Status:
RECRUITING
Testing a Conversion Factor for a More Rapidly Acting Insulin in an Automated Insulin Delivery System Among Adolescents With T1D
Lead Sponsor:
Mark D. DeBoer, MD, MSc., MCR
Collaborating Sponsors:
University of Virginia
Conditions:
Type 1 Diabetes
Eligibility:
All Genders
12-22 years
Phase:
NA
Brief Summary
A randomized controlled trial of Control-IQ, assessing glycemic control (time-in-range 70-180 mg/dL) for Lyumjev insulin (in which the insulin settings have been determined using an experimental conve...
Detailed Description
All participants will have a physician-driven insulin Optimization Phase using their home Humalog or Novolog in the Control-IQ control group. After this, participants will have a two-week baseline con...
Eligibility Criteria
Inclusion
- Age ≥12.0 and ≤22 years old at time of consent
- Clinical diagnosis, based on investigator assessment, of type 1 diabetes for at least one year
- HbA1c \>6.5 - 12%
- Currently using insulin for at least six months
- Currently using the Tandem t:slim insulin pump with Control-IQ Technology® for at least two months
- Using insulin parameters such as carbohydrate ratio and correction factors consistently on their pump in order to dose insulin for meals or corrections
- Access to internet and willingness to upload data during the study as needed, including data generated prior to the start of the study
- For females, not currently known to be pregnant or breastfeeding
- If female and sexually active, must agree to use a form of contraception to prevent pregnancy while a participant in the study. A negative serum or urine pregnancy test will be required for all females of childbearing potential. Participants who become pregnant will be discontinued from the study. Also, participants who during the study develop and express the intention to become pregnant within the timespan of the study will be discontinued.
- Willingness to switch to lispro (Humalog) or aspart (Novolog) if not using already, prior to the insulin Optimization Phase and for the duration of the study
- Willingness to use Lyumjev if randomized to the experimental treatment arm
- Total daily insulin dose (TDD) at least 10 U/day and not more than 100 U/day
- Willingness not to start any new non-insulin glucose-lowering agent during the course of the trial (including metformin, GLP-1 agonists, pramlintide, DPP-4 inhibitors, biguanides, sulfonylureas and nutraceuticals)
- Willingness to eat at least 1 g/kg of carbohydrate per day
- Willingness to check ketones per study protocol using home urine ketone strips
- An understanding and willingness to follow the protocol and signed informed consent
Exclusion
- History of diabetic ketoacidosis (DKA) in the 6 months prior to enrollment
- Severe hypoglycemia resulting in seizure or loss of consciousness in the 6 months prior to enrollment
- Current HbA1c \<6.5 or \>12
- Pregnancy or intent to become pregnant during the trial
- Currently being treated for a seizure disorder
- Planned surgery during study duration
- Need for treatment with oral steroid
- Treatment with any non-insulin glucose-lowering agent (including metformin, GLP-1 agonists, pramlintide, DPP-4 inhibitors, SGLT-2 inhibitors, biguanides, sulfonylureas and nutraceuticals)
- A known medical condition that in the judgment of the investigator might interfere with the completion of the protocol.
Key Trial Info
Start Date :
July 23 2025
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
March 31 2026
Estimated Enrollment :
20 Patients enrolled
Trial Details
Trial ID
NCT06948760
Start Date
July 23 2025
End Date
March 31 2026
Last Update
July 29 2025
Active Locations (1)
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1
University of Virginia Center for Diabetes Technology
Charlottesville, Virginia, United States, 22903