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CompletedNCT06025513Updated Aug 7, 2025

De-tensioning Patch, in Subjects With Type 1 Diabetes and Lipohypertrophy

An interventional study of Embrace Patch in Insulin Resistance and Lipohypertrophy, sponsored by Neodyne Biosciences, Inc.. Completed at 1 site in Germany. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-08-07.

Sponsored by Neodyne Biosciences, Inc. · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Dec 2024, 1 year 9 months ago, and no results have been posted to the registry.
Phase
Not applicable
Study type
Interventional
Enrollment
29
Allocation
Not applicable
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This is a single-center, single-cohort, open, repeated-application study. Baseline assessments will include a Hyperinsulinemic clamp after injection of 0.15 U/kg body weight of insulin lispro in the target LH lesion, as well as a Mixed Meal Tolerance Test (MMTT) with pre-meal insulin injected into the LH lesion. Subjects will discontinue their basal insulin for 2-3 days after the Continuous glucose monitor (CGM) study ends, prior to admission to the research center ("wash-out"). After release from the research center, subjects will wear the Embrace over the target LH lesion for 16 weeks. At the beginning of week 17, the clamp and MMTT will be repeated, after which participants will again wear an unblinded CGM for \~6 days with injections only in the target LH lesion when applying an Embrace patch with a hole. A needle biopsy will be taken from the LH lesion at baseline and again at study completion.

Read the detailed description

This is a single-center, single-cohort, open, repeated-application study. Baseline assessments will include a Hyperinsulinemic clamp after injection of 0.15 U/kg body weight of insulin lispro in the target LH lesion, as well as a Mixed Meal Tolerance Test (MMTT) with pre-meal insulin injected into the LH lesion. However, before admission to the research center, unblinded CGM is worn for \~13 days (day 1 is discarded to avoid variability, day 2-7 bolus injections in Normal Tissue (NAT) and day 8-13 bolus injections in target LH) as outpatients. Subjects will discontinue their basal insulin for 2-3 days after the CGM study ends, prior to admission to the research center ("wash-out"). After release from the research center, subjects will wear the Embrace over the target LH lesion for 16 weeks, reapplying the patch every week and avoiding any injections in the target LH lesion. Basal insulin is injected only in NAT away from the LH site. At the beginning of week 17, the clamp and MMTT will be repeated, after which participants will again wear an unblinded CGM for \~6 days (again, day 1 is discarded) with injections only in the target LH lesion when applying an Embrace patch with a hole. A needle biopsy will be taken from the LH lesion at baseline and again at study completion.

02

Conditions studied

  • Insulin Resistance
  • Lipohypertrophy

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03

In context

Insulin Resistance

1,960 studies on the registry are indexed under Insulin Resistance; 306 are open to participants now.

This study's enrollment of 29 is below the median of 40 across 1,536 interventional studies indexed under Insulin Resistance.

Browse Insulin Resistance studies →

Lead sponsor

Neodyne Biosciences, Inc. is the lead sponsor of 4 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. Signed and dated informed consent obtained before any trial-related activities. Trial-related activities are any procedures that would not have been done during normal management of the subject.
  2. Subject with type 1 diabetes for at least 3 years
  3. One or more palpable lipohypertrophy lesions in the abdominal area, the largest of which has a minimum size of 3.0 cm and a maximum size of 12.0 cm (longest axis) as confirmed by ultrasound.
  4. Treated with multiple daily injections (≥3) of insulin for at least 2 years or continuous subcutaneous insulin infusion for at least 1 year.
  5. Subject is willing and able to continue same basal insulin during trial participation.
  6. Body Mass Index (BMI) 18.5 to 30.0 kg/m², inclusive
  7. HbA1c at screening between 6.5% and 9.5% (inclusive)
  8. Have clinical laboratory test results within the normal range for the population, or with abnormalities deemed clinically insignificant by the investigator.
  9. Considered generally healthy (apart from type 1 diabetes and lipohypertrophy) upon completion of medical history and screening safety assessments, as judged by the Investigator
  10. Have venous access sufficient to allow cannulation for blood sampling as required by the protocol

Exclusion criteria

Exclusion Criteria:

  1. Receipt of any medicinal product in clinical development within 60 days or 5 half-lives (if known) of the medicinal product before randomisation in this trial
  2. Any history or presence of cancer, except for a history of basal cell skin cancer or squamous cell skin cancer (as judged by the Investigator)
  3. Any history or presence of clinically relevant comorbidity (with the exception of conditions associated with diabetes mellitus), that may place the subject at increased risk as determined by the investigator.
  4. Signs of acute illness as judged by the Investigator
  5. Any serious systemic infectious disease during four weeks prior to screening, as judged by the Investigator.
  6. Aspartate transaminase (AST) and/or Alanine transaminase (ALT) > 2 times the upper limit of normal
  7. Estimated glomerular filtration rate (eGFR)\<60 mL/min
  8. Systolic blood pressure \< 90 mmHg or >160 mmHg and/or diastolic blood pressure \< 50 mmHg or > 95 mmHg (one repeat test will be acceptable in case of suspected white-coat hypertension)
  9. Heart rate at rest outside the range of 50-90 beats per minute. This exclusion criterion also pertains to subjects being on anti-hypertensives.
  10. History of severe hypoglycaemia with seizure, coma or requiring assistance of another person during the past 6 months
  11. Significant history of alcoholism or drug abuse as judged by the Investigator or consuming more than 24 grams alcohol/day (for males), 12 grams alcohol/day (for females) on average
  12. A positive result in the alcohol and/or urine drug screen at the screening visit
  13. Tested positive for Hepatitis Bs antigen
  14. Tested positive for hepatitis C antibodies. (Presence of hepatitis C antibodies will not lead to exclusion if liver function tests are normal, and a hepatitis C polymerase chain reaction is negative)
  15. Positive result to the test for HIV-1/2 antibodies or HIV-1 antigen
  16. Have received chronic (lasting >14 consecutive days) systemic glucocorticoid therapy (excluding topical, intra-articular, and inhaled preparations) in the past 3 months, or have received any non-topical glucocorticoid therapy within 30 days before screening
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
29 participants (actual)

Study arms

  • Experimental
    embrace patch treatment

    Insulin PK/PD before and after treatment with embrace patch

    Device: Embrace Patch

Interventions

  • DeviceEmbrace Patch

    Tension offloading skin patch

06

What researchers measure

Primary outcomes

  1. Standard pharmacokinetics/pharmacodynamics (PK/PD) endpoints as applicable after injection of a rapid-acting mealtime insulin

    Area under the glucose infusion rate curve (AUCGIR),0-4h: area under the glucose infusion rate curve from 0 to 4 hrs after injection of a 0.15 units/kg body weight dose of insulin lispro

    Time frame: 16 weeks

Secondary outcomes

  1. Effects of embrace on lipohypertrophic tissue could result in beneficial effects on volume and subsequent remodeling of the lipohypertrophic tissue histology.

    To investigate the effect of four months of treatment with embrace® on volume (mL) of the target lipohypertrophic lesion comparing baseline to EoT in trial participants with type 1 diabetes and lipohypertrophy. To investigate the effect of four months of natural healing of a LH comparator lesion volume (mL) from baseline to EoT in trial participants with type 1 diabetes and lipohypertrophy. Measurements will be taken by ultrasound.

    Time frame: From enrollment to the end of treatment of 16 weeks.

07

Study locations

1 site
  • Profil
    Neuss, Germany
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 7, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06025513
Lead sponsor
Neodyne Biosciences, Inc.
Responsible party
Sponsor
First posted
Sep 6, 2023
Start date
Feb 16, 2024
Primary completion
Dec 18, 2024
Completion
Mar 13, 2025
Last update
Aug 7, 2025

Study contacts

Marc Stoffel, Doctor
principal investigator · Profil Institut für Stoffwechselforschung GmbH

Oversight

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

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This study is completed, as verified in Aug 2025. You cannot join it, but the record below documents what was studied.

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