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Trial registered on ANZCTR
Registration number
ACTRN12614001330639
Ethics application status
Approved
Date submitted
24/11/2014
Date registered
18/12/2014
Date last updated
18/12/2014
Type of registration
Retrospectively registered
Titles & IDs
Public title
PumpTune computer recommended insulin pump settings compared to Doctor advised settings in children with Type 1 Diabetes: A randomised controlled trial
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Scientific title
A randomised cross-over trial in children with Type 1 Diabetes to compare insulin pump settings set by PumpTune computerised algorithm to Doctor advised settings
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Secondary ID [1]
285729
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Type 1 diabetes
293614
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Condition category
Condition code
Metabolic and Endocrine
293901
293901
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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
Children have the settings controlling their insulin infusion pumps adjusted by a credentially diabetes educator using recommendations from PumpTune computer algorithm once and then are monitored with continuous glucose monitoring for a further six days. There was no washout period separating these six days from the comparison period.
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Intervention code [1]
290683
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Treatment: Devices
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Comparator / control treatment
Children have the settings controlling their insulin infusion pumps adjusted once by a diabetes nurse educator using recommendations from a paediatric diabetes specialist doctor and then monitored with continuous glucose monitoring for 6 days.
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Control group
Active
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Outcomes
Primary outcome [1]
293674
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percentage of time sensor glucose levels remain within range 3.9-10.0mmol/L as assessed by analysis of data exported from continous glucose sensor.
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Assessment method [1]
293674
0
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Timepoint [1]
293674
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over 6 days observation
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Secondary outcome [1]
311563
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percentage time sensor glucose levels remain >=10mmo//L as assessed by analysis of data exported from continous glucose sensor.
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Assessment method [1]
311563
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Timepoint [1]
311563
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over 6 days observation
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Secondary outcome [2]
311564
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percentage time sensor glucose levels remain <=3.9mmo//L as assessed by analysis of data exported from continous glucose sensor.
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Assessment method [2]
311564
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Timepoint [2]
311564
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over 6 days observation
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Secondary outcome [3]
311565
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Number of times sensor glucose levels fall below 2.75mmol/L as assessed by analysis of data exported from continous glucose sensor.
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Assessment method [3]
311565
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Timepoint [3]
311565
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over 6 days observation
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Eligibility
Key inclusion criteria
HbA1c in range 6.5-9.5%
Diabetes was diagnosed at least 12 months previously
Performing >=4 finger prick blood glucose levels each day
Delivering at least six bolus doses of insulin each day
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Minimum age
0
Years
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Maximum age
18
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
Not able to attend John Hunter Hospital for three consecutive weeks to have sensors inserted and pumps adjusted
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
In this cross over trial the order the interventions were applied was randomised. An independant person used a randomisation table to allocate the order. Each set of pump adjustment instructions was placed into a sealed opaque envelope. The number 1 was written on the outside of the instructions to be used first and number 2 for those to be used second. The diabetes educator who entered the adjustments into the pumps was blinded as to the origin of the instructions.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
A randmisation table based on permuted blocks was generated by a statistician using software package Stata v 13.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
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Intervention assignment
Crossover
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Other design features
The order the interventions were applied was randomised
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Phase
Phase 2 / Phase 3
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Type of endpoint/s
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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
3/09/2012
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Actual
12/11/2012
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Date of last participant enrolment
Anticipated
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Actual
24/03/2014
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
22
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
3206
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John Hunter Children's Hospital - New Lambton
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Recruitment postcode(s) [1]
8986
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2305 - New Lambton
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Funding & Sponsors
Funding source category [1]
290304
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Charities/Societies/Foundations
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Name [1]
290304
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Hunter Medical Research Foundation
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Address [1]
290304
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1 Kookaburra Circuit, New Lambton Heights NSW 2305
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Country [1]
290304
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Australia
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Primary sponsor type
Individual
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Name
Dr Donald Anderson
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Address
Paediatric Endocrinology
John HUnter Children's Hospital
Locked Bag #1
Hunter Mail Centre NSW 2310
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Country
Australia
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Secondary sponsor category [1]
289015
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Hospital
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Name [1]
289015
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John Hunter Children's Hospital
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Address [1]
289015
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Locked Bag #1
Hunter Mail Centre
NSW 2310
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Country [1]
289015
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
292010
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Hunter New England Human Research Ethics Committee
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Ethics committee address [1]
292010
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Locked Bag #1, Hunter Mail Centre, NSW 2310
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Ethics committee country [1]
292010
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Australia
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Date submitted for ethics approval [1]
292010
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Approval date [1]
292010
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08/12/2011
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Ethics approval number [1]
292010
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11/11/16/4.02
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Summary
Brief summary
Information from continuous glucose sensors is complicated. Insulin pumps can be set in many ways and the settings are complicated and may vary depending of the person making the changes. This study compares the results after insulin pumps are adjusted by a doctor or by a computer program.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
53038
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Dr Donald G Anderson
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Address
53038
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Paediatric Endocrinology
John Hunter Children's Hospital
Locked Bag #1, Hunter Mail Centre, NSW 2310
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Country
53038
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Australia
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Phone
53038
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61249855634
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Fax
53038
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61249213599
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Email
53038
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[email protected]
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Contact person for public queries
Name
53039
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Donald G Anderson
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Address
53039
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Paediatric Endocrinology
John Hunter Children's Hospital
Locked Bag #1, Hunter Mail Centre, NSW 2310
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Country
53039
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Australia
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Phone
53039
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61249855634
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Fax
53039
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61249213599
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Email
53039
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[email protected]
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Contact person for scientific queries
Name
53040
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Donald G Anderson
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Address
53040
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Paediatric Endocrinology
John Hunter Children's Hospital
Locked Bag #1, Hunter Mail Centre, NSW 2310
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Country
53040
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Australia
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Phone
53040
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61249855634
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Fax
53040
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61249213599
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Email
53040
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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
Source
Title
Year of Publication
DOI
Embase
Evaluation of a novel continuous glucose monitoring guided system for adjustment of insulin dosing - PumpTune: a randomized controlled trial.
2016
https://dx.doi.org/10.1111/pedi.12332
N.B. These documents automatically identified may not have been verified by the study sponsor.
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