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OpT2mise Glucose Control in Type 2 Diabetes Mellitus (DM) With Insulin Pump Therapy

This study is ongoing, but not recruiting participants.
Sponsor:
Information provided by (Responsible Party):
Medtronic
ClinicalTrials.gov Identifier:
NCT01182493
First received: August 11, 2010
Last updated: July 17, 2014
Last verified: July 2014

August 11, 2010
July 17, 2014
December 2010
February 2014   (final data collection date for primary outcome measure)
Between group difference in HbA1c when comparing CSII to MDI [ Time Frame: 6 months ] [ Designated as safety issue: No ]
To evaluate change in glycemic control (HbA1c) after 6 months of insulin pump therapy in patients with type 2 DM, as compared to patients on MDI therapy over the same time period
Same as current
Complete list of historical versions of study NCT01182493 on ClinicalTrials.gov Archive Site
  • Change in glycemic variability [ Time Frame: 6 months ] [ Designated as safety issue: No ]
    Glycemic parameters calculated from blinded CGM data: Measure of the Average glucose/day; AUC in hypo- (≤70mg/dL) and in hyperglycemia (≥180 mg/dL; Time spent in hypo- (≤70mg/dL) and hyperglycemia (≥180 mg/dL); Mean Amplitude of Glycemic Excursions (MAGE) is the most common measure of the volatility of blood glucose levels; Standard deviation
  • Safety [ Time Frame: 6 months treatment and 6 months follow-up ] [ Designated as safety issue: Yes ]
    Severe hypoglycemia incidence; Diabetic Ketoacidosis incidence and Diabetes related hospitalizations
  • Change in postprandial glycemia [ Time Frame: 6 months ] [ Designated as safety issue: No ]
    Change in mean postprandial hyperglycemia 0 to 2 hours post meal, defined as ≥180 mg/dl and measured by SMBG
  • Quality of Life and Treatment satisfaction [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  • Change in body weight or BMI, Lipids and blood pressure [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  • Change in glycemic variability [ Time Frame: 6 months ] [ Designated as safety issue: No ]
    Glycemic parameters calculated from blinded CGM data: Measure of the Average glucose/day; AUC in hypo- (≤70mg/dL) and in hyperglycemia (≥180 mg/dL; Time spent in hypo- (≤70mg/dL) and hyperglycemia (≥180 mg/dL); Mean Amplitude of Glycemic Excursions (MAGE) is the most commom measure of the volatility of blood glucose levels; Standard deviation
  • Safety [ Time Frame: 6 months treatment and 6 months follow-up ] [ Designated as safety issue: Yes ]
    Severe hypoglycemia incidence; Diabetic Ketoacidosis incidence and Diabetes related hospitalizations
  • Change in postprandial glycemia [ Time Frame: 6 months ] [ Designated as safety issue: No ]
    Change in mean postprandial hyperglycemia 0 to 2 hours post meal, defined as ≥180 mg/dl and measured by SMBG
  • Quality of Life and Treatment satisfaction [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  • Change in body weight or BMI, Lipids and blood pressure [ Time Frame: 6 months ] [ Designated as safety issue: No ]
Not Provided
Not Provided
 
OpT2mise Glucose Control in Type 2 Diabetes Mellitus (DM) With Insulin Pump Therapy
OpT2mise Glucose Control in Type 2 DM With Insulin Pump Therapy

The purpose of this study is to evaluate the comparative effectiveness of insulin pump therapy versus multiple daily injections in insulin-taking type 2 Diabetes Mellitus who are sub optimally controlled with multiple daily injections (MDI).

The type of study is interventional post-market release. All the devices under investigation have CE mark, and are used within intended use.

This study has been designed to be prospective randomized controlled with a single-arm cross-over in the continuation phase.

Four hundred type 2 Multiple Daily Injections (MDI) treated patients will undergo a screening (run-in) phase of 8 weeks. The aim of the screening phase is to eliminate the study effect that might result in a decrease of HbA1c and to make sure that patients, who are failing current MDI therapy, are selected.

After this screening phase, eligible patients will be randomised to receive either Continuous Subcutaneous Insulin Infusion (CSII) treatment or continue MDI treatment. The first 6-months phase (2-arms parallel) will be followed by another 6-months continuation phase (single cross-over of the MDI arm alone switching to CSII).

Interventional
Phase 4
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Diabetes Mellitus, Type 2
Device: Insulin Pump (Medtronic Minimed Paradigm® VEO)
The pump delivers insulin as specified by the patient
Other Name: Medtronic MiniMed Paradigm® VEO system (MMT-554/754
  • Experimental: Insulin Pump Treatment
    Patients will get an insulin pump
    Intervention: Device: Insulin Pump (Medtronic Minimed Paradigm® VEO)
  • No Intervention: Insulin treatment with MDI
    patients treated with Multiple Daily Injections (MDI); basal/bolus therapy with rapid- and long-acting analogs with at least 3 injections per day
Reznik Y, Cohen O, Aronson R, Conget I, Runzis S, Castaneda J, Lee SW; OpT2mise Study Group. Insulin pump treatment compared with multiple daily injections for treatment of type 2 diabetes (OpT2mise): a randomised open-label controlled trial. Lancet. 2014 Oct 4;384(9950):1265-72. doi: 10.1016/S0140-6736(14)61037-0. Epub 2014 Jul 2.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Active, not recruiting
495
August 2014
February 2014   (final data collection date for primary outcome measure)

Inclusion Criteria at screening:

  1. Diagnosed with type 2 DM, as per Investigator discretion
  2. HbA1c (DCCT-standard) must be ≥ 8.0% and ≤12% as evidenced by central lab value taken at screening
  3. Insulin resistance defined as required daily dose between 0.5-1.8 U/Kg or a maximum of 220 units of insulin per day
  4. Aged 30 to 75 years old (inclusive)
  5. On MDI regimen (basal/bolus regimen with long-acting insulin and rapid acting analogs) defined as ≥ 3 injections per day for at least 3 months prior signing the informed consent
  6. Ability to comply with technology, according to Investigator's judgment
  7. Patients must be willing to undergo all study procedures
  8. Female patients of child-bearing potential must be using adequate contraception means as assessed by Investigator

at randomisation:

  1. Diagnosed with type 2 DM, as per Investigator discretion
  2. HbA1c (DCCT-standard) must be ≥ 8.0% and ≤12% as evidenced by central lab value
  3. Insulin resistance defined as required daily dose between 0.7-1.8 U/Kg or a maximum of 220 units of insulin per day
  4. On MDI (basal/bolus regimen with long-acting insulin and rapid acting analogs) defined as ≥ 3 injections per day
  5. Ability to comply with technology, according to Investigator's judgment
  6. ≥ 2.5 SMBG per day on average, as reported in Carelink clinical during the run-in phase.
  7. Patients must be willing to undergo all study procedures
  8. Female patients of child-bearing potential must be using adequate contraception means as assessed by Investigator

Exclusion Criteria :

  1. Subject has a history (≥ 2 events) of hypoglycemic seizure or hypoglycemic coma within the last 6 months
  2. Subject is pregnant as assessed by a pregnancy test with central laboratory, or plans to become pregnant during the course of the study
  3. Participation in another interventional clinical study, on-going or completed less than 3 months prior to signature of Patient Informed Consent.
  4. Subject has proliferative retinopathy or sight threatening maculopathy
  5. Subject has

    • an acute coronary syndrome (myocardial infarction or unstable angina) within 12 months OR
    • coronary artery revascularization by bypass surgery or stenting within 3 months OR
    • a transient ischemic attack (TIA) or cerebrovascular accident (CVA) within 3 months OR
    • hospitalization for heart failure within 3 months or current New York Functional Class III or IV OR
    • current 2nd or 3rd degree heart block OR
    • symptomatic ventricular rhythm disturbances OR
    • thromboembolic disease within the last 3 months OR
    • 2nd degree Mobitz type II or 3rd degree heart block
  6. Subject with renal impairment expressed as estimated glomerular filtration rate (eGFR) using the Modification of Diet in Renal Disease (MDRD) formula < 30 ml/min as demonstrated by the screening central laboratory value at the time of enrollment
  7. Subject has taken oral or injectable steroids within the last 30 days
  8. Systolic blood pressure on screening visit is > 180 mmHg
  9. Diastolic blood pressure on screening visit is > 110 mmHg
  10. Any other disease (eg active cancer under treatment) or condition including abnormalities found on the screening tests, that in the opinion of the Investigator, may preclude him/her from participating in the study
  11. Taking any medication prescribed for weight loss
  12. Alcohol or drug abuse, other than nicotine, at the investigator's discretion
  13. Use of a GLP-1 agonist or pramlintide (Symlin)
Both
30 Years to 75 Years
No
Contact information is only displayed when the study is recruiting subjects
United States,   Austria,   Canada,   France,   Germany,   Hungary,   Israel,   Italy,   Macedonia, The Former Yugoslav Republic of,   Netherlands,   Serbia,   South Africa,   Spain
 
NCT01182493
EUR05 / CEP234
Yes
Medtronic
Medtronic
Not Provided
Principal Investigator: Ohad Cohen, MD Chaim Sheba Medical Center, Tel Hashomer, Israel
Principal Investigator: Ignacio Conget, MD ICMDM Hospital Clínic i, Barcelona, Spain
Principal Investigator: Yves Reznic, MD CHU Côte de Nacre, France
Principal Investigator: Ronnie Aronson, MD FRCPC, FACE LMC Endocrinology Centres, Canada
Medtronic
July 2014

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP