|
General |
Study Status |
Completed |
522 Number / Requirement Number |
PS190006 / PSS001 |
Date Original Plan Accepted |
04/30/2020
|
Date Current Plan Accepted |
03/24/2022
|
Study Name |
Postmarket Surveillance Study
|
Device Name |
Control-iq, algorithm
|
Root Document Number |
DEN190034
|
General Study Protocol Parameters |
Study Design |
Prospective Cohort Study
|
Data Source |
New Data Collection
|
Comparison Group |
Historical Control
|
Analysis Type |
Descriptive
|
Study Population |
Adolescent: 13-18 yrs,
Transit. Adolescent A (distinctively) : 18-21 yrs,
Transit. Adolescent B (as adults) : 18-21 yrs,
Adult: >21
|
Detailed Study Protocol Parameters |
Study Objectives |
This postmarket surveillance study is a single-arm, prospective study. It is designed to assess 12-month safety in a real-world setting, and to support the continued assessment of the Control-IQ System for the treatment of type 1 diabetes in the United States. In addition, data will be collected to assess glycemic outcomes and user experience.
|
Study Population |
Assessment Children: 6-13 yrs, Adolescent: 13-18 yrs, Transit. Adolescent B (as adults): 18-21 yrs, Adult: >21
|
Sample Size |
Overall sample size remains unchanged. Enrollment targets changed from 193 to 163 for the 6-9 years old cohort, and from 58 to 18, for the 6-13 years old cohort who are CGM naïve.
|
Key Study Endpoints |
Safety Endpoints: 1. The composite rates of severe hypoglycemia (SH) and diabetic ketoacidosis (DKA), and 2. The safety of the automatic population of CGM readings the bolus calculator of the Control-IQ System Secondary Endpoints: 3. To determine glycemic outcomes as a measure of efficacy of the Control-IQ System, and 4. To demonstrate patient-reported satisfaction with and trust in the Control-IQ System, usability of the system, and sleep quality.
|
Follow-up Visits and Length of Follow-up |
Agree to provide HbA1c result, obtained within the 6-month period prior to enrollment”. Participants will be considered screen failures if Control-IQ data has not been downloaded to t:connect 120 days after the baseline survey's completion.
|
Interim or Final Data Summary |
Actual Number of Patients Enrolled |
3007
|
Actual Number of Sites Enrolled |
Tandem is enrolling all subjects and collecting all data as a central Site. No other clinical study site is involved in this surveillance study.
|
Patient Followup Rate |
N=2,849 Have completed the study (and counting toward Enrollment Goals)
|
Final Safety Findings |
There is no evidence that the auto-population of CGM values into the bolus calculator results in the calculation of insulin boluses that are less safe than boluses delivered not using the auto-population feature. There have been no Unanticipated Adverse Device Effects (UADE’s).
|
Final Effectiveness Findings |
The rates of severe hypoglycemia and diabetic ketoacidosis while using the Control-IQ system in the real world are lower than those reported in populations using standard care. Time in range analysis shows median time in range 70-180 mg/dL was 70.1% for adults, and above 60% for both children and adolescents, meeting international consensus guidelines for time in range across all age groups. Time in hypoglycemia was very low across the study.
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Study Strengths and Weaknesses |
Adverse event rates are significantly below those reported from standard of care therapy prior to Control-IQ technology use.
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Recommendations for Labeling Changes |
no labeling change
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