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Glycemic Control and Quality of Life With i- Port Advance in Pediatric T1DM

Glycemic Control and Quality of Life With i- Port Advance in Pediatric T1DM: Multi Center Crossover and Prospective Assessment

Status
Withdrawn
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04428762
Enrollment
0
Registered
2020-06-11
Start date
2020-05-01
Completion date
2020-05-01
Last updated
2022-08-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

T1DM

Brief summary

The incidence of T1DM in children, especially infants under 4 years of age, is increasing in the last decade. Not all patients are willing or able, from different reasons, to be treated with insulin pumps. This portion of patients' needs subcutaneous insulin injections, at lest 4 injections per day, sometimes up to 8 injections per day. The recommended treatment is insulin injection before each carbohydrate content meal. Since each injection may lead to pain, many patients do not inject all recommended doses. The solution could be: eat with no bolus, or not to correct glucose level to retrain from pain sensation. I-Port use is able to address this issue by reducing the pain sensation accompanied with the injection. I-Port advance may give a technological solution to non-insulin pump T1DM pediatric patients. There are no reports in the literature of the use of iport in children and youth. This information is essential since 95% of pediatric diabetes mellitus cases are insulin dependent and require multiple injections. Better balanced diabetes in childhood may prevent complications to long range and long-term diabetes therapy. Moreover, if discovered safe, the iport can be used also for other subcutaneously delivered medication in children, such as somtostatin analog, human growth hormone and clexane Study is designed as 2 parts. Initial part is a cross over design to compare between ipor use an injections regarding glucose in range, side effects and quality of life. Second part is designed as prospective. To assess glycemic control with iport use or 3 months .

Detailed description

study withdrawn Nor relevant

Interventions

DEVICEI-Port Advance use

participants will apply I-port advance for 4 weeks and will inject all insulin through the port. follow up 3 months with/ without i-port.

Sponsors

Sheba Medical Center
CollaboratorOTHER_GOV
Kaplan Medical Center
CollaboratorOTHER
Soroka University Medical Center
CollaboratorOTHER
Wolfson Medical Center
CollaboratorOTHER_GOV
Tel-Aviv Sourasky Medical Center
CollaboratorOTHER_GOV
Assaf-Harofeh Medical Center
Lead SponsorOTHER_GOV

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
SUPPORTIVE_CARE
Masking
NONE

Intervention model description

This is a multi-center,2 parts study: the first part: randomized crossover study second part: prospective follow-up study

Eligibility

Sex/Gender
ALL
Age
1 Years to 18 Years
Healthy volunteers
No

Inclusion criteria

1. Diagnosed with type 1 diabetes mellitus 2. Insulin injection ≥2 per day for at least a week. 3. Use of MDI insulin: Novorapid, Humalog or Apidra. 4. Ability and willingness to perform at least 3 daily self-measured plasma glucose profiles 5. Ability and willingness to adhere to the protocol. -

Exclusion criteria

1. Insulin pump use 2. Mix insulin use -

Design outcomes

Primary

MeasureTime frameDescription
Life quality and satisfaction measures3 months from patient first enrollmentLife quality measure before and after I-Port Advance use by questionnaire-delta of score
Adverse effect3 months from patient first enrollmentNumber of Adverse effect while using I-port-clinical

Secondary

MeasureTime frameDescription
Glycemic control evaluation3 months from patient first enrollmentHbA1C% before and after 3 month use of I-port advance

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026