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NCT03563313: DCLP3

The International Diabetes Closed Loop (iDCL) Trial: Clinical Acceptance of the Artificial Pancreas

Completed NA Results posted Last updated 28 April 2020
What this trial tests

NA trial testing t:slim X2 with Control-IQ Technology & Dexcom G6 CGM in Type 1 Diabetes Mellitus in 168 participants. Completed in 8 April 2019.

Timeline
28 June 2018
Primary endpoint
8 April 2019
8 April 2019

Quick facts

Lead sponsorUniversity of Virginia
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposeother
Enrollment168
Start date28 June 2018
Primary completion8 April 2019
Estimated completion8 April 2019
Sites7 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of Virginia

Who can join

14 and older, any sex, with Type 1 Diabetes Mellitus. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Time in Target Range Primary · 26 weeks

The primary outcome is time in target range 70-180 mg/dL measured by CGM in CLC group vs. SAP group.

GroupValue95% CI
Closed Loop Control (CLC)71± 12
Sensor-Augmented Pump (SAP)59± 14
CGM Time Above 180 Secondary · 26 weeks

CGM-measured % above 180 mg/dL

GroupValue95% CI
Closed Loop Control (CLC)27± 12
Sensor-Augmented Pump (SAP)38± 15
CGM Mean Glucose Secondary · 26 weeks

CGM-measured mean glucose

GroupValue95% CI
Closed Loop Control (CLC)156± 19
Sensor-Augmented Pump (SAP)170± 25
HbA1c at 26 Weeks Secondary · 26 weeks

Hemoglobin A1c measured at 26 weeks

GroupValue95% CI
Closed Loop Control (CLC)7.06± 0.79
Sensor-Augmented Pump (SAP)7.39± 0.92
CGM Time Below 70 Secondary · 26 weeks

CGM-measured % below 70 mg/dL

GroupValue95% CI
Closed Loop Control (CLC)1.58± 1.15
Sensor-Augmented Pump (SAP)2.25± 1.46
CGM Time Below 54 Secondary · 26 weeks

CGM-measured % below 54 mg/dL

GroupValue95% CI
Closed Loop Control (CLC)0.29± 0.29
Sensor-Augmented Pump (SAP)0.35± 0.32
CGM Time in Range 70-140 mg/dL Secondary · 26 weeks

CGM-measured % in range 70-140 mg/dL

GroupValue95% CI
Closed Loop Control (CLC)46± 12
Sensor-Augmented Pump (SAP)36± 12
Coefficient of Variability Secondary · 26 weeks

CGM measured glucose variability measured with the coefficient of variation (CV)

GroupValue95% CI
Closed Loop Control (CLC)34± 5
Sensor-Augmented Pump (SAP)36± 5
Standard Deviation of CGM Secondary · 26 weeks

CGM measured glucose variability measured with the standard deviation (SD)

GroupValue95% CI
Closed Loop Control (CLC)53± 12
Sensor-Augmented Pump (SAP)62± 13
CGM Time Below 60 Secondary · 26 weeks

CGM-measured % below 60 mg/dL

GroupValue95% CI
Closed Loop Control (CLC)0.58± 0.52
Sensor-Augmented Pump (SAP)0.75± 0.61
LBGI Secondary · 26 weeks

Low blood glucose index by CGM with higher index indicating higher risk of hypoglycemia. Values \<1 suggest minimal risk. Index of risk of low blood glucose excursion based on a standard formula for non-linear transformation of the blood glucose scale (Kovatchev BP, Cox DJ, Gonder-Frederick LA, Young-Hyman D, Schlundt D, Clarke WL: Assessment of risk for severe hypoglycemia among adults with IDDM: validation of the low blood glucose index. Diabetes Care 21:1870-1875, 1998)

GroupValue95% CI
Closed Loop Control (CLC)0.51± 0.29
Sensor-Augmented Pump (SAP)0.65± 0.35
CGM Hypoglycemia Events Secondary · 26 weeks

CGM-measured events of at least 15 consecutive minutes \<70mg/dL per week

GroupValue95% CI
Closed Loop Control (CLC)3.3± 2.1
Sensor-Augmented Pump (SAP)4.3± 2.7

Adverse events — posted to ClinicalTrials.gov

Time frame: From protocol entry through last study date which is approximately 26-28 weeks per participant.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Closed Loop Control (CLC)
Serious: 4/112 (4%)
Deaths: 0/112
Sensor-Augmented Pump (SAP)
Serious: 0/56 (0%)
Deaths: 0/56

Serious adverse events (4 terms)

ReactionSystemClosed Loop Control (CLC)Sensor-Augmented Pump (SAP)
Diabetic KetoacidosisEndocrine disorders
ConcussionNervous system disorders
OtitisEar and labyrinth disorders
Cardiac Bypass SurgeryCardiac disorders
Other adverse events (1 terms — click to expand)

ReactionSystemClosed Loop Control (CLC)Sensor-Augmented Pump (SAP)
Hyperglycemia or ketosis events without meeting criteria for Diabetic KetoacidosisEndocrine disorders

Most-reported serious reactions: Diabetic Ketoacidosis, Concussion, Otitis, Cardiac Bypass Surgery.

Data from ClinicalTrials.gov NCT03563313 adverse events section.

Sponsor's own description

The objective of the study is to assess efficacy and safety of a closed loop system (t:slim X2 with Control-IQ Technology) in a large randomized controlled trial.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Six-Month Randomized, Multicenter Trial of Closed-Loop Control in Type 1 Diabetes.
    Brown SA, Kovatchev BP, Raghinaru D, Lum JW, et al · · 2019 · cited 712× · PMID 31618560 · DOI 10.1056/nejmoa1907863
  2. One Year Real-World Use of the Control-IQ Advanced Hybrid Closed-Loop Technology.
    Breton MD, Kovatchev BP. · · 2021 · cited 195× · PMID 33784196 · DOI 10.1089/dia.2021.0097
  3. Closed-Loop Insulin Therapy Improves Glycemic Control in Adolescents and Young Adults: Outcomes from the International Diabetes Closed-Loop Trial.
    Isganaitis E, Raghinaru D, Ambler-Osborn L, Pinsker JE, et al · · 2021 · cited 88× · PMID 33216667 · DOI 10.1089/dia.2020.0572
  4. A Meta-Analysis of Randomized Trial Outcomes for the t:slim X2 Insulin Pump with Control-IQ Technology in Youth and Adults from Age 2 to 72.
    Beck RW, Kanapka LG, Breton MD, Brown SA, et al · · 2023 · cited 84× · PMID 37067353 · DOI 10.1089/dia.2022.0558
  5. Patient-Reported Outcomes in a Randomized Trial of Closed-Loop Control: The Pivotal International Diabetes Closed-Loop Trial.
    Kudva YC, Laffel LM, Brown SA, Raghinaru D, et al · · 2021 · cited 57× · PMID 34115959 · DOI 10.1089/dia.2021.0089
  6. First Look at Control-IQ: A New-Generation Automated Insulin Delivery System.
    Brown S, Raghinaru D, Emory E, Kovatchev B. · · 2018 · cited 54× · PMID 30305346 · DOI 10.2337/dc18-1249
  7. Glucose control and psychosocial outcomes with use of automated insulin delivery for 12 to 96 weeks in type 1 diabetes: a meta-analysis of randomised controlled trials.
    Godoi A, Reis Marques I, Padrão EMH, Mahesh A, et al · · 2023 · cited 50× · PMID 37759290 · DOI 10.1186/s13098-023-01144-4
  8. Better TIR, HbA1c, and less hypoglycemia in closed-loop insulin system in patients with type 1 diabetes: a meta-analysis.
    Jiao X, Shen Y, Chen Y. · · 2022 · cited 45× · PMID 35450868 · DOI 10.1136/bmjdrc-2021-002633

Verify or expand the search:

Other trials of t:slim X2 with Control-IQ Technology & Dexcom G6 CGM

Trials testing the same drug.

Other recruiting trials for Type 1 Diabetes Mellitus

Currently open trials in the same condition.

Other University of Virginia trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03563313.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing