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CompletedNCT02061488PPAUpdated May 24, 2023

Assessment of a New Closed-loop Algorithm in Type 1 Diabetes (Saddle Point Model Predictive Control : SP-MPC) (PPA)

An interventional study of open-loop night and closed-loop night in Type 1 Diabetes, sponsored by Rennes University Hospital. Completed at 1 site in France. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2023-05-24.

Sponsored by Rennes University Hospital · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
10
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

The purpose of the study is to assess a new closed-loop algorithm in type 1 diabetes (Saddle Point Model Predictive Control : SP-MPC)

Read the detailed description

Ten patients will be assessed during a closed-loop night and an open-loop night in random order.

The primary objective is to assess the ability of SP-MPC controler to maintain euglycemia and avoid hypoglycaemia during the night, compared to open loop in type 1 diabetic patients treated by insulin pump.

02

Conditions studied

  • Type 1 Diabetes

Keywords

  • Artificial pancreas, closed loop glucose control, model predictive control
03

In context

Diabetes Mellitus

10,925 studies on the registry are indexed under Diabetes Mellitus; 1,319 are open to participants now.

This study's enrollment of 10 is below the median of 80 across 8,367 interventional studies indexed under Diabetes Mellitus.

Browse Diabetes Mellitus studies →

Lead sponsor

Rennes University Hospital is the lead sponsor of 440 studies on the registry; 51 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients with type 1 diabetes (C peptide negative) :
  • 18 to 70 year old,
  • with type 1 diabetes for more than 3 years,
  • treated by insulin pump for more than 3 months,
  • with previous CGM holter allowing preliminary settting of some of the SP-MPC parameters
  • able to provide written informed consent.

Exclusion criteria

Exclusion Criteria:

  • pregnancy or breastfeeding,
  • severe non stabilized diabetic retinopathy,
  • cardiovascular event in the previous 6 months,
  • infectious diseases with recent fever,
  • anemia (hemoglobin \< 11g/l),
  • HbA1c > 10%,
  • Current or recent (less than 4 weeks) oral or injectable corticosteroid treatment,
  • creatinine clearance \<40ml/mn,
  • chronic alcoholism (weekly consumption of alcohol > 280g for men and > 140g for women),
  • adults legally protected (under judicial protection, guardianship, or supervision), persons deprived of their liberty
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
10 participants (actual)

Study arms

  • Active comparator
    open-loop night

    Other: open-loop night

  • Experimental
    closed-loop night

    Other: closed-loop night

Interventions

  • Otheropen-loop night

    During the open-loop night the patient is using his insulin pump as usual

  • Otherclosed-loop night

    During the closed-loop night glucose values measured by the sensor are collected every 15 minutes. The data are entered into the SP-MPC controler that calculate the insulin dose to be delivered. A diabetologist validates the insulin dose before the infusion (manually bolus infusion)

06

What researchers measure

Primary outcomes

  1. Assessment of time spent in target range (glycemia between 70 and 145 mg/dl) and in hypoglycemia (glycemia <70 mg/dl), during the night (11 PM to 8 AM)

    Assessment of the ability of SP-MPC controler to maintain euglycemia and avoid hypoglycaemia during the night, compared to open loop in type 1 diabetic patients treated by insulin pump

    Time frame: 6 weeks

Secondary outcomes

  1. Assessment of time spent above 70 mg/dl, between 70-145 or 145-180 mg/dl and above 180 mg/dl (interstitial glucose) in the late post prandial period (9 to 11 PM) and during the night (11 PM to 8 AM)

    Assessment of hypoglycemia and hyperglycemia cases, average glycemic balance, glycemic variability, insulin doses

    Time frame: 6 weeks

  2. Assessment of hypoglycemia occurrence during the night

    Time frame: 6 weeks

  3. Assessment of area under the curves (70-180mg/dl) during the night

    Time frame: 6 weeks

  4. Assessment of Low Blood Glucose Index (LBGI), High Blood Glucose Index (HBGI) and CONGA Index

    Time frame: 6 weeks

  5. Assessment of insulin doses delivered between 9 PM and 8 AM

    Time frame: 6 weeks

  6. Assessment of number of controller propositions rejected for security reasons

    Time frame: 6 weeks

  7. Assessment of glucose values during the night (glycemia and interstitial glucose values)

    Time frame: 6 weeks

07

Study locations

1 site
  • Rennes University Hospital
    Rennes, 35033, France
08

References and documents

Publications

  • Guilhem I, Penet M, Paillard A, Carpentier M, Esvant A, Lefebvre MA, Poirier JY. Manual Closed-Loop Insulin Delivery Using a Saddle Point Model Predictive Control Algorithm: Results of a Crossover Randomized Overnight Study. J Diabetes Sci Technol. 2017 Sep;11(5):1007-1014. doi: 10.1177/1932296817717503. Epub 2017 Jul 5. PubMed 28677416 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 24, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02061488
Lead sponsor
Rennes University Hospital
Responsible party
Sponsor
First posted
Feb 12, 2014
Start date
Mar 2014
Primary completion
Jul 2014
Completion
Jul 2014
Last update
May 24, 2023

Study contacts

Isabelle Guilhem
principal investigator · Rennes University Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2023. You cannot join it, but the record below documents what was studied.

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