ClinicalTrials.gg
CompletedNCT03424044Updated May 27, 2020Results posted

Three Way Crossover Closed Loop Study With Xeris Glucagon

A Phase 1 interventional study of Artificial Pancreas Controller in Dual Hormone Mode and Artificial Pancreas Controller in Single Hormone Mode in Type1diabetes, sponsored by Oregon Health and Science University. Completed at 1 site in United States. Open to participants aged 21 Years to 50 Years. Per ClinicalTrials.gov, last updated 2020-05-27.

Sponsored by Oregon Health and Science University · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
23
Allocation
Randomized
Ages
21 Years to 50 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 38 studies in Motor Activity by Oregon Health and Science University — 1 open to participants now, 3 under way, none of them phase 3. Motor Activity · Oregon Health and Science University.

Enrollment
25th of 36
23 · median 35
Started
2018
with 1 other
Phase 1
Only one
of the 38
Registered
28th of 38
by date

Among the 38 studies in Motor Activity by Oregon Health and Science University, this one is the 25th largest by enrollment of the 36 interventional ones that give a count, is one of 2 that started in 2018, is the only one in phase 1, and was the 28th registered.

Motor Activity

9,798 studies on the registry are indexed under Motor Activity; 1,910 are open to participants now.

Browse Motor Activity studies →

Open to participants now

1 of the 38 studies in Motor Activity by Oregon Health and Science University is open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

Where they have run

Who these studies take

Of the 1,201 Motor Activity studies recruiting now, 517 (43%) set no upper age limit and 535 (45%) stop at 75 or younger; 180 take children under 18; 420 take healthy volunteers.

This study: 21 Years to 50 Years · all sexes · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 38 studies in Motor Activity by Oregon Health and Science University, or all of them as a file.
02

Study summary

Closed-loop systems are an emerging technology that automate hormone delivery. They are quickly paving the way to revolutionize the treatment of type 1 diabetes. Several categories have emerged: dual-hormone (insulin and glucagon) closed-loop systems and closed-loop systems with insulin only, one variety of which is the low glucose suspend safety feature now available from Medtronic (MiniMed640G with SmartGuard). The study described within this protocol is designed to test the efficacy of a new closed-loop algorithm for managing blood glucose in people with type 1 diabetes before and after exercise. The new algorithm will have 3 modes: a single hormone insulin only mode, a dual-hormone insulin and glucagon mode and an insulin only mode with predictive low glucose suspend, all with an exercise detection algorithm. The purpose of this study is to determine whether a dual hormone AP using a stable investigational glucagon with an exercise detection algorithm outperforms both single hormone AP and a low glucose suspend algorithm.

Read the detailed description

Subjects will undergo three approximately 76 hour studies. During each of these intervention visits, subjects will wear an Omnipod to deliver insulin and a Dexcom G5 CGM to measure glucose. In the dual-hormone closed-loop study, participants will wear a second Omnipod filled with XeriSol™ glucagon. The first day of intervention visit will be a 12 hour inpatient visit with the subsequent time spent as an outpatient. The subject will come back to the research center on Day 4 in the morning to remove all devices. The blood glucose control system is called the Artificial Pancreas Controller (APC). During one of the studies, glucose will be controlled using the dual hormone mode. During another study, glucose will be controlled using the single hormone mode. The single and dual hormone modes of the APC controller determine insulin only and insulin with glucagon delivery rates based on proportional and derivative error and contain an exercise detection component. During the other study, glucose will be controlled using a predictive low glucose suspend (PLGS) mode. In the PLGS mode, the APC will be programmed with the subject's basal profile(s) which will be transmitted to the Omnipod Personal Diabetes Manager (PDM) and allow for boluses to be inputted by the subjects for meals and corrections using their typical carb ratios and correction factors. However, this system will have a safety feature to suspend insulin delivery when sensor glucose is predicted to go below a threshold. Treatment order will be randomized.

Subjects will arrive at the clinic at approximately 7 or 8am for the inpatient visits. Subjects will eat breakfast and lunch at approximately 8:30am, noon and 6pm respectively. The dinner meal will be consumed while the subject is at home. Subjects will exercise on a treadmill for 45 minutes. Subjects will be discharged 9 hours after admission. The subject will then go home for the remainder of the study visit. Studies will be remotely monitored. Subjects will return to OHSU on Day 4 for removal of all devices.

During each study, the subject will wear one subcutaneous DexcomTM G5 continuous glucose monitoring (CGM) system. The CGM system will provide sensed glucose data every 5 minutes. The accuracy of the sensed data will be obtained by reference measurements of capillary blood glucose. Sensed glucose data will be wirelessly transmitted via Bluetooth Low Energy (BTLE) from the Dexcom G5 transmitter to the Nexus 5 master controller every five minutes. The controller for all 3 modes is a Google Nexus 5 phone. The smart phone will wirelessly communicate via BTLE to an Omnipod through a PDM (Insulet Corp. ) for automated insulin delivery or in the case of dual-hormone AP, one used for automated insulin delivery and one for automated glucagon delivery.

A physician or nurse practitioner will be present for study start-up, will be on campus for exercise on Day 1 and will be immediately available on call at all other times.

03

Conditions studied

  • Type1diabetes

Browse trials for

Keywords

  • glucagon
  • closed-loop
  • Omnipod
  • exercise
04

Who can participate

Ages eligible
21 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Diagnosis of type 1 diabetes mellitus for at least 1 year.
  • Male or female subjects 21-50 years of age.
  • Physically willing and able to perform 45 min of exercise.
  • Current use of an insulin pump.
  • Lives with another person age 18 or older who will be present while subject exercises at home and that can attend the training on using the system.
  • Lives within 40 miles of OHSU main campus.
  • \<= 10% at screening.
  • Total daily insulin requirement is less than 139 units/day.
  • Current use of a phone or other device so can be contacted by study staff off-campus.
  • Willingness to follow all study procedures, including attending all clinic visits.
  • Willingness to sign and HIPAA documents.

Exclusion criteria

Exclusion Criteria:

  • Female of who is pregnant or intending to become pregnant or breast-feeding, or is not using adequate methods. Acceptable contraception includes birth control pill/patch/vaginal ring, Depo-Provera, Norplant, an IUD, the double barrier method (the woman uses a diaphragm and spermicide and the man uses a condom), or abstinence.
  • Any cardiovascular disease, defined as a abnormality at the time of screening or any history of: stroke, heart failure, myocardial infarction, angina pectoris, or coronary arterial bypass graft or angioplasty. Diagnosis of 2nd and 3rd degree heart block or any non-physiological arrhythmia judged by the investigator to be exclusionary.
  • Renal insufficiency ( \< 60 ml/min, using the MDRD equation as report by the OHSU laboratory).
  • Liver failure, cirrhosis, or any other liver disease that compromises liver function as determined by the investigator.
  • Hematocrit of less than 36% for men, less than 32% for women.
  • Hypertensive subjects with systolic blood pressure >= 160 mm Hg or diastolic blood pressure >= 100 mm Hg despite treatment or who have treatment- hypertension (e.g. requiring four or more medications).
  • History of severe hypoglycemia during the past 12 months prior to screening visit or hypoglycemia unawareness as judged by the investigator. Subjects will complete a hypoglycemia awareness questionnaire. Subjects will be excluded for four or more R responses.
  • Adrenal insufficiency.
  • Any active infection.
  • Known or suspected abuse of alcohol, narcotics, or illicit drugs.
  • Seizure disorder.
  • Active foot ulceration.
  • Severe peripheral arterial disease characterized by ischemic rest pain or severe claudication.
  • Major surgical operation within 30 days prior to screening.
  • Use of an drug within 30 days prior to screening.
  • Chronic usage of any medication (such as cyclosporine, azathioprine, sirolimus, or tacrolimus).
  • Bleeding disorder, treatment with warfarin, or count below 50,000.
  • Allergy to aspart insulin.
  • Allergy to glucagon.
  • Need for uninterrupted treatment of acetaminophen.
  • Current administration of oral or parenteral .
  • Any life threatening disease, including malignant neoplasms and medical history or malignant neoplasms within the past 5 years prior to screening (except basal and squamous cell skin cancer).
  • Beta blockers or non-dihydropyridine calcium channel blockers.
  • Current use of any medication intended to lower glucose other than insulin (e.g. use of liraglutide).
  • Diagnosis of pheochromocytoma, insulinoma, or glucagonoma, personal or family history of multiple endocrine neoplasmia (MEN) 2A, MEN 2B, neurofibromatosis or von Hippel-Lindau disease.
  • History of severe to milk protein.
  • Current use of any medication with strong anticholinergic properties, such as antihistamines, sleep aids, and antidiarrheal medications.
  • Current use of indomethacin.
  • Conditions that may results in low levels of releasable glucose in the liver and an inadequate reversal of hypoglycemia by glucagon such as prolonged fasting, starvation or chronic hypoglycemia as determined by the investigator.
  • A positive response to any of the questions from the Physical Activity Readiness Questionnaire with one exception: subject will not be excluded if he/she takes a single blood pressure medication that doesn't impact heart rate and blood pressure is controlled on the medication (blood pressure is less than 140/90 mmHg).
  • Any chest discomfort with physical activity, including pain or pressure, or other types of discomfort.
  • Any clinically significant disease or disorder which in the opinion of the investigator may jeopardize the subject's safety or compliance with the protocol.
Terms in these criteria, in plain language(13)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
23 participants (actual)

Study arms

  • Experimental
    Dual Hormone Closed-loop Arm

    Subjects will undergo a 76 hour study with 9 hours inpatient and 67 hours outpatient using the closed-loop artificial pancreas controller in dual hormone mode and XeriSol glucagon to manage blood sugar that includes an exercise detection component that includes a reduction in insulin delivery and an increase in glucagon delivery upon detection.

    Device: Artificial Pancreas Controller in Dual Hormone Mode · Drug: XeriSol glucagon

  • Experimental
    Single Hormone Closed-loop Arm

    Subjects will undergo a 76 hour study with 9 hours inpatient and 67 hours outpatient using the closed-loop artificial pancreas controller in single hormone mode to manage blood sugar that includes an exercise detection component that includes a reduction in insulin delivery upon detection.

    Device: Artificial Pancreas Controller in Single Hormone Mode

  • Experimental
    Predictive Low Glucose Suspend Arm

    Subjects will undergo a 76 hour study with 9 hours inpatient and 67 hours outpatient using the closed-loop artificial pancreas controller in predictive low glucose suspend mode. The system will run through the closed-loop system but will utilize the patient's optimized basal rates, correction factors and carb ratios as they would normally run on their own insulin pump. But the mode will have the additional safety net of the pump suspending insulin when it predicts a hypoglycemic event.

    Device: Artificial Pancreas Controller in Predictive Low Glucose Suspend Mode

Interventions

  • DeviceArtificial Pancreas Controller in Dual Hormone Mode

    The artificial pancreas controller contains an algorithm for managing blood glucose in people with type 1 diabetes which includes an exercise detection component. The algorithm has 3 modes: a single hormone closed-loop insulin only mode, a dual-hormone closed-loop insulin and glucagon mode and an insulin only mode with predictive low glucose suspend. The Closed-loop Artificial Pancreas Controller includes insulin and glucagon delivery algorithm implemented on a smart phone, utilizing sensor glucose values from a Dexcom G5 sensor and sending delivery commands to two Omnipod insulin pumps, one filled with insulin and one with glucagon.

  • DeviceArtificial Pancreas Controller in Single Hormone Mode

    The artificial pancreas controller contains an algorithm for managing blood glucose in people with type 1 diabetes which includes an exercise detection component. The new algorithm will have 3 modes: a single hormone closed-loop insulin only mode, a dual-hormone closed-loop insulin and glucagon mode and an insulin only mode with predictive low glucose suspend. The Closed-loop Artificial Pancreas Controller includes insulin delivery algorithm implemented on a smart phone, utilizing sensor glucose values from a Dexcom G5 sensor and sending delivery commands to one Omnipod pump filled with insulin.

  • DeviceArtificial Pancreas Controller in Predictive Low Glucose Suspend Mode

    The artificial pancreas controller contains an algorithm for managing blood glucose in people with type 1 diabetes which includes an exercise detection component. The new algorithm will have 3 modes: a single hormone closed-loop insulin only mode, a dual-hormone closed-loop insulin and glucagon mode and an insulin only mode with predictive low glucose suspend. The Closed-loop Artificial Pancreas Controller includes insulin delivery algorithm implemented on a smart phone, utilizing sensor glucose values from a Dexcom G5 sensor and sending delivery commands to one Omnipod insulin pump filled with insulin.

  • DrugXeriSol glucagon

    XeriSol glucagon is an investigational drug that is a stable, soluble liquid glucagon formulation that can be injected or administered through an insulin pump. XeriSol glucagon will be used to fill the Omnipod to deliver glucagon for the Artificial Pancreas Controller in Dual Hormone mode.

06

What researchers measure

Primary outcomes

  1. Percent of Time With Sensed Glucose < 70 mg/dl

    Assess the percent of time that the Dexcom G5 or G6 reported sensor glucose values less than 70 mg/dl using Dexcom sensor across all three arms.

    Time frame: 4 hours post exercise on Day 1

Secondary outcomes

  1. Percent of Time With Sensed Glucose Between 70-180 mg/dl

    Assess the percent of time that the Dexcom G5 or G6 reported sensor glucose values between 70-180 mg/dl using Dexcom sensor across all three arms.

    Time frame: entire 76 hour study

  2. Number of Carbohydrate Treatments

    Assess the number of rescue carbohydrate treatments across all three arms per day.

    Time frame: 24 hours

  3. Percent of Time With Sensed Glucose < 54 mg/dl

    Assess the percent of time that the Dexcom G5 or G6 reported sensor glucose values less than 54 mg/dl using Dexcom sensor across all three arms.

    Time frame: entire 76 hour study

  4. Percent of Time With Sensed Glucose > 180 mg/dl

    Assess the percent of time that the Dexcom G5 or G6 reported sensor glucose values greater than 180 mg/dl using Dexcom sensor across all three arms.

    Time frame: entire 76 hour study

  5. Mean Amount of Insulin Delivered in One Day

    Assess the mean amount of insulin delivered in units/kg as documented through the artificial pancreas controller across all three arms.

    Time frame: 24 hours

  6. Mean Amount of Glucagon Delivered in One Day

    Assess the mean amount of XeriSol glucagon delivered in mcg/kg as documented through the artificial pancreas controller in dual hormone arm.

    Time frame: 24 hours

07

Results

Posted May 13, 2020

Participant flow

Dexcom Training Visit (1 Week)
Participant flow — Dexcom Training Visit (1 Week)
MilestonePLGS-SH-DHDH-PLGS-SHSH-DH-PLGSSH-PLGS-DHDH-SH-PLGSPLGS-DH-SHSH-SH-DHSH-SH-PLGS-DHDH-DH-PLGS-SH
Started433334111
Completed433334111
Not completed000000000
First Rest Period (1-12 Weeks)
Participant flow — First Rest Period (1-12 Weeks)
MilestonePLGS-SH-DHDH-PLGS-SHSH-DH-PLGSSH-PLGS-DHDH-SH-PLGSPLGS-DH-SHSH-SH-DHSH-SH-PLGS-DHDH-DH-PLGS-SH
Started433334111
Completed432334111
Not completed001000000
Withdrew: Withdrawal by subject001000000
First Intervention (76 Hours)
Participant flow — First Intervention (76 Hours)
MilestonePLGS-SH-DHDH-PLGS-SHSH-DH-PLGSSH-PLGS-DHDH-SH-PLGSPLGS-DH-SHSH-SH-DHSH-SH-PLGS-DHDH-DH-PLGS-SH
Started432334111
Completed432324000
Not completed000010111
Withdrew: Adverse event000010000
Withdrew: Device issues000000111
Second Rest Period (7-45 Days)
Participant flow — Second Rest Period (7-45 Days)
MilestonePLGS-SH-DHDH-PLGS-SHSH-DH-PLGSSH-PLGS-DHDH-SH-PLGSPLGS-DH-SHSH-SH-DHSH-SH-PLGS-DHDH-DH-PLGS-SH
Started432324111
Completed432324111
Not completed000000000
Second Intervention (76 Hours)
Participant flow — Second Intervention (76 Hours)
MilestonePLGS-SH-DHDH-PLGS-SHSH-DH-PLGSSH-PLGS-DHDH-SH-PLGSPLGS-DH-SHSH-SH-DHSH-SH-PLGS-DHDH-DH-PLGS-SH
Started432324111
Completed432324111
Not completed000000000
Third Rest Period (7-45 Days)
Participant flow — Third Rest Period (7-45 Days)
MilestonePLGS-SH-DHDH-PLGS-SHSH-DH-PLGSSH-PLGS-DHDH-SH-PLGSPLGS-DH-SHSH-SH-DHSH-SH-PLGS-DHDH-DH-PLGS-SH
Started432324111
Completed432324111
Not completed000000000
Third Intervention (76 Hours)
Participant flow — Third Intervention (76 Hours)
MilestonePLGS-SH-DHDH-PLGS-SHSH-DH-PLGSSH-PLGS-DHDH-SH-PLGSPLGS-DH-SHSH-SH-DHSH-SH-PLGS-DHDH-DH-PLGS-SH
Started432324111
Completed332224011
Not completed100100100
Withdrew: Adverse event100000100
Withdrew: Withdrawal by subject000100000
Optional Fourth Rest Period (7-45 Days)
Participant flow — Optional Fourth Rest Period (7-45 Days)
MilestonePLGS-SH-DHDH-PLGS-SHSH-DH-PLGSSH-PLGS-DHDH-SH-PLGSPLGS-DH-SHSH-SH-DHSH-SH-PLGS-DHDH-DH-PLGS-SH
Started000000011
Completed000000011
Not completed000000000
Fourth Intervention Repeat Visit (76 hr)
Participant flow — Fourth Intervention Repeat Visit (76 hr)
MilestonePLGS-SH-DHDH-PLGS-SHSH-DH-PLGSSH-PLGS-DHDH-SH-PLGSPLGS-DH-SHSH-SH-DHSH-SH-PLGS-DHDH-DH-PLGS-SH
Started000000011
Completed000000011
Not completed000000000

Outcome measures

PrimaryPercent of Time With Sensed Glucose < 70 mg/dl

Assess the percent of time that the Dexcom G5 or G6 reported sensor glucose values less than 70 mg/dl using Dexcom sensor across all three arms.

Time frame:
4 hours post exercise on Day 1
Reported as:
Median · percentage 4 hrs post exercise on Day 1
Percent of Time With Sensed Glucose < 70 mg/dl
percentage 4 hrs post exercise on Day 1Dual Hormone Closed-loop ArmSingle Hormone Closed-loop ArmPredictive Low Glucose Suspend Arm
Percent of Time With Sensed Glucose < 70 mg/dl0 (0 to 4.2)8.3 (0 to 12.5)4.2 (0 to 9.4)
SecondaryPercent of Time With Sensed Glucose Between 70-180 mg/dl

Assess the percent of time that the Dexcom G5 or G6 reported sensor glucose values between 70-180 mg/dl using Dexcom sensor across all three arms.

Time frame:
entire 76 hour study
Reported as:
Mean · percentage of 76 hours
Percent of Time With Sensed Glucose Between 70-180 mg/dl
percentage of 76 hoursDual Hormone Closed-loop ArmSingle Hormone Closed-loop ArmPredictive Low Glucose Suspend Arm
Percent of Time With Sensed Glucose Between 70-180 mg/dl71.0 ± 9.272.6 ± 9.263.4 ± 16.6
SecondaryNumber of Carbohydrate Treatments

Assess the number of rescue carbohydrate treatments across all three arms per day.

Time frame:
24 hours
Reported as:
Mean · number of carbohydrate treatments/day
Number of Carbohydrate Treatments
number of carbohydrate treatments/dayDual Hormone Closed-loop ArmSingle Hormone Closed-loop ArmPredictive Low Glucose Suspend Arm
Number of Carbohydrate Treatments0.6 ± 0.91.7 ± 2.01.4 ± 1.3
SecondaryPercent of Time With Sensed Glucose < 54 mg/dl

Assess the percent of time that the Dexcom G5 or G6 reported sensor glucose values less than 54 mg/dl using Dexcom sensor across all three arms.

Time frame:
entire 76 hour study
Reported as:
Median · percentage of 76 hours
Percent of Time With Sensed Glucose < 54 mg/dl
percentage of 76 hoursDual Hormone Closed-loop ArmSingle Hormone Closed-loop ArmPredictive Low Glucose Suspend Arm
Percent of Time With Sensed Glucose < 54 mg/dl0 (0 to 0.2)0.2 (0 to 0.8)0.1 (0 to 0.8)
SecondaryPercent of Time With Sensed Glucose > 180 mg/dl

Assess the percent of time that the Dexcom G5 or G6 reported sensor glucose values greater than 180 mg/dl using Dexcom sensor across all three arms.

Time frame:
entire 76 hour study
Reported as:
Mean · percentage of 76 hours
Percent of Time With Sensed Glucose > 180 mg/dl
percentage of 76 hoursDual Hormone Closed-loop ArmSingle Hormone Closed-loop ArmPredictive Low Glucose Suspend Arm
Percent of Time With Sensed Glucose > 180 mg/dl28.2 ± 9.425.1 ± 9.034.7 ± 16.7
SecondaryMean Amount of Insulin Delivered in One Day

Assess the mean amount of insulin delivered in units/kg as documented through the artificial pancreas controller across all three arms.

Time frame:
24 hours
Reported as:
Mean · units/kg/day
Mean Amount of Insulin Delivered in One Day
units/kg/dayDual Hormone Closed-loop ArmSingle Hormone Closed-loop ArmPredictive Low Glucose Suspend Arm
Mean Amount of Insulin Delivered in One Day42.3 ± 16.941.1 ± 16.444.0 ± 15.3
SecondaryMean Amount of Glucagon Delivered in One Day

Assess the mean amount of XeriSol glucagon delivered in mcg/kg as documented through the artificial pancreas controller in dual hormone arm.

Time frame:
24 hours
Reported as:
Mean · mcg/kg/day
Mean Amount of Glucagon Delivered in One Day
mcg/kg/dayDual Hormone Closed Loop
Mean Amount of Glucagon Delivered in One Day4.5 ± 1.9

Adverse events

Collected over 13 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Dual Hormone Closed-loop Arm0/22 (0%)0/22 (0%)7/22 (31.8%)
Single Hormone Closed-loop Arm0/21 (0%)0/21 (0%)3/21 (14.3%)
Predictive Low Glucose Suspend Arm0/20 (0%)0/20 (0%)3/20 (15%)
Dexcom Training Period Arm0/23 (0%)0/23 (0%)0/23 (0%)
Most frequent other events
Most frequent other events
EventDual Hormone Closed-loop ArmSingle Hormone Closed-loop ArmPredictive Low Glucose Suspend ArmDexcom Training Period Arm
GI upsetGastrointestinal disorders4/221/210/200/23
Irritation at zephyr siteSkin and subcutaneous tissue disorders1/220/212/200/23
headacheNervous system disorders2/220/210/200/23
Bruised tailboneMusculoskeletal and connective tissue disorders0/220/211/200/23
upper respiratory infectionInfections and infestations1/221/210/200/23
Swelling at sensor siteSkin and subcutaneous tissue disorders0/221/210/200/23
Burning at glucagon siteSkin and subcutaneous tissue disorders1/220/210/200/23

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)All Study Participants
<=18 years0
Between 18 and 65 years23
>=65 years0
Age, Continuous
Age, Continuous(years)All Study Participants
Mean32.4 ± 7.0
Sex: Female, Male
Sex: Female, Male(Participants)All Study Participants
Female10
Male13
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)All Study Participants
Hispanic or Latino0
Not Hispanic or Latino22
Unknown or Not Reported1
Race (NIH/OMB)
Race (NIH/OMB)(Participants)All Study Participants
American Indian or Alaska Native1
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American1
White20
More than one race0
Unknown or Not Reported1
Region of Enrollment
Region of Enrollment(Participants)All Study Participants
United States23
08

Study locations

1 site
  • Oregon Health and Science University
    Portland, Oregon 97239, United States
09

References and documents

Publications

  • Wilson LM, Jacobs PG, Ramsey KL, Resalat N, Reddy R, Branigan D, Leitschuh J, Gabo V, Guillot F, Senf B, El Youssef J, Steineck IIK, Tyler NS, Castle JR. Dual-Hormone Closed-Loop System Using a Liquid Stable Glucagon Formulation Versus Insulin-Only Closed-Loop System Compared With a Predictive Low Glucose Suspend System: An Open-Label, Outpatient, Single-Center, Crossover, Randomized Controlled Trial. Diabetes Care. 2020 Nov;43(11):2721-2729. doi: 10.2337/dc19-2267. Epub 2020 Sep 9. PubMed 32907828 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2018 to primary completion in May 2019, 13 months.

Results were first posted in May 2020, 11 months after primary completion.

Of 73 non-industry phase 1 interventional studies under Motor Activity, half reached primary completion within 20 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 43. This study's 13 months is below that.

Counting every sponsor, half of 75 studies reached it within 20 months; a quarter within 11 and three quarters within 43.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 31, 2018
First posted
Feb 6, 2018
StartActual
Mar 29, 2018
Primary completionActual
May 17, 2019
CompletionActual
May 17, 2019
Results first posted
May 13, 2020
Last update
May 27, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 27, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03424044
Collaborators
Xeris Pharmaceuticals
Responsible party
Jessica Castle (Assistant Professor, Oregon Health and Science University) — Principal investigator
First posted
Feb 6, 2018
Start date
Mar 29, 2018
Primary completion
May 17, 2019
Completion
May 17, 2019
Results posted
May 13, 2020
Last update
May 27, 2020

Study contacts

Jessica Castle, MD
principal investigator · Oregon Health and Science University

Oversight

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

Not currently enrolling

This study is completed, as verified in May 2020. You cannot join it, but the record below documents what was studied.

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