ClinicalTrials.gg
Status unknownNCT04749693SP12Updated May 7, 2024

Observational Study of the Use of DBLG1 System in Real Life

An observational study in Type1diabetes, sponsored by Diabeloop. Status unknown at 20 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-05-07.

Sponsored by Diabeloop · Observational

The sponsor has not verified this record recently (last verified May 2024), so the status shown — last known as Recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
348
Ages
18 Years and older
Sex
All
01

Study summary

This study will be conducted on human subjects and is observational, prospective and uncontrolled, defined as a category 3 according to the Jardé Law (RIPH3). It is a national and multicentric study. Enrolled patients are Type 1 Diabetes (T1D) patients who receive the DBLG1 System (CE marked medical device) to be treated. Patients have their regular visits with their own clinician. No change from their usual care must and will be done, including trainings and treatment. At the end of the study, patients will keep their system for their usual care and will continue having usual follow-up visits with their clinician.

Data related to their glycemia, complications and quality of life will be collected for 1 year from the beginning of their treatment. A comparison with data collected during the 2 weeks of run-in period, prior to the activation of loop mode, is planned. In case the run-in phase lasts longer than 2 weeks, data collected from the two last weeks only will be kept for analysis and comparison.

The study is completed when all patients have their "end of study" file completed in the electronic Case Report Form (eCRF).

Read the detailed description

The study is designed to address the specific requirements from National Commission for the Evaluation of Medical Devices and Health Technologies (CNEDiMTS) and to complete data obtained up to now, with a larger cohort and in real life settings.

In order to increase variability in the profiles of patients included and to be as representative as possible of all eligible patients, 20 centers will participate in the study, both private and public, with a mix of university and regional centers and 348 patients will be included consecutively.

The inclusion period lasts 6 months and each patient will be included in the study for a period of 2 weeks of run-in and 1 year of treatment. An inclusion period of 6 months is enough according to investigation site data and estimation of inclusion over 6 months (detailed in part Healthcare professional and investigation centers recruitment).

This study is observational. Patients included follow their usual medical care and will only be asked for the specific need of the study to answer two questionnaires (at the beginning and at the end of the study) and give their HbA1c results performed in their current medical follow-up. As it is a post-registration study, medical devices are provided to patients on medical prescription by healthcare providers, which have signed a distribution agreement with and have been trained by Diabeloop. Patients have their system for 4 a maximum of 4 years (life duration of the medical device (DBLG1 System)).

Patients follow-up visits are not mandatory and no frequency is imposed. Investigators, according to their habits, have follow-up visits corresponding to what they usually propose to patients having a new treatment.

During the whole study and apart from scheduled visits (inclusion, beginning of run-in, beginning of treatment , enf of study), each patient may contact his/her clinician investigator in case of issue he/she judges as serious, for questions, etc. In that case, the clinician may program a visit with the patient and deal with adverse events. Phone calls are recorded in Case Report Form (CRF), as well as on-site visits.

Note: with Yourloops; investigators may follow the state of their patients, regarding the time in range, mean glycemia value etc. Based on this, they may require a visit at their convenience with the patient in order to change parameters of the system, discuss adverse events, etc.

Objectives are the following To evaluate improvement in blood glucose control with use of DBLG1 System after one year in real life.

To evaluate details of glycemic control improvement, safety and adverse events due to the DBLG1 System, evolution of quality of life after one year in real life and healthcare professional support.

Study endpoints Improvement of the time in glycemic range 70 - 180 mg/dL, in percentage, on 24hours and nighttime.

HbA1c Mean CGM glucose - on 24hours and nighttime Time in 70 - 140 mg/dL range on 24hours and nighttime only Time in hypoglycemia (under 70 mg/dL, 60 mg/dL and 50 mg/dL) - on 24hours and nighttime Time in hyperglycemia (above 180 mg/dL, 250 mg/dL and 300 mg/dL) - on 24hours and nighttime Percentage of time using activated loop mode vs. deactivated loop mode Standard Deviation (SD) and Coefficient of variation (CV) of Continuous Glucose Monitoring (CGM) values on 24hours and nighttime Number and type of adverse events Overall and diabetic-specific quality of life Quantification of the healthcare professional support required

An descriptive interim analysis will be made on the first 100 enrolled patients after 6 months of use of the DBLG1.

02

Conditions studied

  • Type1diabetes

Keywords

  • Type 1 Diabetes
  • HbA1c > 8%
  • Closed loop system
  • insulin pump
  • Algorithm
  • Real life
03

In context

Diabetes Mellitus, Type 1

3,614 studies on the registry are indexed under Diabetes Mellitus, Type 1; 586 are open to participants now.

This study's planned enrollment of 348 is above the median of 121 across 769 observational studies indexed under Diabetes Mellitus, Type 1.

Browse Diabetes Mellitus, Type 1 studies →

Lead sponsor

Diabeloop is the lead sponsor of 5 studies on the registry; 1 is 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
Sampling method
Non-probability sample

Study population

Adults with type 1 diabetes equal or more than 18 years old, with Hb1Ac ≥ 8%

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

  • patients with type 1 diabetes;
  • patients who are at least 18 years old;
  • patients total daily dose required must be less than 90 units (U);
  • patients accepting to be treated with 100 U/mL rapid-acting insulin analog
  • patients having a HbA1c ≥ 8% despite of the use of a pump for at least 6 months
  • patients performing glucose self-monitoring several times ( ≥ 4) a day
  • patient accepting the technology
  • patients agreeing to use the system with activated loop mode during at least 75% of the
  • total time of use, this will be analyzed after 1 year of use.
  • patients must be affiliated to any kind of social security

Exclusion criteria

Exclusion Criteria:

  • patients receiving a total daily dose of insulin lower than 8 U;
  • patients suffering from a serious illness or having a treatment that might significantly impair diabetes physiology (iSGLT2, steroids, metformin), i.e. glucose-insulin interactions, that might interfere with the medical device (for example treatment by steroids with variable dosage during the study period);
  • patients having severe uncorrected problems of hearing and/or visual acuity preventing proper use of DBLG1 System;
  • patients unable to understand and perform all of the instructions regarding the devices and the clinical investigation provided by Diabeloop.
  • patients planning to perform during the year of study repeated magnetic resonance imaging (MRI), computed tomography (CT) scan, or high-frequency electrical heat (diathermy) treatment. The G6 has not been tested in those situations. The magnetic fields and heat could damage the components of the Dexcom G6, which may cause it to display inaccurate sensor glucose readings (readings) or may prevent alerts. Without G6 readings or alarm/alert notifications, patients might be exposed to severe low or high glucose events;
  • patients who are unwilling or unable to maintain contact with the healthcare professional;
  • patients willing to use any insulin that is not 100 U/mL rapid-acting insulin analog with the system (for example regular insulin; long-acting insulin analog; 200 U/mL rapid-acting insulin analog)
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
348 participants (estimated)
Patient registry
No

Groups and cohorts

  • Patient with HbA1c >= 8% despite the use of insulin pump and frequent glycemic control

    only group included in the study

    Device: DBLG1 System

Interventions

  • DeviceDBLG1 System

    Use of DBLG1 System in real life condition

06

What researchers measure

Primary outcomes

  1. time in 70 - 180 mg/dL glycemic range

    Improvement of the time in glycemic range 70 - 180 mg/dL, in percentage, on 24hours and nighttime

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

Secondary outcomes

  1. HbA1c HbA1c HbA1c

    change in the HbA1c after 1 year of use of the device

    Time frame: at the beginning and at the end of the study (1 year between each value)

  2. mean CGM

    change of mean CGM glucose on 24hours and nighttime

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

  3. time in 70 - 140 mg/dL glycemic range

    change of time in 70 - 140 mg/dL range on 24hours and nighttime

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

  4. time in hypoglycemia

    change of time in hypoglycemia, under 70 mg/dL, 60 mg/dL and 50 mg/dL on 24hours and nighttime

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

  5. time in hyperglycemia

    change of time in hyperglycemia above 180 mg/dL, 250 mg/dL and 300 mg/dL on 24hours and nighttime

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

  6. use of loop mode

    percentage of time using activated loop mode vs. deactivated loop mode

    Time frame: treatment period, an average of 1 year

  7. SD and CV of CGM values

    change of SD and CV of CGM values on 24hours and nighttime

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

  8. adverse event

    number of adverse events

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

  9. Health Survey

    change of the patient health, evaluated by questionnaire Short Form 12 Health Survey filled in at the beginning and at the end of the study

    Time frame: at the beginning and at the end of the study (1 year between each value)

  10. Fear of hypoglycemia

    change of the patient fear of hypoglycemia, evaluated by questionnaire Hypoglycemia fear survey filled in at the beginning and at the end of the study

    Time frame: at the beginning and at the end of the study (1 year between each value)

  11. Patient stress status

    change of the patient stress status, evaluated by questionnaire Diabetes distress scale, filled in at the beginning and at the end of the study

    Time frame: at the beginning and at the end of the study (1 year between each value)

  12. Acceptability of the device

    change of the patient's satisfaction of previous vs. DBLG1 System devices, evaluated by questionnaire patient stress status, filled in at the beginning and at the end of the study

    Time frame: at the beginning and at the end of the study (1 year between each value)

  13. incidence of the system on the necessary healthcare professional charge

    questionnaire at each visit (duration and type of visit, number and type of healthcare professional required for the visit)

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

07

Study locations

8 of 20 sites recruiting
  • Hôpital Avicenne APHP
    Bobigny, 93000, France
    • Emmanuel Cosson, Pr · Contact · emmanuel.cosson@aphp.fr
    • Emmanuel Cosson, Pr · Principal investigator
    • Sopio Tatulashvili, Dr · Sub investigator
    • Hélène Bihan, Dr · Sub investigator
    • Meriem Sal, Dr · Sub investigator
    Not yet recruiting
  • Hôpital de la cavale blanche
    Brest, 29200, France
    • Emmanuel Cosson, Dr · Contact · emmanuel.sonnet@chu-brest.fr
    • Emmanuel Cosson, Dr · Principal investigator
    • Nathalie Roudaut, Dr · Sub investigator
    • Genevieve Crouzeix, Dr · Sub investigator
    Not yet recruiting
  • CHU Caen
    Caen, 14000, France
    • Yves Reznik, Pr · Contact · reznik-y@chu-caen.fr
    • Yves Reznik, Pr · Principal investigator
    • Michael Joubert, Dr · Sub investigator
    • Anne Rod, Dr · Sub investigator
    • Julia Morera, Dr · Sub investigator
    • Bleuenn Dreves, Dr · Sub investigator
    Recruiting
  • Centre Hospitalier Sud Francilien
    Corbeil-Essonnes, 91100, France
    • Alfred Penfornis, Pr · Contact · alfred.penfornis@chsf.fr
    • Alfred Penfornis, Pr · Principal investigator
    • Sylvia France, Dr · Sub investigator
    • Coralie Amadou, Dr · Sub investigator
    • Catherine Petit, Dr · Sub investigator
    Not yet recruiting
  • CHU Bocage Central
    Dijon, 21079, France
    • Sabine Baillot-Rudoni, Dr · Contact · sabine.rudoni@chu-dijon.fr
    • Sabine Baillot-Rudoni, Dr · Principal investigator
    • Bruno Verges, Dr · Sub investigator
    • Jean Michel Petit, Dr · Sub investigator
    • Benjamin Bouillet, Dr · Sub investigator
    • Elodie Crevisy, Dr · Sub investigator
    • Alexia Rouland, Dr · Sub investigator
    • Coralie Fourmont, Dr · Sub investigator
    Recruiting
  • Hôpital Simone Veil
    Eaubonne, 95600, France
    • Karim Lachgar, Dr · Contact · karim.lachgar@ch-simoneveil.fr
    • Karim Lachgar, Dr · Principal investigator
    • Amina Mankai, Dr · Sub investigator
    • Sylvie Casteras, Dr · Sub investigator
    • Nasrine Achour, Dr · Sub investigator
    • Anissa Mouffok, Dr · Sub investigator
    • Diane-Cécile Gauthier, Dr · Sub investigator
    Not yet recruiting
  • CHU Grenoble
    Grenoble, 38000, France
    • Sandrine Lablanche, Dr · Contact · SLablanche@chu-grenoble.fr · +33 (0)4 76 76 83 88
    • Pierre-Yves Benhamou, Pr · Sub investigator
    • Sandrine Lablanche, Dr · Principal investigator
    • Isabelle Debaty, Dr · Sub investigator
    • Manon Jalbert, Dr · Sub investigator
    • Johanna Delagenière, Dr · Sub investigator
    • Cécile Bétry, Fr · Sub investigator
    Recruiting
  • Groupe Hospitalier La Rochelle - Ré - Aunis
    La Rochelle, 17019, France
    • Didier Gouet, Dr · Contact · Didier.GOUET@ght-atlantique17.fr
    • Frédérique Duengler, Dr · Sub investigator
    • Didier Gouet, Dr · Principal investigator
    • Sophie Gaulier, Dr · Sub investigator
    • Claire Cordroc'h, Dr · Sub investigator
    • Camille Bouche, Dr · Sub investigator
    • Céline Olivier, Dr · Sub investigator
    Recruiting
  • CHU Lille
    Lille, 59037, France
    • Anne Vambergue, Pr · Contact · anne.vambergue@chru-lille.fr
    • Anne Vambergue, Pr · Principal investigator
    • Florence Baudoux, Dr · Sub investigator
    • Wassila Karrouz-Ribeiro, Dr · Sub investigator
    • Madleen Lemaitre, Dr · Sub investigator
    • Kristelle Le Mapihan, Dr · Sub investigator
    • Emilie Merlen, Dr · Sub investigator
    Not yet recruiting
  • Diab-e-Care
    Lyon, 69008, France
    • Charles Thivolet, Pr · Contact · charles.thivolet@chu-lyon.fr
    • Charles Thivolet, Pr · Principal investigator
    • Mélanie Gaudillere, Dr · Sub investigator
    • Béatrice Mestre, Dr · Sub investigator
    • Sylvie Villar-Fimbel, Dr · Sub investigator
    Not yet recruiting
  • Hôpital Européen
    Marseille, 13003, France
    Not yet recruiting
  • Hôpital la conception, pole ENDO
    Marseille, 13385, France
    Not yet recruiting
  • hôpital Nord Laennec
    Nantes, 44093, France
    • Lucy Chaillous, Dr · Contact · lucy.chaillous@chu-nantes.fr
    • Lucy Chaillous, Dr · Principal investigator
    • Emeric Scharbarg, Dr · Sub investigator
    • Sarra Smati-Grangeon, Dr · Sub investigator
    • Pierre Morcel, Dr · Sub investigator
    Recruiting
  • Lariboisière - Fernand Widal APHP
    Paris, 75010, France
    • Jean Pierre Riveline, Pr · Contact · jeanpierre.riveline@aphp.fr
    • Jean Pierre Riveline, Pr · Principal investigator
    • Tiphaine Vidal-Trecan, Dr · Sub investigator
    • Jean-Baptiste Julla, Dr · Sub investigator
    Not yet recruiting
  • Hôpital Bichet Claude Bernard - APHP
    Paris, 75018, France
    • Louis Potier, Dr · Contact · louis.potier@aphp.fr
    • Louis Potier, Dr · Principal investigator
    • Florence Travert, Dr · Sub investigator
    • Aurélie Carlier, Dr · Sub investigator
    Not yet recruiting
  • Clinique Princess
    Pau, 64000, France
    • Anne Violante, Dr · Contact · a.violante@clinique-princess.com
    • Anne Violante, Dr · Principal investigator
    • Marie-Pierre Etchandy, Dr · Sub investigator
    • Sandrine Menon, Dr · Sub investigator
    • Elodie Malville-Cabal, Dr · Sub investigator
    • Christian Bonnin, Dr · Sub investigator
    Not yet recruiting
  • CHU Reims
    Reims, 51100, France
    • Brigitte Delemer, Pr · Contact · bdelemer@chu-reims.fr
    • Brigitte Delemer, Pr · Principal investigator
    • Céline Lukas-Croisier, Dr · Sub investigator
    • Maud François, Dr · Sub investigator
    • Cédric Rakotondrantoanina, Dr · Sub investigator
    Recruiting
  • Hôpital Pontchaillou
    Rennes, 35000, France
    • Isabelle Guilhem, Dr · Contact · Isabelle.guilhem@chu-rennes.fr
    • Isabelle Guilhem, Dr · Principal investigator
    • Christele Derrien, Dr · Sub investigator
    • Agathe Guenego, Dr · Sub investigator
    • Patricia Vaduva, Dr · Sub investigator
    • Mathilde Fichet, Dr · Sub investigator
    • Benjamin Moreau, Dr · Sub investigator
    Recruiting
  • Hôpital civil de Strasbourg
    Strasbourg, 67000, France
    • Nathalie Jeandidier, Pr · Contact · nathalie.jeandidier@chru-strasbourg.fr
    • Nathalie Jeandider, Pr · Principal investigator
    • Laurent Meyer, Dr · Sub investigator
    • Marion Munch, Dr · Sub investigator
    Recruiting
  • Hôpital de Rangueil
    Toulouse, 31400, France
    • Hélène Hanaire, Pr · Contact · hanaire.h@chu-toulouse.fr
    • Hélène Hanaire, Pr · Principal investigator
    • Pierre Gourdy, Pr · Sub investigator
    • Nelly Puech-Bret, Dr · Sub investigator
    • Florence Labrousse-Lhermine, Dr · Sub investigator
    • Maria Matta, Dr · Sub investigator
    • Vincent Melki, Dr · Sub investigator
    • Raquel Tirado Godas, Dr · Sub investigator
    Not yet recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

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

Started May 2021 (actual). Primary completion is estimated for Jul 2025, 50 months after the start.

Of 49 industry-sponsored observational studies under Diabetes Mellitus, Type 1, half reached primary completion within 22 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 42. This study's planned 50 months is above that.

Counting every sponsor, half of 288 studies reached it within 27 months; a quarter within 12 and three quarters within 69.

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

Registered
Feb 2, 2021
First posted
Feb 11, 2021
StartActual
May 17, 2021
Primary completionEst.
Jul 2025
CompletionEst.
Jan 2026
Last update
May 7, 2024
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 7, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04749693
Lead sponsor
Diabeloop
Responsible party
Sponsor
First posted
Feb 11, 2021
Start date
May 17, 2021
Primary completion
Jul 2025 (estimated)
Completion
Jan 2026 (estimated)
Last update
May 7, 2024

Study contacts

Marion Chassouant
Contact
clinical-trial@diabeloop.fr
0767417660 ext. +33
Erik Huneker
Contact
erik@diabeloop.fr
Pauline Schaepelynck
principal investigator · APHM Hôpital Sud Sainte Marguerite
Lucy Chaillous
principal investigator · Nantes University Hospital
Hélène Hanaire
principal investigator · University Hospital, Toulouse
Sandrine Lablanche
principal investigator · University Hospital, Grenoble
Alfred Penfornis
principal investigator · CH Sud Francilien
Yves Reznik
principal investigator · University Hospital, Caen

Oversight

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

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