Table 6.
Author year (trial/cohort title) location | Analysis type/study design/number of randomized | Primary endpoint (SIG vs. NS)—% dropout multiple test correction performed? | Subgroup analyses—technology superior to standard of care | Subgroup analyses—technology comparable to standard of care |
---|---|---|---|---|
Thabit92 (APCam8; AP@home04) Europe |
Primary Randomized crossover 58 |
TIR/time in a tight range overnight at 3 months (SIG)—0% No |
Age AID use in adults (aged ≥ 18 years) and AID use at night in children (aged 6–17 years) improved time in the target range (p < 0.001 for both). |
Age Secondary nighttime endpoints were similar between age groups except for TBR, time <50 mg/dL, and number of nights with glucose <63 mg/dL, which were not improved in ages 6–17 years (n = 25). |
Tauschmann91 (APCam11) USA, UK |
Primary RCT 86 |
TIR 3 months (SIG)—0% No |
Age < 13 vs. 13–21 vs. ≥21, sex, HbA1c < 8.5 vs. ≥8.5% AID use in the entire cohort (aged ≥ 6 years) increased TIR by 10.8% (95% CI: 8.2–13.5%; p < 0.0001) |
|
Collyns83 New Zealand |
Primary Randomized crossover 60 |
TIR 3 months (SIG)—2% No |
Age AID use increased TIR in ages 7–13 years (n = 19; +11.8 ± 7.4%), ages 14–21 (n = 14; +14.4 ± 8.4%), and ages 22–80 (n = 26; +11.9 ± 9.5%; p < 0.001 for all ages). |
|
Ware90 (DAN05) USA, UK |
Primary RCT 133 |
Δ HbA1c 6 months (SIG)—8% Yesa |
Age, device, device use AID use in children, aged 6–18 years, improved HbA1c (–0.32% [95% CI: −0.59 to −0.04]; p = 0.023). CamAPS FX (n = 46) showed an HbA1c change of −1.05% {95% CI: −1.43 to −0.67; p < 0.0001) with median 93% device use. |
Device, device use FlorenceM (n = 75) showed an HbA1c change of +0.21% (95% CI: −0.14 to 0.57; p = 0.23) with median 40% device use. |
Benhamou77 (Diabeloop WP7) France |
Primary Randomized crossover 68 |
TIR 3 months (SIG)—7% No |
HbA1c Increased TIR for ages ≥ 18 years (+9.2% [95% CI: 6.4–11.9]; p < 0.0001) and across HbA1c groups: <7% (n = 16), 7–7.4 (n = 10), 7.5–7.9 (n = 18), 8–8.4 (n = 8), and ≥8.5 (n = 11; p < 0.05 for all) |
|
Breton80 (iDCL) USA |
Primary RCT 101 |
TIR 4 months (SIG)—1% Unsure |
Age, sex, BMI, household income, parental education, HbA1c AID increased TIR in ages 6–13 years by +11% (95% CI: 7–14; p < 0.001). |
|
Kovatchev84 (iDCL) USA |
Primary RCT 127 |
TBR & TAR 3 months (SIG)—2% Yes |
Age, sex, BMI, HbA1c, C-peptide, TBR, TAR, previous CGM use, household income, education AID reduced TBR (−1.7% [95% CI: −2.4 to −1.0]; p < 0.0001 superiority) & TAR (−3.0% [95% CI: −6.2 to 0.1]; p < 0.0001 noninferiority) in ages ≥ 14 years. |
Sex, TBR In male participants, there was no change in TAR (pinteraction = 0.018) compared to −11% in females (n = 59). Those with baseline TBR ≤ 4.0% (n = 63) had less improvement in TBR (−1%) (pinteraction = 0.0406) TBR > 4.0% (−3%). |
Ekhlaspour94 (iDCL) USA |
Secondary RCT 168 |
TIR 6 months (SIG)—0% No |
Age, device use AID increased TIR in ages 6–13 years by +2.6 hours with no significant interaction with baseline device use for TIR or TBR. |
|
McAuley86 (Australian JDRF Closed-Loop) |
Primary RCT 120 |
TIR 6 months (SIG)—8% Unsure |
Sex, insulin modality prior to trial AID increased TIR in ages 25–70 years by +15% (95% CI: 11–19; p < 0.0001) similarly for males/females, MDI/pump users. |
aFDR Adjustment using Benjamini Hochberg procedure, IAH impaired awareness of hypoglycemia.
SH severe hypoglycemia, IRR incidence rate ratio.
NH nocturnal hypoglycemia, RAS renin–angiotensin system.
MAGE mean amplitude of glucose excursion (mean of blood glucose values exceeding 1 SD from the 24‐h mean blood glucose, used as an index of glycemic variability).