Evidence map›Paper›PMID 30104309›Full record

Trial reportBMJ open2018

Effect of 6 months hybrid closed-loop insulin delivery in young people with type 1 diabetes: a randomised controlled trial protocol.

Martin de Bock, Sybil A McAuley, Mary Binsu Abraham, Grant Smith, Jennifer Nicholas, Geoff R Ambler, Fergus J Cameron, Jan M Fairchild, Bruce R King, Elizabeth A Geelhoed and 4 more

Open access · goldAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. Exposure to Closed Loop Barriers Using Virtual Reality.Journal of diabetes science and technology · 2020
    Article
  2. Review
  3. Article
  4. Review
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 1 country.

Martin de BockDepartment of Endocrinology and Diabetes, Perth Children's Hospital, Perth, Western Australia, Australia.
Sybil A McAuleyDepartment of Medicine, University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0001-7035-489X
Mary Binsu AbrahamDepartment of Endocrinology and Diabetes, Perth Children's Hospital, Perth, Western Australia, Australia.
Grant SmithTelethon Kids Institute, The University of Western Australia, Perth, Western Australia, Australia.
Jennifer NicholasDepartment of Endocrinology and Diabetes, Perth Children's Hospital, Perth, Western Australia, Australia.
Geoff R AmblerInstitute of Endocrinology and Diabetes, The Children's Hospital at Westmead, Sydney, New South Wales, Australia.
Fergus J CameronDepartment of Endocrinology and Diabets Centre for Hormone Research, Royal Children's Hospital and Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Jan M FairchildEndocrinology and Diabetes Centre, Women's and Children's Hospital, Adelaide, South Australia, Australia.
Bruce R KingDepartment of Endocrinology and Diabetes, John Hunter Children's Hospital, Newcastle, New South Wales, Australia.
Elizabeth A GeelhoedEndocrinology and Diabetes Centre, Women's and Children's Hospital, Adelaide, South Australia, Australia.
Elizabeth A DavisDepartment of Endocrinology and Diabetes, Perth Children's Hospital, Perth, Western Australia, Australia.
David Norman O'NealDepartment of Medicine, University of Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0002-0870-4032
Timothy W JonesDepartment of Endocrinology and Diabetes, Perth Children's Hospital, Perth, Western Australia, Australia.
Australian JDRF Closed-Loop Research Group
The Kids Research Institute Australia · AUThe University of Melbourne · AUWomen's and Children's Hospital · AUChildren's Hospital at Westmead · AURoyal Children's Hospital · AUThe University of Western Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAutomated insulin delivery (also known as closed loop, or artificial pancreas) has shown potential to improve glycaemic control and quality of life in people with type 1 diabetes (T1D). Automated insulin delivery devices incorporate an insulin pump with continuous glucose monitoring(CGM) and an algorithm, and adjust insulin in real time. This study aims to establish the safety and efficacy of a hybrid closed-loop (HCL) system in a long-term outpatient trial in people with T1D aged 12 -<25 years of age, and compare outcomes with standard therapy for T1D as used in the contemporary community. METHODS AND ANALYSIS: This is an open-label, multicentre, 6-month, randomised controlled home trial to test the MiniMed Medtronic 670G system (HCL) in people with T1D aged 12 -<25 years, and compare it to standard care (multiple daily injections or continuous subcutaneous insulin infusion (CSII), with or without CGM). Following a run-in period including diabetes and carbohydrate counting education, dosage optimisation and baseline glucose control data collection, participants are randomised to either HCL or to continue on their current treatment regimen. The primary aim of the study is to compare the proportion of time spent in target sensor glucose range (3.9-10.0 mmol/L) on HCL versus standard therapy. Secondary aims include a range of glucose control parameters, psychosocial measures, health economic measures, biomarker status, user/technology interactions and healthcare professional expectations. Analysis will be intention to treat. A study in adults with an aligned design is being conducted in parallel to this trial. ETHICS AND DISSEMINATION: Ethics committee permissions were gained from respective institutional review boards. The findings of the study will provide high-quality evidence on the role of HCL in clinical practice.

Indexed as

Insulin Infusion SystemsAdolescentBlood GlucoseChildDiabetes Mellitus, Type 1FemaleHumansInsulinMaleYoung AdultBlood GlucoseInsulinclinical trialspaediatrics

Identifiers

PMID30104309
PMCPMC6091910
OpenAlexW2886849849

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.