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CompletedNCT06645834Updated Dec 9, 2025

Smart MDI Study (CIP343)

An interventional study of Smart MDI System in Diabetes Mellitus, Type 1, sponsored by Medtronic MiniMed, Inc.. Completed at 18 sites in 6 countries. Open to participants aged 2 Years and older. Per ClinicalTrials.gov, last updated 2025-12-09.

Sponsored by Medtronic MiniMed, Inc. · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
179
Allocation
Randomized
Ages
2 Years and older
Sex
All
01

Study summary

The purpose of the study is to evaluate the effectiveness of the Smart MDI system with InPen™ and Simplera™ in comparison with Multiple Daily Injection (MDI) therapy with intermittent scanning or real-time Continuous Glucose Monitoring (isCGM/CGM) over 6 months duration in people with type 1 diabetes to support the market access and therapy adoption of the Smart MDI system.

Read the detailed description

This is a post-market, prospective, open-label, multi-center, randomized controlled trial in adult and pediatric subjects with type 1 diabetes.

The study consists of a run-in phase of 3 weeks and a study phase of 6 months.

The purpose of the run-in phase is to collect baseline HbA1c and CGM data while subjects are on their current therapy.

During the 6-month study phase, subjects will be randomized to continue with their current therapy or to start using the Smart MDI system.

Approximately 140 subjects with type 1 diabetes aged 2 years and older will be enrolled in the study at up to 20 investigational centers in Europe to achieve approximately 112 subjects randomized and completing the 6-month study phase.

02

Conditions studied

  • Diabetes Mellitus, Type 1
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 179 is above the median of 40 across 2,649 interventional studies indexed under Diabetes Mellitus, Type 1.

Browse Diabetes Mellitus, Type 1 studies →

Lead sponsor

Medtronic MiniMed, Inc. is the lead sponsor of 11 studies on the registry; 4 are open to participants now.

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

04

Who can participate

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

Inclusion criteria

  1. Subject is age 2 years or older at time of screening.
  2. Subject is on MDI therapy (defined as ≥ 3 insulin injections per day and on a basal/bolus regimen) ≥ 6 months prior to screening.
  3. Subject has a clinical diagnosis of type 1 diabetes for ≥ 12 months.
  4. Subject is on MDI therapy with intermittent scanning or Continuous Glucose Monitoring (isCGM/CGM) ≥ 3 months prior to screening.
  5. Subject has high compliance with sensor wear, per investigator assessment.
  6. Subject has a Glycosylated hemoglobin (HbA1c) ≥ 8% (64 mmol/mol) as assessed locally at time of screening visit.
  7. Subject is willing to take or switch to one of the InPen-compatible insulin types, NovoRapid™, Fiasp™, Humalog™ and Lyumjev™.
  8. Subject or parent(s)/legal guardian(s) has a compatible mobile phone with Internet access.
  9. Subject or parent(s)/legal guardian(s) is willing and able to provide written informed consent, comply with all study procedures and wear all study devices, as required during the study.

Exclusion criteria

Exclusion Criteria:

  1. Subject is using a Medtronic InPen™ for at least 3 months prior to screening.
  2. Subject has untreated/unstable Addison's disease, growth hormone deficiency, hypopituitarism or definite gastroparesis, untreated coeliac disease, untreated thyroid disorder, or poorly controlled asthma, per investigator judgment.
  3. Subject is planning to initiate or change to another glucose modifying therapy (for example pramlintide, DPP-4 inhibitor, GLP-1 agonists/mimetics, metformin or SGLT2 inhibitors).
  4. Subject has taken any oral, injectable, or intravenous (IV) glucocorticoids within 8 weeks from time of screening visit, or plans to take any oral, injectable, or IV glucocorticoids during the course of the study chronically.
  5. Subject has renal failure (stage 4 and above) defined by creatinine clearance of \<30 ml/min, as assessed by Local Lab test ≤ 6 months before screening or performed at screening at Local Lab, as defined by the creatinine-based Cockcroft, CKD-EPI or MDRD equations.
  6. Subject has any unresolved adverse skin conditions in the area of sensor placement (e.g. psoriasis, dermatitis herpetiformis, rash, Staphylococcus infection).
  7. Subject is actively participating in an investigational study (drug or device) wherein he/she has received treatment from an investigational study drug or device in the last 2 weeks before enrollment into this study, as per investigator judgment.
  8. Subject is currently abusing illicit drugs, marijuana, alcohol or prescription drugs (other than nicotine), per investigator judgment.
  9. Subject has any other disease or condition that may preclude the patient from participating in the study, per investigator judgment.
  10. Subject is a woman of child-bearing potential who has a positive pregnancy test at screening or plans to become pregnant during the course of the study.
  11. Subject is a woman who is breastfeeding.
  12. Subject or parent(s)/legal guardian(s) is legally incompetent, illiterate or a vulnerable person.
  13. Subject is a member of the research staff involved with executing the study.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
179 participants (actual)

Study arms

  • Other
    Treatment

    Subjects will start using the Smart MDI system consisting of the InPen™ System and Simplera™ System.

    Device: Smart MDI System

  • No intervention
    Control

    None -Subjects will continue their own MDI therapy

Interventions

  • DeviceSmart MDI System

    The Smart MDI system consists of the InPen™ system and Simplera™ system. The InPen™ system includes a reusable smart bolus insulin pen injector with Bluetooth combined with the InPen™ app to help users take insulin doses. And InPen™ app which communicates with the InPen™ injector and compatible continuous glucose monitoring (CGM) devices to collect and display information on insulin delivered by the injector as well as current and past glucose values. The Simplera™ system consists of a disposable integrated sensor-transmitter platform (Simplera™ Sensor) and the Simplera™ app which receives data from the Simplera™ sensor via Bluetooth Low Energy (BLE) radio signal

06

What researchers measure

Primary outcomes

  1. Primary Endpoint

    The primary endpoint is the between-treatment (Smart MDI system arm vs MDI + isCGM or CGM arm) difference during the study phase in the percentage of time that the sensor glucose measurement is in the target range, 70 to 180 mg/dL (3.9-10.0 mmol/L). The endpoint will be assessed for non-inferiority with an absolute margin of 7.5% time in target range.

    Time frame: 6-month study period

Secondary outcomes

  1. Secondary Endpoint 1

    Mean HbA1c at the end of the 6-month study phase, non-inferiority test with an absolute margin of 0.4% HbA1c.

    Time frame: 6-month study period

  2. Secondary Endpoint 2

    % of Time spent in target range (70 to 180 mg/dL \[3.9-10.0 mmol/L\]) during the study phase, simple superiority test.

    Time frame: 6-month study period

  3. Secondary Endpoint 3

    Mean HbA1c at the end of the 6-month study phase, simple superiority test.

    Time frame: 6-month study period

07

Study locations

18 sites
  • Antwerp University Hospital
    Antwerp, Belgium
  • Hospital Universitaire Bruxelles Erasme
    Brussels, Belgium
  • UZ Leuven
    Leuven, Belgium
  • CHU Liege
    Liège, Belgium
  • General University Hospital
    Prague, Czechia
  • IKEM
    Prague, Czechia
  • CHRU de Brest service diabetologie endocrinologie
    Brest, France
  • Center for DIABeCare, Hospices Civils de Lyon
    Lyon, France
  • CHU Nimes
    Nîmes, France
  • Hospital Rangueil
    Toulouse, France
  • Zentrum fur digitale Diabetologie Hamburg
    Hamburg, Germany
  • Hannoversche Kinderheilanstalt
    Hanover, Germany
  • MVZ Stoffwechselmedizin Leipzig
    Leipzig, Germany
  • University of Bari Aldo Moro
    Bari, Italy
  • ASST Spedali Civili Brescia
    Brescia, Italy
  • Sahlgrenska University Hospital
    Gothenburg, Sweden
  • Uddevalla Hospital
    Uddevalla, Sweden
  • Hogsbo Narsjukhus
    Västra Frölunda, Sweden
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 Dec 9, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06645834
Lead sponsor
Medtronic MiniMed, Inc.
Responsible party
Sponsor
First posted
Oct 17, 2024
Start date
Dec 6, 2024
Primary completion
Dec 1, 2025
Completion
Dec 1, 2025
Last update
Dec 9, 2025

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 Dec 2025. You cannot join it, but the record below documents what was studied.

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