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CompletedNCT06529705Updated Sep 15, 2025

Performance and Safety Evaluation of the EkiYou V2 Application in Patients With Diabetes Using Multiple Daily Insulin Injections (EkiYou-Study1)

An interventional study of EkiYou V2 in Diabetes Type 1, Diabetes Type 2 on Insulin and Pancreatogenous Diabetes, sponsored by University Hospital, Montpellier. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-09-15.

Sponsored by University Hospital, Montpellier · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
21
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

EkiYou-Study-1 is an interventional before/after clinical investigation according to EU 2017/745. It is conducted in 21 adults with diabetes and treated by multiple daily insulin injections.

After a run-in period of 2 weeks, participants will receive for 6 weeks EkiYou V2 application that will help them to estimate their daily bolus and basal insulin doses. This device weekly adjusts insulin parameters including : basal insulin dose, insulin to carb ratios and correction factor.

The aim of the study is to assess the safety and performance of EkiYou V2 device. Data on glycemic control, safety, quality of life and satisfaction of participants will be collected.

Read the detailed description

Participants of the study must be adults treated by multiple daily insulin injection in a basal/bolus insulin schema and users of a continuous glucose monitor (CGM). The study involves 5 visits, each two weeks. Participants will be included for 8 weeks divided in two distinct periods :

  • Run-in period for two weeks to collect glycemic control at baseline with their standard insulin management
  • Intervention period for 6 weeks where participant will receive the investigational device EkiYou V2 to manage their insulin injection.

EkiYou V2 device is a new version of the previously CE-Marked device EkiYou V1. It is a decision support that include the following features to participants:

  • Carbohydrate counting through an extensive food database with more than 200k items.
  • Bolus calculation based on their meal, physical activity and blood glucose.
  • Bolus correction advice.
  • Long-acting insulin reminders and automatic periodic titration.
  • Insulin-to-carb ratios and correction factor automatic adjustment.
02

Conditions studied

  • Diabetes Type 1
  • Diabetes Type 2 on Insulin
  • Pancreatogenous Diabetes

Keywords

  • Decision support system
  • Digital health
  • Continuous glucose monitoring
  • Precision insulin management
  • Insulin titration
03

In context

Diabetes Mellitus, Type 1

3,522 studies on the registry are indexed under Diabetes Mellitus, Type 1; 577 are open to participants now.

This study's enrollment of 21 is below the median of 40 across 2,649 interventional studies indexed under Diabetes Mellitus, Type 1.

Browse Diabetes Mellitus, Type 1 studies →

Lead sponsor

University Hospital, Montpellier is the lead sponsor of 1,244 studies on the registry; 225 are open to participants now.

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

04

Who can participate

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

Inclusion criteria

  • Be over 18 years old;
  • Have type 1, type 2, or pancreatogenic diabetes;
  • Have been treated with multiple daily injections of insulin in a basal/bolus regimen for at least 6 months;
  • Be using a continuous glucose monitoring device such as Dexcom G6, Dexcom One or Freestyle Libre for at least 2 weeks;
  • Have a time in the glycemic target range (70-180 mg/dl) of less than 70%;
  • Require at least 15 units of insulin therapy per day;
  • Use a rapid-acting insulin compatible with the device, such as Novorapid, Humalog, Apidra, Asparte, Sanofi, Fiasp, or Lyumjev;
  • Use a long-acting insulin compatible with the device, such as Lantus, Abasaglar, Toujeo, Levemir, or Tresiba;
  • Be able to read and use a smartphone;
  • Have no visual impairment requiring a specific font for smartphones;
  • Have basic knowledge of smartphone use;
  • Indicate their willingness to follow the protocol and sign a written informed consent

Exclusion criteria

Exclusion Criteria:

  • Ketoacidosis or severe level 3 hypoglycemia requiring third-party intervention within 6 months prior to inclusion;
  • Treatment with any hypoglycemia-inducing agent other than insulin (including sulfonylureas and SGLT-2 inhibitors);
  • Daily insulin requirement exceeding 200 U/day;
  • Suffering from gastroparesis;
  • Pancreatopathy secondary to chronic alcoholism;
  • Known medical condition that, in the investigator's opinion, may interfere with the protocol;
  • Participation in another clinical trial or administration of an unapproved medication within 4 weeks prior to screening;
  • Not affiliated with a social security system;
  • Vulnerable subject: minors, or adults under protection as defined by the Public Health Code, pregnant or breastfeeding women, subjects under guardianship or deprived of liberty;
  • Person under legal protection;
  • Person participating in another study with an ongoing exclusion period
05

Study design

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

Study arms

  • Experimental
    Adults with diabetes treated by MDI

    Device: EkiYou V2

Interventions

  • DeviceEkiYou V2

    Use of a mobile application that help users to evaluate their daily bolus and basal insulin needs, and that adjusts at weekly basis their insulin to carb ratios, correction factor and basal dose.

06

What researchers measure

Primary outcomes

  1. Change in the percentage of time in range 70-180 mg/dL

    Time in range is the amount of time spent in the target glucose range-between 70 and 180 mg/dL-as measured by CGM

    Time frame: Through study completion, an average of 8 weeks

Secondary outcomes

  1. Number of non-serious adverse events related or unrelated to the device

    Severe hypoglycemia (Level 3) with blood glucose below 54 mg/dL and requiring assistance from an external person for carbohydrates intake or glucagon use.

    Time frame: Through study completion, an average of 8 weeks

  2. Number of non-serious adverse events related or unrelated to the device

    Severe hyperglycemia (Level 3) defined by the presence of ketonemia \> 3 mmol/L or ketonemia \> 1 mmol/L and requiring consultation with a healthcare professional.

    Time frame: Through study completion, an average of 8 weeks

  3. Number of serious clinical adverse events (SAEs)

    Number of severe level 3 hypoglycemic events requiring hospitalization

    Time frame: Through study completion, an average of 8 weeks

  4. Number of serious clinical adverse events (SAEs)

    Number of episodes of diabetic ketoacidosis requiring hospitalization

    Time frame: Through study completion, an average of 8 weeks

  5. Number of other serious adverse events related or unrelated to the device

    Time frame: Through study completion, an average of 8 weeks

  6. Number of non-serious and unexpected adverse events related to the device

    Time frame: Through study completion, an average of 8 weeks

  7. Change in the percentage of time below 54 mg/dL

    Percentage of time with glucose below 54 mg/dL as measured by CGM

    Time frame: 2 weeks follow-up

  8. Change in the percentage of time below 54 mg/dL

    Percentage of time with glucose below 54 mg/dL as measured by CGM

    Time frame: 8 weeks follow-up

  9. Change in the percentage of time below 70 mg/dL

    Percentage of time with glucose below 70 mg/dL as measured by CGM

    Time frame: 2 weeks follow-up

  10. Change in the percentage of time below 70 mg/dL

    Percentage of time with glucose below 70 mg/dL as measured by CGM

    Time frame: 8 weeks follow-up

  11. Change in the percentage of time above 180 mg/dL

    Percentage of time with glucose above 180 mg/dL as measured by CGM

    Time frame: 2 weeks follow-up

  12. Change in the percentage of time above 180 mg/dL

    Percentage of time with glucose above 180 mg/dL as measured by CGM

    Time frame: 8 weeks follow-up

  13. Change in the percentage of time above 250 mg/dL

    Percentage of time with glucose above 250 mg/dL as measured by CGM

    Time frame: 2 weeks follow-up

  14. Change in the percentage of time above 250 mg/dL

    Percentage of time with glucose above 250 mg/dL as measured by CGM

    Time frame: 8 weeks follow-up

  15. Change in the Glucose Management Indicator (GMI)

    GMI as measured by CGM

    Time frame: 2 weeks follow-up

  16. Change in the Glucose Management Indicator (GMI)

    GMI as measured by CGM

    Time frame: 8 weeks follow-up

  17. Percentage of patients with time in range 70-180 mg/dL above or equal to 70%

    Time in range 70-180 mg/dL as measured by CGM

    Time frame: 2 weeks follow-up

  18. Percentage of patients with time in range 70-180 mg/dL above or equal to 70%

    Time in range 70-180 mg/dL as measured by CGM

    Time frame: 8 weeks follow-up

  19. Change in Mean blood glucose level

    Mean sensor glucose as measured by CGM

    Time frame: 2 weeks follow-up

  20. Change in Mean blood glucose level

    Mean sensor glucose as measured by CGM

    Time frame: 8 weeks follow-up

  21. Change in Coefficient of variation of blood glucose

    Coefficient of variation of blood glucose as measured by CGM

    Time frame: 2 weeks follow-up

  22. Change in Coefficient of variation of blood glucose

    Coefficient of variation of blood glucose as measured by CGM

    Time frame: 8 weeks follow-up

  23. Number of level 2 hypoglycemic episodes

    Defined as blood glucose below 54 mg/dL for more than 15 minutes

    Time frame: 2 weeks follow-up

  24. Number of level 2 hypoglycemic episodes

    Defined as blood glucose below 54 mg/dL for more than 15 minutes

    Time frame: 8 weeks follow-up

  25. Total Daily Insulin (Units/kg)

    Time frame: 2 weeks follow-up

  26. Change in Total Daily Insulin (Units/kg)

    Time frame: 8 weeks follow-up

  27. Total Insulin Delivered Via Basal (Units/kg)

    Time frame: 2 weeks follow-up

  28. Change in total Insulin Delivered Via Basal (Units/kg)

    Time frame: 8 weeks follow-up

  29. Number per day and total Insulin Delivered Via Bolus (Units/kg)

    Time frame: 2 weeks follow-up

  30. Change in number per day and total Insulin Delivered Via Bolus (Units/kg)

    Time frame: 8 weeks follow-up

  31. Number of connectivity issues with the application reported by the user

    Time frame: 8 weeks follow-up

  32. Questionnaire System Usability scale

    Device usability questionnaire. The lower the score, more the participant agrees with the item; a higher score indicates disagreement with the item.

    Time frame: 8 weeks follow-up

  33. Diabetes Treatment Satisfaction Questionnaire (DTSQ)

    Quality of life associated with diabetes questionnaire. Treatment Satisfaction: Items 1, 4, 5, 6, 7 \& 8 are summed to produce a Treatment Satisfaction score (range: 0 to 36). The higher the score, the greater the satisfaction with treatment. Individual satisfaction with treatment items (items 1, 4, 5, 6, 7 \& 8) can be considered separately: All rated: 6 (very satisfied, convenient, flexible, etc.) to 0 (very dissatisfied, inconvenient, inflexible, etc.). The higher the score, the greater the satisfaction with each aspect of treatment. 'Perceived frequency of hyperglycaemia' (item 2) \& 'Perceived frequency of hypoglycaemia' (item 3): Both rated: 6 ('most of the time') to 0 ('none of the time'). Here, lower scores indicate blood glucose levels closer to the ideal. Higher scores indicate problems

    Time frame: At inclusion visit

  34. Diabetes Treatment Satisfaction Questionnaire (DTSQ)

    Quality of life associated with diabetes questionnaire Treatment Satisfaction: Items 1, 4, 5, 6, 7 \& 8 are summed to produce a Treatment Satisfaction score (range: 0 to 36). The higher the score, the greater the satisfaction with treatment. Individual satisfaction with treatment items (items 1, 4, 5, 6, 7 \& 8) can be considered separately: All rated: 6 (very satisfied, convenient, flexible, etc.) to 0 (very dissatisfied, inconvenient, inflexible, etc.). The higher the score, the greater the satisfaction with each aspect of treatment. 'Perceived frequency of hyperglycaemia' (item 2) \& 'Perceived frequency of hypoglycaemia' (item 3): Both rated: 6 ('most of the time') to 0 ('none of the time'). Here, lower scores indicate blood glucose levels closer to the ideal. Higher scores indicate problems

    Time frame: 8 weeks follow-up

  35. Hypoglycemia Fear Survey 2 (HFS II)

    Fear of hypoglycemia questionnaire. Behavioral Subscale, Items: 1-15 Score Range: 0 to 75. Higher scores indicate more frequent behaviors aimed at avoiding hypoglycemia, reflecting a greater fear of low blood sugar episodes. Worry Subscale, Items: 16-33 Score Range: 0 to 90. Higher scores suggest greater concern or anxiety about the consequences of hypoglycemia, including physical symptoms and impact on daily activities. Total Score Range: 0 to 165 (sum of both subscales). A higher total score indicates a more intense overall fear of hypoglycemia, affecting both behavior and emotional well-being.

    Time frame: At inclusion visit

  36. Hypoglycemia Fear Survey 2 (HFS II)

    Fear of hypoglycemia questionnaire. Behavioral Subscale, Items: 1-15 Score Range: 0 to 75. Higher scores indicate more frequent behaviors aimed at avoiding hypoglycemia, reflecting a greater fear of low blood sugar episodes. Worry Subscale, Items: 16-33 Score Range: 0 to 90. Higher scores suggest greater concern or anxiety about the consequences of hypoglycemia, including physical symptoms and impact on daily activities. Total Score Range: 0 to 165 (sum of both subscales). A higher total score indicates a more intense overall fear of hypoglycemia, affecting both behavior and emotional well-being.

    Time frame: 8 weeks follow-up

  37. Number of daily insulin injections calculated from application data

    Time frame: 8 weeks follow-up

  38. Average number of daily interactions calculated from application data

    Time frame: 8 weeks follow-up

  39. Number of active application users

    Defined as at least 14 recorded injections in the application over a 2-week period

    Time frame: 8 weeks follow-up

07

Study locations

1 site
  • Centre Hospitalier Universitaire de Montpellier
    Montpellier, France 34000, France
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 15, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06529705
Lead sponsor
University Hospital, Montpellier
Collaborators
DiappyMed
Responsible party
Sponsor
First posted
Jul 31, 2024
Start date
Aug 19, 2024
Primary completion
Mar 27, 2025
Completion
Mar 27, 2025
Last update
Sep 15, 2025

Study contacts

Orianne VILLARD, MD
principal investigator · CHU de Montpellier

Oversight

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

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