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Trial registered on ANZCTR
Registration number
ACTRN12614001163695
Ethics application status
Approved
Date submitted
31/10/2014
Date registered
6/11/2014
Date last updated
7/06/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
Evaluation of a novel glucose sensor in type 1 diabetes
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Scientific title
A comparison of the performance of an orthogonally redundant glucose sensor to an electrochemical glucose sensor with simple redundancy in type 1 diabetes
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Secondary ID [1]
285568
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None
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Universal Trial Number (UTN)
U1111-1163-5283
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Trial acronym
ORS comparison study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Type 1 diabetes
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Condition category
Condition code
Metabolic and Endocrine
293678
293678
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0
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Diabetes
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This study evaluates the performance of a novel glucose sensor incorporating simple and orthogonal redundancy in people with type 1 diabetes. Currently available glucose sensors measure interstitial fluid glucose levels via electrochemical sensing. Sensor redundancy involves multiple sensing elements incorporated into a single sensor, thereby providing backup in case one element fails. Simple redundancy involves multiple sensing elements employing the same technology, while orthogonal redundancy involves multiple elements employing different technologies which have distinct failure modes.
Each participant will concurrently wear two glucose sensors for one week: 1) the investigational orthogonally redundant sensor (ORS) incorporating optical plus redundant electrochemical glucose sensing, and 2) an electrochemical comparator sensor (ECS) with simple redundancy.
Each sensor will be inserted subcutaneously into the abdomen using a dedicated sensor inserter in the clinical trials centre (CTC), a procedure which takes less than 5 minutes. Each sensor will be attached to a recorder which captures sensor-related information, and this data will be uploaded at the conclusion of the study. Glucose data from the study devices will not be available to the participants and will not impact upon decisions relating to their care.
Immediately following sensor insertion venous samples will be collected for reference blood glucose measurement at standardised 15-30 minute intervals for 3 hours. After 72 +/- 4 hours of sensor wear, participants will return to the CTC and consume a standardised meal. Venous samples will be collected for reference blood glucose measurement at 15 minute intervals from 1 hour prior to the test meal until 3 hours post-meal.
Between visits to the CTC, participants will be instructed to undertake finger prick capillary blood glucose measurements at least 6-8 times per day (pre-meals and 2 hours post-meals) which will be recorded by the glucose meter. Following 168 +/- 4 hours of sensor wear, both the ORS and ECS will be removed in the CTC.
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Intervention code [1]
290519
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Treatment: Devices
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Comparator / control treatment
The comparator is an electrochemical glucose sensor with simple redundancy, and reference glucose measurements will be venous and capillary blood glucose levels.
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Control group
Active
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Outcomes
Primary outcome [1]
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Performance of the ORS versus ECS (assessed via accuracy and reliability of sensor data), with blood glucose levels as the reference.
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Assessment method [1]
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Timepoint [1]
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0 to 168 hours
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Secondary outcome [1]
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ORS versus ECS insertion site appearance (skin assessed as normal or abnormal; any skin abnormalities described and photographed).
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Assessment method [1]
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Timepoint [1]
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168 hours post sensor insertion
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Secondary outcome [2]
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ORS versus ECS device comfort and irritability (assessed via non-structured interview).
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Assessment method [2]
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Timepoint [2]
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168 hours post sensor insertion
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Eligibility
Key inclusion criteria
Clinical diagnosis of type 1 diabetes, insulin treatment for diabetes, experience with glucose sensor use.
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Minimum age
21
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Pregnant, planned pregnancy within study period, inability to tolerate tape adhesive in the area of device placement, adverse skin condition in the area of device placement.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
10/11/2014
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Actual
10/11/2014
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Date of last participant enrolment
Anticipated
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Actual
2/03/2015
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
20
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Accrual to date
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Final
21
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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St Vincent's Hospital (Melbourne) Ltd - Fitzroy
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Recruitment postcode(s) [1]
8858
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3065 - Fitzroy
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Juvenile Diabetes Research Foundation
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Address [1]
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26 Broadway
New York NY 10004
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Country [1]
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United States of America
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Funding source category [2]
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Commercial sector/Industry
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Name [2]
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Medtronic Diabetes
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Address [2]
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18000 Devonshire Street
Northridge CA 91325
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Country [2]
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United States of America
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Primary sponsor type
Hospital
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Name
St Vincent's Hospital Melbourne
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Address
41 Victoria Parade
Fitzroy VIC 3065
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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University of Melbourne
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Address [1]
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29 Regent Street
Fitzroy VIC 3065
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Country [1]
288883
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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St Vincent's Hospital Melbourne
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Ethics committee address [1]
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Research Governance Unit Level 5, Mary Aikenhead Building 27 Victoria Parade Fitzroy VIC 3065
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
291881
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Approval date [1]
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24/09/2014
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Ethics approval number [1]
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HREC-D 093/14
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Summary
Brief summary
Glucose sensor technology has been evolving with an ultimate goal of achieving a level of accuracy required to replace finger prick glucose testing, together with a level of reliability for use in an artificial pancreas. While there have been recent advances in glucose sensing technology, further improvements relating to sensor accuracy and reliability are required. A glucose sensor based on a novel technology platform has been developed. Studies in animals and humans during development of this sensor have shown positive results, and this will be the first study in humans to formally compare the novel glucose sensor to a glucose sensor based on the traditional sensing platform.
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Trial website
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Trial related presentations / publications
Feasibility of an Orthogonal Redundant Sensor incorporating Optical plus Redundant Electrochemical Glucose Sensing. Journal of Diabetes Science and Technology 2016. http://www.ncbi.nlm.nih.gov/pubmed/26846821
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Public notes
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Contacts
Principal investigator
Name
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A/Prof David O'Neal
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Address
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Department of Endocrinology & Diabetes, St Vincent's Hospital Melbourne, 35 Victoria Parade Fitzroy VIC 3065
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Country
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Australia
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Phone
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+61 3 9231 2211
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Sybil McAuley
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Address
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Department of Endocrinology & Diabetes, St Vincent's Hospital Melbourne, 35 Victoria Parade Fitzroy VIC 3065
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Country
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Australia
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Phone
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+61 3 9231 2211
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Sybil McAuley
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Address
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Department of Endocrinology & Diabetes, St Vincent's Hospital Melbourne, 35 Victoria Parade Fitzroy VIC 3065
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Country
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Australia
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Phone
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+61 3 9231 2211
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Fax
52400
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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