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Co-administration of Pramlintide and Insulin Via an Automated Dual-hormone Artificial Pancreas System in Adults With Type 1 Diabetes
Co-administration of Pramlintide and Insulin Via an Automated Dual-hormone Artificial Pancreas System to Regulate Glucose Levels in Adults Living With Type 1 Diabetes: a Randomized, Controlled, Crossover Trial.
Lead sponsor
Asset
Pramlintide
Amylin analog
Listed sites
1
Recruiting sites
1
Enrollment
26
estimated
Study population
Type 1 diabetes
Key I/E criterion
•HbA1c ≤11%
Primary endpoint
•CGM time-in-range
Footprint
Where this trial recruits
Site locations as reported to ClinicalTrials.gov. Site count is not enrollment count; per-site enrollment is not available from source.
Identifiers
Registered as
Timeline
Milestones
Assets
Investigational agents
Study populations
Who this study enrolls
Eligibility
Who can enroll
Inclusion criteria
1. Signed and dated written informed consent
2. Males and females ≥ 18 years of age
3. HbA1c ≤ 11% (this is so we also include patient that are potentially missing some meal boluses)
4. Insulin pump use for at least 6 months and actively performing carbohydrate counting
5. Clinical diagnosis of type 1 diabetes for at least 12 months. The diagnosis of T1D is based on the investigator's clinical judgment; C peptide level and antibody determinations are not planned.
6. Women of child-bearing potential must be ready and able to use a highly effective method of birth control. Women of childbearing potential are females who have experienced [the first occurrence of menstruation] and do not meet the criteria for women not of childbearing potential. Women not of childbearing potential are females who are permanently sterile or postmenopausal. Postmenopausal is defined as 12 consecutive months with no menses without an alternative medical cause.
Exclusion criteria
1. Current total daily dose < 0.4 units/kg (we wish to exclude participants who would still be considered in honeymoon period).
2. Current or ≤ 1 month use of other antihyperglycemic agents (SGLT2 inhibitors, GLP-1 agonists, Metformin, Acarbose, etc.…).
3. Current use of glucocorticoid medication (except low stable dose and inhaled steroids).
4. Anticipated need to use acetaminophen during study participation
5. Use of medication that alters gastrointestinal motility.
6. Planned or ongoing pregnancy.
7. Breastfeeding individuals.
8. Severe hypoglycemic episode within 3 months of admission.
9. Severe diabetes ketoacidosis episode within 3 months of admission.
10. Clinically significant nephropathy, neuropathy or retinopathy as judged by the investigator.
11. Recent (< 6 months) acute macrovascular event e.g. acute coronary syndrome or cardiac surgery.
12. Known hypersensitivity to any of the study drugs or their excipients.
13. Individuals with confirmed gastroparesis.
14. Other serious medical illness likely to interfere with study participation or with the ability to complete the trial by the judgment of the investigator.
15. In the opinion of the investigator, a participant who is unable or unwilling to observe the contraindications of the study devices.
16. Unable to travel to research center within 3h if needed during study interventions
17. Failure to comply with team's recommendations (e.g. not willing to eat meals/snacks, not willing to change pump parameters, etc.).
Discontinuation Criteria:
1. Failure to comply with the protocol.
2. Pregnancy.
3. After an event which the PI believes it is not in the best interest for the patient to continue the trial.
4. The subject wants to withdraw consent to participate
5. The subject needs to take any medications that are contraindicated in the study
6. The subject can no longer be treated with the study medication for other reasons
7. The subject experiences severe hypoglycaemia requiring hospitalization or repeated hypoglycaemia requiring assistance to treat.
8. The subject fails to follow instructions given about the trial
9. The Study Team has decided to discontinue or terminate the clinical trial prematurely
Endpoints (9)
What's being measured
Protocol endpoints and posted registry outcome measures, grouped into outcome categories. Composite endpoints show their component event types. Standard codes (LOINC, SNOMED CT) are shown where available.
Coverage by outcome category
Glycemic / diabetes
6 endpointsTime in target range
Time frame:4 weeks
CGM time-in-range
descriptive, improvement
Time between 3.9 - 7.8 mmol/L
Time frame:4 weeks
CGM time-in-range
percent change from baseline, improvement
Time below 3,9, 3.3, and 2.8 mmol/L
Time frame:4 weeks
CGM time-below-range
percent change from baseline, improvement
Time above 7.8, 10.0, 13.9, 16.7 mmol/L
Time frame:4 weeks
CGM time-above-range
percent change from baseline, improvement
Mean glucose level
Time frame:4 weeks
descriptive
Standard deviation and coefficient of variance
Time frame:4 weeks
descriptive
Safety / tolerability / PK
2 endpointsGastrointestinal symptoms
Time frame:4 weeks
event count, event
Number of hypoglycemia events
Time frame:4 weeks
Documented hypoglycemia
event count, event
Other (unclassified)
1 endpointTotal insulin delivery
Time frame:4 weeks
descriptive
Provenance
Sources
Trial facts come from public ClinicalTrials.gov records. Endpoint categories are Delfa's classification of those records, not a ClinicalTrials.gov field. All figures reflect the July 1, 2026 snapshot.