Diabetes Mellitus Type 1 Clinical Trial
Official title:
The iLet Introduction Study: A Feasibility Study of the iLet, a Fully Integrated Bihormonal Bionic Pancreas
This study will compare two different models of a wearable bionic pancreas device (the iPhone-based bionic pancreas vs. the iLet bionic pancreas) in adult participant with type 1 diabetes. Both bionic pancreas devices measure glucose levels every five minutes and then give insulin and/or glucagon automatically to regulate the blood glucose (BG).
The iPhone bionic pancreas has been used in earlier studies, during which volunteers used the
system for up to 11 days at a time while living their normal lives at home and work. The iLet
bionic pancreas has never been tested in humans. In this new study, volunteers will
participate in a training visit to learn how both devices work. They will then use the
iPhone-based BP for 1 day and the iLet BP for 1 day in random order using Lilly glucagon.
They will then use the iLet BP for one additional day using Xeris Xerisol glucagon (a stable
formulation of human glucagon).
A custom infusion set is required for this bihormonal system, to prevent future consumers
from being able to accidentally swap their insulin and glucagon reservoirs and infusion sets,
which could be potentially fatal. Previous experiments have demonstrated flaws in the
infusion set design, requiring human experiments to be suspended and modifications to the
infusion set be made. We believe the current infusion set has addressed these flaws by
incorporating an anti-coring heel and a tri-beveled needle, and the infusion set sub-study is
designed to isolate and study the infusion set function before further experiments using the
iLet BP are conducted.
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