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CompletedNCT04271228Updated Mar 26, 2024

Use of Insulin Adjustment Device DreaMed Advisor Pro During Routine Clinical Use for Subjects With Diabetes Type 1

An interventional study of DreaMed Advisor Pro in Type 1 Diabetes, sponsored by Rabin Medical Center. Completed at 1 site in Israel. Open to participants aged 6 Years to 65 Years. Per ClinicalTrials.gov, last updated 2024-03-26.

Sponsored by Rabin Medical Center · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
70
Allocation
Not applicable
Ages
6 Years to 65 Years
Sex
All
01

Study summary

The DreaMed Advisor Pro, is a software which automatically analyses treatment information, learns patient's needs and accordingly suggests adjustments in insulin dosing (FDA approved decision support system). The Advisor Pro uses information gathered from glucose monitoring (sensor readings or capillary blood glucose measurements), insulin dosing and meal data during daily routine home care. Following a 5 minute data collection and analysis, the algorithm learns and suggests pump-setting changes for optimization of glucose control. The algorithm is designed as an advisory tool for health care professionals and has three main components: First, data analysis report - a statistical analysis of the insulin pump and sensor data: insulin delivery, bolus-calculator rate of use, sensor glucose variables, hypoglycemic and hyperglycemic patterns. Second, recommendations, alert messages based on aforementioned data for example "pay attention- you skipped boluses", basal/bolus ratio is too high, bolus delivery compliance, glucose target recommendations and more. Third, a recommendation for new insulin pump settings: including basal intervals and rate, different carbohydrate ratio according to time of day, correction factor and insulin sensitivity time. The Advisor Pro can be used to optimize insulin pump setting during clinical visits, in-between visits or as part of virtual (telemedicine) visit. The objective of the proposed study is to evaluate the use of Advisor Pro by Health Care Providers for regular clinical visits and in between visits titration for adjustment of insulin pump settings. The study design is an open label, prospective, observational study that will include up to 100 participants with Type 1 Diabetes using insulin pumps and monitoring glucose levels by continuous glucose monitoring including flash glucose monitoring.

02

Conditions studied

  • Type 1 Diabetes

Keywords

  • Decision Support System
  • Type 1 Diabetes
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 70 is below the median of 80 across 8,367 interventional studies indexed under Diabetes Mellitus.

Browse Diabetes Mellitus studies →

Lead sponsor

Rabin Medical Center is the lead sponsor of 385 studies on the registry; 30 are open to participants now.

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

Inclusion criteria

  • Documented Type 1 Diabetes for at least 1 year prior to study enrolment
  • Subjects aged 6 - 65 years old
  • HbA1c at inclusion ≤ 10%
  • Subjects using Insulin pump therapy for at least 4 months
  • Subjects using Insulin pump compatible with data transmission to the study Tidepool/Glooko Data Managment System (DMS) - Omnipod, Medtronic
  • Subjects using Continuous Glucose Monitoring (CGM) System that is compatible with data transmission to the study Tidepool/Glooko DMS - Dexcom, Libre, Medtronic.
  • Subjects willing to follow study instructions: Use CGM according to manufacture instructions, use the bolus-wizard feature of the insulin pump for every meal and correction boluses.
  • Subjects have home PC or MAC connected to the internet.
  • Subjects willing and able to sign a written informed consent form.

Exclusion criteria

Exclusion Criteria:

  • An episode of diabetic keto-acidosis within the month prior to study entry and/or severe hypoglycemia resulting in seizure or loss of consciousness in the month prior to enrolment.
  • Concomitant diseases/ treatment that influence metabolic control or any significant diseases /conditions including psychiatric disorders and substance abuse that in the opinion of the investigator is likely to affect the subject's ability to complete the study or compromise patient's safety.
  • Relevant severe organ disorders (diabetic nephropathy, diabetic retinopathy, diabetic foot syndrome) or any secondary disease or complication of diabetes mellitus, such as:

    1. Subject has unstable or rapidly progressive renal disease or is receiving dialysis
    2. Subject has active proliferative retinopathy
    3. Active gastroparesis
  • Participation in any other interventional study
  • Female subject who is pregnant or planning to become pregnant within the planned study duration
  • Subject is in the "honeymoon" phase - i.e. less than 0.5 insulin units/kg per day.
  • Known or suspected allergy to trial products
  • Drug or alcohol abuse
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
70 participants (actual)

Study arms

  • Experimental
    DreaMed Advisor Pro

    Using the DreaMed Advisor Pro as an advisory tool for Health Care Professionals during routine clinical use

    Device: DreaMed Advisor Pro

Interventions

  • DeviceDreaMed Advisor Pro

    Using the DreaMed Advisor Pro as an advisory tool for Health Care Professionals during routine clinical use

06

What researchers measure

Primary outcomes

  1. HbA1c

    Time frame: Through study completion , an average of 1 year

Secondary outcomes

  1. Percentage of glucose readings within target range of 70-180 mg/dl

    Time frame: Through study completion, an average of 1 year

  2. Percentage of glucose sensor readings below 54 mg/dl

    Time frame: Through study completion, an average of 1 year

  3. Percentage of glucose sensor readings above 250 mg/dl

    Time frame: Through study completion, an average of 1 year

  4. Percentage of glucose sensor readings 70-54 mg/dl

    Time frame: Through study completion, an average of 1 year

  5. Percentage of glucose sensor readings 180-250 mg/dl

    Time frame: Through study completion, an average of 1 year

  6. Mean sensor glucose

    Time frame: Through study completion, an average of 1 year

  7. Glucose variability

    Time frame: Through study completion, an average of 1 year

  8. Total insulin dose

    Time frame: Through study completion, an average of 1 year

  9. Total basal insulin dose

    Time frame: Through study completion, an average of 1 year

  10. Total Bolus insulin dose

    Time frame: Through study completion, an average of 1 year

  11. Total daily consumed carbohydrates

    Time frame: Through study completion, an average of 1 year

Other outcomes

  1. Number of recommendations for changes in the treatment plan per patient

    Time frame: Through study completion, an average of 1 year

  2. Number of physician overrides of advisor recommendations

    Time frame: Through study completion, an average of 1 year

  3. Device satisfaction

    Device satisfaction evaluated by Healthcare Professionals Survey containing 50 items, Device satisfaction evaluated by Healthcare Professionals Survey containing 50 items, 28 of them are on 5-point scale ranging from "strongly agree" to "strongly disagree", 10 items are "yes"/ "no" questions and 12 items are opened questions.

    Time frame: at the end of the intervention period (1 year)

  4. Frequency of home phone visits

    Time frame: Through study completion, an average of 1 year

  5. Time required to review insulin pump and sensor data, make and send recommendations or length of visit

    will be measured by timer

    Time frame: Through study completion, an average of 1 year

07

Study locations

1 site
  • Schnider Children's Medical Center
    Petach-Tikva, 4920235, Israel
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 26, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04271228
Lead sponsor
Rabin Medical Center
Responsible party
Sponsor
First posted
Feb 17, 2020
Start date
Feb 15, 2020
Primary completion
Jan 19, 2022
Completion
Jan 19, 2022
Last update
Mar 26, 2024

Study contacts

Revital Nimri, MD
principal investigator · Schneider Children;s Medical Center

Oversight

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

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