The purpose of this postmarket clinical investigation is to evaluate the levels of glycemic control, quality of life, and satisfaction, as well as the patient experience, and acute diabetes complication rates provided by the Omnipod 5 Automated Insulin Delivery System (referred to as the Omnipod 5 System) in a real-world setting.
Twelve-month, real-world, non-interventional, prospective follow-up of adult and pediatric patients aged more than 2 years old, prescribed one of the Dexcom (Dexcom G6 or G7) configurations commercially available of the Omnipod 5 Automated Insulin Delivery System in France. OPTIMAL-A study (Omnipod 5 - A French Prospective Multicentric Study in Real World), aims to provide the requisite real-world data on the glycemic control, quality of life, safety, and device usage profiles of users of the Omnipod 5 System during the 12 months after starting using Omnipod 5 in automated mode.
Study Type
OBSERVATIONAL
Enrollment
304
The Omnipod 5 Automated Insulin Delivery System (Omnipod 5 System) is a tubeless insulin pump with a mono-hormonal insulin delivery system designed to deliver U-100 insulin subcutaneously for the management of type 1 diabetes in people aged 2 years and older who require insulin. The Omnipod 5 System is intended to function as an automated insulin delivery system when used with compatible Continuous Glucose Monitoring (CGM) systems.
CHU Angers
Angers, France
Change in the percentage of time in the 70 - 180 mg/dL range (TIR)
Assess the effectiveness of the Omnipod 5 system in terms of glycemic control
Time frame: 12 months following first initiation of automated mode
Percentage of time in the 70 - 180 mg/dL range (TIR)
Assess the sustained effectiveness of the Omnipod 5 system in terms of glycemic control
Time frame: Up to 12-months following first initiation of automated mode
Percentage of time in the 70 - 140 mg/dL range (TIR Tight)
Assess the sustained effectiveness of the Omnipod 5 system in terms of glycemic control
Time frame: Up to 12-months following first initiation of automated mode
Percentage of time below 54 mg/dL (TBR Very Low)
Assess the sustained effectiveness of the Omnipod 5 system in terms of glycemic control
Time frame: Up to 12-months following first initiation of automated mode
Percentage of time below 70 mg/dL (TBR Low)
Assess the sustained effectiveness of the Omnipod 5 system in terms of glycemic control
Time frame: Up to 12-months following first initiation of automated mode
Percentage of time above 180 mg/dL (TAR High)
Assess the sustained effectiveness of the Omnipod 5 system in terms of glycemic control
Time frame: Up to 12-months following first initiation of automated mode
Percentage of time above 250 mg/dL (TAR Very High)
Assess the sustained effectiveness of the Omnipod 5 system in terms of glycemic control
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CHU Besançon - Hôpital de Jean Minjoz
Besançon, France
RECRUITINGAPHP Hopital Avicenne
Bobigny, France
RECRUITINGCHU Bordeaux - Hôpital Pellegrin
Bordeaux, France
RECRUITINGCHU Bordeaux - Hôpital St-André
Bordeaux, France
RECRUITINGCHU BresCHU Brest - Hôpital de la Cavale Blanchet - Hôpital de la Cavale Blanche
Brest, France
RECRUITINGHôpital Femme Mère Enfant
Bron, France
RECRUITINGCentre Hospitalier Sud Francilien
Corbeil-Essonnes, France
RECRUITINGCHU Dijon - Hôpital François MitterrandCHU Dijon - Hôpital François Mitterrand
Dijon, France
RECRUITINGGH La Rochelle-Ré-Aunis - Hôpital Saint Louis
La Rochelle, France
RECRUITING...and 14 more locations
Time frame: Up to 12-months following first initiation of automated mode
Glucose Management Indicator (GMI)
Assess the sustained effectiveness of the Omnipod 5 system in terms of glycemic control
Time frame: Up to 12-months following first initiation of automated mode
Glycemic Risk Index (GRI)
Assess the sustained effectiveness of the Omnipod 5 system in terms of glycemic control
Time frame: Up to 12-months following first initiation of automated mode
Coefficient of variation (CV)
Assess the sustained effectiveness of the Omnipod 5 system in terms of glycemic control
Time frame: Up to 12-months following first initiation of automated mode
Mean glucose
Assess the sustained effectiveness of the Omnipod 5 system in terms of glycemic control
Time frame: Up to 12-months following first initiation of automated mode
Laboratory HbA1c levels (if available)
Assess the sustained effectiveness of the Omnipod 5 system in terms of glycemic control
Time frame: Up to 12-months following first initiation of automated mode
Percentage of patients with ≥ 70% TIR
Assess the achievement of CGM-based consensus targets
Time frame: Up to 12-months following first initiation of automated mode
Percentage of patients with < 4% TBR Low
Assess the achievement of CGM-based consensus targets
Time frame: Up to 12-months following first initiation of automated mode
Percentage of patients with < 1% TBR Very Low
Assess the achievement of CGM-based consensus targets
Time frame: Up to 12-months following first initiation of automated mode
Percentage of patients with GMI ≤ 7%
Assess the achievement of CGM-based consensus targets
Time frame: Up to 12-months following first initiation of automated mode
Percentage of patients with CV ≤ 36%
Assess the achievement of CGM-based consensus targets
Time frame: Up to 12-months following first initiation of automated mode
Percentage of patients achieving combinations of previous CGM-based consensus targets
Assess the achievement of CGM-based consensus targets
Time frame: Up to 12-months following first initiation of automated mode
EuroQoL 5-dimension 5-level questionnaire
Assess patients' general QoL
Time frame: At inclusion and 6 and 12 months following first initiation of automated mode
Patients aged ≥ 18 years: Diabetes Quality of Life - Brief Clinical Inventory
Assess patients' diabetes-specific QoL
Time frame: At inclusion and 6 and 12 months following first initiation of automated mode
Patients aged 10-17 years: Diabetes Quality of Life for Youth scale - Short Form (DQOLY-SF)
Assess patients' diabetes-specific QoL
Time frame: At inclusion and 6 and 12 months following first initiation of automated mode
Insulin Delivery System Rating Questionnaire (IDSRQ) interference sub-score
Assess the interference of the Omnipod 5 System with patients' daily lives
Time frame: At inclusion and 6 and 12 months following first initiation of automated mode
Patients aged ≥ 18 years: Diabetes Treatment Satisfaction Questionnaire, status version (DTSQs)
Assess patients' satisfaction with the Omnipod 5 System
Time frame: At inclusion and 6 and 12 months following first initiation of automated mode
Patients aged 13-17 years: Diabetes Treatment Satisfaction Questionnaire, status version - Teens (DTSQs - Teen)
Assess patients' satisfaction with the Omnipod 5 System
Time frame: At inclusion and 6 and 12 months following first initiation of automated mode
Patients aged 2-12 years: Diabetes Treatment Satisfaction Questionnaire, status version - Parent (DTSQs - Parent)
Assess patients' satisfaction with the Omnipod 5 System
Time frame: At inclusion and 6 and 12 months following first initiation of automated mode
Pediatric quality of life questionnaire (animated emoji scale - ad hoc)
Assess pediatric patients' quality of life with the Omnipod 5 System
Time frame: At inclusion and 6 and 12 months following first initiation of automated mode
Percentage of time using the System in automated mode
Describe System use
Time frame: 12 months following first initiation of automated mode
Percentage of time using the System in manual mode
Describe System use
Time frame: 12 months following first initiation of automated mode
Percentage of time using "Activity" feature
Describe System use
Time frame: 12 months following first initiation of automated mode
Total daily dose of insulin
Describe System use
Time frame: 12 months following first initiation of automated mode
Number of boluses per day
Describe System use
Time frame: 12 months following first initiation of automated mode
Targets used by patients
Describe System use
Time frame: 12 months following first initiation of automated mode
Bolus/Basal distribution
Describe System use
Time frame: 12 months following first initiation of automated mode
Incidence of severe hypoglycemia
Assess the incidence and type of acute metabolic complications
Time frame: 6 months prior to switching to Omnipod 5 and over the 12 months following first initiation of automated mode
Incidence of diabetic ketoacidosis
Assess the incidence and type of acute metabolic complications
Time frame: 6 months prior to switching to Omnipod 5 and over the 12 months following first initiation of automated mode
Unscheduled hospitalizations for diabetes or diabetes complications.
Assess the incidence and type of acute metabolic complications
Time frame: 6 months prior to switching to Omnipod 5 and over the 12 months following first initiation of automated mode
Percentage of patients still using the Omnipod 5 System at the end of study follow-up.
Assess the rate at which patients stop using the Omnipod 5 system
Time frame: 12 months following first initiation of automated mode
Reasons for having stopped using the Omnipod 5 System
Assess the rate at which patients stop using the Omnipod 5 system
Time frame: 12 months following first initiation of automated mode