An observational study in Type 1 Diabetes, sponsored by Medtronic Diabetes. Terminated at 1 site in China. Open to participants aged Up to 18 Years. Per ClinicalTrials.gov, last updated 2019-07-11.
Sponsored by Medtronic Diabetes · Observational
The purpose of the study is to observe/ collect clinical data, subject users' feedback, and device data to better understand the real-life usage and acceptance of the 722 Pump in type 1 diabetes subjects,\<18 years of age, and the role of insulin pump therapy in Qingdao,China.
This is a prospective, multi-center, non-randomized and noninterventional post-market release study. Subjects will participate in 2 phases with each phase requiring the subject to use the continuous subcutaneous insulin infusion (CSII) pump over the course of the study. During the study, subjects and parent or legal guardian will be trained to wear the glucose sensor in the abdominal area for 3 days to transmit real-time (RT) data to the pump. The duration of each study phase is approximately 6 months.
3,522 studies on the registry are indexed under Diabetes Mellitus, Type 1; 576 are open to participants now.
This study's enrollment of 16 is below the median of 120 across 748 observational studies indexed under Diabetes Mellitus, Type 1.
Browse Diabetes Mellitus, Type 1 studies →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.
A total of approximately 100 subjects (age\<18 years) will be enrolled by up to 10 investigational centers to complete 13 scheduled study visits in the study.
Exclusion Criteria:
Subject has used the insulin pump and/or real time CGM/sensor within 90 days before the screening visit for more than 10 days in the outpatient setting:
Medtronic MiniMed Paradigm® REAL-Time System consisting of Paradigm 722 Insulin Pump (MMT-722), Medtronic MiniLink® REAL-Time Transmitter (MMT-7703) and Sof-Sensor® (MMT-7003) Glucose Sensor
Change in Glycosylated Hemoglobin (A1C)
The change of A1C from baseline to end of study (1 year) will be presented
Time frame: Change in A1C from baseline to end of study (1 year)
Average Glucose Values Based on Continuous Glucose Monitoring Data
The average glucose value of all available glucose value of each subject for each evaluation period is calculated, and we present the mean and std of the individual average glucose value for each evaluation period.
Time frame: Data is collected during the 7 days following the end of each period (At end of month 3, no glucose data is collected).
Standard Deviation of Glucose Value Based on Continuous Glucose Monitoring Data
The standard deviation of all available glucose value of each subject for each evaluation period is calculated, and then we present the mean and std of the individual standard deviation for each evaluation period.
Time frame: Data is collected 7 days following the end of each period (At end of month 3, no glucose data is collected.).
Coefficient of Variation of Glucose Value Per Each Subject Based on Continuous Glucose Monitoring Data
The coefficient of variation of all available glucose value of each subject for each evaluation period is calculated, and then we present the mean and std of the individual coefficient of variation for each evaluation period.
Time frame: Data is collected during the 7 days following the end of each period (At end of month 3, no glucose data is collected).
Mean Amplitude of Glycemic Excursion Based on Continuous Glucose Monitoring Data
Mean Amplitude of Glycemic Excursion (which is often used to characterize glycemic variability, to know the detail of calculation, please refer to "Glucose Variability, © 2013 by the American Diabetes Association." ) of each subject for each evaluation period is calculated, and then we present the mean and std of the individual Mean Amplitude of Glycemic Excursion for each evaluation period.
Time frame: Data is collected during the 7 days following the end of each period (At end of month 3, no glucose data is collected).
Number of Events in the Hypoglycemic Range
Number of events in the hypoglycemic range (SG≤3.9mmol/L) of all available glucose value of each subject for each evaluation period is calculated, and then we present the mean and std of the individual number of events for each evaluation period.
Time frame: Data is collected during the 7 days following the end of each period (At end of month 3, no glucose data is collected).
Number of Events in the Hyperglycemic Range
Number of Events in the Hyperglycemic Range (SG≥10.0 mmol/L) of all available glucose value of each subject for each evaluation period is calculated, and then we present the mean and std of the individual number of events for each evaluation period.
Time frame: Data is collected during the 7 days following the end of each period (At end of month 3, no glucose data is collected).
Area Under Curve in the Hypoglycemic Range
Area under Curve in the hypoglycemic range (SG≤3.9mmol/L) of all available glucose value of each subject for each evaluation period is calculated, and then we present the mean and std of the individual Area under Curve for each evaluation period.
Time frame: Data is collected during the 7 days following the end of each period (At end of month 3, no glucose data is collected).
Area Under Curve in the Hyperglycemic Range
Area under Curve in the hyperglycemic range (SG≥10.0 mmol/L) based on all available glucose value of each subject for each evaluation period is calculated, and then we present the mean and std of the individual Area under Curve for each evaluation period.
Time frame: Data is collected during the 7 days following the end of each period (At end of month 3, no glucose data is collected).
Percentage of Time in the Hypoglycemic Range
Percentage of time in the hypoglycemic range (SG ≤ 3.9 mmol/L) of all available glucose value of each subject for each evaluation period is calculated, and then we present the mean and std of the individual percetage of time in that range for each evaluation period.
Time frame: Data is collected during the 7 days following the end of each period (At end of month 3, no glucose data is collected).
Percentage of Time in the Hyperglycemic Range
Percentage of time in the hyperglycemic range (SG≥10.0 mmol/L) of all available glucose value of each subject for each evaluation period is calculated, and then we present the mean and std of the individual percentage of time in that range for each evaluation period.
Time frame: Data is collected during the 7 days following the end of each period (At end of month 3, no glucose data is collected).
| Milestone | Medtronic MiniMed Paradigm® REAL-Time System |
|---|---|
| Started | 16 |
| Completed | 4 |
| Not completed | 12 |
| Withdrew: Sponsor stopped this clinical research. | 12 |
The change of A1C from baseline to end of study (1 year) will be presented
| percent Glycosylated Hemoglobin | Medtronic MiniMed Paradigm® REAL-Time System |
|---|---|
| Change in Glycosylated Hemoglobin (A1C) | 0.9 ± 2.22 |
The average glucose value of all available glucose value of each subject for each evaluation period is calculated, and we present the mean and std of the individual average glucose value for each evaluation period.
| mmol/L | Medtronic MiniMed Paradigm® REAL-Time System |
|---|---|
| Baseline | 9.8 ± 2.87 |
| Month 6 | 10.4 ± 3.01 |
| Month 9 | 9.5 ± 2.16 |
| Month 12 | 8.0 ± 0.39 |
The standard deviation of all available glucose value of each subject for each evaluation period is calculated, and then we present the mean and std of the individual standard deviation for each evaluation period.
| mmol/L | Medtronic MiniMed Paradigm® REAL-Time System |
|---|---|
| Baseline | 3.5 ± 0.91 |
| Month 6 | 3.0 ± 0.67 |
| Month 9 | 3.0 ± 1.28 |
| Month 12 | 2.0 ± 1.37 |
The coefficient of variation of all available glucose value of each subject for each evaluation period is calculated, and then we present the mean and std of the individual coefficient of variation for each evaluation period.
| percentage | Medtronic MiniMed Paradigm® REAL-Time System |
|---|---|
| Baseline | 36.3 ± 6.49 |
| Month 6 | 30.5 ± 8.43 |
| Month 9 | 31.0 ± 7.33 |
| Month 12 | 24.3 ± 16.45 |
Mean Amplitude of Glycemic Excursion (which is often used to characterize glycemic variability, to know the detail of calculation, please refer to "Glucose Variability, © 2013 by the American Diabetes Association." ) of each subject for each evaluation period is calculated, and then we present the mean and std of the individual Mean Amplitude of Glycemic Excursion for each evaluation period.
| mmol/L | Medtronic MiniMed Paradigm® REAL-Time System |
|---|---|
| Baseline | 6.9 ± 2.51 |
| Month 6 | 6.8 ± 1.79 |
| Month 9 | 6.7 ± 3.22 |
| Month 12 | 5.5 ± 0.46 |
Number of events in the hypoglycemic range (SG≤3.9mmol/L) of all available glucose value of each subject for each evaluation period is calculated, and then we present the mean and std of the individual number of events for each evaluation period.
| events | Medtronic MiniMed Paradigm® REAL-Time System |
|---|---|
| Baseline SG≤3.9mmol/L | 0.5 ± 0.60 |
| Month 6 SG≤3.9mmol/L | 0.3 ± 0.54 |
| Month 9 SG≤3.9mmol/L | 0.1 ± 0.21 |
| Month 12 SG≤3.9mmol/L | 0.2 ± 0.17 |
Number of Events in the Hyperglycemic Range (SG≥10.0 mmol/L) of all available glucose value of each subject for each evaluation period is calculated, and then we present the mean and std of the individual number of events for each evaluation period.
| events | Medtronic MiniMed Paradigm® REAL-Time System |
|---|---|
| Baseline SG≥10.0 mmol/L | 1.4 ± 0.73 |
| Month 6 SG≥10.0 mmol/L | 1.4 ± 0.46 |
| Month 9 SG≥10.0 mmol/L/L | 1.8 ± 0.83 |
| Month 12 SG≥10.0 mmol/L | 1.1 ± 0.92 |
Area under Curve in the hypoglycemic range (SG≤3.9mmol/L) of all available glucose value of each subject for each evaluation period is calculated, and then we present the mean and std of the individual Area under Curve for each evaluation period.
| mmol/L*min | Medtronic MiniMed Paradigm® REAL-Time System |
|---|---|
| Baseline SG≤3.9 mmol/L | 0.03 ± 0.04 |
| Month 6 SG≤3.9 mmol/L | 0.01 ± 0.03 |
| Month 9 SG≤3.9 mmol/L | 0.00 ± 0.01 |
| Month 12 SG≤3.9 mmol/L | 0.00 ± 0.00 |
Area under Curve in the hyperglycemic range (SG≥10.0 mmol/L) based on all available glucose value of each subject for each evaluation period is calculated, and then we present the mean and std of the individual Area under Curve for each evaluation period.
| mmol/L*min | Medtronic MiniMed Paradigm® REAL-Time System |
|---|---|
| Baseline SG≥10.0 mmol/L | 1.80 ± 1.55 |
| Month 6 SG≥10.0 mmol/L | 1.94 ± 1.85 |
| Month 9 SG≥10.0 mmol/L | 1.30 ± 1.36 |
| Month 12 SG≥10.0 mmol/L | 0.32 ± 0.33 |
Percentage of time in the hypoglycemic range (SG ≤ 3.9 mmol/L) of all available glucose value of each subject for each evaluation period is calculated, and then we present the mean and std of the individual percetage of time in that range for each evaluation period.
| percentage of time | Medtronic MiniMed Paradigm® REAL-Time System |
|---|---|
| Baseline SG ≤ 3.9 mmol/L | 5.4 ± 6.87 |
| Month 6 SG ≤ 3.9 mmol/L | 1.8 ± 4.31 |
| Month 9 SG ≤ 3.9 mmol/L | 0.6 ± 1.26 |
| Month 12 SG ≤ 3.9 mmol/L | 0.6 ± 0.65 |
Percentage of time in the hyperglycemic range (SG≥10.0 mmol/L) of all available glucose value of each subject for each evaluation period is calculated, and then we present the mean and std of the individual percentage of time in that range for each evaluation period.
| percentage of time | Medtronic MiniMed Paradigm® REAL-Time System |
|---|---|
| Baseline SG ≥ 10.0 mmol/L | 44.1 ± 29.38 |
| Month 6 SG ≥ 10.0 mmol/L | 47.5 ± 32.87 |
| Month 9 SG ≥ 10.0 mmol/L | 36.6 ± 24.50 |
| Month 12 SG ≥ 10.0 mmol/L | 16.0 ± 14.77 |
Collected over 1 year. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Medtronic MiniMed Paradigm® REAL-Time System | 0/16 (0%) | 2/16 (12.5%) | 0/16 (0%) |
| Event | Medtronic MiniMed Paradigm® REAL-Time System |
|---|---|
| Severe HyperglycemiaMetabolism and nutrition disorders | 1/16 |
| hyperglycemiaMetabolism and nutrition disorders | 1/16 |
| Age, Continuous(years) | Medtronic MiniMed Paradigm® REAL-Time System |
|---|---|
| Mean | 11.3 ± 2.85 |
| Sex: Female, Male(Participants) | Medtronic MiniMed Paradigm® REAL-Time System |
|---|---|
| Female | 11 |
| Male | 5 |
| Region of Enrollment(participants) | Medtronic MiniMed Paradigm® REAL-Time System |
|---|---|
| China | 16 |
Plan to share: Undecided
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