ClinicalTrials.gg
RecruitingNCT06453928STAR-T1DUpdated Oct 29, 2026

Starting Technology in At Risk Type 1 Diabetes Study

An interventional study of Hybrid Closed Loop Insulin Pump System in Diabetes Mellitus, Type 1, sponsored by University of California, Los Angeles. Recruiting at 3 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-29.

Sponsored by University of California, Los Angeles · Not applicable, Interventional, and Health services research

From the registry’s dates

  • Started Sep 2024; still recruiting 2 years 2 months later.
Updated Sep 25, 2026Eligibility revisedGo to Updates ↓

Help build ClinicalTrials.gg — short surveys, remote interviews or testing, in your language. Take part →

Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 1,458 studies in Diabetes Mellitus, Type 1 with a site in United States — 191 open to participants now, 259 under way, 17 of them phase 3. Diabetes Mellitus, Type 1 · United States.

Planned enrollment
614th of 1,242
40 · median 40
Started
2024
with 62 others
No phase
614 of 1,458
99 open now
Primary completion
2027-01
later than 87 of 258 live
Registered
1,299th of 1,458
by date

Among the 1,458 studies in Diabetes Mellitus, Type 1 with a site in United States, this one is the 614th largest by planned enrollment of the 1,242 interventional ones that give a count, is one of 63 that started in 2024, is one of 614 with no phase, reaches primary completion later than 87 of the 258 other live ones, and was the 1,299th registered.

Diabetes Mellitus, Type 1

3,754 studies on the registry are indexed under Diabetes Mellitus, Type 1; 600 are open to participants now.

Browse Diabetes Mellitus, Type 1 studies →

Open to participants now

191 of the 1,458 studies in Diabetes Mellitus, Type 1 with a site in United States are open now. Recruiting first, the newest first:

186 more — sign in →

All 191 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 412 Diabetes Mellitus, Type 1 studies recruiting now, 128 (31%) set no upper age limit and 258 (63%) stop at 75 or younger; 185 take children under 18; 64 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 1,458 studies in Diabetes Mellitus, Type 1 with a site in United States, or all of them as a file.
02

Study summary

Diabetes technology has revolutionized T1D management, disparities in technology access are evident among racial-ethnic minorities, patients with lower socioeconomic status and those with poorly controlled T1D (A1c>8.5%). In order to examine whether diabetes technology can reduce diabetes care burdens and enhance outcomes among some of highest need patients, diabetes technology clinical trials must be expanded beyond the very select populations included in studies thus far (ie., mostly White, higher SES). Therefore, the investigators propose to perform a pilot RCT of hybrid closed-loop insulin pump therapy (HCL) in 40 diverse adult patients with poorly controlled T1D (HbA1c ≥8.0%) from the largest academic and safety net health systems in the Los Angeles region to determine the feasibility of a RCT in this population and identify facilitators and barriers of effective use of closed loop insulin pump therapy in patients with poorly controlled T1D.

03

Conditions studied

  • Diabetes Mellitus, Type 1

Keywords

  • Continuous Glucose Monitoring
  • Insulin Pump
  • Hybrid Closed Loop Systems
  • Diabetes Technology
  • Health Disparities
04

Who can participate

The criteria were revised on the registry on Sep 25, 2026. See what changed

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Type 1 Diabetes
  • A1c ≥ 8.0%
  • Not insulin pump user
  • Primary language of English or Spanish
  • Have medical insurance coverage

Exclusion criteria

Exclusion Criteria:

  • No measured A1c in the past year
  • Have comorbidities that can result in inaccurate
  • Have cognitive, physical or mental impairment precluding diabetes technology use
  • Limited (\<1 year)
  • Pregnancy
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    Hybrid Closed Loop Insulin Pump System

    Participants will meet 1:1 with our CDE for at least 6 sessions over 6 weeks. Sessions will cover self-management basics, carb counting, CGM interpretation, hypoglycemia and hyperglycemia management and troubleshooting device issues. The investigators will follow up with participants in 24 and 72 hours after CGM and insulin pump initiation, respectively, to answer any device related questions that may arise in between sessions. Participants will follow up at intervals of 1-4 weeks throughout the study. During visits, the investigators will assess for adherence and adverse effects and evaluate device and safety issues associated with pump settings in the HCL arm. The investigators will repeat A1c at 12 weeks and 24 weeks and administer follow up questionnaires at 12 and 24 weeks.

    Device: Hybrid Closed Loop Insulin Pump System

  • No intervention
    Control

    Participants in the control arm will receive diabetes education at a similar frequency as the intervention group. Diabetes education for the control group will be a combination of in-person visits with the CDE and telephone brief diabetes education sessions. Participants will follow up at intervals of 1-4 weeks throughout the study. During visits, the investigators will assess for adherence and adverse effects. The investigators will repeat A1c at 12 weeks and 24 weeks and administer follow up questionnaires at 12 and 24 weeks.

Interventions

  • DeviceHybrid Closed Loop Insulin Pump System

    Patients will be started on an automated insulin delivery system.

06

What researchers measure

Primary outcomes

  1. Proportion of screened participants that are eligible

    Eligible among screened, enrolled among eligible, excluded among screened (and why) based on screening, recruitment and enrollment data.

    Time frame: 6 months

  2. Proportion of enrolled participants that are randomized

    Randomized among enrolled, and receiving allocated intervention among randomized.

    Time frame: 6 months

  3. Proportion of average time delay to enrollment

    Average time delay from screening to enrollment.

    Time frame: 6 months

  4. Proportion of retention among participants randomized to the Intervention Group

    Retention among participants receiving allocated intervention after being randomized and discontinued intervention among randomized.

    Time frame: 6 months

  5. Proportion of retention among participants randomized

    Participants lost to follow-up among those initially randomized.

    Time frame: 6 months

  6. Proportion of retention among participants randomized

    Retention rates by participants completing all research assessments among randomized.

    Time frame: 6 months

  7. Number of participants who adhere to assigned treatment

    Treatment-specific adherence, Adherence to study protocol and Proportion of planned assessments that are completed. Fidelity, which pertains to guaranteeing that the intervention is delivered in accordance with the established protocol, will be summarized by study arms, and differences between arms will be examined using t-tests or two-sample tests of proportions as appropriate. Adherence, which relates to the extent to which participants follow the treatment and study protocol, as well as the proportion of planned assessments completed, will be summarized by study arms, and differences between arms will be examined using t-tests or two-sample tests of proportions as appropriate.

    Time frame: 6 months

Secondary outcomes

  1. Change in A1c

    Serum Hemoglobin A1c laboratory measurement

    Time frame: 6 months

  2. Episodes and % of time with severe hypoglycemia ( BG <54 mg/dl)

    Hypoglycemia will be measure by combining CGM metrics and glucometer to report severe hypoglycemia in mg/dl.

    Time frame: 6 months

  3. Mean Diabetes Ketoacidosis Episodes Incidence

    Assess instances of diabetic ketoacidosis through participant surveys and comprehensive chart reviews.

    Time frame: 6 months

  4. ED visits/Hospitalizations Number of diabetes related ED visits or hospitalizations

    Number of diabetes related ED visits or hospitalizations

    Time frame: 6 months

  5. Treatment Burden and Satisfaction: Diabetes Distress

    Assessing treatment burden through the Type 1 Diabetes Distress Assessment System T1DDAS, which comprises eight questions and evaluates ten prevalent sources of diabetes distress in adults with type 1 diabetes. The score indicates the level of diabetes distress reported by the respondent, with higher scores indicating greater intensity. The core scale scoring ranges 1 to 5. This scale assesses each of ten common Sources of diabetes distress for adults with type 1 diabetes: Financial Worries, Interpersonal Challenges, Management Difficulties, Shame, Hypoglycemia Concerns, Healthcare Quality, Lack Of Diabetes Resources, Technology Challenges, Burden To Others, Worries About Complications. The higher the score, the more impactful that Source is likely to be in contributing to diabetes distress for this individual with the minimum value being 1 and maximum value being 5.

    Time frame: 6 months

  6. Treatment Burden and Satisfaction: Insulin Treatment Satisfaction

    Assessed treatment burden and satisfaction using the Insulin Treatment Satisfaction Questionnaire (ITSQ), consisting of 22 questions among 5 content clusters with a score from 0 to 100% where a higher score indicates greater satisfaction with insulin treatment. The scale explores perceptions of current insulin treatment and its impact on daily life.

    Time frame: 6 months

  7. Treatment Burden and Satisfaction: Glucose Monitoring System Satisfaction (GMSS)

    Examined treatment burden and satisfaction employing the Glucose Monitoring System Satisfaction Survey (GMSS), comprising 15 questions divided into four subcategories: openness, emotional burden, behavioral burden and trust. Higher scores within each subcategory denote either greater satisfaction or burden, depending on the specific aspect assessed with the minimum value being 1 and maximum value being 5. The total scare has a minimum value of 1 and maximum value of 15 with higher scores indicating greater satisfaction. The scores are obtained by calculating the mean for each.

    Time frame: 6 months

  8. Treatment Burden and Satisfaction: Motivation and Attitudes Towards Changing Health (MATCH)

    Assessed treatment burden and satisfaction using the Motivation and Attitudes towards Health Scale (MATCH), consisting of nine questions categorized into four subgroups: willingness to make changes, perceived ability to make or maintain changes, feeling changes are worthwhile, and overall mean/average of willingness, able, and worthwhile. Scores are calculated by determining the mean or average response within each category with higher scores meaning a better outcome. WILLINGNESS: minimum value is 1 and maximum value is 5. ABLE: minimum value is 1 and maximum value is 5. WORTHWHILE: minimum value is 1 and maximum value is 5. TOTAL SCALE: minimum value is 1 and maximum value is 9.

    Time frame: 6 months

07

Study locations

3 of 3 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Sep 2024 (actual). Primary completion is estimated for Jan 2027, 28 months after the start.

Of 845 non-industry interventional studies with no phase under Diabetes Mellitus, Type 1, half reached primary completion within 19 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 38. This study's planned 28 months is above that.

Counting every sponsor, half of 950 studies reached it within 18 months; a quarter within 9 and three quarters within 35.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 26, 2024
First posted
Jun 12, 2024
StartActual
Sep 5, 2024
Primary completionEst.
Jan 31, 2027
CompletionEst.
Jun 1, 2027
Last update
Oct 29, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Eligibility
1 inclusion criterion edited
What changed in the criteria
Inclusion criteria
  • EditedA1c >≥ 8.50%
Sep 25, 2026
Show all 2 updates
  1. Oct 29, 2026
    Minor edits only
    + 1 other change: description
  2. Sep 25, 2026
    Eligibility 1 inclusion criterion edited
    What changed in the criteria
    Inclusion criteria
    • EditedA1c >≥ 8.50%

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06453928
Collaborators
Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center, National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), Olive View-UCLA Education & Research Institute
Responsible party
Estelle M. Everett, MD, MHS (Assistant Professor, University of California, Los Angeles) — Principal investigator
First posted
Jun 12, 2024
Start date
Sep 5, 2024
Primary completion
Jan 31, 2027 (estimated)
Completion
Jun 1, 2027 (estimated)
Last update
Oct 29, 2026

Study contacts

Estelle M Everett, MD, MHS
Contact
eeverett@mednet.ucla.edu
310-267-0625

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion