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NCT04233034 · OUTCOME

Peak C-peptide

Hybrid Closed Loop Therapy and Verapamil for Beta Cell Preservation in New Onset Type 1 Diabetes · Source last updated 2024-11-27

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
MEAN
Unit
pmol/mL
Interval / dispersion
Standard Deviation
Time frame
13, 26, 39 weeks and 52 weeks

What was measured

Maximum of all C-peptide values during the MMTT

Analysis population: 1 participant randomized to Non-HCL and placebo dropped prior to baseline data being collected and was excluded from the analyses.

Groups in this outcome

HCL and Intensive Management

Participants assigned to HCL group will initially be randomly assigned 1:1 to use either the Tandem t:slim X2 with Control-IQ technology or a Medtronic HCL system (Medtronic 670G 4.0 AHCL (prior to protocol version 5.0) or Medtronic 780G (starting with protocol version 5.0)). This group will receive intensive diabetes management with frequent contacts by study staff with the goal of near-normalization of glucose concentrations. \[Cohort B participants will not receive study drug. Instead, they will be randomized 2:1 to HCL or non-HCL.\] HCL: Hybrid Closed Loop therapy verapamil

Non-HCL and Standard Care

Participants assigned to non-HCL will receive a Dexcom G6 CGM and diabetes management will follow usual care by their personal diabetes health care provider. \[Cohort B participants will not receive study drug. Instead, they will be randomized 2:1 to HCL or non-HCL.\] non-HCL: Usual diabetes care

Verapamil

Verapamil will be taken orally once per day by participants in Cohort A. A dosing scheme will be followed, using 120mg tablets or 60mg half tablets. Whether drug is active or placebo is blinded to both participant and site. \[Cohort B participants will not receive study drug. Instead, they will be randomized 2:1 to HCL or non-HCL.\] verapamil 120mg tablet: verapamil tablet

Placebo

Placebo will be taken orally once per day by participants in Cohort A. A dosing scheme will be followed, using 120mg tablets or 60mg half tablets. Whether drug is active or placebo is blinded to both participant and site. \[Cohort B participants will not receive study drug. Instead, they will be randomized 2:1 to HCL or non-HCL.\] placebo: placebo pill manufactured to mimic verapamil 120mg tablet

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
HCL and Intensive Management61
Non-HCL and Standard Care51
Verapamil47
Placebo40

Reported measurements

Randomization
Values in pmol/mL · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
HCL and Intensive Management0.720.25Not reportedNot reportedNot reported
Non-HCL and Standard Care0.780.23Not reportedNot reportedNot reported
Verapamil0.960.30Not reportedNot reportedNot reported
Placebo0.890.27Not reportedNot reportedNot reported
13 Weeks
Values in pmol/mL · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
HCL and Intensive Management0.810.27Not reportedNot reportedNot reported
Non-HCL and Standard Care0.870.29Not reportedNot reportedNot reported
Verapamil0.840.24Not reportedNot reportedNot reported
Placebo0.780.27Not reportedNot reportedNot reported
26 Weeks
Values in pmol/mL · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
HCL and Intensive Management0.780.34Not reportedNot reportedNot reported
Non-HCL and Standard Care0.760.33Not reportedNot reportedNot reported
Verapamil0.970.35Not reportedNot reportedNot reported
Placebo0.760.30Not reportedNot reportedNot reported
39 Weeks
Values in pmol/mL · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
HCL and Intensive Management0.650.35Not reportedNot reportedNot reported
Non-HCL and Standard Care0.690.35Not reportedNot reportedNot reported
Verapamil0.890.36Not reportedNot reportedNot reported
Placebo0.630.32Not reportedNot reportedNot reported
52 Weeks
Values in pmol/mL · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
HCL and Intensive Management0.560.36Not reportedNot reportedNot reported
Non-HCL and Standard Care0.620.37Not reportedNot reportedNot reported
Verapamil0.830.37Not reportedNot reportedNot reported
Placebo0.550.34Not reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.25
        value
        0.72
      2. group Id
        OG001
        spread
        0.23
        value
        0.78
      3. group Id
        OG002
        spread
        0.30
        value
        0.96
      4. group Id
        OG003
        spread
        0.27
        value
        0.89
    title
    Randomization
  2. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.27
        value
        0.81
      2. group Id
        OG001
        spread
        0.29
        value
        0.87
      3. group Id
        OG002
        spread
        0.24
        value
        0.84
      4. group Id
        OG003
        spread
        0.27
        value
        0.78
    title
    13 Weeks
  3. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.34
        value
        0.78
      2. group Id
        OG001
        spread
        0.33
        value
        0.76
      3. group Id
        OG002
        spread
        0.35
        value
        0.97
      4. group Id
        OG003
        spread
        0.30
        value
        0.76
    title
    26 Weeks
  4. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.35
        value
        0.65
      2. group Id
        OG001
        spread
        0.35
        value
        0.69
      3. group Id
        OG002
        spread
        0.36
        value
        0.89
      4. group Id
        OG003
        spread
        0.32
        value
        0.63
    title
    39 Weeks
  5. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.36
        value
        0.56
      2. group Id
        OG001
        spread
        0.37
        value
        0.62
      3. group Id
        OG002
        spread
        0.37
        value
        0.83
      4. group Id
        OG003
        spread
        0.34
        value
        0.55
    title
    52 Weeks
denoms
  1. counts
    1. group Id
      OG000
      value
      61
    2. group Id
      OG001
      value
      51
    3. group Id
      OG002
      value
      47
    4. group Id
      OG003
      value
      40
    units
    Participants
description
Maximum of all C-peptide values during the MMTT
dispersion Type
Standard Deviation
groups
  1. description
    Participants assigned to HCL group will initially be randomly assigned 1:1 to use either the Tandem t:slim X2 with Control-IQ technology or a Medtronic HCL system (Medtronic 670G 4.0 AHCL (prior to protocol version 5.0) or Medtronic 780G (starting with protocol version 5.0)). This group will receive intensive diabetes management with frequent contacts by study staff with the goal of near-normalization of glucose concentrations. \[Cohort B participants will not receive study drug. Instead, they will be randomized 2:1 to HCL or non-HCL.\] HCL: Hybrid Closed Loop therapy verapamil
    id
    OG000
    title
    HCL and Intensive Management
  2. description
    Participants assigned to non-HCL will receive a Dexcom G6 CGM and diabetes management will follow usual care by their personal diabetes health care provider. \[Cohort B participants will not receive study drug. Instead, they will be randomized 2:1 to HCL or non-HCL.\] non-HCL: Usual diabetes care
    id
    OG001
    title
    Non-HCL and Standard Care
  3. description
    Verapamil will be taken orally once per day by participants in Cohort A. A dosing scheme will be followed, using 120mg tablets or 60mg half tablets. Whether drug is active or placebo is blinded to both participant and site. \[Cohort B participants will not receive study drug. Instead, they will be randomized 2:1 to HCL or non-HCL.\] verapamil 120mg tablet: verapamil tablet
    id
    OG002
    title
    Verapamil
  4. description
    Placebo will be taken orally once per day by participants in Cohort A. A dosing scheme will be followed, using 120mg tablets or 60mg half tablets. Whether drug is active or placebo is blinded to both participant and site. \[Cohort B participants will not receive study drug. Instead, they will be randomized 2:1 to HCL or non-HCL.\] placebo: placebo pill manufactured to mimic verapamil 120mg tablet
    id
    OG003
    title
    Placebo
param Type
MEAN
population Description
1 participant randomized to Non-HCL and placebo dropped prior to baseline data being collected and was excluded from the analyses.
reporting Status
POSTED
time Frame
13, 26, 39 weeks and 52 weeks
title
Peak C-peptide
type
SECONDARY
unit Of Measure
pmol/mL

Download exact source JSON → · Snapshot ctgov-results-25a395029948b04d52b1253f

Preserved source evidence · Not medical advice