CClinicalTrials.gg
Active, not recruitingNCT05515939EMPoWERUpdated Aug 20, 2026

Evaluating the InPen in Pediatric Type 1 Diabetes

An observational study in Type 1 Diabetes, sponsored by Wayne State University. Active, not recruiting at 1 site in United States. Open to participants aged 13 Years to 21 Years. Per ClinicalTrials.gov, last updated 2026-08-20.

Sponsored by Wayne State University · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
34
Ages
13 Years to 21 Years
Sex
All
01

Study summary

Type 1 Diabetes (T1D) is the most common form of diabetes affecting children, requiring lifelong administration of insulin to prevent complications. The incidence of T1D has increased more among African Americans, Hispanics, and Asian/Pacific Islanders compared to Caucasian youths in the past two decades. Despite advances in insulin delivery systems, fewer black and Hispanic children compared to white children with T1D use insulin pumps. Therefore, most minority children with T1D in urban areas require multiple daily injections (MDI) of insulin which may put them at increased risk of poor glycemic control. Although several factors contribute to worsening glycemic control in adolescents with T1D, studies have shown that missing doses of insulin at mealtimes is a major factor.

Adolescents with T1D who use MDI with a basal-bolus regimen use formulas to calculate insulin doses that involve a four-step process. The complexity of determining insulin doses contributes to inaccuracies in both timing of doses and amount of insulin given, both of which can lead to hyperglycemia and hypoglycemia.

The InPen™ Smart Insulin Pen System (Medtronics) was approved by the FDA for children of all ages with T1D in June 2020. The InPen is a Bluetooth-enabled smart insulin pen that helps with management of insulin dosing and tracking via capture of rapid-acting insulin doses and tracking of insulin in the body through the use of its companion app (free on Apple iOS and Android). The app includes a bolus calculator, which can lead to more accurate insulin dosing, which may improve glycemic control.

The specific benefits of using the InPen include the following: simplifying insulin dose calculations, administering more accurate insulin doses, tracking insulin doses to help prevent hypoglycemia, providing reminders to administer insulin, and storing data in the InPen App that can be easily shared with diabetes healthcare teams to assist with adjusting insulin doses.

The goal of this study is to determine if use of the InPen will improve glycemic control and diabetes numeracy in adolescents with uncontrolled T1D living in urban areas.

02

Conditions studied

  • Type 1 Diabetes

Keywords

  • Type 1 Diabetes
03

In context

Diabetes Mellitus, Type 1

3,522 studies on the registry are indexed under Diabetes Mellitus, Type 1; 576 are open to participants now.

This study's planned enrollment of 34 is below the median of 120 across 748 observational studies indexed under Diabetes Mellitus, Type 1.

Browse Diabetes Mellitus, Type 1 studies →

Lead sponsor

Wayne State University is the lead sponsor of 226 studies on the registry; 35 are open to participants now.

Of its 17 completed or terminated interventional studies of FDA-regulated products, 4 (24%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
13 Years to 21 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients aged 13-21 years of age with Type 1 Diabetes who will be initiating treatment with the InPen insulin pen device

Inclusion criteria

  1. Patients from 13-21 years of age (inclusive) at the time of enrollment.
  2. Patients diagnosed with type 1 diabetes for more than 6 months.
  3. Patients with uncontrolled T1D as defined by an elevated HbA1c > 8% within the last 3 months prior to the start of the study.
  4. Patients using multiple daily injections of insulin (MDI); basal- bolus regimen requiring three or more injections per day.

    1. Basal insulin requirement: one or two dose per day of a long-acting insulin analog: insulin glargine U-100 (Lantus or Basaglar), insulin glargine U-300 (Toujeo), insulin detemir (Levemir), or insulin degludec (Tresiba).
    2. Bolus insulin requirement: three or more doses per day of a rapid-acting insulin analog: insulin lispro (Humalog or Admelog) or insulin aspart (Novolog or Fiasp).
  5. Completion of basic diabetes education program within first year of diagnosis including management of hyperglycemia and hypoglycemia.
  6. Patients not actively using InPen (including discontinuation of the InPen for at least 12 weeks).

Exclusion criteria

Exclusion Criteria:

  1. Pediatric patients with T1D with health conditions that may impact glycemic control (e.g., uncontrolled hypothyroidism or hyperthyroidism or prolonged use (more than 2 weeks) of exogenous steroids), pregnancy, language barrier, or inability to obtain informed consent from patient and/or caregiver.
  2. Patients who are unable to obtain insurance approval to cover the cost for the InPen device and insulin cartridges for the InPen.
  3. Patients with T1D who are allergic to Humalog and Novolog insulin analogs.
  4. Patients/caregivers who are unwilling to switch to the InPen device and/or insulin cartridges required for the use of the InPen device.
  5. Patients who do not own a smartphone or tablet that is compatible with the InPen App.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
34 participants (estimated)
Patient registry
No

Groups and cohorts

  • InPen

    Patients who will begin using the InPen device as per standard of care

    Device: InPen Insulin Pen

Interventions

  • DeviceInPen Insulin Pen

    The InPen is a reusable smart insulin pen for people living with diabetes. The device uses Bluetooth technology to send dose information to a mobile application. The InPen can be used to deliver insulin, help calculate insulin doses, and estimate carbohydrates for meals

06

What researchers measure

Primary outcomes

  1. Change in Hemoglobin A1c (HbA1c)

    Change in mean hemoglobin A1c (HbA1c) among patients from baseline to 12- and 24 weeks after using the InPen device in diabetes management plan.

    Time frame: Baseline to 12 and 24 weeks (End of study)

Secondary outcomes

  1. Change in Diabetes Numeracy Test (DNT-14)

    Assessment test designed to investigate numeracy skills in patients with diabetes

    Time frame: Baseline and 24 weeks (end of study)

  2. Clinical Evaluation of Treatment

    Questionnaire to assess usability, comfort with, and usefulness of the InPen and its app.

    Time frame: 24 weeks (end of study)

07

Study locations

1 site
  • Wayne State University
    Detroit, Michigan 48221, United States
08

References and documents

Study documents

  • Informed consent form · May 18, 2022

Documents are hosted by the registry — open the source record to download them.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05515939
Lead sponsor
Wayne State University
Responsible party
Colleen Buggs-Saxton, MD, PhD (Associate Professor of Pediatrics, Wayne State University) — Principal investigator
First posted
Aug 25, 2022
Start date
Sep 9, 2022
Primary completion
Nov 30, 2026 (estimated)
Completion
Dec 1, 2026 (estimated)
Last update
Aug 20, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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