and 24 months after start
Secondary Gold scale Change in hypoglycemia awareness measured by the Gold-scale (scale: 1 (aware) - 7 (unaware)) from before start to 4,8,12 and 24 months after start
Secondary Hypoglycemia Fear Survey (HFS-II) Change in fear of hypoglycemia measured by the Hypoglycemia Fear Survey, version II (HFS-II) questionnaire, worry (scale: 0 (not worried) - 72 (very worried)) from before start to 4,8,12 and 24 months after start
Secondary PAID-SF questionnaire Change in distress due to diabetes measured by the Problem Areas In Diabetes survey, short form (PAID-SF) questionnaire (scale: 0 (no distress) - 20 (very distressed)) from before start to 4,8,12 and 24 months after start
Secondary Diabetes Impact and Device Satisfaction Scale (DIDSS) Impact of diabetes and device satisfaction by the Diabetes Impact and Device Satisfaction Scale (scale: device satisfaction = 7 (not satisfied) - 70 (very satisfied); diabetes impact = 4 (low impact) - 40 (high impact)) from before start to 4,8,12 and 24 months after start
Secondary Diabetes Treatment Satisfaction Questionnaire, Status (DTSQs) Treatment satisfaction measured by the Diabetes Treatment Satisfaction Questionnaire, status (DTSQs. Scale: 0 (low satisfaction) - 36 (high satisfaction)) from before start to 4,8,12 and 24 months after start
Secondary Reasons to stop using the DBLG-1 device Self-developed questionnaire about the reasons the patient stopped using the DBLG-1 device (multiple choice) when the patient stops using the DBLG-1 system
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