Evidence map›Paper›PMID 37000680›Full record

Trial reportDiabetes care2023

The Insulin-Only Bionic Pancreas Improves Glycemic Control in Non-Hispanic White and Minority Adults and Children With Type 1 Diabetes.

Luz E Castellanos, Steven J Russell, Edward R Damiano, Roy W Beck, Viral N Shah, Ryan Bailey, Peter Calhoun, Keisha Bird, Nelly Mauras, Bionic Pancreas Research Group

Open access · greenAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Diabetes care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% 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, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
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

10 authors at 5 institutions in 1 country.

Luz E CastellanosMassachusetts General Hospital, Boston, MA.
Steven J RussellBeta Bionics, Concord, MA.ORCID 0000-0001-8423-5891
Edward R DamianoBeta Bionics, Concord, MA.
Roy W BeckJaeb Center for Health Research, Tampa, FL.
Viral N ShahBarbara Davis Center for Diabetes, University of Colorado, Aurora, CO.
Ryan BaileyJaeb Center for Health Research, Tampa, FL.
Peter CalhounJaeb Center for Health Research, Tampa, FL.ORCID 0000-0003-3688-578X
Keisha BirdNemours Children's Health, Jacksonville, FL.
Nelly MaurasNemours Children's Health, Jacksonville, FL.ORCID 0000-0003-1175-3852
Bionic Pancreas Research Group
Jaeb Center for Health Research · USNemours Children's Health System · USBoston University · USMassachusetts General Hospital · USUniversity of Colorado Anschutz Medical Campus · US

Funding

TRAINING PROGRAM IN ENDOCRINOLOGY AND DIABETEST32DK007028 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Karen K Miller · 1986 to 2026
$18.5M
Final clinical studies for submission of a pre-market approval application to the FDA for a Bionic Pancreas that automates type 1 diabetes managementUC4DK108612 · NIDDK · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI BECK, ROY W., DAMIANO, EDWARD · 2015 to 2016
$13.5M
NIDDK NIH HHS T32 DK007028NIDDK NIH HHS UC4 DK108612
6 · The paper itself

Abstract

objectiveWe evaluated the performance of the iLet bionic pancreas (BP) in non-Hispanic White individuals (here referred to as "Whites") and in Black, Hispanic, and other individuals (here collectively referred to as "Minorities"). RESEARCH DESIGN AND

methodsA multicenter, randomized controlled trial evaluated glycemic management with the BP versus standard of care (SC) in 161 adult and 165 pediatric participants with type 1 diabetes over 13 weeks.

resultsIn Whites (n = 240), the mean baseline-adjusted difference in 13-week HbA1c between the BP and SC groups was -0.45% (95% CI -0.61 to -0.29 [-4.9 mmol/mol; -6.6 to -3.1]; P < 0.001), while this difference among Minorities (n = 84) was -0.53% (-0.83 to -0.24 [-6.0 mmol/mol; -9.2 to -2.8]; P < 0.001). In Whites, the mean baseline-adjusted difference in time in range between the BP and SC groups was 10% (95% CI 7-12; P < 0.001) and in Minorities was 14% (10-18; P < 0.001).

conclusionsThe BP improves glycemic control in both Whites and Minorities and offers promise in decreasing health care disparities.

Indexed as

Artificial OrgansDiabetes Mellitus, Type 1InsulinAdultBionicsBlood GlucoseChildGlycemic ControlHumansMinority GroupsPancreasWhite PeopleBlood GlucoseInsulin

Identifiers

PMID37000680
PMCPMC10234742
OpenAlexW4362460280

What OpenQuestion holds

Textmetadata
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.