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Trial registered on ANZCTR
Registration number
ACTRN12620001160921
Ethics application status
Approved
Date submitted
12/08/2020
Date registered
5/11/2020
Date last updated
5/11/2020
Date data sharing statement initially provided
5/11/2020
Type of registration
Retrospectively registered
Titles & IDs
Public title
Function of Implanted Glucose Sensor – Performance and Sensor Variations Evaluation in Type 1 Diabetes
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Scientific title
Function of Implanted Glucose Sensor – Performance and Sensor Variations Evaluation in Type 1 Diabetes
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Secondary ID [1]
302015
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Nil
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Universal Trial Number (UTN)
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Trial acronym
FIGS-PAVE
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Linked study record
This study is a follow-on study from previous trials ACTRN12617000919314 and ACTRN12619000122156.
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Health condition
Health condition(s) or problem(s) studied:
Type 1 diabetes
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Condition category
Condition code
Metabolic and Endocrine
316589
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Diabetes
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The purpose of this research study is to collect data that can help to answer questions about the performance and safety of a new iteration of the surgically implanted Model 100 continuous glucose sensor. Trial participants will be randomized into two groups to evaluate performance. Sensors for the two groups will have been manufactured in the identical manner, with the sensor treatment (Dexamethasone with or without PEGylation) to be the only variation.
12 participants are expected to be enrolled in this study and the sensor will be implanted subcutaneously (just below the skin) into the participant’s lower abdominal area and remain there for a minimum of four and a half months and up to eight months, after which it will be removed. The implant of the sensor requires a small incision in the lower abdomen which is placed as a minor surgical operation, usually achieved under local anaesthesia with some intravenous sedation in under 30 minutes. At the end of the study, another minor surgical operation using the same technique is required to remove the sensor.
Throughout the course of the trial, device properties and safety assessments will be made to determine device function and performance. Participants will attend the trials centre 1, 7 and 14 days after device implant for ~30mins, and then at monthly intervals for ~6 hours to undergo meal testing and blood sampling. Blood samples taken during thee monthly visits will assess device safety and determine if the protocol will be terminated at 4.5months, or up to 8 months.
Participants will be required to test their blood glucose daily by fingerprick between 4-8 times per day, and fill out a diary each week to monitor adherence to the study interventions. The study diary will be reviewed, and devices downloaded at each trial visit.
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Intervention code [1]
318306
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Treatment: Devices
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Comparator / control treatment
Comparisons will be made between sensors treated with Dexamethasone with PEGylation (the unknown intervention) and sensors treated with Dexamethasone without PEGylation (the control/ comparator)
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Control group
Active
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Outcomes
Primary outcome [1]
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1. Using Model 200 Receivers, capture and record wirelessly transmitted data from implanted Model 100 Sensors in the two groups for assessment of device longevity.
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Assessment method [1]
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Timepoint [1]
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Data regarding device longevity will be recorded continuously by the receiver and downloaded and recorded monthly until the study ends at 8 months, or is ceased for safety concerns.
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Primary outcome [2]
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2. Evaluate the safety of the implanted device as measured through monitoring for anti-glucose oxidase and anti-catalase antibodies in blood samples at specified time-periods during the trial.
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Assessment method [2]
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Timepoint [2]
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Safety parameters will be assessed monthly until the study ends at 8 months, or is ceased due to safety concerns.
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Secondary outcome [1]
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The secondary outcomes of this study include:
1. Characterize circulating dexamethasone concentration in serum at monthly intervals.
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Assessment method [1]
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Timepoint [1]
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Circulating dexamethasone will be assessed at monthly intervals while the device is implanted until completion of the study at 8 months, or the study is ceased for safety concerns.
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Secondary outcome [2]
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2. Evaluation of tissue characteristics adjacent to the implanted devices through histological analysis of tissue specimens obtained upon device removal
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Assessment method [2]
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Timepoint [2]
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Tissue characterization will occur upon removal of the device
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Eligibility
Key inclusion criteria
* Type 1 diabetes mellitus for at least 5 years
* HbA1c <10%
* BMI < 35kg/m2
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Minimum age
18
Years
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Maximum age
70
Years
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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
* Serious chronic illness
* Use of paracetamol during the trial
* c-peptide <150pmol/L
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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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
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
12/08/2020
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Date of last participant enrolment
Anticipated
11/11/2020
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Actual
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Date of last data collection
Anticipated
31/08/2021
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Actual
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Sample size
Target
12
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Accrual to date
4
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Glysens incorporated
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Address [1]
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3931 Sorrento Valley Blvd
Suite 110
San Diego, CA 92121
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Country [1]
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United States of America
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Primary sponsor type
Hospital
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Name
St Vincent's Hospital Melbourne
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Address
35 Victoria Pde, Fitzroy 3065, VIC Australia
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
306952
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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St Vincent's Hospital Melbourne Human Research Ethics Committee
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Ethics committee address [1]
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35 Victoria Pde, Fitzroy VIC 3065, Australia
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
306644
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Approval date [1]
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19/06/2020
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Ethics approval number [1]
306644
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Summary
Brief summary
Achieving optimal glucose control in type 1 diabetes requires frequent monitoring of glucose which can be burdensome for many patients. The most common methods for self-monitoring glucose involve frequent "finger-pricking" or continuous glucose monitors inserted under the skin which last up to 1-2 weeks and require at least daily calibration with finger-pricks. This study aims to collect glucose information from the implanted sensor to optimise sensor signal processing and improve sensor performance. This investigational device is an implantable long-term glucose sensor that measures an individual's glucose levels continuously and sends data to a receiver outside the body. Following implantation, the sensor requires no user interaction, and the receiver only needs to be kept close by. The only maintenance required of the receiver is battery changes and data downloading.
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Trial website
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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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Prof David O'Neal
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Address
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St Vincent's Hospital, 35 Victoria Pde, Fitzroy 3065 VIC
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Country
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Australia
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Phone
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+61 3 9288 2012
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Dale Morrison
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Address
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St Vincent's Hospital, 35 Victoria Pde, Fitzroy 3065 VIC
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Country
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Australia
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Phone
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+61 413137853
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dale Morrison
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Address
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St Vincent's Hospital, 35 Victoria Pde, Fitzroy 3065 VIC
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Country
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Australia
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Phone
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+61 413137853
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Fax
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Email
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[email protected]
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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
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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