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CompletedNCT02614768Updated May 6, 2023Results posted

Standardized Evaluation of Subcutaneous Glucose Monitoring Systems Under Routine Environmental Conditions

An interventional study of Glucose Sensor in Diabetes Mellitus, Type 1, sponsored by Medical University of Graz. Completed. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-05-06.

Sponsored by Medical University of Graz · Not applicable, Interventional, and Basic science

From the registry’s dates

  • Registered 4 months after the study started (first participant enrolled Jul 2015, registered Nov 2015).
Phase
Not applicable
Study type
Interventional
Enrollment
12
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to assess accuracy and reliability of the SPIDIMAN continuous glucose monitoring (CGM) sensor system with regard to values as measured by Super GL and compare these results with similar evaluations of the Medtronic MiniMed 640G system, the Abbott FreeStyle Libre Flash Sensor and the DexCom G4 Platinum Sensor in patients with type 1 Diabetes.

Read the detailed description

The study is a single-center open-label study in patients with type 1 diabetes treated with continuous subcutaneous insulin infusion (CSII) or multiple daily injections (MDI) therapy. The study will include a total of 12 subjects.

02

Conditions studied

  • Diabetes Mellitus, Type 1

Keywords

  • Glucose Monitoring System
03

In context

Diabetes Mellitus, Type 1

3,522 studies on the registry are indexed under Diabetes Mellitus, Type 1; 577 are open to participants now.

This study's enrollment of 12 is below the median of 40 across 2,649 interventional studies indexed under Diabetes Mellitus, Type 1.

Browse Diabetes Mellitus, Type 1 studies →

Lead sponsor

Medical University of Graz is the lead sponsor of 459 studies on the registry; 98 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Informed consent obtained after being advised of the nature of the study
  • Male or female aged ≥18 years
  • Type 1 diabetes for at least 6 months according to the World Health Organization (WHO) definition
  • Treatment with multiple daily injections (MDI) or continuous subcutaneous insulin infusion (CSII) for at least 3 months
  • Body Mass Index (BMI) \< 35 kg/m²
  • Willing and able to wear 5 CGM devices for the duration of the study and undergo all study procedures.
  • HbA1c ≤ 86 mmol/mol

Exclusion criteria

Exclusion Criteria:

  • Any disease or condition which the investigator or treating physician feels would interfere with the trial or the safety of the subject
  • Female of childbearing potential who is pregnant, breast-feeding or intend to become pregnant or is not using adequate contraceptive methods
  • Any mental condition rendering the subject incapable of giving his consent
  • Subject is using a medication that significantly impacts glucose metabolism (oral steroids) except if stable for at least the last three months and expected to remain stable for the study duration
  • Subject may not use acetaminophen (paracetamol) while participating in the study
  • Has severe medical or psychological condition(s) or chronic conditions/infections that in the opinion of the Investigator would compromise the subject's safety or successful participation in the study.
  • Subject is actively enrolled in another clinical trial
  • Known adrenal gland problem, pancreatic tumour, or insulinoma
  • Inability of the subject to comply with all study procedures
  • Inability of the subject to understand the patient information.
  • Subject donated blood in the last 3 months
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
12 participants (actual)

Study arms

  • Experimental
    Glucose Sensor

    Continuous subcutaneous glucose monitoring using four different CGM systems in parallel will be performed throughout the study. Insulin therapy will be performed by the subjects themselves, as under daily life conditions. For the hypoglycaemia experiment an increased insulin bolus will be administered with meals (180% of the subject's calculated mealtime dose).

    Device: Glucose Sensor

Interventions

  • DeviceGlucose Sensor

    The investigational intervention is CGM monitoring using four different CGM systems. Three of the four CGM devices which are used will be CGM systems which have received conformité européenne (CE) certification (Dexcom G4 Platinum, Medtronic MiniMed 640G system, Abbott FreeStyle Libre Flash). The SPIDIMAN sensor will be used for the first time in human subjects, does not yet have received CE certification and will be given an identifying label in addition to being labelled "for investigative use only".

06

What researchers measure

Primary outcomes

  1. Percentage of Test-to-Reference Measurement Pairs With an Absolute Relative Difference (ARD) ≤15%

    The primary outcome measure was overall sensor accuracy determined using ISO 15197:2013, which is percentage (%) of sensor values that are within ±0.8 mmol/L of the reference value at glucose concentrations \<5.6 mmol/L and within ±15% at glucose concentrations ≥5.6 mmol/L. The sensor values were obtained using three different glucose monitoring systems, i.e. Abbott, Dexcom and Medtronic, in patients with T1D over a 12-hour period in standardized conditions. The reference values were obtained by analysis of venous plasma glucose samples.

    Time frame: 36 hours

07

Results

Posted May 6, 2023

Participant flow

Participant flow — Overall Study
MilestoneGlucose Sensor
Started12
Completed12
Not completed0

Outcome measures

PrimaryPercentage of Test-to-Reference Measurement Pairs With an Absolute Relative Difference (ARD) ≤15%

The primary outcome measure was overall sensor accuracy determined using ISO 15197:2013, which is percentage (%) of sensor values that are within ±0.8 mmol/L of the reference value at glucose concentrations \<5.6 mmol/L and within ±15% at glucose concentrations ≥5.6 mmol/L. The sensor values were obtained using three different glucose monitoring systems, i.e. Abbott, Dexcom and Medtronic, in patients with T1D over a 12-hour period in standardized conditions. The reference values were obtained by analysis of venous plasma glucose samples.

Time frame:
36 hours
Reported as:
Number · Percentage of sensor values
Percentage of Test-to-Reference Measurement Pairs With an Absolute Relative Difference (ARD) ≤15%
Percentage of sensor valuesGlucose Sensor
Abbot73.2
Dexcom56.1
Medtronic52.0

Adverse events

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

Adverse event summary by group
GroupDeathsSeriousOther
Glucose Sensor0/12 (0%)0/12 (0%)3/12 (25%)
Most frequent other events
Most frequent other events
EventGlucose Sensor
Superficial excoriationSkin and subcutaneous tissue disorders1/12
HeadacheNervous system disorders1/12
VertigoEar and labyrinth disorders1/12

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Glucose Sensor
<=18 years0
Between 18 and 65 years12
>=65 years0
Sex: Female, Male
Sex: Female, Male(Participants)Glucose Sensor
Female5
Male7
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Glucose Sensor
Hispanic or Latino0
Not Hispanic or Latino12
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)Glucose Sensor
Europe12
08

Study locations

No study locations are listed for this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 6, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02614768
Lead sponsor
Medical University of Graz
Responsible party
Sponsor
First posted
Nov 25, 2015
Start date
Jul 2015
Primary completion
Aug 2015
Completion
Sep 2015
Results posted
May 6, 2023
Last update
May 6, 2023

Study contacts

Julia Mader, Prof. Dr.
principal investigator · Medical University of Graz

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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