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Automated insulin pump takes on type 1 diabetes in Head-to-Head trial

NCT ID NCT05409131

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed This study
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

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

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

196 people

The number who actually took part.

Started

Jul 2022

Finished

Jan 2025

Lead sponsor

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

18 to 70 years

Sex

Anyone

Healthy volunteers

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

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

  • Atlanta Diabetes

    Atlanta, Georgia, 30318, United States

  • CHRU de Montpellier, Hopital Lapeyronie - Departement d'endocrinologie, Diabete, Nutrition

    Montpellier, France

  • Diabetes & Glandular Disease Clinic, P.A. (DGD Clinic)

    San Antonio, Texas, 78229, United States

  • Hopital Lariboisiere - Centre Universitaire du Diabete et de ses Complications

    Paris, France

  • Hopital Sud-Francilien

    Corbeil-Essonnes, France

  • Hospices Civils de Lyon - Centre du diabete Diab-eCare

    Lyon, France

  • Joslin Diabetes Center

    Boston, Massachusetts, 02215, United States

  • Northwestern University

    Evanston, Illinois, 60208, United States

  • Sansum Diabetes Research Institute

    Santa Barbara, California, 93105, United States

  • Stanford University School of Medicine

    Palo Alto, California, 94304, United States

  • State University of New York, Upstate Medical University

    Syracuse, New York, 13244, United States

  • University of Colorado Denver

    Denver, Colorado, 80045, United States

  • University of Virginia

    Charlottesville, Virginia, 22903, United States

  • University of Washington

    Seattle, Washington, 98109, United States

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