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This is a single-centre, open label (unblinded) prospective study investigating the performance and safety of FiberSense system in diabetic patients (Typ I and II). In the period of up to 30 days the performance of the FiberSense system is evaluated against laboratory gold standard method during 6 in-clinic sessions.
The FiberSense system is intended to be used by diabetic patients in a home use setting as a CGM system using the interstitial fluid (ISF) glucose as an indicator of blood glucose levels.The purpose of this study is to assess the performance of FiberSense system across the glucose measurement ranges as compared with a laboratory standard reference method in diabetic patients (Type I and II) during in-clinic glucose challenge sessions. At the same time the blood glucose values are recorded by comparator continuous glucose monitoring (CGM) system and self-monitoring blood glucose system (SMBG). The safety aspects are also investigated during the wearing time of up to 30 days.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| FiberSense System | Experimental | 6 diabetic patients will wear a FiberSense system at the upper arm for up to 30 days. and a comparator CGM system at the abdomen (replaced every 7 days). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| FiberSense System | Device | FiberSense system, a novel CGM system, based on a fiber-optical sensor placed through the dermis of the patient. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Performance of the FiberSense system as compared with laboratory gold standard reference (LGSR) | Point accuracy of the FiberSense system as determined by proportion of CGM readings within ≤15% of the LGSR reading for blood glucose levels >100 mg/dl, and within ≤15 mg/dl of the LGSR reading for blood glucose levels ≤100 mg/dl, for paired samples taken during the in-clinic sessions. | at 1, 3, 7, 14, 21 and 28 days |
| Duration of use of the FiberSense system | Duration of use of the FiberSense device in average and by individual patients | 30 days |
| Incidence of (Serious) Adverse Events | Adverse Events reporting and local tolerability as assessed by Draize's scale | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Mean and Median Relative Differences in FiberSense measured glucose from LGSR | at 1, 3, 7, 14, 21 and 28 days | |
| Mean and Median Absolute Relative Differences in FiberSense measured glucose from reference laboratory standard | at 1, 3, 7, 14, 21 and 28 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Christoph Hasslacher, Prof. Dr. | Diabetes Institut Heidelberg, Germany | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Diabetes Institut Heidelberg | Heidelberg | 69115 | Germany |
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| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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| Hypoglycemia (<75 mg/dl (14)) and hyperglycemia (>180 mg/dl (14)) detection rates | at 1, 3, 7, 14, 21 and 28 days |
| Hypoglycemia (<75 mg/dl) and hyperglycemia (>180 mg/dl,) missed detection rates | at 1, 3, 7, 14, 21 and 28 days |
| Accuracy of glucose rate of change of FiberSense sensor compared to glucose rate of change of reference laboratory standard | at 1, 3, 7, 14, 21 and 28 days |
| Lag time between FiberSense readings and reference laboratory standard results during induced glucose excursions | at 1, 3, 7, 14, 21 and 28 days |
| Agreement and accuracy relative to SMBG readings (same model to be used by all patients) | Performance of SMBG evaluated as percentage of system readings within 15%, 20%, 30% and 40% of LGSR values and by means of MARD and MedARD(%) | weekly - Days 7, 14, 21, 28 |
| Stability of the FiberSense fluorescence measurements | The stability of sensor performance over the 30-day time period evaluated as percentage of FiberSense system readings within 15%, 20%, 30% and 40% of LGSR values and by means of MARD and MedARD(%) | weekly - Days 7, 14, 21, 28 |
| User satisfaction assessed by the Likert scale | Subjective impression of the patients on the scale of 1 (strongly agree) to 5 (strongly disagree) | 30 days |