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Patient Preference of h-Patch vs. Pen or Needle/Syringe as Insulin Administration Device
This study has been terminated.
( Endpoint no longer deemed meaningful )
First Received: March 27, 2007   Last Updated: December 5, 2007   History of Changes
Sponsored by: Valeritas, LLC
Information provided by: Valeritas, LLC
ClinicalTrials.gov Identifier: NCT00453934
  Purpose

The primary objective of this study is to compare patient preference of the h-Patch as delivery device for insulin lispro compared with either an insulin pen or needle and syringe in patients with diabetes, either Type 1 or Type 2, on stable multiple daily injection regimens. This will be assessed using an accepted preference scale.


Condition Intervention Phase
Type 1 Diabetes
Type 2 Diabetes
Device: h-Patch
Phase IV

Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Crossover Assignment, Safety/Efficacy Study
Official Title: h-Patch vs. Pen or Needle and Syringe as Insulin Administration Device in Type 1 or 2 Diabetes Patients Using MDI: Patient Preference and Glycemic Control After Switch in an Open-Label, Randomized Cross-Over Study

Resource links provided by NLM:


Further study details as provided by Valeritas, LLC:

Secondary Outcome Measures:
  • Mean glucose using CGM. [ Time Frame: 4 weeks ]
  • Glucose SD, MAGE, Proportion of 24 hours in euglycemic range 70-160 mg/dl, using CGM. [ Time Frame: 4 weeks ]
  • End of Study Patient Questions [ Time Frame: 4 weeks ]
  • Hypoglycemia [ Time Frame: 4 weeks ]
  • Proportion of time with glucose < 70 mg/dl, from CGM. [ Time Frame: 4 weeks ]
  • Number and type of adverse events. [ Time Frame: 4 weeks ]

Enrollment: 11
Study Start Date: May 2007
Study Completion Date: September 2007
Detailed Description:

Patients with Type 1 Diabetes have an absolute deficiency in insulin production and benefit from physiologic insulin replacement, defined as administration of background and mealtime insulin. More than half of patients with Type 2 diabetes (T2DM) have less than 50% of their beta cell function at the time of diagnosis. Because of this, these patients would also benefit from the physiologic delivery of insulin. Currently, 4 or more injections per day are required to deliver the various different available insulins in a physiologic manner.

Valeritas has developed the h-Patch, a device suitable to make the delivery of basal and bolus insulin effective, simple and discrete. This study will measure patient preference, glucose control and safety of the h-Patch compared with patients' previous therapy. Patients previous therapy will be multiple daily injections delivered either by pens or needle and syringe.

  Eligibility

Ages Eligible for Study:   18 Years to 75 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Diagnosis of Type 1or Type 2 diabetes mellitus for at least a year
  2. Stable insulin regimen for at least 3 months consisting of multiple daily injections of human regular or rapid acting insulin at meal times and long or intermediate acting insulin as basal. In this protocol multiple daily injections requires at least three injections daily.
  3. Total daily insulin dose between 50 and 80 units.
  4. If patient is Type 2, can be treated with metformin and/or a thiazolidinedione and/or a sulfonylurea, but other diabetes drugs including α-glucosidase inhibitors, meglitinides, pramlintide exenatide, and DPP-IV's are excluded.
  5. HbA1c > 7.0% and < 9.0%.

Exclusion Criteria:

  1. Recurrent major hypoglycemia or prolonged unstable blood glucose control (as judged by the Investigator).
  2. Use of other diabetes drugs including α-glucosidase inhibitors, meglitinides, pramlintide, exenatide or DPP-IV inhibitors (metformin and/or a thiazolidinedione and/or a sulfonylurea are allowed).
  3. Intend to use any other concomitant drug therapy (prescription or over-the-counter medications) that can affect blood glucose levels.
  4. Have used systemic glucocorticoids within 1 month prior to Screening or currently on glucocorticoids.
  5. Have a history of drug or alcohol abuse within 1 year prior to Screening Visit.
  6. Have a history or presence of cardiovascular, respiratory, hepatic, renal, gastrointestinal, or neurological disease that would, in the investigator's opinion, preclude safe participation in the study.
  7. Have a history of major surgery, e.g. laparotomy, thoracotomy, open orthopedic procedure, etc. within 3 months prior to Screening Visit.
  8. Evidence of significant neuropsychiatric disease.
  9. Have participated in a medical, surgical, or pharmaceutical investigational new drug/device study in the last 30 days or ≤ 5 half-lives of the investigational drug, whichever is longer, prior to Screening Visit.
  10. Blood donation of 500 ml or more in the last 2 months prior to Screening Visit.
  11. Evidence of significant active hematological disease.
  12. Acute infection with fever.
  13. Hemoglobin < 10 g/dL; AST, ALT ≥ 1.5 times the upper reference limit at Screening.
  14. Uncontrolled treated/untreated hypertension (systolic blood pressure > 155 mmHg and diastolic blood pressure > 90 mmHg).
  15. History of proliferative retinopathy or maculopathy requiring acute treatment
  16. Mental incapacity, unwillingness or language barrier precluding adequate understanding or co-operation.
  17. Any condition that the Investigator and/or Sponsor feel would interfere with trial participation or evaluation of results
  18. Pregnancy, breast-feeding, intention of becoming pregnant for female patients of child-bearing potential.

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  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00453934

Locations
United States, Texas
Diabetes and Glandular Research
San Antonio, Texas, United States, 78229
Sponsors and Collaborators
Valeritas, LLC
Investigators
Principal Investigator: Mark S Kipnes, MD Diabetes and Glandular Research
  More Information

No publications provided

Study ID Numbers: V4001
Study First Received: March 27, 2007
Last Updated: December 5, 2007
ClinicalTrials.gov Identifier: NCT00453934     History of Changes
Health Authority: United States: Institutional Review Board

Keywords provided by Valeritas, LLC:
Diabetes
Type 1 Diabetes
Type 2 Diabetes
Physiologic Insulin
Basal Insulin
Bolus Insulin
Mealtime insulin
Insulin patch
Multiple daily injections

Study placed in the following topic categories:
Hypoglycemic Agents
Autoimmune Diseases
Metabolic Diseases
Diabetes Mellitus, Type 1
Diabetes Mellitus, Type 2
Diabetes Mellitus
Endocrine System Diseases
Diabetes Mellitus Type 1
Endocrinopathy
Glucose Metabolism Disorders
Metabolic Disorder
Insulin

Additional relevant MeSH terms:
Hypoglycemic Agents
Autoimmune Diseases
Metabolic Diseases
Immune System Diseases
Diabetes Mellitus, Type 1
Physiological Effects of Drugs
Diabetes Mellitus, Type 2
Diabetes Mellitus
Endocrine System Diseases
Glucose Metabolism Disorders
Pharmacologic Actions
Insulin

ClinicalTrials.gov processed this record on September 10, 2009