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A single centered, prospective, double blinded study enrolling 12 Type I diabetic patients (+ up to 4 replacements) in two cohorts. Patients will wear multiple FiberSense CGM systems for 28 days, with total duration of the participation up to 8 weeks (screening + active phase + follow up).
The primary aims of the study are assessment of the safety and tolerability of the FiberSense CGM system during the wearing time together with characterization of the system performance when compared to capillary blood samples.
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) during in-clinic glucose challenge sessions. At the same time and also at home use the blood glucose values are recorded by comparator system and self-monitoring blood glucose system (SMBG). The safety aspects are also investigated during the wearing time of 28 days.
The two cohorts differ in the measurement scheduled, with intensive measurement week either at week 1 (cohort A) or week 2 (cohort B).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort A | Experimental | Subjects will wear 3 FiberSense systems (2x arm and 1x abdomen) and one comparator. The subjects will participate in six clinic in-house sessions on Day 00, 3x between days 01-07, on Days 21 and 28. There will be safety visit at Day 14. Finger pricking at home use will be intensified during days 00-07. |
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| Cohort B | Experimental | Subjects will wear 3 FiberSense systems (2x arm and 1x abdomen) and one comparator. The subjects will participate in six clinic in-house sessions on Day 00, 4x between days 07-14 and on Day 28. There will be safety visit at Day 21. Finger pricking at home use will be intensified during days 07-14. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| FiberSense CGM | Device | FiberSense system, a novel CGM system, based on a fiber-optical sensor placed through the dermis of the patient. |
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| 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 (15/15%), for paired samples taken during the in-clinic sessions. | 6 measurements within 28 days |
| Incidence and severity of device related adverse events (ADE) | Incidence of reported ADE with focus on number of patients experiencing serious ADE, evaluated according Draize's scale (0 to 4 - for none to severe findings) | 28 days |
| Measure | Description | Time Frame |
|---|---|---|
| FiberSense System agreement to LGSR within different glucose ranges | The percentage of FiberSense CGM system readings within metrics 20/20%, 30/30%, 40/40% and greater than 40% of the laboratory reference values | 6 measurements within 28 days |
| Point Clinical accuracy (Consensus and Surveillance Error Grid) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Guido Freckmann, Dr.med. | Institut für Diabetes-Technologie Forschungs- und Entwicklungsgesellschaft mbH an der Universität Ulm | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Institut für Diabetes-Technologie | Ulm | Baden-Wurttemberg | 89081 | 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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Analyze the proportion of readings in each region of two Grids. Readings in various regions are considered from clinically accurate or with clinically acceptable accuracy to inaccurate to various degrees. |
| 6 measurements within 28 days |
| Accuracy of glucose rate of change of FiberSense System during glucose excursions | Mean and Median Absolute Relative Differences (MARD, MedRD) of FiberSense measured glucose from laboratory reference values, evaluated at various glucose dynamics | 6 measurements within 28 days |
| Agreement and accuracy relative to SMBG readings at home use | Performance of FiberSense System evaluated as percentage of system readings within 15%, 20%, 30% and 40% of SMBG values | 6 measurements within 28 days |
| Precision of the FiberSense System (PARD) for arm-arm and arm-abdomen positions | Precision Absolute Relative Difference (PARD) of two simultaneously worn FiberSense Systems by one patient, for same body parts and two different insertion sites | 6 measurements within 28 days |
| FiberSense System stability | Percentage of FiberSense System readings within various % of the LGSR values | weekly during 28 days |
| FiberSense System Longevity | Duration of use of the individual FiberSense devices | 28 days |
| User satisfaction questionnaire score | Subjective impression of the patients assessed by 5-point Likert scale (1 - strongly agree to 5 - strongly disagree) | after 28 days |