Automated insulin pump takes on type 1 diabetes in Head-to-Head trial
NCT ID NCT05409131
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study tested the Omnipod 5, an automated insulin delivery system, against standard insulin pumps in 196 adults with type 1 diabetes. Participants used their usual therapy for 14 days, then either switched to Omnipod 5 or stayed on their pump for 90 days. The goal was to see if the automated system improved time in healthy blood sugar range.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Omnipod 5 System (automated insulin delivery device)
- What this could lead to
- If it works, this could offer better blood sugar control with less effort for people with type 1 diabetes.
- What could go wrong
- This is a completed trial, but results may not apply to all patients. The device requires proper use and monitoring, and there is always a risk of device malfunction or skin reactions.
This is an AI summary of the original study and may miss details. Read our disclaimer.
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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196 people
The number who actually took part.
- Started
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Jul 2022
- Finished
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Jan 2025
- 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 to 70 years
- 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. Age at time of consent 18-70 years of age 2. Diagnosed with type 1 diabetes for at least 1 year. Diagnosis is based on investigator's clinical judgment. 3. On pump therapy for ≥ 3 months prior to screening and familiar with pump therapy concepts such as basal and bolus insulin delivery, and carbohydrate counting. Participants using automated insulin delivery (AID) devices, including devices with predictive low glucose suspend (PLGS), in the 3 months prior to screening, will be excluded from participating. 4. A1C 7.0-11.0% by point-of-care taken at screening visit 5. Willing to use and obtain U-100 insulin: (either insulin aspart (Novolog, NovoRapid), or insulin lispro (Humalog, Admelog)), as the primary insulin treatment 6. Must have a smartphone that supports the Dexcom app download and participants must be willing to use the app throughout the study 7. Investigator has confidence that the participant can safely operate all study devices and can adhere to the protocol 8. Willing to wear the system continuously throughout the study 9. Willing and able to sign the Informed Consent Form (ICF) Exclusion Criteria: 1. Any medical condition, such as untreated malignancy, unstable cardiac disease, unstable or end-stage renal failure, eating disorders, or other conditions which in the opinion of the investigator, would put the participant at an unacceptable safety risk 2. History of severe hypoglycemia in the past 6 months 3. History of diabetic ketoacidosis (DKA) in the past 6 months, unrelated to an intercurrent illness or infusion set failure 4. Blood disorder or dyscrasia within 3 months prior to screening, including use of hydroxyurea, which in the investigator's opinion could interfere with determination of HbA1C. 5. Currently on systemic steroids or intends to receive systemic steroid treatment during study participation, including stable treatment for adrenal insufficiency. Inhaled, ophthalmic, topical, joint injection, and other locally applied steroids are allowed. 6. Unable to tolerate adhesive tape or has any unresolved skin condition in the area of sensor or pump placement 7. Use of non-insulin anti-hyperglycemic medication other than metformin, in the 12 weeks prior to the Baseline Visit. Participants taking metformin should remain on a steady dose during study participation. 8. Pregnant or lactating, or is a woman of childbearing potential and not on acceptable form of birth control (acceptable forms of contraception include abstinence, barrier methods such as condoms, hormonal contraceptives, intrauterine device, surgical sterilization such as tubal ligation or hysterectomy, or vasectomized partner) 9. Participation in another clinical study using an investigational drug or device within 30-days or 5 half-lives (whichever is longer) prior to screening, or intends to participate in any other study during this study period 10. Unable to follow clinical protocol for the duration of the study or is otherwise deemed unacceptable to participate in the study per the investigator's clinical judgment 11. Participant is an employee of Insulet, an Investigator or Investigator's study team, or immediate family member of any of the aforementioned
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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.
Contacts and locations
Locations
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Atlanta Diabetes
Atlanta, Georgia, 30318, United States
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CHRU de Montpellier, Hopital Lapeyronie - Departement d'endocrinologie, Diabete, Nutrition
Montpellier, France
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Diabetes & Glandular Disease Clinic, P.A. (DGD Clinic)
San Antonio, Texas, 78229, United States
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Hopital Lariboisiere - Centre Universitaire du Diabete et de ses Complications
Paris, France
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Hopital Sud-Francilien
Corbeil-Essonnes, France
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Hospices Civils de Lyon - Centre du diabete Diab-eCare
Lyon, France
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Joslin Diabetes Center
Boston, Massachusetts, 02215, United States
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Northwestern University
Evanston, Illinois, 60208, United States
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Sansum Diabetes Research Institute
Santa Barbara, California, 93105, United States
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Stanford University School of Medicine
Palo Alto, California, 94304, United States
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State University of New York, Upstate Medical University
Syracuse, New York, 13244, United States
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University of Colorado Denver
Denver, Colorado, 80045, United States
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University of Virginia
Charlottesville, Virginia, 22903, United States
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University of Washington
Seattle, Washington, 98109, United States
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