Safety Evaluation of MODI, an Insulin Titration Algorithm, in Adults With Diabetes

NCT07599982 | Recruiting DMC FDA Device

• 1 other identifier: CL-1644
• Study Type: interventional
• Target: 102
• Locations: 1 country
• Sites: 4

Brief Summary

A 13-week multi-center single-arm trial, preceded by a 2-week standard therapy phase, will be conducted to assess the safety of MODI, an insulin titration algorithm, in adults with type 1 diabetes (T1D) who use multiple daily insulin injections (MDI), or with type 2 diabetes (T2D) who use MDI, basal insulin only, or who are candidates to initiate basal insulin, in conjunction with continuous glucose monitoring (CGM).

Conditions

Type 1 Diabetes (T1D); Type 2 Diabetes (T2D)

Keywords

type 1 diabetes; insulin; titration; algorithm; adults; continuous glucose monitoring; multiple daily injections; type 2 diabetes

Outcome Measures

Primary Outcomes (1)

• CGM-measured percent time <54mg/dL

  Change in CGM-measured percent time \<54 mg/dL from 2 weeks of baseline to 4 weeks prior to the dose guidance week 12 visit (non-inferiority with margin 0.5%)

  13 weeks

Secondary Outcomes (1)

• HbA1c

  13 weeks

Study Arms (1)

MODI dose guidance, insulin titration application

EXPERIMENTAL

Device: MODI Algorithm

Interventions

MODI Algorithm DEVICE

All participants use MODI insulin titration algorithm. Includes Diary app used to view treatment plans shared by MODI and manually log events (insulin intake, meal, physical activity and others) by participants; also includes a bolus calculator.

MODI dose guidance, insulin titration application

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Clinical diagnosis, based on investigator assessment, of T1D or T2D of at least 6 months duration at time of informed consent
• Insulin therapy as follows:
• If T1D, using MDI insulin therapy for at least 3 months prior to screening; willing to follow a mealtime insulin dosing approach during the study, using either (a) time-of-day-based dosing (breakfast, lunch, dinner) or (b) meal-size-based dosing (small, normal, large); and taking
• basal insulin injection per day for at least 1 week prior to screening
• If T2D, either:
• i. not using insulin in the 3 months prior to screening, but require initiation of a basal-only insulin regimen based on investigator assessment ii. using only basal insulin for at least 3 months prior to screening and taking 1 basal insulin injection per day for at least 1 week prior to screening iii. using MDI for at least 3 months prior to screening; willing to follow a mealtime insulin dosing approach during the study, using either
• (a) time-of-day-based dosing (breakfast, lunch, dinner) or (b) mealsize-based dosing (small, normal, large); and taking 1 basal insulin injection per day for at least 1 week prior to screening
• Age at time of consent 18-80 years
• HbA1c \>7.5% and \<12% as measured by point-of-care device or local lab at the time of screening
• Using only injected insulin types that are specified in the MODI Instructions for Use materials
• Stable doses of non-insulin glucose lowering medications over the 4 weeks preceding screening as determined by Investigator and no changes anticipated for the duration of the study, unless a dose reduction or discontinuation, as determined by Investigator, is indicated for safety reasons
• Stable doses of weight loss medications that may have a meaningful effect on glycemic control over the 4 weeks preceding screening and no changes anticipated for the duration of the study, unless a dose reduction or discontinuation, as determined by Investigator, is indicated for safety reasons
• Weight between 80 - 440 lb at the time of screening
• Willing to use FSL 3 System according to manufacturer instructions and to avoid use of any other personal CGM system during the period of study participation
• Willing to document insulin delivery, meals, and daily activities in the Diary mobile app

You may not qualify if:

• Use of an insulin pump within 3 months prior to informed consent
• Use of mixed insulin or intermediate insulin (NPH) within the past 3 months prior to screening
• Taking more than 128 units of daily basal insulin or more than 79 units in a single bolus insulin injection in the 7 days prior to screening
• Any medical condition which in the opinion of the investigator, would put the participant at an unacceptable safety risk, such as untreated malignancy, unstable cardiac disease, unstable or end-stage renal disease, and/or eating disorders (i.e. anorexia/bulimia)
• Current or known history of coronary artery disease that is not stable with medical management, including unstable angina, or angina that prevents moderate exercise despite medical management, or a history of myocardial infarction, percutaneous coronary intervention, or coronary artery bypass grafting within the 12 months prior to screening
• Any planned surgery during the study which could be considered major in the judgment of the investigator
• History of more than 1 severe hypoglycemic event in the 6 months prior to screening
• History of diabetic ketoacidosis (DKA) or hyperosmolar hyperglycemic syndrome (HHS) in the 6 months prior to screening
• Blood disorder or dyscrasia within 3 months prior to screening which in the investigator's opinion could interfere with determination of HbA1c
• Any condition or intervention that may affect red blood cell turnover, in the 3 months prior to the study and during the study, such as blood transfusion or donation
• Has taken oral or injectable corticosteroids within 2 weeks prior to screening or plans to take oral or injectable corticosteroids during the study
• 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
• Is an employee of DreaMed Diabetes, is a study Investigator or a member of the Investigator's study team, or is immediate family member (spouse, biological or legal guardian, child, sibling, parent) of any of the aforementioned
• Participation in another clinical study using an investigational drug or device in the 90 days prior to screening or intends to participate during the study period
• Pregnant or lactating, planning to become pregnant during the study, or is a woman of childbearing potential and not on acceptable form of birth control (acceptable includes abstinence, condoms, oral/injectable contraceptives, IUD, or implant); childbearing potential means that menstruation has started, and the participant is not surgically sterile or greater than 12 months postmenopausal)

Sponsors & Collaborators

• DreaMed Diabetes: lead
• Jaeb Center for Health Research: collaborator
• Abbott Diabetes Care: collaborator

Study Sites (4)

Henry Ford Health System

Detroit, Michigan, 48202, United States

RECRUITING

SUNY Upstate Medical Center

Albany, New York, 12246, United States

RECRUITING

Texas Diabetes & Endocrinology

Austin, Texas, 78731, United States

RECRUITING

Diabetes & Endocrine Treatment Specialisits (DETS)

Sandy City, Utah, 84093, United States

RECRUITING

MeSH Terms

Conditions

Diabetes Mellitus, Type 1; Diabetes Mellitus, Type 2; Insulin Resistance

Condition Hierarchy (Ancestors)

Diabetes Mellitus; Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases; Autoimmune Diseases; Immune System Diseases; Hyperinsulinism

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 14, 2026
• First Posted: May 20, 2026
• Study Start: May 25, 2026
• Primary Completion (Estimated): January 1, 2027
• Study Completion (Estimated): January 1, 2027
• Last Updated: July 22, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share

Locations

US (4)