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Glucose control through a bihormonal artificial pancreas in patients after total pancreatectomy for cancer (PANORAMA): multicenter randomized controlled cross-over trial - Dutch Pancreatic Cancer Group (DPCG)

Glucose control through a bihormonal artificial pancreas in patients after total pancreatectomy for cancer (PANORAMA): multicenter randomized controlled cross-over trial - Dutch Pancreatic Cancer Group (DPCG) - PANORAMA

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON53782
Enrollment
40
Registered
2023-03-14
Start date
2023-04-25
Completion date
Unknown
Last updated
2026-06-22

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

Conditions

diabetes

Interventions

Prior to the start of the intervention period, the patients must attend an instruction day at a central location. This training will be given by trained personnel from Inreda Diabetic BV, simultaneo
industrial name AP® 5, Inreda Diabetic B.V.) which aims at optimally controlling plasma glucose levels. This BIHAP contains of two pumps for subcutaneous infusion of either insulin or glucagon via a
Accu-Chek Instant, Roche) are needed for calibration of the glucose sensors. The BIHAP-system has to be worn continuously, except while showering. During the control period of the trial, patients wi

Sponsors

Amsterdam UMC
Lead Sponsor

Eligibility

Age
18 Years to 99 Years

Inclusion criteria

Inclusion criteria: Patients who underwent total pancreatectomy Age >= 18 years

Exclusion criteria

Exclusion criteria: Impaired awareness of hypogycemia; Total pancreatectomy performed within less than 3 months before start of trial; BMI >35kg/m2; HbA1c > 97 mmol/mol; Presence of a medical or psychiatric condition, longstanding serious adherence problems, anticipated problems in handling over diabetes control to a device or use of a medication that could comprise the results of the study or the safety of the participant

Design outcomes

Primary

MeasureTime frame
The main study endpoint is the percentage of time spent in the normal glucose range, defined as sensor glucose values within 70 to 180 mg/dl (3.9 to 10 mmol/l).

Secondary

MeasureTime frame
- Mean sensor glucose concentrations; - Glycemic variability; coefficient of variation and standard deviation - Day and night time spent in hypo-, hyper- and euglycemia; - Day and night median glucose concentration; - Daily insulin and glucagon use; - Mean HbA1c and percentage of patients achieving HbA1c

Countries

Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP) · Data processed: Jun 27, 2026