About this trial
A multi-center, 26-week randomized controlled trial (RCT) to evaluate the safety and efficacy of the fully closed loop Omnipod M System in adults with type 2 diabetes using basal/bolus insulin therapy or basal-only insulin therapy, with the primary endpoint after 15 weeks and secondary analysis at 26 weeks; followed by an extension phase after completion of the 26-week trial where the Intervention group will continue to use Omnipod M and the Control group will crossover to use Omnipod M for 26 weeks
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age at time of consent 18-75 years (inclusive)
Clinical diagnosis, based on investigator assessment, of type 2 diabetes for at least 6 months at time of screening
On insulin therapy for at least 3 months at time of screening, with no change to insulin regimen for 6 weeks prior (AID use within past 3 months excluded) to initiating baseline CGM data collection.
Regimen is defined as (1) Basal-bolus insulin therapy (a) using multiple daily injections of insulin (MDI), (b) non-automated insulin pump, or (c) MDI with premix insulin; or (2) basal insulin only (without bolus insulin).
Disqualifiers
Use of an automated insulin delivery pump within 3 months prior to screening
Any medical condition, which in the opinion of the Investigator, would put the participant at an unacceptable safety risk. This may include untreated malignancy, unstable cardiac disease, unstable or end-stage renal disease, unstable proliferative retinopathy, unstable psychiatric conditions such as eating disorders, drug or alcohol abuse.
Current or known history of coronary artery disease that is not stable with medical management in the opinion of the investigator, including unstable angina, despite medical management, or a history of myocardial infarction, percutaneous coronary intervention, or coronary artery bypass grafting within the 12 months prior to screening
Any planned surgery during the study which could be considered major in the opinion of the Investigator
Trial design
Parallel
Treatments tested in this trial
Device: Omnipod M System with study CGM
DeviceThe Omnipod M system with the study CGM
Standard Therapy plus study CGM
DeviceStandard therapy is continuation of pre-study insulin regimen and study CGM.
Treatment groups
Trial outcomes
Primary outcomes
HbA1c
Change in HbA1c (%) from baseline between the intervention and control groups
Secondary outcomes
Mean glucose
Change in mean CGM glucose mg/dL from baseline, compared between the intervention and control groups
Time in Range 70-180 mg/dL
Change in CGM percent time 70-180 mg/dL from baseline, compared between the intervention and control groups
Time > 180 mg/dL
Change in CGM percent time \>180 mg/dL from baseline, compared between the intervention and control groups
Time > 250 mg/dL
Change in CGM percent time \>250 mg/dL from baseline, compared between the intervention and control groups
Other outcomes
Total daily insulin (TDI) and TDI/kg
Change in TDI and TDI/kg from baseline, compared between the intervention and control groups
Percentage of insulin delivered via autobolus
Change in percentage of insulin delivered via autobolus from baseline, compared between the intervention and control groups
Weight and body mass index
Change in weight and body mass index from baseline, compared between the intervention and control groups
Patient reported outcome surveys
Sponsors and contacts
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Insulet Corporation
Lead sponsor
Jaeb Center for Health Research
Collaborator