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The purpose of this study is to demonstrate the performance of the Enlite Sensor over an entire calibration and wear period of 146 hours (6 days) when inserted in the abdomen and buttock and used with the Revel 2.0 Pumps in subjects age 18 - 75 years.
The study is a multi-center, prospective single-sample correlational design without controls. Between 4 and 10 investigational sites will be used during this study. All subjects will be assigned to treatment. Each subject will wear the following devices:
During the study each subject will be wearing 2 sensors and 2 pumps simultaneously. The pumps will be differentiated by color, and will have different calibration requirements during the in-clinic portions of the study. During the Frequent Sampling Tests:
During home use (outside the clinic) BOTH pumps will be calibrated 3-4 times spread throughout the day.
Sensors will be connected to the MiniLink (integrated with the Revel 2.0 Pumps)
Subjects will wear the devices for a 3-day training period, followed by a 6-day study period. During the study period, each subject will undergo three 12-hour Frequent Sampling Tests. During the Frequent Sampling Tests, IV blood samples will be drawn every 5-15 minutes and analyzed using the YSI. The Frequent Sampling Tests will occur during the following hours of sensor wear: hours 2-14, hours 14-26, hours 50-62 hours 62-74, and hours 122-134 hours 134-146 which is representative of a complete calibration and wear period to support the proposed labeling claim of 144 hours of use.
Even though participants were randomly assigned with respect to timing of frequent sample test and sensor insertion locations, data was collected as a whole and there was no intention to analyze the two groups separately. Please note that subjects were randomly assigned to one of 3 different sensor insertion site combinations: abdomen/abdomen, buttock/buttock, and abdomen/buttock
During each Frequent Sampling Test, subjects with an established insulin sensitivity ratio and insulin carbohydrate ratio will undergo a hypoglycemic challenge (glucose lowered to a target of 50-75 mg/dL for ~2 hours, including 30 minutes between 50-60 mg/dL) and a hyperglycemic challenge (glucose raised to a target of 180-400 mg/dL for ~2 hours, including 30 minutes between 350 -400 mg/dL). Subjects will continue with their current diabetes regimen (including glucose monitoring with their own meter when desired) independent of the study devices. The Revel 2.0 Pumps will not be used to infuse insulin or manage the subject's diabetes during this study. The Enlite Glucose sensor will not be used to manage the subject's diabetes during this study. The investigational Study Meter may be used for confirmation of alarms, treatment decisions and calibration of sensor.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Enlite sensor, Abdomen/Abdomen | Experimental | Subjects wearing 2 Enlite sensors in Abdomen |
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| Enlite sensor, Abdomen/Buttock | Experimental | Subjects wearing 2 Enlite sensors in Abdomen/Buttock |
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| Enlite sensor, Buttock/Buttock | Experimental | Subjects wearing 2 Enlite sensors in Buttock/Buttock |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Enlite Sensor | Device | This is the Enlite sensor (all subjects) |
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| Measure | Description | Time Frame |
|---|---|---|
| Mean Daily Agreement (Percent of Sensor Values Within 30% of Reference Value) With Minimum Calibration, Combined Abdomen and Buttock Insertion Sites | Primary endpoint is mean of daily percentage of sensor values within 30% of reference value (within 22.5 mg/dL if YSI <75 mg/dL) with the minimum calibration (every 12 hour), combined abdomen and buttock insertion sites across all participants and all days. | Days 1, 3 and 6 of sensor wear |
| Measure | Description | Time Frame |
|---|---|---|
| Mean Daily Agreement (Percent of Sensor Values Within 30% of Reference Value) With 3-4 Calibrations Per Day, Combined Abdomen and Buttock Insertion | Secondary endpoint is mean of daily percentage of sensor values within 30% of reference value (within 22.5 mg/dL if YSI <75 mg/dL) with 3-4 calibrations per day, combined abdomen and buttock insertion sites across all participants and all days. | Days 1, 3 and 6 of sensor wear |
| Measure | Description | Time Frame |
|---|---|---|
| Mean Absolute Relative Difference (MARD) Between Sensor and YSI for Abdomen Insertion Site, With 3-4 Calibrations Throughout the Day | This measure is the Mean Absolute Relative Difference (MARD) between sensor glucose values and and paired YSI plasma glucose values for Abdomen insertion site, with 3-4 Calibrations, across all Abdomen insertion site participants and all days. MARD is calculated by absolute value of [(sensor glucose value - YSI glucose value) / YSI glucose value] * 100 |
Inclusion Criteria:
Subject is 18 - 75 years of age at time of screening
A clinical diagnosis of type 1 or 2 diabetes as determined by the
Investigator, for a minimum of 12 months duration:
Criteria for type 1 diabetes:
Criteria for type 2 diabetes:
Required: Age of onset ~ 40 years of age
Required: History of initial oral anti-diabetic use
Required: History of being overweight at time of diagnosis.
Adequate venous access as assessed by investigator or appropriate staff
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Scott Lee, MD | Medtronic MiniMed, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Profil Institute for Clinical Research | Chula Vista | California | 91911 | United States | ||
| AMCR Institue |
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| ID | Title | Description |
|---|---|---|
| FG000 | Enlite Sensor Abdomen/Abdomen | Subjects wearing 2 Enlite sensors in abdomen. Some subjects participated in Frequent Sampling Tests during the first 12 hours of days 1, 3 and 6 while others participated during the last 12 hours of days 1, 3, and 6. |
| FG001 | Enlite Sensor Abdomen/Buttock |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Days 1, 3 and 6 of sensor wear |
| Mean Absolute Relative Difference (MARD) Between Sensor and YSI for Abdomen Insertion Site, With Calibration Every 12 Hours | This is a measure of Mean Absolute Relative Difference (MARD) between the sensor and the paired YSI plasma glucose value for sensors inserted in the Abdomen insertion site, with Calibration every 12 hours, across all Abdomen insertion site participants and all days. MARD is calculated by absolute value of [(sensor glucose value - YSI glucose value) / YSI glucose value] * 100 | Days 1, 3 and 6 of sensor wear |
| Mean Absolute Relative Difference (MARD) Between Sensor and YSI for Buttock Insertion Site, With 3-4 Calibrations Throughout the Day | This measure is the Mean Absolute Relative Difference (MARD) between sensor glucose value and paired YSI plasma glucose measurement for sensors inserted in the Buttock insertion site, with 3-4 Calibrations, across all Buttock insertion site participants and all days. MARD is calculated by absolute value of [(sensor glucose value - YSI glucose value) / YSI glucose value] * 100 | Days 1, 3 and 6 of sensor wear |
| Mean Absolute Relative Difference (MARD) Between Sensor and YSI for Buttock Insertion Site, With Calibration Every 12 Hours | This measure is the Mean Absolute Relative Difference (MARD) between sensor glucose values and paired YSI plasma glucose values for sensors inserted in the Buttock insertion site, with Calibration every 12 hours, across all Buttock insertion site participants and all days. MARD is calculated by absolute value of [(sensor glucose value - YSI glucose value) / YSI glucose value] * 100 | Days 1, 3 and 6 of sensor wear |
| Escondido |
| California |
| 92026 |
| United States |
| University of California, San Diego | La Jolla | California | 92093 | United States |
| Diablo Clinical Research | Walnut Creek | California | 94598 | United States |
| University of Colorado Denver/Barbara Davis Center for Childhood Diabetes | Aurora | Colorado | 80045 | United States |
| Oregon Health & Science University | Portland | Oregon | 97239 | United States |
| Rainier Clinical Research Center | Renton | Washington | 98057 | United States |
Subjects wearing one Enlite sensor in Abdomen and one Enlite sensor in Buttock. Some subjects participated in Frequent Sampling Tests during the first 12 hours of days 1, 3 and 6 while others participated during the last 12 hours of days 1, 3, and 6. |
| FG002 | Enlite Sensor Buttock/Buttock | Subjects wearing 2 Enlite sensors in Buttock. Some subjects participated in Frequent Sampling Tests during the first 12 hours of days 1, 3 and 6 while others participated during the last 12 hours of days 1, 3, and 6. |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | All Subjects Entering the Study | All Subjects who provided consent, met inclusion/exclusion criteria and worn Enlite sensors |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
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| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Primary | Mean Daily Agreement (Percent of Sensor Values Within 30% of Reference Value) With Minimum Calibration, Combined Abdomen and Buttock Insertion Sites | Primary endpoint is mean of daily percentage of sensor values within 30% of reference value (within 22.5 mg/dL if YSI <75 mg/dL) with the minimum calibration (every 12 hour), combined abdomen and buttock insertion sites across all participants and all days. | Posted | Mean | 95% Confidence Interval | percentage of paired readings | Days 1, 3 and 6 of sensor wear |
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| Secondary | Mean Daily Agreement (Percent of Sensor Values Within 30% of Reference Value) With 3-4 Calibrations Per Day, Combined Abdomen and Buttock Insertion | Secondary endpoint is mean of daily percentage of sensor values within 30% of reference value (within 22.5 mg/dL if YSI <75 mg/dL) with 3-4 calibrations per day, combined abdomen and buttock insertion sites across all participants and all days. | Posted | Mean | 95% Confidence Interval | percentage of paired readings | Days 1, 3 and 6 of sensor wear |
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| Other Pre-specified | Mean Absolute Relative Difference (MARD) Between Sensor and YSI for Abdomen Insertion Site, With 3-4 Calibrations Throughout the Day | This measure is the Mean Absolute Relative Difference (MARD) between sensor glucose values and and paired YSI plasma glucose values for Abdomen insertion site, with 3-4 Calibrations, across all Abdomen insertion site participants and all days. MARD is calculated by absolute value of [(sensor glucose value - YSI glucose value) / YSI glucose value] * 100 | Posted | Mean | Standard Deviation | percentage of difference | Days 1, 3 and 6 of sensor wear |
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| Other Pre-specified | Mean Absolute Relative Difference (MARD) Between Sensor and YSI for Abdomen Insertion Site, With Calibration Every 12 Hours | This is a measure of Mean Absolute Relative Difference (MARD) between the sensor and the paired YSI plasma glucose value for sensors inserted in the Abdomen insertion site, with Calibration every 12 hours, across all Abdomen insertion site participants and all days. MARD is calculated by absolute value of [(sensor glucose value - YSI glucose value) / YSI glucose value] * 100 | Posted | Mean | Standard Deviation | percentage of difference | Days 1, 3 and 6 of sensor wear |
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| Other Pre-specified | Mean Absolute Relative Difference (MARD) Between Sensor and YSI for Buttock Insertion Site, With 3-4 Calibrations Throughout the Day | This measure is the Mean Absolute Relative Difference (MARD) between sensor glucose value and paired YSI plasma glucose measurement for sensors inserted in the Buttock insertion site, with 3-4 Calibrations, across all Buttock insertion site participants and all days. MARD is calculated by absolute value of [(sensor glucose value - YSI glucose value) / YSI glucose value] * 100 | Posted | Mean | Standard Deviation | percentage of difference | Days 1, 3 and 6 of sensor wear |
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| Other Pre-specified | Mean Absolute Relative Difference (MARD) Between Sensor and YSI for Buttock Insertion Site, With Calibration Every 12 Hours | This measure is the Mean Absolute Relative Difference (MARD) between sensor glucose values and paired YSI plasma glucose values for sensors inserted in the Buttock insertion site, with Calibration every 12 hours, across all Buttock insertion site participants and all days. MARD is calculated by absolute value of [(sensor glucose value - YSI glucose value) / YSI glucose value] * 100 | Posted | Mean | Standard Deviation | percentage of difference | Days 1, 3 and 6 of sensor wear |
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Severe adverse event data and adverse event data were collected during the 2-4 weeks study duration
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | All Completed Subjects | All subjects that completed the study | 0 | 90 | 0 | 90 | 17 | 90 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nausea | Gastrointestinal disorders | MedDRA 15.0 | Non-systematic Assessment |
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| Diarrhea | Gastrointestinal disorders | MedDRA 15.0 | Non-systematic Assessment |
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| Chest Pain | General disorders | MedDRA 15.0 | Non-systematic Assessment |
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| Application Site Pain | General disorders | MedDRA 15.0 | Non-systematic Assessment |
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| Edema L Hand | General disorders | MedDRA 15.0 | Non-systematic Assessment |
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| Upper Respiratory Infection | Infections and infestations | MedDRA 15.0 | Systematic Assessment |
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| Flu | Infections and infestations | MedDRA 15.0 | Systematic Assessment |
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| Sinusitis | Infections and infestations | MedDRA 15.0 | Non-systematic Assessment |
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| Skin Infection | Infections and infestations | MedDRA 15.0 | Systematic Assessment |
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| Hypoglycemia | Metabolism and nutrition disorders | MedDRA 15.0 | Systematic Assessment |
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| Pain in Arm | Musculoskeletal and connective tissue disorders | MedDRA 15.0 | Systematic Assessment |
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| Shoulder Pain | Musculoskeletal and connective tissue disorders | MedDRA 15.0 | Systematic Assessment |
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| Arm Discomfort | Musculoskeletal and connective tissue disorders | MedDRA 15.0 | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA 15.0 | Systematic Assessment |
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| Sinus Headache | Nervous system disorders | MedDRA 15.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Pamela Haworth | Medtronic Diabetes Clinical Research | pamela.c.haworth@medtronic.com |
| ID | Term |
|---|---|
| D003922 | Diabetes Mellitus, Type 1 |
| D003924 | Diabetes Mellitus, Type 2 |
| D003920 | Diabetes Mellitus |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
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