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Trial registered on ANZCTR
Registration number
ACTRN12614000256673
Ethics application status
Approved
Date submitted
5/03/2014
Date registered
11/03/2014
Date last updated
27/09/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
A Feasibility Study of a Novel Glucose Sensor for Continuous Glucose Monitoring in Type 1 Diabetes.
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Scientific title
A Feasibility Study Examining the Accuracy and Reliability of a Novel Redundant Electrochemical Sensor (Harmony Sensor) for Continuous Glucose Monitoring in Type 1 Diabetes.
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Secondary ID [1]
284182
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None
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Universal Trial Number (UTN)
U1111-1154-0142
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Trial acronym
Harmony
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Type 1 Diabetes
291280
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Condition category
Condition code
Metabolic and Endocrine
291634
291634
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0
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Diabetes
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The Harmony Sensor represents an advance in electro-chemical sensor design and incorporates a redundant sensor system. Redundancy can be defined as two or more sensing elements utilizing the same or different technologies to measure the same output. The Harmony sensor consists of a unique electro-chemical sensor in a fold-over design, so that there are sensing elements on both planar surfaces.
This feasibility study will assess the accuracy and reliability of the redundant electrochemical sensor (Harmony) for Contiuous Glucose Monitoring (CGM) compared to current non-redundant electrochemical sensors.
All participants will continuously wear two investigational Harmony glucose sensors for the whole duration of the study (168 hours).
Each sensor will be inserted subcutaneously into the abdomen using a dedicated sensor inserter, a procedure which takes under 5 minutes.
Both sensors are attached to a glucose sensor recorder or transmitter which will capture all sensor related information and be uploaded at the conclusion of the study.
The participant will follow the following schedule:
Visit 1 (Day 1): Both sensors will be inserted. Devise training will be provided to the participants. Finger-prick capillary glucose will be performed via study glucose meter at 30 minute intervals for half-an-hour prior to and 3 hours post sensor insertion (first 15 participants), and at 30 minute intervals from half-an-hour to 3 hours post sensor insertion (last 15 participants).
Visit 2 (Day 4): 72 hours post insertion of the sensors, participants will return to clinical trial centre (CTC) to perform a meal test. A standardised test meal containing 65g carbohydrate will be consumed by each participant. Venous blood samples will be collected at 15 minute intervals for half-an-hour prior to and 3 hours post meal ingestion, to be used for glucose measurement by YSI and study glucose meter.
Visit 3 (Day 8): 168 hours post insertion of the sensors, participants will return CTC to perform a final meal test. A standardised test meal containing 65g carbohydrate will be consumed by each participant. Venous blood samples will be collected at 15 minute intervals for half-an-hour prior to and 3 hours post meal ingestion, to be used for glucose measurement by YSI and study glucose meter.
Between the visits, participants will be instructed to perform finger-prick glucose levels a minimum of 8 times a day (pre-meals and 2 hours post meals) which wil be recorded on the study glucose meter history.
Data from study devices will not impact upon decisions involving care of the participants as sensor generated glucose data will not be available to the participants.
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Intervention code [1]
288906
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Treatment: Devices
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Comparator / control treatment
The Comparator will be meter YSI glucose values and glucose meter values.
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Control group
Active
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Outcomes
Primary outcome [1]
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Accuracy of sensor glucose data provided by the Investigational (Harmony) sensor with meter glucose and YSI glucose values as references.
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Assessment method [1]
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Timepoint [1]
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Day 1, Day 4, Day 8 of the study
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Primary outcome [2]
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Descriptive comparison of sensor accuracy using sensor glucose data provided by investigational Harmony sensors in comparison to YSI glucose values and glucose meter values as references.
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Assessment method [2]
291610
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Timepoint [2]
291610
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0 - 168 hours
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Secondary outcome [1]
307157
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Device survival of the Harmony sensor determined by provision of glucose measurements from sensor to senor recorder.
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Assessment method [1]
307157
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Timepoint [1]
307157
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0 - 168 hours
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Secondary outcome [2]
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Sensor insertion site appearance of the Harmony sensors determined by visual assessment.
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Assessment method [2]
307158
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Timepoint [2]
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Day 8 of the study (after removal of sensors)
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Eligibility
Key inclusion criteria
1. Participant is 21-70 years of age at time of screening.
2. A clinical diagnosis of type 1 diabetes, as determined by the Investigator.
3. Participant is using insulin to treat his/her diabetes.
4. Currently using a sensor or has experience with sensor use.
5. Preference will be given to subjects who have a history of hypoglycaemia
6. Participant is willing to comply with all requirements associated with the protocol.
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Minimum age
21
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
1. Participant has a positive pregnancy screening test
2. Participant is female and plans to become pregnant during the course of the study.
3. Participant is unable to tolerate tape adhesive in the area of sensor placement.
4. Participant has any unresolved adverse skin condition in the area of sensor or device placement (e.g., psoriasis, rash, Staphylococcus infection).
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised 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
Open (masking not used)
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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
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
17/03/2014
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Actual
17/03/2014
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Date of last participant enrolment
Anticipated
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Actual
8/03/2015
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Date of last data collection
Anticipated
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Actual
15/03/2015
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Sample size
Target
30
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Accrual to date
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Final
23
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
2172
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St Vincent's Hospital (Melbourne) Ltd - Fitzroy
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Recruitment hospital [2]
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Royal Melbourne Hospital - City campus - Parkville
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Recruitment postcode(s) [1]
7853
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3065 - Fitzroy
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Recruitment postcode(s) [2]
8647
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3052 - Parkville
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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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Medtronic
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Address [1]
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18000 Devonshire Street
Northridge, CA 91325
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Country [1]
288834
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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
41 Victoria Parade
Fitzroy VIC 3065
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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University of Melbourne
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Address [1]
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29 Regent Street
Fitzroy VIC 3065
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Country [1]
287528
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
290674
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St Vincent's Hospital Melbourne
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Ethics committee address [1]
290674
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Research Governance Unit Level 5, Mary Aikenhead Building 27 Victoria Parade Fitzroy VIC 3065
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Ethics committee country [1]
290674
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Australia
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Date submitted for ethics approval [1]
290674
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27/01/2014
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Approval date [1]
290674
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14/03/2014
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Ethics approval number [1]
290674
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HREC-D 014/14
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Summary
Brief summary
Glucose sensor technology has been evolving with an ultimate goal of achieving a level of accuracy required for finger-prick capillary glucose measurement replacement and reliability needed for consistent closed-loop functionality. While there have been recent advances in CGM technology, further improvements relating to sensor accuracy and reliability are required. Glucose sensor redundancy (the incorporation of multiple sensing elements onto a single sensor) represents the next logical step toward the ultimate goal of achieving a level of accuracy and reliability required for a stand-alone glucose monitor and a closed-loop system. The Harmony Sensor represents an advance in electro-chemical sensor design and incorporates a redundant sensor system. The Harmony sensor consists of a unique electro-chemical sensor in a fold-over design, so that there are sensing elements on both planar surfaces. This feasibility study will assess the accuracy and reliability of the redundant electrochemical sensor (Harmony) for CGM compared to YSI values and meter glucose values.
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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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A/Prof David O'neal
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Address
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Department of Endocrinology and Diabetes, St Vincent's Hospital Melbourne, 35 Victoria Parade Fitzroy VIC 3065
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Country
46622
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Australia
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Phone
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+61 3 9288 2211
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Fax
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Email
46622
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[email protected]
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Contact person for public queries
Name
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Amin Sharifi
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Address
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Department of Endocrinology and Diabetes, St Vincent's Hospital Melbourne, 35 Victoria Parade Fitzroy VIC 3065
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Country
46623
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Australia
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Phone
46623
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+61 3 9288 2211
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Fax
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Email
46623
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[email protected]
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Contact person for scientific queries
Name
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Amin Sharifi
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Address
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Department of Endocrinology and Diabetes, St Vincent's Hospital Melbourne, 35 Victoria Parade Fitzroy VIC 3065
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Country
46624
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Australia
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Phone
46624
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+61 3 9288 2211
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Fax
46624
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+61 3 9288 2211
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Email
46624
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[email protected]
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No information has been provided regarding IPD availability
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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