CClinicalTrials.gg
CompletedNCT06948760Lpad LyumjevUpdated Sep 8, 2026

Testing a Conversion Factor for a More Rapidly Acting Insulin in an Automated Insulin Delivery System Among Adolescents With T1D

An interventional study of Control-IQ insulin pump with Lyumjev insulin and Control-IQ insulin pump with Humalog or Novolog in Type 1 Diabetes, sponsored by Mark D. DeBoer, MD, MSc., MCR. Completed at 1 site in United States. Open to participants aged 12 Years to 22 Years. Per ClinicalTrials.gov, last updated 2026-09-08.

Sponsored by Mark D. DeBoer, MD, MSc., MCR · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
11
Allocation
Randomized
Ages
12 Years to 22 Years
Sex
All
01

Study summary

A randomized controlled trial of Control-IQ, assessing glycemic control (time-in-range 70-180 mg/dL) for Lyumjev insulin (in which the insulin settings have been determined using an experimental conversion factor) as compared to Humalog or Novolog (using optimized settings)

Read the detailed description

All participants will have a physician-driven insulin Optimization Phase using their home Humalog or Novolog in the Control-IQ control group. After this, participants will have a two-week baseline control phase to assess time-in-range on the optimized insulin settings. Participants will then be randomized to switch to Lyumjev insulin (with insulin settings determined using the conversion factor) or remain on their home Humalog or Novolog for a two-week period. Each group will have their time-in-range during the randomized phase compared to that during the baseline period.

02

Conditions studied

  • Type 1 Diabetes

Keywords

  • Type 1 Diabetes
  • Continuous Glucose Monitor (CGM)
  • Tandem t:slim Insulin Pump with Control-IQ Technology (CIQ)
  • Lyumjev insulin
  • Conversion Factor
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 11 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

Mark D. DeBoer, MD, MSc., MCR is the lead sponsor of 2 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
12 Years to 22 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Age ≥12.0 and ≤22 years old at time of consent
  2. Clinical diagnosis, based on investigator assessment, of type 1 diabetes for at least one year
  3. HbA1c >6.5 - 12%
  4. Currently using insulin for at least six months
  5. Currently using the Tandem t:slim insulin pump with Control-IQ Technology® for at least two months
  6. Using insulin parameters such as carbohydrate ratio and correction factors consistently on their pump in order to dose insulin for meals or corrections
  7. Access to internet and willingness to upload data during the study as needed, including data generated prior to the start of the study
  8. For females, not currently known to be pregnant or breastfeeding
  9. If female and sexually active, must agree to use a form of contraception to prevent pregnancy while a participant in the study. A negative serum or urine pregnancy test will be required for all females of childbearing potential. Participants who become pregnant will be discontinued from the study. Also, participants who during the study develop and express the intention to become pregnant within the timespan of the study will be discontinued.
  10. Willingness to switch to lispro (Humalog) or aspart (Novolog) if not using already, prior to the insulin Optimization Phase and for the duration of the study
  11. Willingness to use Lyumjev if randomized to the experimental treatment arm
  12. Total daily insulin dose (TDD) at least 10 U/day and not more than 100 U/day
  13. Willingness not to start any new non-insulin glucose-lowering agent during the course of the trial (including metformin, GLP-1 agonists, pramlintide, DPP-4 inhibitors, biguanides, sulfonylureas and nutraceuticals)
  14. Willingness to eat at least 1 g/kg of carbohydrate per day
  15. Willingness to check ketones per study protocol using home urine ketone strips
  16. An understanding and willingness to follow the protocol and signed informed consent

Exclusion criteria

Exclusion Criteria:

  1. History of diabetic ketoacidosis (DKA) in the 6 months prior to enrollment
  2. Severe hypoglycemia resulting in seizure or loss of consciousness in the 6 months prior to enrollment
  3. Current HbA1c \<6.5 or >12
  4. Pregnancy or intent to become pregnant during the trial
  5. Currently being treated for a seizure disorder
  6. Planned surgery during study duration
  7. Need for treatment with oral steroid
  8. Treatment with any non-insulin glucose-lowering agent (including metformin, GLP-1 agonists, pramlintide, DPP-4 inhibitors, SGLT-2 inhibitors, biguanides, sulfonylureas and nutraceuticals)
  9. A known medical condition that in the judgment of the investigator might interfere with the completion of the protocol.
05

Study design

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

Study arms

  • Experimental
    Lyumjev insulin using settings determined by experimental conversion factor

    All participants will have a physician-driven insulin Optimization Phase using their home Humalog or Novolog in the Control-IQ control group. After this, participants will have a two-week baseline control phase to assess time-in-range on the optimized insulin settings. Participants will then use Lyumjev insulin for a two-week period with insulin settings determined using the conversion factor.

    Device: Control-IQ insulin pump with Lyumjev insulin

  • Active comparator
    Humalog or Novolog using optimized insulin settings

    All participants will have a physician-driven insulin Optimization Phase using their home Humalog or Novolog in the Control-IQ control group. After this, participants will have a two-week baseline control phase to assess time-in-range on the optimized insulin settings. Participants will then remain on their home Humalog or Novolog for a two-week period using the optimized insulin settings. Each group will have their time-in-range during the randomized phase compared to that during the baseline period.

    Device: Control-IQ insulin pump with Humalog or Novolog

Interventions

  • DeviceControl-IQ insulin pump with Lyumjev insulin

    Control-IQ insulin pump with insulin using settings determined by experimental conversion factor

    Also known as: Experimental Group

  • DeviceControl-IQ insulin pump with Humalog or Novolog

    Control-IQ insulin pump with Humalog or Novolog using optimized insulin settings

    Also known as: Control Group

06

What researchers measure

Primary outcomes

  1. Time in Range (70-180 mg/dL)

    The primary endpoint of the clinical trial will be the difference in time in range glucose (70-180 mg/dL) by CGM (adjusted for baseline TIR) between those on the Lyumjev conversion factor and those remaining on optimized settings of Humalog/Novolog.

    Time frame: 14 days

07

Study locations

1 site
  • University of Virginia Center for Diabetes Technology
    Charlottesville, Virginia 22903, United States
08

References and documents

Study documents

  • Informed consent form · Oct 24, 2025

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

Individual participant data

Plan to share: Yes — De-identified data will be made available after publication of the manuscript.

Supporting information: Study protocol, Sap, Icf

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06948760
Lead sponsor
Mark D. DeBoer, MD, MSc., MCR
Collaborators
University of Virginia
Responsible party
Mark D. DeBoer, MD, MSc., MCR (Principal Investigator, University of Virginia) — Sponsor-investigator
First posted
Apr 29, 2025
Start date
Jul 23, 2025
Primary completion
Feb 27, 2026
Completion
Mar 10, 2026
Last update
Sep 8, 2026

Study contacts

Mark DeBoer, MD
principal investigator · University of Virginia Center for Diabetes Technology

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 completed, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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