New insulin tech aims to improve blood sugar control in type 1 diabetes
NCT ID NCT07401901
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a new automated insulin delivery system (NMX8) in 230 adults with type 1 diabetes who are not meeting their blood sugar goals. Participants will use either the NMX8 system or another approved system to see which helps keep blood sugar in the target range more often. The goal is to improve daily diabetes management, not to cure the disease.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 230 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Mar 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Is aged ≥ 18 years old at time of screening. 2. Has a clinical diagnosis of Type 1 diabetes for ≥6 months prior to screening as determined via medical record by an individual qualified to make a medical diagnosis. 3. Is on commercially approved AID therapy (e.g. MiniMed 780G, Control IQ, OmniPod 5, CamAPS FX) for at least 3 months before screening. 4. Has a glycosylated hemoglobin (HbA1c) above ≥7.5 % (59 mmol/mol), therefore is not achieving therapy goal, at time of screening visit (as processed by a Central Lab). 5. Must have a minimum daily insulin requirement (Total Daily Dose) of ≥ 6 units and a maximum of 250 units. 6. Has shown good compliance (≥70%) with sensor wear over the previous month prior to enrollment (based on sensor usage from the download summary report over the 30 days prior to enrollment). 7. Is willing to switch to an approved insulin per insulin pump labeling. 8. Is willing to participate in all training sessions as directed by study staff. 9. Investigator has confidence that the subject can successfully operate all study devices and is capable of adhering to the protocol. 10. Subject is willing and able to provide written informed consent. Exclusion Criteria: 1. Has untreated Addison's disease, thyroid disorder, growth hormone deficiency, hypopituitarism or definite gastroparesis, per investigator judgment. 2. Is using any anti-diabetic medication other than insulin at the time of the screening or plan on using during the study (e.g., pramlintide, DPP-4 inhibitor, GLP-1 and GIP agonists/mimetics, metformin, SGLT2 inhibitors). 3. Has taken any oral, injectable, or intravenous (IV) glucocorticoids within 8 weeks from time of screening visit, or plans to take chronically any oral, injectable, or IV glucocorticoids during the course of the study. 4. Has had renal failure defined by creatinine clearance \<30 ml/min, as assessed by local lab test ≤ 6 months before screening or performed at screening at local lab, as defined by the creatinine-based Cockcroft, CKD-EPI or MDRD equations. 5. Has any unresolved adverse skin conditions in the area of sensor placement (e.g. psoriasis, dermatitis herpetiformis, rash, Staphylococcus infection). 6. Has active or severe retinopathy in the last 6 months before the screening. 7. Has any other disease or condition that may preclude the patient from participating in the study, per investigator judgment. 8. Has a positive pregnancy test at screening or plan to become pregnant during the course of the study or is breast feeding at the time of the enrollment. Note: Different effective contraception methods may be used such as contraceptive pills, condoms, intra-uterine device, patches, rings, or long-active reversible contraceptive methods, as per routine practice. 9. History of 2 or more DKA events in the last 3 months before screening. 10. Is on "DIY" therapy at the time of the screening or at least 3 months before the screening. 11. Is planning to change AID therapy during the course of the study. Note: subjects randomized in the Control Arm should remain on their current therapy during the course of the study. 12. Is actively participating in an investigational study (drug or device) wherein he/she has received treatment from an investigational study drug or device in the last 2 weeks before enrollment into this study, as per investigator judgment. 13. Is currently abusing illicit drugs, marijuana, alcohol or prescription drugs (other than nicotine), per investigator judgment. 14. Is part of the research staff involved with the study. 15. Is legally incompetent, illiterate or vulnerable person.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
21 sites in 6 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Amsterdam University Medical Center (Amsterdam UMC)
Amsterdam, Netherlands
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Azienda Ospedaliera Ospedale Niguarda Cà Granda
Milan, Italy
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Azienda Ospedaliera Universitaria Federico II
Naples, Italy
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CHU de Nîmes - Hôpital Universitaire Caremeau
Nîmes, France
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Cambridge University Hospitals NHS Foundation Trust - Addenbrooke's Hospital
Cambridge, United Kingdom
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Centre Hospitalier Universitaire de Caen
Caen, France
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Die Praxisgemeinschaft für Endokrinologie und Diabetes
Rostock, Germany
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Fondazione Policlinico Universitario Agostino Gemelli - Università Cattolica del Sacro Cuore
Roma, Italy
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Herz- und Diabeteszentrum NRW - Ruhr-Universität Bochum
Bad Oeynhausen, Germany
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Hopital Lariboisiere & Fernand-Widal
Paris, France
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Hospices Civils de Lyon (DIAB-e CARE)
Lyon, France
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Hospital Clínico San Carlos
Madrid, Spain
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Hospital Universitari Clínic de Barcelona
Barcelona, Spain
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Hospital Universitario La Paz
Madrid, Spain
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Hôpital Michallon - CHU Grenoble
Grenoble, France
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Leicester General Hospital
Leicester, United Kingdom
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Maastricht University Medical Center (UMC)
Maastricht, Netherlands
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Manchester University NHS Foundation Trust - Manchester Royal Infirmary
Manchester, United Kingdom
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Policlinico Sant' Orsola - Malpighi
Bologna, Italy
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ZGT Almelo
Almelo, Netherlands
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Zentrum für digitale Diabetologie Hamburg
Hamburg, Germany
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a bedtime snack tame overnight blood sugar swings in kids with diabetes?
- Can Open-Source insulin systems match commercial ones without meal announcements?
- A glucose Monitor's second chance: can it tame type 1 diabetes in High-Risk teens?
- AI takes the wheel: could a smart algorithm optimize insulin pumps from home?