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Subjects will undergo a 7±1 day outpatient, standard therapy phase during which sensor and insulin data will be collected. Subjects or their caregivers will manage their diabetes at home per their usual routine using the study CGM and remain on current MDI or pump therapy. This will be followed by a 5-day/4-night or from approximately 48 to 72 hours for children ages 2.0-5.9 years, hybrid closed-loop phase conducted in a supervised hotel/rental house setting.
The study schedule will consist of a standard therapy data collection week followed by a hybrid closed-loop phase.
Subjects will undergo a 7±1 day outpatient, standard therapy phase during which sensor and insulin data will be collected. Subjects or their caregivers will manage their diabetes at home per their usual routine using the study CGM and remain on current MDI or pump therapy. This will be followed by a 5-day/4-night or from approximately 48 to 72 hours for children ages 2.0-5.9 years, hybrid closed-loop phase conducted in a supervised hotel/rental house setting.
The hybrid closed-loop phase will begin prior to lunch on Study Day 1.
During the hybrid closed-loop phase, subjects will participate in specific setpoint challenges, meal challenges, and exercise.
Hybrid closed-loop will be discontinued approximately 5 hours after breakfast time on Study Day 5. Subjects will be asked to complete a post-study questionnaire regarding their experience with the system. Subjects will be discharged home when stable and all discharge criteria are met. Subjects will consume a snack or meal after discontinuation of hybrid closed-loop before they leave the study site.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Supervised Free-Living | Other | Subjects will undergo a 7±1 day outpatient, standard therapy phase during which sensor and insulin data will be collected. Subjects or their caregivers will manage their diabetes at home per their usual routine using the study CGM and remain on current MDI or pump therapy. This will be followed by a 5-day/4-night or from approximately 48 to 72 hours for children ages 2.0-5.9 years, hybrid closed-loop phase conducted in a supervised hotel/rental house setting, where subjects will participate in specific setpoint challenges, meal challenges, and exercise |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Insulet automated glucose control system | Device | Insulet AP (artificial pancreas) system, using the Omnipod® insulin management system, Dexcom G4Share® AP System and personalized model predictive control algorithm. |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of time in hypoglycemic range (defined as < 70 mg/dL) | 96 hours | |
| Percentage of time in hyperglycemic range (defined as ≥ 250 mg/dL) | 96 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Mean Glucose | 96 hours | |
| Percentage of time < 50 mg/dL | 96 hours | |
| Percentage of time < 54 mg/dL |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Bruce Buckingham, MD | Stanford University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Stanford University | Palo Alto | California | 94305 | United States | ||
| University of Colorado Denver |
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| ID | Term |
|---|---|
| D003922 | Diabetes Mellitus, Type 1 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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This study is a single-arm, multi-center, observational clinical study.
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| 96 hours |
| Percentage of time < 60 mg/dL | 96 hours |
| Percentage of time > 180 mg/dL | 96 hours |
| Percentage of time ≥ 300 mg/dL | 96 hours |
| Percentage of time between 70-180 mg/dL | 96 hours |
| Percentage of time between 70-140 mg/dL | 96 hours |
| Standard deviation | Using CGM measurements, the Standard deviations will be reported for the entire hybrid closed-loop phase overall, as well as separately during the day (0700 - 2259h) and during the night (2300 - 0659h). | 96 hours |
| Coefficient of variation | Using CGM measurements, the Coefficient of variation will be reported for the entire hybrid closed-loop phase overall, as well as separately during the day (0700 - 2259h) and during the night (2300 - 0659h). | 96 hours |
| Denver |
| Colorado |
| 80045 |
| United States |
| Yale University School of Medicine | New Haven | Connecticut | 06511 | United States |
| D004700 | Endocrine System Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |