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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06428591
Registration number
NCT06428591
Ethics application status
Date submitted
20/05/2024
Date registered
24/05/2024
Titles & IDs
Public title
Tandem Freedom - Feasibility Trial 1
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Scientific title
Tandem Freedom - Feasibility Trial 1
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Secondary ID [1]
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U1111-1307-6267
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Secondary ID [2]
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TP-0017517
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Diabetes Mellitus, Type 1
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Condition category
Condition code
Metabolic and Endocrine
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Diabetes
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - t:slim X2 insulin pump with Tandem Freedom Algorithm
Experimental: Tandem Freedom - After a 1 week Control-IQ run-in, adults with type 1 diabetes will complete a supervised hotel study with the Tandem Freedom system for 3 days/nights.
Treatment: Devices: t:slim X2 insulin pump with Tandem Freedom Algorithm
Participants will use the Tandem Freedom system for 3 day/nights in a supervised hotel setting, performing meal and exercise challenges.
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Severe Hypoglycemia events
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Assessment method [1]
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Number of severe hypoglycemia events (with cognitive impairment such that assistance of another individual is needed for treatment)
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Timepoint [1]
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3 days
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Primary outcome [2]
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Diabetic Ketoacidosis events
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Assessment method [2]
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Number of diabetic ketoacidosis events
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Timepoint [2]
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3 days
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Primary outcome [3]
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Unanticipated adverse device effects
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Assessment method [3]
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Number of unanticipated adverse device effects
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Timepoint [3]
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3 days
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Primary outcome [4]
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Other serious device-related adverse events
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Assessment method [4]
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Number of other serious device-related adverse events
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Timepoint [4]
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3 days
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Secondary outcome [1]
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Percent Time <70 mg/dL, overall
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Assessment method [1]
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CGM measured percent time \<70 mg/dL, overall
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Timepoint [1]
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3 days
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Secondary outcome [2]
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Percent Time <70 mg/dL, daytime
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Assessment method [2]
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CGM measured percent time \<70 mg/dL, during the daytime
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Timepoint [2]
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3 days
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Secondary outcome [3]
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Percent Time <70 mg/dL, nighttime
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Assessment method [3]
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CGM measured percent time \<70 mg/dL, during the nighttime
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Timepoint [3]
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3 days
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Secondary outcome [4]
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Percent Time <54 mg/dL, overall
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Assessment method [4]
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CGM measured percent time \<54 mg/dL, overall
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Timepoint [4]
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3 days
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Secondary outcome [5]
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Percent Time <54 mg/dL, daytime
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Assessment method [5]
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CGM measured percent time \<54 mg/dL, during the daytime
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Timepoint [5]
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3 days
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Secondary outcome [6]
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Percent Time <54 mg/dL, nighttime
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Assessment method [6]
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CGM measured percent time \<54 mg/dL, during the nighttime
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Timepoint [6]
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3 days
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Secondary outcome [7]
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Percent Time in Range 70 - 180 mg/dL, overall
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Assessment method [7]
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CGM measured percent time in range 70 - 180 mg/dL, overall
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Timepoint [7]
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3 days
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Secondary outcome [8]
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Percent Time in Range 70 - 180 mg/dL, daytime
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Assessment method [8]
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CGM measured percent time in range 70 - 180 mg/dL, daytime
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Timepoint [8]
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3 days
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Secondary outcome [9]
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Percent Time in Range 70 - 180 mg/dL, nighttime
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Assessment method [9]
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CGM measured percent time in range 70 - 180 mg/dL, nighttime
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Timepoint [9]
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3 days
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Secondary outcome [10]
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Percent Time in Range 70 - 140 mg/dL, overall
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Assessment method [10]
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CGM measured percent time in range 70 - 140 mg/dL, overall
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Timepoint [10]
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3 days
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Secondary outcome [11]
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Percent Time in Range 70 - 140 mg/dL, daytime
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Assessment method [11]
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CGM measured percent time in range 70 - 140 mg/dL, daytime
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Timepoint [11]
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3 days
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Secondary outcome [12]
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Nighttime Percent between 70-140 mg/dL, nighttime
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Assessment method [12]
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CGM measured percent time in range 70 - 140 mg/dL, nighttime
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Timepoint [12]
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3 days
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Secondary outcome [13]
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Percent Time >180 mg/dL, overall
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Assessment method [13]
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CGM measured percent time \>180 mg/dL, overall
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Timepoint [13]
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3 days
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Secondary outcome [14]
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Percent Time >180 mg/dL, daytime
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Assessment method [14]
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CGM measured percent time \>180 mg/dL, daytime
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Timepoint [14]
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3 days
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Secondary outcome [15]
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Percent Time >180 mg/dL, nighttime
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Assessment method [15]
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CGM measured percent time \>180 mg/dL, nighttime
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Timepoint [15]
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3 days
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Secondary outcome [16]
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Percent Time >250 mg/dL, overall
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Assessment method [16]
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CGM measured percent time \>250mg/dL, overall
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Timepoint [16]
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3 days
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Secondary outcome [17]
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Daytime Percent time >250 mg/dL, daytime
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Assessment method [17]
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CGM measured percent time \>250mg/dL, daytime
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Timepoint [17]
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3 days
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Secondary outcome [18]
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Nighttime Percent time >250 mg/dL, nighttime
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Assessment method [18]
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CGM measured percent time \>250mg/dL, nighttime
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Timepoint [18]
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3 days
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Secondary outcome [19]
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Mean glucose (mg/dL), overall
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Assessment method [19]
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CGM measured mean glucose (mg/dL), overall
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Timepoint [19]
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3 days
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Secondary outcome [20]
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Mean glucose (mg/dL), daytime
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Assessment method [20]
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CGM measured mean glucose (mg/dL), daytime
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Timepoint [20]
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3 days
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Secondary outcome [21]
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Mean glucose (mg/dL), nighttime
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Assessment method [21]
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CGM measured mean glucose (mg/dL), nighttime
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Timepoint [21]
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3 days
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Secondary outcome [22]
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Glycemic Variability as assessed by Coefficient of Variation (%), overall
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Assessment method [22]
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CGM measured Coefficient of Variation (%), overall
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Timepoint [22]
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3 days
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Secondary outcome [23]
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Glycemic Variability as assessed by Coefficient of Variation (%), daytime
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Assessment method [23]
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CGM measured Coefficient of Variation (%), daytime
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Timepoint [23]
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3 days
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Secondary outcome [24]
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Glycemic Variability as assessed by Coefficient of Variation (%), nighttime
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Assessment method [24]
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CGM measured Coefficient of Variation (%), nighttime
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Timepoint [24]
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3 days
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Secondary outcome [25]
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Glycemic Variability as assessed by Standard Deviation (mg/dL), overall
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Assessment method [25]
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CGM measured Standard Deviation (mg/dL), overall
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Timepoint [25]
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3 days
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Secondary outcome [26]
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Glycemic Variability as assessed by Standard Deviation (mg/dL), daytime
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Assessment method [26]
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CGM measured Standard Deviation (mg/dL), daytime
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Timepoint [26]
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3 days
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Secondary outcome [27]
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Glycemic Variability as assessed by Standard Deviation (mg/dL), nighttime
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Assessment method [27]
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CGM measured Standard Deviation (mg/dL), nighttime
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Timepoint [27]
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3 days
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Eligibility
Key inclusion criteria
* Age =18 years old
* Diagnosis of type 1 diabetes for at least 1 year
* Current Control-IQ user, having been prescribed Control-IQ for at least 3 months
* HbA1c =10%, recorded in the last 3 months
* Investigator has confidence that the participant can successfully operate all study devices and is capable of adhering to the protocol, including performing the weekend hotel observed setting portion of the study.
* Willing to use only aspart (novorapid) or lispro (humalog) insulin with the study pump, with no use of long-acting basal insulin injections, or inhaled insulin with the study pump.
* Have current glucagon product to treat severe hypoglycemia (injectable or nasal) at home (site will provide prescription if they do not have one)
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* More than 1 episode of diabetic ketoacidosis (DKA) in the past 6 months
* More than 1 episode of severe hypoglycemia (needing assistance) in the past 6 months
* Inpatient psychiatric treatment in the past 6 months
* For Female: Currently pregnant or planning to become pregnant during the time period of study participation
1. A negative pregnancy test will be required for all females of child-bearing potential
2. Counseling on appropriate birth control options will be provided to all females of child-bearing potential
* Concurrent use of any non-insulin glucose-lowering agent, other than metformin (for example, GLP-1 agonists, Symlin, DPP-4 inhibitors, SGLT-2 inhibitors, sulfonylureas).
* Hemophilia or any other bleeding disorder
* Hemoglobinopathy
* History of heart, liver, lung or kidney disease determined by investigator to interfere with the study
* History of allergic reaction to Humalog or Novorapid
* Use of any medications determined by investigator to interfere with study
* Significant chronic kidney disease (which could impact CGM accuracy in investigator's judgment) or hemodialysis
* Concurrent use of any medication that could interfere with the study CGM, such as hydroxyurea
* History of adrenal insufficiency
* History of abnormal TSH consistent with hypothyroidism or hyperthyroidism that is not appropriately treated
* History of gastroparesis
* A condition, which in the opinion of the investigator or designee, would put the participant or study at risk
* Participation in another pharmaceutical or device trial at the time of enrollment or anticipated for during the time period of study participation
* Employed by, or having immediate family members employed by Tandem Diabetes Care, Inc., or having a direct supervisor at place of employment who is also directly involved in conducting the clinical trial (as a study investigator, coordinator, etc.); or having a first-degree relative who is directly involved in conducting the clinical trial
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
29/05/2024
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
10/06/2024
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Sample size
Target
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Accrual to date
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Final
10
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Christchurch
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Tandem Diabetes Care, Inc.
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This feasibility study is a prospective, single arm study evaluating the Tandem Freedom system in adults with type 1 diabetes. Existing Control-IQ technology users will use Control-IQ technology at home for a 1 week run-in, then will use Tandem Freedom in a supervised hotel setting for 3 days/nights.
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Trial website
https://clinicaltrials.gov/study/NCT06428591
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Jordan Pinsker, MD
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Address
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Tandem Diabetes Care
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT06428591