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Smart pen and sensor combo aims to simplify diabetes management
NCT ID NCT06645834
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a smart system that combines a Bluetooth-enabled insulin pen with a continuous glucose monitor to help people with type 1 diabetes manage their blood sugar. 179 participants used either the smart system or standard insulin injections and glucose monitoring for 6 months. The goal was to see if the smart system helped them stay in their target blood sugar range more often.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Smart MDI System (InPen smart insulin pen and Simplera continuous glucose monitor)
- What this could lead to
- If successful, this smart system could help people with type 1 diabetes spend more time in their target blood sugar range, making daily diabetes management easier and safer.
- What could go wrong
- This is a completed study comparing a device to standard care, so results are already known. However, the device may not work for everyone, and benefits might be modest.
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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179 people
The number who actually took part.
- Started
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Dec 2024
- Finished
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Dec 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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2 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. Subject is age 2 years or older at time of screening. 2. Subject is on MDI therapy (defined as ≥ 3 insulin injections per day and on a basal/bolus regimen) ≥ 6 months prior to screening. 3. Subject has a clinical diagnosis of type 1 diabetes for ≥ 12 months. 4. Subject is on MDI therapy with intermittent scanning or Continuous Glucose Monitoring (isCGM/CGM) ≥ 3 months prior to screening. 5. Subject has high compliance with sensor wear, per investigator assessment. 6. Subject has a Glycosylated hemoglobin (HbA1c) ≥ 8% (64 mmol/mol) as assessed locally at time of screening visit. 7. Subject is willing to take or switch to one of the InPen-compatible insulin types, NovoRapid™, Fiasp™, Humalog™ and Lyumjev™. 8. Subject or parent(s)/legal guardian(s) has a compatible mobile phone with Internet access. 9. Subject or parent(s)/legal guardian(s) is willing and able to provide written informed consent, comply with all study procedures and wear all study devices, as required during the study. Exclusion Criteria: 1. Subject is using a Medtronic InPen™ for at least 3 months prior to screening. 2. Subject has untreated/unstable Addison's disease, growth hormone deficiency, hypopituitarism or definite gastroparesis, untreated coeliac disease, untreated thyroid disorder, or poorly controlled asthma, per investigator judgment. 3. Subject is planning to initiate or change to another glucose modifying therapy (for example pramlintide, DPP-4 inhibitor, GLP-1 agonists/mimetics, metformin or SGLT2 inhibitors). 4. Subject has taken any oral, injectable, or intravenous (IV) glucocorticoids within 8 weeks from time of screening visit, or plans to take any oral, injectable, or IV glucocorticoids during the course of the study chronically. 5. Subject has renal failure (stage 4 and above) defined by creatinine clearance of \<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. 6. Subject has any unresolved adverse skin conditions in the area of sensor placement (e.g. psoriasis, dermatitis herpetiformis, rash, Staphylococcus infection). 7. Subject 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. 8. Subject is currently abusing illicit drugs, marijuana, alcohol or prescription drugs (other than nicotine), per investigator judgment. 9. Subject has any other disease or condition that may preclude the patient from participating in the study, per investigator judgment. 10. Subject is a woman of child-bearing potential who has a positive pregnancy test at screening or plans to become pregnant during the course of the study. 11. Subject is a woman who is breastfeeding. 12. Subject or parent(s)/legal guardian(s) is legally incompetent, illiterate or a vulnerable person. 13. Subject is a member of the research staff involved with executing the study.
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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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ASST Spedali Civili Brescia
Brescia, Italy
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Antwerp University Hospital
Antwerp, Belgium
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CHRU de Brest service diabetologie endocrinologie
Brest, France
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CHU Liege
Liège, Belgium
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CHU Nimes
Nîmes, France
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Center for DIABeCare, Hospices Civils de Lyon
Lyon, France
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General University Hospital
Prague, Czechia
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Hannoversche Kinderheilanstalt
Hanover, Germany
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Hogsbo Narsjukhus
Västra Frölunda, Sweden
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Hospital Rangueil
Toulouse, France
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Hospital Universitaire Bruxelles Erasme
Brussels, Belgium
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IKEM
Prague, Czechia
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MVZ Stoffwechselmedizin Leipzig
Leipzig, Germany
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Sahlgrenska University Hospital
Gothenburg, Sweden
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UZ Leuven
Leuven, Belgium
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Uddevalla Hospital
Uddevalla, Sweden
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University of Bari Aldo Moro
Bari, Italy
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Zentrum fur digitale Diabetologie Hamburg
Hamburg, Germany
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