NCT05014789

Brief Summary

The purpose of this study is to obtain preliminary safety and performance data on planned improvements to Control-IQ technology.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
66

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Aug 2021

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 13, 2021

Completed
6 days until next milestone

Study Start

First participant enrolled

August 19, 2021

Completed
1 day until next milestone

First Posted

Study publicly available on registry

August 20, 2021

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 20, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 20, 2021

Completed
4.4 years until next milestone

Results Posted

Study results publicly available

June 1, 2026

Completed
Last Updated

June 24, 2026

Status Verified

May 1, 2026

Enrollment Period

4 months

First QC Date

August 13, 2021

Results QC Date

April 14, 2026

Last Update Submit

May 29, 2026

Conditions

Keywords

type 1 diabetesControl-IQ Technologyautomated insulin dosingautomated insulin delivery

Outcome Measures

Primary Outcomes (3)

  • Overall Percent Time Less Than 54 mg/dL

    CGM overall percent time less than 54 mg/dL, with different feature use of the pump each week.

    Data collected over 1 week for each intervention, up to 5 weeks

  • Severe Hypoglycemia

    Number of severe hypoglycemia events (with cognitive impairment such that assistance of another individual is needed for treatment), with different feature use of the pump each week.

    Data collected over 1 week for each intervention, up to 5 weeks

  • Diabetic Ketoacidosis

    Number of Diabetic Ketoacidosis events with different feature use of the pump each week.

    Data collected over 1 week for each intervention, up to 5 weeks

Secondary Outcomes (6)

  • Percent Time <70 mg/dL

    Data collected over 1 week for each intervention, up to 5 weeks

  • Percent Time 70-140 mg/dL

    Data collected over 1 week for each intervention, up to 5 weeks

  • Percent Time 70-180 mg/dL

    Data collected over 1 week for each intervention, up to 5 weeks

  • Percent Time >180 mg/dL

    Data collected over 1 week for each intervention, up to 5 weeks

  • Percent Time >250 mg/dL

    Data collected over 1 week for each intervention, up to 5 weeks

  • +1 more secondary outcomes

Study Arms (1)

Control-IQ 2.0 technology 2.0 on the t:slim X2 insulin pump

EXPERIMENTAL

After a run-in week, each subject will use different combinations of new features of the system each week, in random order, for 4 weeks, using the t:slim X2 insulin pump with Control-IQ technology 2.0. The first 5 subjects participated in a 48-hour supervised hotel phase before continuing in the outpatient setting.

Device: Control-IQ technology 2.0

Interventions

All subjects wearing the t:slim X2 insulin pump with Control-IQ technology 2.0, and wearing the Dexcom G6 sensor

Control-IQ 2.0 technology 2.0 on the t:slim X2 insulin pump

Eligibility Criteria

Age14 Years+
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Adult and adolescent male and female subjects \>age 14 years
  • Clinical diagnosis of Type 1 diabetes for at least one year
  • Experienced Control-IQ technology user for ≥3 months.
  • Use of Control-IQ technology in closed-loop at least 80% of the 2-week time period before screening.
  • Not pregnant or planning a pregnancy during the time period of the study
  • Using only Humalog U-100 or Novolog U-100 insulin
  • ICR and ISF optimized per investigator judgement
  • CGM time in range (70-180 mg/dL) at least 50% on Control-IQ technology
  • Has current glucagon product to treat severe hypoglycemia (injectable or nasal) at home (will provide prescription if they do not have one)
  • Willing to:
  • Share Dexcom G6 CGM data with study staff and Tandem
  • Share t:connect data with Tandem
  • Eat meals with known carbohydrate amounts
  • Take meal boluses as directed (use of different options as scheduled and instructed)
  • Follow study Glycemic Treatment Guidelines for hypo and hyperglycemia
  • +7 more criteria

You may not qualify if:

  • Diabetic ketoacidosis (DKA) in the past 6 months
  • Severe hypoglycemia (needing assistance) in the past 6 months
  • Inpatient psychiatric treatment in the past 6 months
  • History of drug abuse (defined as any illicit drug use) or history of alcohol abuse prior to screening or is unwilling to agree to abstain from illicit drugs throughout the study
  • History of heart, lung or kidney disease determined by the investigator to interfere with the study
  • Use of glucocorticoids, beta blockers or other medications determined by investigator to interfere with the study
  • Use of long-acting insulin or any non-insulin glucose lowering agents (i.e. SGLT-2 inhibitor) other than metformin
  • Use of Afrezza during the study period
  • Febrile illness within 3 days of the start of the study
  • Subject is pregnant or lactating or intending to become pregnant before or during participation in this study
  • For subjects \>50 years old or with diabetes duration \>20 years who will be exercising as part of the 48 hour study, abnormal electrocardiogram consistent with increased risk of arrhythmia, ischemia, or prolonged QTc interval (\> 450 ms)
  • Significant chronic kidney disease (eGFR \< 60) or hemodialysis
  • Significant liver disease
  • History of adrenal insufficiency
  • History of abnormal TSH consistent with hypothyroidism or hyperthyroidism that is not appropriately treated

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Virginia

Charlottesville, Virginia, 22904, United States

Location

MeSH Terms

Conditions

Diabetes Mellitus, Type 1

Condition Hierarchy (Ancestors)

Diabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System DiseasesAutoimmune DiseasesImmune System Diseases

Results Point of Contact

Title
Supervisor, Clinical Affairs
Organization
Tandem Diabetes Care

Study Officials

  • Jordan E Pinsker, MD

    Tandem Diabetes Care, Inc.

    STUDY CHAIR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Model Details: Single arm, Single Center, Prospective Clinical Study
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 13, 2021

First Posted

August 20, 2021

Study Start

August 19, 2021

Primary Completion

December 20, 2021

Study Completion

December 20, 2021

Last Updated

June 24, 2026

Results First Posted

June 1, 2026

Record last verified: 2026-05

Data Sharing

IPD Sharing
Will not share

Locations