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CompletedNCT01718522RANSuPUpdated Jan 29, 2019Results posted

Registry of Use and Application of Sensor Augmented Pump (SAP) Therapy Under Daily Life Conditions

An observational study in Diabetes Mellitus, Type 1, sponsored by Medtronic Diabetes. Completed. Open to participants aged 6 Years to 65 Years. Per ClinicalTrials.gov, last updated 2019-01-29.

Sponsored by Medtronic Diabetes · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
75
Ages
6 Years to 65 Years
Sex
All
01

Study summary

The purpose of this registry is to collect the real life data on Sensor Augmented pump (SAP) therapy usage in type 1 Diabetes mellitus (DM) patients treated with Medtronic Insulin pumps and continuous glucose monitoring systems in Germany.

Read the detailed description

The purpose of this registry is to reflect the daily practice with Sensor Augmented Pump (SAP) therapy usage in Type 1 Diabetes Mellitus (DM) patients treated with Medtronic insulin pumps (Paradigm VEO®) and continuous glucose monitoring systems in Germany. In addition, the aim is of this registry is to support:

  • obtain reimbursement for SAP therapy in Germany
  • building a platform (advisory committee) for discussion of SAP data.
  • looking for deficits with implementation of glucose sensor data in diabetes therapy management and development of "follow-up education" materials.

This is a national multi-center, post-market non-interventional prospective study with CE marked and commercially available devices and consumables.

The study will be conducted from March 2012 to April 2013 in Germany. The duration of individual patient participation is 3 to 6 months.

Health outcomes will be measured in approximately 75 patients between 6-65 years old diagnosed with Type 1 DM over a period of at least 3 months in approximately 15 centers. The patients are under treatment of Paradigm VEO® without any additional insulin injections and use continuous glucose monitoring, or patients that are not using continuous glucose monitoring, but that are willing to start with SAP. The enrolled subjects have a first visit inquiring the status data (including upload of device data in CareLink software, Hemoglobin A1c (HbA1c) value measurement) without any intervention. Thereafter, the SAP therapy is optimized based on individual continuous glucose monitoring (CGM) data during a second visit one month later and then a last visit like the first visit in which the status will be determined.

Parameters of glycemic control will be measured, such as the frequency of hypoglycemia (glucose values ≤ 70 mg/dl), over a period of 30 days after the first patient's visit (Visit 1) and after the visit 2 when an adjustment of the therapy has been discussed with the patient based on the collected CGM results between the two first visits.

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Conditions studied

  • Diabetes Mellitus, Type 1
03

In context

Diabetes Mellitus, Type 1

3,522 studies on the registry are indexed under Diabetes Mellitus, Type 1; 576 are open to participants now.

This study's enrollment of 75 is below the median of 120 across 748 observational studies indexed under Diabetes Mellitus, Type 1.

Browse Diabetes Mellitus, Type 1 studies →

Lead sponsor

Medtronic Diabetes is the lead sponsor of 61 studies on the registry; none are open to participants now.

Of its 22 completed or terminated interventional studies of FDA-regulated products, 21 (95%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
6 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Diabetes mellitus, type 1

Inclusion criteria

  • patients with signed informed consent
  • Type 1 DM and has been on insulin pump therapy for at least 3 months prior to signature of the informed consent
  • patients use CGM component as part as part of the continuous subcutaneous insulin infusion (CSII) therapy for a minimum of 1 month

Exclusion criteria

Exclusion Criteria:

  • participation in any other trial
  • any disease or drug treatment that can interfere with the outcome of sensor usage
  • using CGM in CSII \< 3 days/week
  • patients not willing to sign informed consent
  • abuse of alcohol or drugs (exception of nicotine consumption)
  • eating disorder, anorexia, bulimia or other mental disorders
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
75 participants (actual)
Patient registry
No

Groups and cohorts

  • Intervention Group

    Patients treated with sensor augmented pump (SAP) therapy with insulin pump Paradigm VEO® and use continuous glucose monitoring (CGM).

    Device: sensor augmented pump (SAP)

Interventions

  • Devicesensor augmented pump (SAP)
06

What researchers measure

Primary outcomes

  1. Number (n) of Excursions <70 mg/dl Per Sensor Day at Baseline and 3 Months

    Time frame: baseline and 3 months

Secondary outcomes

  1. Number (n) of Excursions <40 mg/dl Per Sensor Day at Baseline and 3 Months

    Time frame: Baseline and 3 months

  2. Hemoglobin A1c (HbA1c) Values (%) at Baseline and 3 Months

    Time frame: Baseline and 3 months

  3. Interstitial Sensor Glucose Concentration (mg/dl) at Baseline and 3 Months

    Time frame: Baseline and 3 months

  4. Sensor Wearing Time (Sensor Days/Calendar Week) at Baseline and 3 Months

    Time frame: Baseline and 3 months

  5. Area Under the Curve (AUC) in Hypoglycemic Region (< 70mg/dl) at Baseline and 3 Months

    Area under the curve (AUC) in hypoglycemic region (\< 70mg/dl) at baseline (1 month before the start of the study) and 3 months during the study.

    Time frame: Baseline and 3 months

  6. Area Under the Curve (AUC) in Hyperglycemic Region (>140mg/dl) at Baseline and 3 Months

    Area under the curve (AUC) in hyperglycemic region (\>140mg/dl) at baseline (1 month before the start of the study) and 3 months during the study.

    Time frame: Baseline and 3 months

  7. Time in Hyperglycemic Region Per Sensor Day at Baseline and 3 Months

    Time frame: Baseline and 3 months

  8. Number of Automatic Low Glucose Suspend (LGS) Activations in Daytime (6:00 - 22:00 Hrs) at Baseline and 3 Months

    Time frame: Baseline and 3 months

  9. Number of Automatic Low Glucose Suspend (LGS) Activations in Nighttime (22:00 - 6:00 Hrs) at Baseline and 3 Months

    Time frame: Baseline and 3 months

  10. Interstitial Sensor Glucose Excursions After Meals (Amplitude of Excursions) at Baseline and 3 Months

    Time frame: Baseline and 3 months

07

Results

Posted Jan 11, 2019

Participant flow

Participant flow — Overall Study
MilestoneIntervention Group
Started75
Completed67
Not completed8

Outcome measures

PrimaryNumber (n) of Excursions <70 mg/dl Per Sensor Day at Baseline and 3 Months
Time frame:
baseline and 3 months
Reported as:
Mean · excursions
Number (n) of Excursions <70 mg/dl Per Sensor Day at Baseline and 3 Months
excursionsIntervention Group
Baseline1.26 ± 0.69
3 months0.98 ± 0.59
Statistical analysis
  • Intervention Group · t-test, 2 sided · p = 0.001
SecondaryNumber (n) of Excursions <40 mg/dl Per Sensor Day at Baseline and 3 Months
Time frame:
Baseline and 3 months
Reported as:
Mean · excursions
Number (n) of Excursions <40 mg/dl Per Sensor Day at Baseline and 3 Months
excursionsIntervention Group
Baseline0.19 ± 0.22
3 months0.16 ± 0.21
Statistical analysis
  • Intervention Group · Wilcoxon Signed-Rank Test · p = 0.12
SecondaryHemoglobin A1c (HbA1c) Values (%) at Baseline and 3 Months
Time frame:
Baseline and 3 months
Reported as:
Mean · Percentage
Hemoglobin A1c (HbA1c) Values (%) at Baseline and 3 Months
PercentageIntervention Group
Baseline7.96 ± 0.93
3 months7.90 ± 0.97
Statistical analysis
  • Intervention Group · Wilcoxon Signed-Rank Test · p = 0.30
SecondaryInterstitial Sensor Glucose Concentration (mg/dl) at Baseline and 3 Months
Time frame:
Baseline and 3 months
Reported as:
Mean · mg/dl
Interstitial Sensor Glucose Concentration (mg/dl) at Baseline and 3 Months
mg/dlIntervention Group
Baseline154.80 ± 24.21
3 months159.06 ± 25.78
Statistical analysis
  • Intervention Group · t-test, 2 sided · p = 0.03
SecondarySensor Wearing Time (Sensor Days/Calendar Week) at Baseline and 3 Months
Time frame:
Baseline and 3 months
Reported as:
Mean · sensor days/calendar week
Sensor Wearing Time (Sensor Days/Calendar Week) at Baseline and 3 Months
sensor days/calendar weekIntervention Group
Baseline5.6 ± 1.0
3 months5.01 ± 1.46
Statistical analysis
  • Intervention Group · Wilcoxon Signed-Rank Test · p = 0.04
SecondaryArea Under the Curve (AUC) in Hypoglycemic Region (< 70mg/dl) at Baseline and 3 Months

Area under the curve (AUC) in hypoglycemic region (\< 70mg/dl) at baseline (1 month before the start of the study) and 3 months during the study.

Time frame:
Baseline and 3 months
Reported as:
Mean · mg/dl*day
Area Under the Curve (AUC) in Hypoglycemic Region (< 70mg/dl) at Baseline and 3 Months
mg/dl*dayIntervention Group
Baseline0.07 ± 0.35
3 months0.028 ± 0.026
Statistical analysis
  • Intervention Group · Wilcoxon Signed-Rank Test · p = 0.35
SecondaryArea Under the Curve (AUC) in Hyperglycemic Region (>140mg/dl) at Baseline and 3 Months

Area under the curve (AUC) in hyperglycemic region (\>140mg/dl) at baseline (1 month before the start of the study) and 3 months during the study.

Time frame:
Baseline and 3 months
Reported as:
Mean · mg/dl*day
Area Under the Curve (AUC) in Hyperglycemic Region (>140mg/dl) at Baseline and 3 Months
mg/dl*dayIntervention Group
Baseline1.32 ± 0.87
3 months1.79 ± 1.44
Statistical analysis
  • Intervention Group · Wilcoxon Signed-Rank Test · p = 0.001
SecondaryTime in Hyperglycemic Region Per Sensor Day at Baseline and 3 Months
Time frame:
Baseline and 3 months
Reported as:
Mean · min/sensor day
Time in Hyperglycemic Region Per Sensor Day at Baseline and 3 Months
min/sensor dayIntervention Group
Baseline737.62 ± 232.56
3 months771.00 ± 426.52
Statistical analysis
  • Intervention Group · Wilcoxon Signed-Rank Test · p = 0.61
SecondaryNumber of Automatic Low Glucose Suspend (LGS) Activations in Daytime (6:00 - 22:00 Hrs) at Baseline and 3 Months
Time frame:
Baseline and 3 months
Reported as:
Mean · activations/patient/sensor day
Number of Automatic Low Glucose Suspend (LGS) Activations in Daytime (6:00 - 22:00 Hrs) at Baseline and 3 Months
activations/patient/sensor dayIntervention Group
Baseline0.62 ± 0.71
3 months0.73 ± 0.83
Statistical analysis
  • Intervention Group · Wilcoxon Signed-Rank Test · p = 0.1
SecondaryNumber of Automatic Low Glucose Suspend (LGS) Activations in Nighttime (22:00 - 6:00 Hrs) at Baseline and 3 Months
Time frame:
Baseline and 3 months
Reported as:
Mean · activations/patient/sensor day
Number of Automatic Low Glucose Suspend (LGS) Activations in Nighttime (22:00 - 6:00 Hrs) at Baseline and 3 Months
activations/patient/sensor dayIntervention Group
Baseline0.22 ± 0.29
3 months0.25 ± 0.29
Statistical analysis
  • Intervention Group · Wilcoxon Signed-Rank Test · p = 0.22
SecondaryInterstitial Sensor Glucose Excursions After Meals (Amplitude of Excursions) at Baseline and 3 Months
Time frame:
Baseline and 3 months

No measurements were reported for this outcome.

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Intervention Group—0/75 (0%)0/75 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Intervention Group
<=18 years20
Between 18 and 65 years55
>=65 years0
Age, Continuous
Age, Continuous(years)Intervention Group
Mean33.88 ± 16.56
Sex: Female, Male
Sex: Female, Male(Participants)Intervention Group
Female36
Male39
Region of Enrollment
Region of Enrollment(participants)Intervention Group
Germany75
08

Study locations

No study locations are listed for this record.

09

References and documents

Publications

  • Tsioli C, Danne T für die RANSuP-Studiengruppe. RANSuP-Registerstudie: Anwendung der Sensorunterstützten Pumpentherapie unter Alltagsbedingungen. Diabetologie und Stoffwechsel 2013; 8: S62

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 29, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01718522
Lead sponsor
Medtronic Diabetes
Responsible party
Sponsor
First posted
Oct 31, 2012
Start date
Feb 2012
Primary completion
Aug 2013
Completion
Jan 2014
Results posted
Jan 11, 2019
Last update
Jan 29, 2019

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2019. You cannot join it, but the record below documents what was studied.

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