Smart MDI Study (CIP343)

Last updated: December 2, 2025
Sponsor: Medtronic Diabetes
Overall Status: Completed

Phase

N/A

Condition

Diabetes Mellitus, Type 1

Treatment

Smart MDI System

Clinical Study ID

NCT06645834
CIP343
  • Ages > 2
  • All Genders

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.

Eligibility Criteria

Inclusion

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 abasal/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 GlucoseMonitoring (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 locallyat 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 Internetaccess.

  9. Subject or parent(s)/legal guardian(s) is willing and able to provide writteninformed consent, comply with all study procedures and wear all study devices, asrequired during the study.

Exclusion

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, untreatedthyroid disorder, or poorly controlled asthma, per investigator judgment.

  3. Subject is planning to initiate or change to another glucose modifying therapy (forexample pramlintide, DPP-4 inhibitor, GLP-1 agonists/mimetics, metformin or SGLT2inhibitors).

  4. Subject has taken any oral, injectable, or intravenous (IV) glucocorticoids within 8weeks from time of screening visit, or plans to take any oral, injectable, or IVglucocorticoids 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 orperformed 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 devicein 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 fromparticipating in the study, per investigator judgment.

  10. Subject is a woman of child-bearing potential who has a positive pregnancy test atscreening 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 avulnerable person.

  13. Subject is a member of the research staff involved with executing the study.

Study Design

Total Participants: 179
Treatment Group(s): 1
Primary Treatment: Smart MDI System
Phase:
Study Start date:
December 06, 2024
Estimated Completion Date:
December 01, 2025

Study 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.

Connect with a study center

  • Antwerp University Hospital

    Antwerp 2803138,
    Belgium

    Site Not Available

  • Antwerp University Hospital

    Antwerpen,
    Belgium

    Site Not Available

  • Hospital Universitaire Bruxelles Erasme

    Brussels,
    Belgium

    Site Not Available

  • Hospital Universitaire Bruxelles Erasme

    Brussels 2800866,
    Belgium

    Site Not Available

  • UZ Leuven

    Leuven,
    Belgium

    Site Not Available

  • UZ Leuven

    Leuven 2792482,
    Belgium

    Site Not Available

  • CHU Liege

    Liege,
    Belgium

    Site Not Available

  • CHU Liege

    Liège 2792413,
    Belgium

    Site Not Available

  • General University Hospital

    Prague,
    Czech Republic

    Site Not Available

  • IKEM

    Prague,
    Czech Republic

    Site Not Available

  • General University Hospital

    Prague,
    Czechia

    Site Not Available

  • IKEM

    Prague,
    Czechia

    Site Not Available

  • General University Hospital

    Prague 3067696,
    Czechia

    Site Not Available

  • IKEM

    Prague 3067696,
    Czechia

    Site Not Available

  • CHRU de Brest service diabetologie endocrinologie

    Brest,
    France

    Site Not Available

  • CHRU de Brest service diabetologie endocrinologie

    Brest 3030300,
    France

    Site Not Available

  • Center for DIABeCare, Hospices Civils de Lyon

    Lyon,
    France

    Site Not Available

  • Center for DIABeCare, Hospices Civils de Lyon

    Lyon 2996944,
    France

    Site Not Available

  • CHU Nimes

    Nimes,
    France

    Site Not Available

  • CHU Nimes

    Nîmes 2990363,
    France

    Site Not Available

  • Hospital Rangueil

    Toulouse,
    France

    Site Not Available

  • Hospital Rangueil

    Toulouse 2972315,
    France

    Site Not Available

  • Zentrum fur digitale Diabetologie Hamburg

    Hamburg,
    Germany

    Site Not Available

  • Zentrum fur digitale Diabetologie Hamburg

    Hamburg 2911298,
    Germany

    Site Not Available

  • Hannoversche Kinderheilanstalt

    Hannover,
    Germany

    Site Not Available

  • Hannoversche Kinderheilanstalt

    Hanover 2910831,
    Germany

    Site Not Available

  • MVZ Stoffwechselmedizin Leipzig

    Leipzig,
    Germany

    Site Not Available

  • MVZ Stoffwechselmedizin Leipzig

    Leipzig 2879139,
    Germany

    Site Not Available

  • University of Bari Aldo Moro

    Bari,
    Italy

    Site Not Available

  • University of Bari Aldo Moro

    Bari 3182351,
    Italy

    Site Not Available

  • ASST Spedali Civili Brescia

    Brescia,
    Italy

    Site Not Available

  • ASST Spedali Civili Brescia

    Brescia 3181554,
    Italy

    Site Not Available

  • Sahlgrenska University Hospital

    Gothenburg,
    Sweden

    Site Not Available

  • Sahlgrenska University Hospital

    Gothenburg 2711537,
    Sweden

    Site Not Available

  • Uddevalla Hospital

    Uddevalla,
    Sweden

    Site Not Available

  • Uddevalla Hospital

    Uddevalla 2666670,
    Sweden

    Site Not Available

  • Hogsbo Narsjukhus

    Vastra Frolunda,
    Sweden

    Site Not Available

  • Hogsbo Narsjukhus

    Västra Frölunda 2664050,
    Sweden

    Site Not Available

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