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Pivotal Omnipod Horizon™ Automated Glucose Control System

Evaluating the Safety and Effectiveness of the Omnipod Horizon™ Automated Glucose Control System in Patients With Type 1 Diabetes

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04196140
Enrollment
240
Registered
2019-12-12
Start date
2019-12-30
Completion date
2022-04-20
Last updated
2025-04-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Type 1 Diabetes Mellitus

Keywords

T1D, Omnipod

Brief summary

Subjects will undergo a 14-day outpatient, standard therapy phase during which sensor and insulin data will be collected. This will be followed by a 94-day (13-week) hybrid closed-loop phase conducted in an outpatient setting and an optional 12-month extension phase.

Detailed description

The study schedule will consist of a standard therapy data collection phase followed by a hybrid closed-loop phase. Subjects will undergo a 14-day outpatient, standard therapy phase (Phase 1 or ST) during which sensor and insulin data will be collected. Subjects, or their caregivers, will manage their diabetes at home per their usual routine using the study continuous glucose monitoring system (CGM) and remain on current multiple daily injections (MDI) or pump therapy. This will be followed by a 94-day (13-week) hybrid closed-loop phase (Phase 2), conducted in an outpatient setting where subjects, or their caregivers, will manage their diabetes at home using the Omnipod Horizon™ Automated Glucose Control System. After completing the 94-day hybrid closed-loop phase, subjects will have the option to continue using the system for an additional 12 months (Phase 3). During the hybrid closed-loop phase, there will be supervised exercise challenges. A subset of subjects will participate in 5-days of supervised Meal and Exercise challenges. A subset of subjects will participate in 3-days of supervised HypoProtect Exercise challenges where comparisons were made between exercising in Automated Mode vs initiating HypoProtect 60 minutes prior to exercise vs initiating HypoProtect 30 minutes prior to exercise. The hybrid closed-loop phase will begin on Study Day 1.

Interventions

The Omnipod Horizon™ Automated Glucose Control System will provide automated insulin delivery

Sponsors

Insulet Corporation
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Intervention model description

This is a single-arm, multi-center, prospective clinical study.

Eligibility

Sex/Gender
ALL
Age
6 Years to 70 Years
Healthy volunteers
No

Inclusion criteria

1. Age at time of consent/assent 6-70 years 2. Subjects aged \< 18 years must be living with parent/legal guardian 3. Diagnosed with type 1 diabetes for at least 6 months. Diagnosis is based on investigator's clinical judgment 4. Deemed appropriate for pump therapy per investigator's assessment taking into account previous history of severe hypoglycemic and hyperglycemic events, and other comorbidities 5. Investigator has confidence that the subject can successfully operate all study devices and is capable of adhering to the protocol 6. Willing to use only the following types of insulin during the study: Humalog, Novolog, Admelog or Apidra during the study 7. Must be willing to travel to and participate in meal and exercise challenges during 5-days of the hybrid closed-loop phase 8. Willing to wear the system continuously throughout the study 9. A1C \<10% at screening visit 10. Must be willing to use the Dexcom App on the Omnipod Horizon™ Personal Diabetes Manager (PDM) as the sole source of Dexcom data (with the exception of the Dexcom Follow App) during the hybrid closed-loop phase 11. Subjects scoring ≥ 4 on the Clarke Questionnaire must agree to have an overnight companion, defined as someone who resides in the same home or building as the study subject and who can be available overnight 12. Able to read and speak English fluently 13. Willing and able to sign the Informed Consent Form (ICF) and/or has a parent/guardian willing and able to sign the ICF. Assent will be obtained from pediatric and adolescent subjects aged \< 18 years per State requirements.

Exclusion criteria

1. A medical condition, which in the opinion of the investigator, would put the subject at an unacceptable safety risk 2. History of severe hypoglycemia in the past 6 months 3. History of DKA in the past 6 months, unrelated to an intercurrent illness, infusion set failure or initial diagnosis 4. Diagnosed with sickle cell disease 5. Diagnosed with hemophilia or any other bleeding disorders 6. Plans to receive blood transfusion over the course of the study 7. Currently diagnosed with anorexia nervosa or bulimia 8. Acute or chronic kidney disease (e.g. estimated GFR \< 45) or currently on hemodialysis 9. History of adrenal insufficiency 10. Has taken oral or injectable steroids within the past 8-weeks or plans to take oral or injectable steroids during the course of the study 11. Unable to tolerate adhesive tape or has any unresolved skin condition in the area of sensor or pump placement 12. Plans to use insulin other than U-100 insulin intended for use in the study device during the course of the study 13. Use of non-insulin anti-diabetic medication other than metformin (e.g. GLP1 agonist, SGLT2 inhibitor, DPP-4 inhibitor, pramlintide) 14. Current or known history of coronary artery disease that is not stable with medical management, including unstable angina, or angina that prevents moderate exercise despite medical management, or a history of myocardial infarction, percutaneous coronary intervention, or coronary artery bypass grafting within the previous 12-months. 15. For subjects \>50 years old or with diabetes duration \>20 years, abnormal electrocardiogram consistent with increased risk of arrhythmia, ischemia, or prolonged QTc interval (\> 450 ms) 16. Thyroid Stimulating Hormone (TSH) is outside of normal range with clinical signs of hypothyroidism or hyperthyroidism 17. Pregnant or lactating, or is a woman of childbearing potential and not on acceptable form of birth control (acceptable includes abstinence, condoms, oral/injectable contraceptives, IUD or implant) 18. Participation in another clinical study using an investigational drug or device other than the Omnipod Horizon™ Automated Glucose Control System within the preceding 30-days or intends to participate during the study period 19. Unable to follow clinical protocol for the duration of the study or is otherwise deemed unacceptable to participate in the study per the investigator's clinical judgment

Design outcomes

Primary

MeasureTime frameDescription
Incidence Rate of Severe Hypoglycemia (Events Per Person Months)Phase 2 hybrid closed-loop (94 days)Measure of serious device-related adverse events
Time in Range 70-180 mg/dLPhase 2 hybrid closed-loop (94 days) compared to Phase 1 standard therapy (14 days)Measures device effectiveness
Glycated Hemoglobin (A1C)6 weeks continuous Phase 2 participation compared to baselineMeasures device effectiveness
Incidence Rate of Diabetic Ketoacidosis (DKA) (Events Per Person Months)Phase 2 hybrid closed-loop (94 days)Measure of serious device-related adverse events

Secondary

MeasureTime frameDescription
Total Daily Bolus Insulin (Units/kg)Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to the Phase 1 standard therapy (14 days)Measure of insulin requirements
Percent of Time in Range 70-180 mg/dLPhase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to Phase 1 standard therapy (14 days) during the day, overnight, and overallGlucose metric from study continuous glucose monitoring system (CGM)
Percent of Time in Range 70-140 mg/dLPhase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to Phase 1 standard therapy (14 days) during the day, overnight, and overallGlucose metric from study continuous glucose monitoring system (CGM)
Percent of Time ≥ 250 mg/dLPhase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to Phase 1 standard therapy (14 days) during the day, overnight, and overallGlucose metric from study continuous glucose monitoring system (CGM)
Percent of Time ≥ 300 mg/dLPhase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to Phase 1 standard therapy (14 days) during the day, overnight, and overallGlucose metric from study continuous glucose monitoring system (CGM)
Percent of Time < 70 mg/dLPhase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to Phase 1 standard therapy (14 days) during the day, overnight, and overallGlucose metric from study continuous glucose monitoring system (CGM)
Percent of Time < 54 mg/dLPhase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to Phase 1 standard therapy (14 days) during the day, overnight, and overallGlucose metric from study continuous glucose monitoring system (CGM)
Standard Deviation (of Glucose)Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to Phase 1 standard therapy (14 days) during the day, overnight, and overallGlucose metric from study continuous glucose monitoring system (CGM)-measured glucose variability with the standard deviation (SD)
Percent Coefficient of Variation (of Glucose)Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to Phase 1 standard therapy (14 days) during the day, overnight, and overallGlucose metric from study continuous glucose monitoring system (CGM)- measured glucose variability with the coefficient of variation (CV). Calculated by dividing the standard deviation of CGM values by the mean CGM values in the observation period.
Percentage of Time in Hybrid Closed-loop as Proportion of Overall Device Usage TimePhase 2 hybrid closed-loop (94 days) and Phase 3 (270 days)Measure of system usage
Percent Glucose Management Indicator (% GMI)Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to the Phase 1 standard therapy (14 days)Glucose Management Indicator (%) approximates the laboratory hemoglobin A1c (%) expected based on average glucose readings from continuous glucose monitors from the last 14 days or more. Percent GMI provides information to a person with diabetes with how well their glucose is controlled over an extended period of time. A low value is more desirable than a high value, with a value of \<7% being ideal for most people with diabetes. The calculation for GMI is as follows: GMI (%) = 3.31 + 0.02392 x (mean glucose reading in mg/dL from the last 14 days or more).
Total Daily Insulin (TDI) (Units)Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to the Phase 1 standard therapy (14 days)Measure of insulin requirements
Total Daily Insulin (TDI) (Units/kg)Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to the Phase 1 standard therapy (14 days)Measure of insulin requirements
Total Daily Basal Insulin (Units)Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to the Phase 1 standard therapy (14 days)Measure of insulin requirements
Total Daily Basal Insulin (Units/kg)Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to the Phase 1 standard therapy (14 days)Measure of insulin requirements
Total Daily Bolus Insulin (Units)Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to the Phase 1 standard therapy (14 days)Measure of insulin requirements
Body Mass Index (BMI) (kg/m^2)Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to baselineMeasure of change in weight
Percent of Time >180 mg/dLPhase 2 hybrid closed-loop (94 days) compared to Phase 1 standard therapy (14 days)Glucose metric from study continuous glucose monitoring system (CGM)
Percent of Time <70 mg/dLPhase 2 hybrid closed-loop (94 days) compared to Phase 1 standard therapy (14 days)Glucose metric from study continuous glucose monitoring system (CGM)
Glycated Hemoglobin (A1C)at least 6 weeks and at least 8 weeks of continuous Phase 2 participation, end of Phase 2 (94 days), 6 months (180 days) and end of Phase 3 (270 days)Measures device effectiveness
Mean GlucosePhase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to Phase 1 standard therapy (14 days) during the day, overnight, and overallGlucose metric from study continuous glucose monitoring system (CGM)

Other

MeasureTime frameDescription
Minimum Continuous Glucose Monitor Value (Nadir Glucose)HypoProtect compared to Automated Mode (3-day exercise challenge)Measure of device effectiveness
Area Under the Curve (AUC) Greater Than 180 mg/dL (Based on CGM Value)HypoProtect compared to Automated Mode (3-day exercise challenge)Measure of device effectiveness
Mean Absolute Decrease in Glucose (Based on CGM Value, From Start of Exercise to Nadir Glucose)HypoProtect compared to Automated Mode (3-day exercise challenge)Measure of device effectiveness
Carbohydrates Consumed During Exercise (Grams)HypoProtect compared to Automated Mode (3-day exercise challenge)Measure of device effectiveness
Mean GlucoseAutomated Mode compared to HypoProtect use during 70-minute exercise session and at 4-, 12-, and 24-hours post-exerciseGlucose metric from study continuous glucose monitoring system (CGM)
Percent of Time in Range 70-180 mg/dLAutomated Mode compared to HypoProtect use during 70-minute exercise session and at 4-, 12-, and 24-hours post-exerciseMeasure of device effectiveness
Percent of Time ≥ 300 mg/dLAutomated Mode compared to HypoProtect use during 70-minute exercise session and at 4-, 12-, and 24-hours post-exerciseMeasure of device effectiveness
Percent of Time < 70 mg/dLAutomated Mode compared to HypoProtect use during 70-minute exercise session and at 4-, 12-, and 24-hours post-exerciseMeasure of device effectiveness
Percent of Time < 54 mg/dLAutomated Mode compared to HypoProtect use during 70-minute exercise session and at 4-, 12-, and 24-hours post-exerciseMeasure of device effectiveness
Standard Deviation (of Glucose)Automated Mode compared to HypoProtect use during 70-minute exercise session and at 4-, 12-, and 24-hours post-exerciseGlucose metric from study continuous glucose monitoring system (CGM)-measured glucose variability with the standard deviation (SD)
Coefficient of Variation (of Glucose)Automated Mode compared to HypoProtect use during 70-minute exercise session and at 4-, 12-, and 24-hours post-exerciseGlucose metric from study continuous glucose monitoring system (CGM)-measured glucose variability with the coefficient of variation (CV). Calculated by dividing the standard deviation of CGM values by the mean CGM values in the observation period.
Percent of Time > 180 mg/dLAutomated Mode compared to HypoProtect use during 70-minute exercise session and at 4-, 12-, and 24-hours post-exerciseMeasure of device effectiveness
Area Under the Curve (AUC) Less Than 70 mg/dL (Based on CGM Value)HypoProtect compared to Automated Mode (3-day exercise challenge)Measure of device effectiveness
Number of Hypoglycemic Events (<70 mg/dL Confirmed by BG)HypoProtect compared to Automated Mode (3-day exercise challenge)Number of hypoglycemic events less than 70mg/dL which was confirmed with a blood glucose reading.
Incidence Rate of Hypoglycemia (<70 mg/dL Confirmed by BG)HypoProtect compared to standard Omnipod 5 system use (3-day exercise challenge)Measure of device safety
Percent of Time ≥ 250 mg/dLAutomated Mode compared to HypoProtect use during 70-minute exercise session and at 4-, 12-, and 24-hours post-exerciseMeasure of device effectiveness

Countries

United States

Participant flow

Participants by arm

ArmCount
Treatment
All subjects wearing the Omnipod Horizon™ Automated Glucose Control System using the closed-loop algorithm. Omnipod Horizon™ Automated Glucose Control System: The Omnipod Horizon™ Automated Glucose Control System will provide automated insulin delivery
240
Total240

Baseline characteristics

CharacteristicTreatment
Age, Continuous24.5 years
STANDARD_DEVIATION 16.8
BMI22.8 kg/m^2
STANDARD_DEVIATION 5.7
Race/Ethnicity, Customized
American Indian or Alaskan Native
4 Participants
Race/Ethnicity, Customized
Asian
5 Participants
Race/Ethnicity, Customized
Black or African American
10 Participants
Race/Ethnicity, Customized
Hispanic or Latino
18 Participants
Race/Ethnicity, Customized
Native Hawaiian or other Pacific Islander
1 Participants
Race/Ethnicity, Customized
White
228 Participants
Sex: Female, Male
Female
138 Participants
Sex: Female, Male
Male
102 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 2401 / 224
other
Total, other adverse events
36 / 240107 / 224
serious
Total, serious adverse events
6 / 24019 / 224

Outcome results

Primary

Glycated Hemoglobin (A1C)

Measures device effectiveness

Time frame: 6 weeks continuous Phase 2 participation compared to baseline

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentGlycated Hemoglobin (A1C)Baseline7.4 percentage of HbA1CStandard Deviation 0.9
TreatmentGlycated Hemoglobin (A1C)Phase 26.9 percentage of HbA1CStandard Deviation 0.7
Primary

Incidence Rate of Diabetic Ketoacidosis (DKA) (Events Per Person Months)

Measure of serious device-related adverse events

Time frame: Phase 2 hybrid closed-loop (94 days)

ArmMeasureValue (NUMBER)
TreatmentIncidence Rate of Diabetic Ketoacidosis (DKA) (Events Per Person Months).001 events per person month
Primary

Incidence Rate of Severe Hypoglycemia (Events Per Person Months)

Measure of serious device-related adverse events

Time frame: Phase 2 hybrid closed-loop (94 days)

ArmMeasureValue (NUMBER)
TreatmentIncidence Rate of Severe Hypoglycemia (Events Per Person Months).004 events per person month
Primary

Time in Range 70-180 mg/dL

Measures device effectiveness

Time frame: Phase 2 hybrid closed-loop (94 days) compared to Phase 1 standard therapy (14 days)

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentTime in Range 70-180 mg/dLDay Time ST58.6 % Time in RangeStandard Deviation 17.5
TreatmentTime in Range 70-180 mg/dLDay Time Phase 268.8 % Time in RangeStandard Deviation 10.7
TreatmentTime in Range 70-180 mg/dLNight Time ST60.1 % Time in RangeStandard Deviation 19.8
TreatmentTime in Range 70-180 mg/dLNight Time Phase 278.1 % Time in RangeStandard Deviation 12.6
TreatmentTime in Range 70-180 mg/dLOverall ST59.0 % Time in RangeStandard Deviation 17.2
TreatmentTime in Range 70-180 mg/dLOverall Phase 271.2 % Time in RangeStandard Deviation 10.2
Secondary

Body Mass Index (BMI) (kg/m^2)

Measure of change in weight

Time frame: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to baseline

Population: 240 subjects were analyzed for Phase 2. 224 subjects were analyzed for Phase 3.

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentBody Mass Index (BMI) (kg/m^2)Phase 323.8 kg/m^2Standard Deviation 5.6
TreatmentBody Mass Index (BMI) (kg/m^2)Baseline22.8 kg/m^2Standard Deviation 5.7
TreatmentBody Mass Index (BMI) (kg/m^2)Phase 223.0 kg/m^2Standard Deviation 5.5
Secondary

Glycated Hemoglobin (A1C)

Measures device effectiveness

Time frame: at least 6 weeks and at least 8 weeks of continuous Phase 2 participation, end of Phase 2 (94 days), 6 months (180 days) and end of Phase 3 (270 days)

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentGlycated Hemoglobin (A1C)12 months7.1 % A1CStandard Deviation 0.7
TreatmentGlycated Hemoglobin (A1C)6 Weeks Baseline7.4 % A1CStandard Deviation 0.9
TreatmentGlycated Hemoglobin (A1C)6 Weeks Phase 26.7 % A1CStandard Deviation 0.6
TreatmentGlycated Hemoglobin (A1C)8 Weeks Baseline7.4 % A1CStandard Deviation 0.9
TreatmentGlycated Hemoglobin (A1C)8 Weeks Phase 26.9 % A1CStandard Deviation 0.7
TreatmentGlycated Hemoglobin (A1C)6 months6.8 % A1CStandard Deviation 0.6
Secondary

Mean Glucose

Glucose metric from study continuous glucose monitoring system (CGM)

Time frame: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to Phase 1 standard therapy (14 days) during the day, overnight, and overall

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentMean GlucoseDay Time ST172.7 mg/dLStandard Deviation 32.2
TreatmentMean GlucoseDay Time Phase 2159.4 mg/dLStandard Deviation 17.1
TreatmentMean GlucoseDay Time Phase 3162.2 mg/dLStandard Deviation 19.7
TreatmentMean GlucoseNight Time ST167.8 mg/dLStandard Deviation 35.4
TreatmentMean GlucoseNight Time Phase 2148.9 mg/dLStandard Deviation 19.2
TreatmentMean GlucoseNight Time Phase 3150.8 mg/dLStandard Deviation 19.3
TreatmentMean GlucoseOverall ST171.5 mg/dLStandard Deviation 31.7
TreatmentMean GlucoseOverall Phase 2156.7 mg/dLStandard Deviation 16.3
TreatmentMean GlucoseOverall Phase 3159.3 mg/dLStandard Deviation 18.4
Secondary

Percentage of Time in Hybrid Closed-loop as Proportion of Overall Device Usage Time

Measure of system usage

Time frame: Phase 2 hybrid closed-loop (94 days) and Phase 3 (270 days)

Population: 240 subjects were analyzed for Phase 2. 224 subjects were analyzed for Phase 3.

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentPercentage of Time in Hybrid Closed-loop as Proportion of Overall Device Usage TimePhase 2 Automated Mode95 Percent time spentStandard Deviation 5.2
TreatmentPercentage of Time in Hybrid Closed-loop as Proportion of Overall Device Usage TimePhase 2 Manual Mode4.2 Percent time spentStandard Deviation 4.7
TreatmentPercentage of Time in Hybrid Closed-loop as Proportion of Overall Device Usage TimePhase 3 Automated Mode93.6 Percent time spentStandard Deviation 7.7
TreatmentPercentage of Time in Hybrid Closed-loop as Proportion of Overall Device Usage TimePhase 3 Manual Mode4.9 Percent time spentStandard Deviation 6.9
Secondary

Percent Coefficient of Variation (of Glucose)

Glucose metric from study continuous glucose monitoring system (CGM)- measured glucose variability with the coefficient of variation (CV). Calculated by dividing the standard deviation of CGM values by the mean CGM values in the observation period.

Time frame: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to Phase 1 standard therapy (14 days) during the day, overnight, and overall

Population: 240 subjects were analyzed for Phase 2. 224 subjects were analyzed for Phase 3.

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentPercent Coefficient of Variation (of Glucose)Day Time ST36.1 Percent coefficient of variationStandard Deviation 5.7
TreatmentPercent Coefficient of Variation (of Glucose)Day Time Phase 234.6 Percent coefficient of variationStandard Deviation 5.2
TreatmentPercent Coefficient of Variation (of Glucose)Day Time Phase 335.4 Percent coefficient of variationStandard Deviation 5.2
TreatmentPercent Coefficient of Variation (of Glucose)Night Time ST34.9 Percent coefficient of variationStandard Deviation 7.5
TreatmentPercent Coefficient of Variation (of Glucose)Night Time Phase 230.3 Percent coefficient of variationStandard Deviation 5.9
TreatmentPercent Coefficient of Variation (of Glucose)Night Time Phase 332.1 Percent coefficient of variationStandard Deviation 6.2
TreatmentPercent Coefficient of Variation (of Glucose)Overall ST36.3 Percent coefficient of variationStandard Deviation 5.6
TreatmentPercent Coefficient of Variation (of Glucose)Overall Phase 234.2 Percent coefficient of variationStandard Deviation 5.1
TreatmentPercent Coefficient of Variation (of Glucose)Overall Phase 335.2 Percent coefficient of variationStandard Deviation 5.2
Secondary

Percent Glucose Management Indicator (% GMI)

Glucose Management Indicator (%) approximates the laboratory hemoglobin A1c (%) expected based on average glucose readings from continuous glucose monitors from the last 14 days or more. Percent GMI provides information to a person with diabetes with how well their glucose is controlled over an extended period of time. A low value is more desirable than a high value, with a value of \<7% being ideal for most people with diabetes. The calculation for GMI is as follows: GMI (%) = 3.31 + 0.02392 x (mean glucose reading in mg/dL from the last 14 days or more).

Time frame: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to the Phase 1 standard therapy (14 days)

Population: 240 subjects were analyzed for Phase 2. 224 subjects were analyzed for Phase 3.

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentPercent Glucose Management Indicator (% GMI)Overall ST7.41 Percent GMIStandard Deviation 0.76
TreatmentPercent Glucose Management Indicator (% GMI)Day Time ST7.44 Percent GMIStandard Deviation 0.77
TreatmentPercent Glucose Management Indicator (% GMI)Day Time Phase 27.12 Percent GMIStandard Deviation 0.41
TreatmentPercent Glucose Management Indicator (% GMI)Day Time Phase 37.19 Percent GMIStandard Deviation 0.47
TreatmentPercent Glucose Management Indicator (% GMI)Night Time ST7.32 Percent GMIStandard Deviation 0.85
TreatmentPercent Glucose Management Indicator (% GMI)Night Time Phase 26.87 Percent GMIStandard Deviation 0.46
TreatmentPercent Glucose Management Indicator (% GMI)Night Time Phase 36.92 Percent GMIStandard Deviation 0.46
TreatmentPercent Glucose Management Indicator (% GMI)Overall Phase 27.06 Percent GMIStandard Deviation 0.39
TreatmentPercent Glucose Management Indicator (% GMI)Overall Phase 37.12 Percent GMIStandard Deviation 0.44
Secondary

Percent of Time >180 mg/dL

Glucose metric from study continuous glucose monitoring system (CGM)

Time frame: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to Phase 1 standard therapy (14 days) during the day, overnight, and overall

Population: 240 subjects were analyzed for Phase 2. 224 subjects were analyzed for Phase 3.

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentPercent of Time >180 mg/dLDay Time ST39.0 Percent Time in RangeStandard Deviation 18.4
TreatmentPercent of Time >180 mg/dLDay Time Phase 229.5 Percent Time in RangeStandard Deviation 11
TreatmentPercent of Time >180 mg/dLDay Time Phase 331.3 Percent Time in RangeStandard Deviation 11.9
TreatmentPercent of Time >180 mg/dLNight Time ST36.8 Percent Time in RangeStandard Deviation 20.7
TreatmentPercent of Time >180 mg/dLNight Time Phase 220.7 Percent Time in RangeStandard Deviation 12.6
TreatmentPercent of Time >180 mg/dLNight Time Phase 322.0 Percent Time in RangeStandard Deviation 12.6
TreatmentPercent of Time >180 mg/dLOverall ST38.5 Percent Time in RangeStandard Deviation 18.1
TreatmentPercent of Time >180 mg/dLOverall Phase 227.3 Percent Time in RangeStandard Deviation 10.5
TreatmentPercent of Time >180 mg/dLOverall Phase 328.9 Percent Time in RangeStandard Deviation 11.2
Secondary

Percent of Time >180 mg/dL

Glucose metric from study continuous glucose monitoring system (CGM)

Time frame: Phase 2 hybrid closed-loop (94 days) compared to Phase 1 standard therapy (14 days)

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentPercent of Time >180 mg/dLDay Time ST39 % Time in RangeStandard Deviation 18.4
TreatmentPercent of Time >180 mg/dLDay Time HCL29.5 % Time in RangeStandard Deviation 11
TreatmentPercent of Time >180 mg/dLNight Time ST36.8 % Time in RangeStandard Deviation 20.7
TreatmentPercent of Time >180 mg/dLNight Time HCL20.7 % Time in RangeStandard Deviation 12.6
TreatmentPercent of Time >180 mg/dLOverall ST38.5 % Time in RangeStandard Deviation 18.1
TreatmentPercent of Time >180 mg/dLOverall HCL27.3 % Time in RangeStandard Deviation 10.5
Secondary

Percent of Time ≥ 250 mg/dL

Glucose metric from study continuous glucose monitoring system (CGM)

Time frame: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to Phase 1 standard therapy (14 days) during the day, overnight, and overall

Population: 240 subjects were analyzed for Phase 2. 224 subjects were analyzed for Phase 3.

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentPercent of Time ≥ 250 mg/dLDay Time ST14.7 Percent Time in RangeStandard Deviation 12.9
TreatmentPercent of Time ≥ 250 mg/dLDay Time Phase 28.4 Percent Time in RangeStandard Deviation 6.3
TreatmentPercent of Time ≥ 250 mg/dLNight Time ST13.2 Percent Time in RangeStandard Deviation 14
TreatmentPercent of Time ≥ 250 mg/dLNight Time Phase 25.1 Percent Time in RangeStandard Deviation 6.2
TreatmentPercent of Time ≥ 250 mg/dLOverall ST14.3 Percent Time in RangeStandard Deviation 12.5
TreatmentPercent of Time ≥ 250 mg/dLOverall Phase 27.6 Percent Time in RangeStandard Deviation 5.8
TreatmentPercent of Time ≥ 250 mg/dLDay Time Phase 39.8 Percent Time in RangeStandard Deviation 7.4
TreatmentPercent of Time ≥ 250 mg/dLNight Time Phase 36.1 Percent Time in RangeStandard Deviation 6.1
TreatmentPercent of Time ≥ 250 mg/dLOverall Phase 38.9 Percent Time in RangeStandard Deviation 6.7
Secondary

Percent of Time ≥ 300 mg/dL

Glucose metric from study continuous glucose monitoring system (CGM)

Time frame: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to Phase 1 standard therapy (14 days) during the day, overnight, and overall

Population: 240 subjects were analyzed for Phase 2. 224 subjects were analyzed for Phase 3.

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentPercent of Time ≥ 300 mg/dLDay Time ST6.2 Percent Time in RangeStandard Deviation 7.9
TreatmentPercent of Time ≥ 300 mg/dLDay Time Phase 22.8 Percent Time in RangeStandard Deviation 3.1
TreatmentPercent of Time ≥ 300 mg/dLDay Time Phase 33.7 Percent Time in RangeStandard Deviation 4.2
TreatmentPercent of Time ≥ 300 mg/dLNight Time ST5.4 Percent Time in RangeStandard Deviation 8.6
TreatmentPercent of Time ≥ 300 mg/dLNight Time Phase 21.7 Percent Time in RangeStandard Deviation 2.8
TreatmentPercent of Time ≥ 300 mg/dLNight Time Phase 32.2 Percent Time in RangeStandard Deviation 3.4
TreatmentPercent of Time ≥ 300 mg/dLOverall ST6.0 Percent Time in RangeStandard Deviation 7.7
TreatmentPercent of Time ≥ 300 mg/dLOverall Phase 22.5 Percent Time in RangeStandard Deviation 2.8
TreatmentPercent of Time ≥ 300 mg/dLOverall Phase 33.3 Percent Time in RangeStandard Deviation 3.9
Secondary

Percent of Time < 54 mg/dL

Glucose metric from study continuous glucose monitoring system (CGM)

Time frame: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to Phase 1 standard therapy (14 days) during the day, overnight, and overall

Population: 240 subjects were analyzed for Phase 2. 224 subjects were analyzed for Phase 3.

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentPercent of Time < 54 mg/dLDay Time ST0.44 Percent Time in RangeStandard Deviation 0.99
TreatmentPercent of Time < 54 mg/dLDay Time Phase 20.29 Percent Time in RangeStandard Deviation 0.32
TreatmentPercent of Time < 54 mg/dLDay Time Phase 30.33 Percent Time in RangeStandard Deviation 0.38
TreatmentPercent of Time < 54 mg/dLNight Time ST0.77 Percent Time in RangeStandard Deviation 1.77
TreatmentPercent of Time < 54 mg/dLNight Time Phase 20.23 Percent Time in RangeStandard Deviation 0.35
TreatmentPercent of Time < 54 mg/dLNight Time Phase 30.34 Percent Time in RangeStandard Deviation 0.51
TreatmentPercent of Time < 54 mg/dLOverall ST0.52 Percent Time in RangeStandard Deviation 1.07
TreatmentPercent of Time < 54 mg/dLOverall Phase 20.27 Percent Time in RangeStandard Deviation 0.3
TreatmentPercent of Time < 54 mg/dLOverall Phase 30.33 Percent Time in RangeStandard Deviation 0.37
Secondary

Percent of Time < 70 mg/dL

Glucose metric from study continuous glucose monitoring system (CGM)

Time frame: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to Phase 1 standard therapy (14 days) during the day, overnight, and overall

Population: 240 subjects were analyzed for Phase 2. 224 subjects were analyzed for Phase 3.

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentPercent of Time < 70 mg/dLDay Time ST2.40 Percent Time in RangeStandard Deviation 2.78
TreatmentPercent of Time < 70 mg/dLDay Time Phase 21.66 Percent Time in RangeStandard Deviation 1.38
TreatmentPercent of Time < 70 mg/dLDay Time Phase 31.75 Percent Time in RangeStandard Deviation 1.5
TreatmentPercent of Time < 70 mg/dLNight Time ST3.11 Percent Time in RangeStandard Deviation 4.39
TreatmentPercent of Time < 70 mg/dLNight Time Phase 21.17 Percent Time in RangeStandard Deviation 1.23
TreatmentPercent of Time < 70 mg/dLNight Time Phase 31.38 Percent Time in RangeStandard Deviation 1.46
TreatmentPercent of Time < 70 mg/dLOverall ST2.57 Percent Time in RangeStandard Deviation 2.9
TreatmentPercent of Time < 70 mg/dLOverall Phase 21.53 Percent Time in RangeStandard Deviation 1.25
TreatmentPercent of Time < 70 mg/dLOverall Phase 31.66 Percent Time in RangeStandard Deviation 1.38
Secondary

Percent of Time <70 mg/dL

Glucose metric from study continuous glucose monitoring system (CGM)

Time frame: Phase 2 hybrid closed-loop (94 days) compared to Phase 1 standard therapy (14 days)

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentPercent of Time <70 mg/dLDay Time ST2.4 % Time in RangeStandard Deviation 2.78
TreatmentPercent of Time <70 mg/dLDay Time HCL1.66 % Time in RangeStandard Deviation 1.38
TreatmentPercent of Time <70 mg/dLNight Time ST3.11 % Time in RangeStandard Deviation 4.39
TreatmentPercent of Time <70 mg/dLNight Time HCL1.17 % Time in RangeStandard Deviation 1.23
TreatmentPercent of Time <70 mg/dLOverall ST2.57 % Time in RangeStandard Deviation 2.9
TreatmentPercent of Time <70 mg/dLOverall HCL1.53 % Time in RangeStandard Deviation 1.25
Secondary

Percent of Time in Range 70-140 mg/dL

Glucose metric from study continuous glucose monitoring system (CGM)

Time frame: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to Phase 1 standard therapy (14 days) during the day, overnight, and overall

Population: 240 subjects were analyzed for Phase 2. 224 subjects were analyzed for Phase 3.

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentPercent of Time in Range 70-140 mg/dLDay Time ST36.0 Percent Time in RangeStandard Deviation 15.3
TreatmentPercent of Time in Range 70-140 mg/dLDay Time Phase 243.7 Percent Time in RangeStandard Deviation 10.6
TreatmentPercent of Time in Range 70-140 mg/dLDay Time Phase 342.6 Percent Time in RangeStandard Deviation 11.1
TreatmentPercent of Time in Range 70-140 mg/dLNight Time ST38.2 Percent Time in RangeStandard Deviation 19
TreatmentPercent of Time in Range 70-140 mg/dLNight Time Phase 252.8 Percent Time in RangeStandard Deviation 15.5
TreatmentPercent of Time in Range 70-140 mg/dLNight Time Phase 351.9 Percent Time in RangeStandard Deviation 14.4
TreatmentPercent of Time in Range 70-140 mg/dLOverall ST36.6 Percent Time in RangeStandard Deviation 15.4
TreatmentPercent of Time in Range 70-140 mg/dLOverall Phase 246.0 Percent Time in RangeStandard Deviation 10.7
TreatmentPercent of Time in Range 70-140 mg/dLOverall Phase 345.0 Percent Time in RangeStandard Deviation 10.8
Secondary

Percent of Time in Range 70-180 mg/dL

Glucose metric from study continuous glucose monitoring system (CGM)

Time frame: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to Phase 1 standard therapy (14 days) during the day, overnight, and overall

Population: 240 subjects were analyzed for Phase 2. 224 subjects were analyzed for Phase 3.

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentPercent of Time in Range 70-180 mg/dLDay Time Phase 367.0 Percent Time in RangeStandard Deviation 11.5
TreatmentPercent of Time in Range 70-180 mg/dLDay Time ST58.6 Percent Time in RangeStandard Deviation 17.5
TreatmentPercent of Time in Range 70-180 mg/dLDay Time Phase 268.8 Percent Time in RangeStandard Deviation 10.7
TreatmentPercent of Time in Range 70-180 mg/dLNight Time ST60.1 Percent Time in RangeStandard Deviation 19.8
TreatmentPercent of Time in Range 70-180 mg/dLNight Time Phase 278.1 Percent Time in RangeStandard Deviation 12.6
TreatmentPercent of Time in Range 70-180 mg/dLNight Time Phase 376.6 Percent Time in RangeStandard Deviation 12.5
TreatmentPercent of Time in Range 70-180 mg/dLOverall ST59.0 Percent Time in RangeStandard Deviation 17.2
TreatmentPercent of Time in Range 70-180 mg/dLOvertime Phase 271.2 Percent Time in RangeStandard Deviation 10.2
TreatmentPercent of Time in Range 70-180 mg/dLOvertime Phase 369.4 Percent Time in RangeStandard Deviation 10.8
Secondary

Standard Deviation (of Glucose)

Glucose metric from study continuous glucose monitoring system (CGM)-measured glucose variability with the standard deviation (SD)

Time frame: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to Phase 1 standard therapy (14 days) during the day, overnight, and overall

Population: 240 subjects were analyzed for Phase 2. 224 subjects were analyzed for Phase 3.

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentStandard Deviation (of Glucose)Day Time ST62.4 mg/dLStandard Deviation 15.2
TreatmentStandard Deviation (of Glucose)Day Time Phase 255.5 mg/dLStandard Deviation 11.9
TreatmentStandard Deviation (of Glucose)Day Time Phase 357.9 mg/dLStandard Deviation 13.3
TreatmentStandard Deviation (of Glucose)Night Time ST58.3 mg/dLStandard Deviation 16.3
TreatmentStandard Deviation (of Glucose)Night Time Phase 245.6 mg/dLStandard Deviation 12.8
TreatmentStandard Deviation (of Glucose)Night Time Phase 349.0 mg/dLStandard Deviation 13.9
TreatmentStandard Deviation (of Glucose)Overall ST62.3 mg/dLStandard Deviation 14.9
TreatmentStandard Deviation (of Glucose)Overall Phase 253.9 mg/dLStandard Deviation 11.6
TreatmentStandard Deviation (of Glucose)Overall Phase 356.5 mg/dLStandard Deviation 13
Secondary

Total Daily Basal Insulin (Units)

Measure of insulin requirements

Time frame: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to the Phase 1 standard therapy (14 days)

Population: 240 subjects were analyzed in Phase 2. 224 subjects were analyzed in Phase 3.

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentTotal Daily Basal Insulin (Units)ST19.7 units of insulinStandard Deviation 10.7
TreatmentTotal Daily Basal Insulin (Units)Phase 221.4 units of insulinStandard Deviation 10.5
TreatmentTotal Daily Basal Insulin (Units)Phase 324.3 units of insulinStandard Deviation 10.8
Secondary

Total Daily Basal Insulin (Units/kg)

Measure of insulin requirements

Time frame: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to the Phase 1 standard therapy (14 days)

Population: 240 subjects were analyzed for Phase 2. 224 subjects were analyzed for Phase 3.

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentTotal Daily Basal Insulin (Units/kg)Phase 30.43 units of insulin/kgStandard Deviation 0.18
TreatmentTotal Daily Basal Insulin (Units/kg)ST0.33 units of insulin/kgStandard Deviation 0.12
TreatmentTotal Daily Basal Insulin (Units/kg)Phase 20.38 units of insulin/kgStandard Deviation 0.15
Secondary

Total Daily Bolus Insulin (Units)

Measure of insulin requirements

Time frame: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to the Phase 1 standard therapy (14 days)

Population: 240 subjects were analyzed in Phase 2. 224 subjects were analyzed in Phase 3.

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentTotal Daily Bolus Insulin (Units)ST21.8 units of insulinStandard Deviation 12.7
TreatmentTotal Daily Bolus Insulin (Units)Phase 220.7 units of insulinStandard Deviation 10.1
TreatmentTotal Daily Bolus Insulin (Units)Phase 322.0 units of insulinStandard Deviation 10.9
Secondary

Total Daily Bolus Insulin (Units/kg)

Measure of insulin requirements

Time frame: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to the Phase 1 standard therapy (14 days)

Population: 240 subjects were analyzed for Phase 2. 224 subjects were analyzed for Phase 3.

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentTotal Daily Bolus Insulin (Units/kg)ST0.39 units of insulin/kgStandard Deviation 0.19
TreatmentTotal Daily Bolus Insulin (Units/kg)Phase 20.37 units of insulin/kgStandard Deviation 0.15
TreatmentTotal Daily Bolus Insulin (Units/kg)Phase 30.38 units of insulin/kgStandard Deviation 0.17
Secondary

Total Daily Insulin (TDI) (Units)

Measure of insulin requirements

Time frame: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to the Phase 1 standard therapy (14 days)

Population: 240 subjects were analyzed for Phase 2. 224 subjects were analyzed for Phase 3.

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentTotal Daily Insulin (TDI) (Units)ST41.7 units of insulinStandard Deviation 20.6
TreatmentTotal Daily Insulin (TDI) (Units)Phase 242.1 units of insulinStandard Deviation 19.3
TreatmentTotal Daily Insulin (TDI) (Units)Phase 346.3 units of insulinStandard Deviation 20.1
Secondary

Total Daily Insulin (TDI) (Units/kg)

Measure of insulin requirements

Time frame: Phase 2 hybrid closed-loop (94 days) and Phase 3 hybrid closed-loop (270 days) compared to the Phase 1 standard therapy (14 days)

Population: 240 subjects were analyzed for Phase 2. 224 subjects were analyzed for Phase 3.

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentTotal Daily Insulin (TDI) (Units/kg)ST0.72 units of insulin/kgStandard Deviation 0.26
TreatmentTotal Daily Insulin (TDI) (Units/kg)Phase 20.75 units of insulin/kgStandard Deviation 0.28
TreatmentTotal Daily Insulin (TDI) (Units/kg)Phase 30.81 units of insulin/kgStandard Deviation 0.32
Other Pre-specified

Area Under the Curve (AUC) Greater Than 180 mg/dL (Based on CGM Value)

Measure of device effectiveness

Time frame: HypoProtect compared to Automated Mode (3-day exercise challenge)

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentArea Under the Curve (AUC) Greater Than 180 mg/dL (Based on CGM Value)Automated Mode66.7 hours x mg/dLStandard Deviation 243.4
TreatmentArea Under the Curve (AUC) Greater Than 180 mg/dL (Based on CGM Value)HPt-6030.0 hours x mg/dLStandard Deviation 113
TreatmentArea Under the Curve (AUC) Greater Than 180 mg/dL (Based on CGM Value)HPt-3082.8 hours x mg/dLStandard Deviation 400.7
Other Pre-specified

Area Under the Curve (AUC) Less Than 70 mg/dL (Based on CGM Value)

Measure of device effectiveness

Time frame: HypoProtect compared to Automated Mode (3-day exercise challenge)

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentArea Under the Curve (AUC) Less Than 70 mg/dL (Based on CGM Value)Automated Mode58.3 hours x mg/dLStandard Deviation 144.7
TreatmentArea Under the Curve (AUC) Less Than 70 mg/dL (Based on CGM Value)HPt-6034.0 hours x mg/dLStandard Deviation 83.9
TreatmentArea Under the Curve (AUC) Less Than 70 mg/dL (Based on CGM Value)HPt-3034.3 hours x mg/dLStandard Deviation 77.6
Other Pre-specified

Carbohydrates Consumed During Exercise (Grams)

Measure of device effectiveness

Time frame: HypoProtect compared to Automated Mode (3-day exercise challenge)

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentCarbohydrates Consumed During Exercise (Grams)Automated Mode12.0 gramsStandard Deviation 15.5
TreatmentCarbohydrates Consumed During Exercise (Grams)HPt-6010.1 gramsStandard Deviation 14.2
TreatmentCarbohydrates Consumed During Exercise (Grams)HPt-308.8 gramsStandard Deviation 12.3
Other Pre-specified

Coefficient of Variation (of Glucose)

Glucose metric from study continuous glucose monitoring system (CGM)-measured glucose variability with the coefficient of variation (CV). Calculated by dividing the standard deviation of CGM values by the mean CGM values in the observation period.

Time frame: Automated Mode compared to HypoProtect use during 70-minute exercise session and at 4-, 12-, and 24-hours post-exercise

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentCoefficient of Variation (of Glucose)During Exercise Automated Mode21.6 Percent coefficient of variationStandard Deviation 11.7
TreatmentCoefficient of Variation (of Glucose)During Exercise HPT-6017.1 Percent coefficient of variationStandard Deviation 10.4
TreatmentCoefficient of Variation (of Glucose)During Exercise HPT-3017.2 Percent coefficient of variationStandard Deviation 11.2
TreatmentCoefficient of Variation (of Glucose)4 Hours Post Exercise Automated Mode25.9 Percent coefficient of variationStandard Deviation 8.5
TreatmentCoefficient of Variation (of Glucose)4 Hours Post Exercise HPt-6023.6 Percent coefficient of variationStandard Deviation 8.4
TreatmentCoefficient of Variation (of Glucose)4 Hours Post Exercise HPt-3024.5 Percent coefficient of variationStandard Deviation 10.7
TreatmentCoefficient of Variation (of Glucose)12 Hours Post Exercise Automated Mode28.5 Percent coefficient of variationStandard Deviation 8.1
TreatmentCoefficient of Variation (of Glucose)12 Hours Post Exercise HPt-6030.0 Percent coefficient of variationStandard Deviation 9.8
TreatmentCoefficient of Variation (of Glucose)12 Hours Post Exercise HPt-3029.3 Percent coefficient of variationStandard Deviation 8.6
TreatmentCoefficient of Variation (of Glucose)24 Hours Post Exercise Automated Mode28.8 Percent coefficient of variationStandard Deviation 6.3
TreatmentCoefficient of Variation (of Glucose)24 Hours Post Exercise HPt-6029.5 Percent coefficient of variationStandard Deviation 8.6
TreatmentCoefficient of Variation (of Glucose)24 Hours Post Exercise HPt-3030.4 Percent coefficient of variationStandard Deviation 7.5
Other Pre-specified

Incidence Rate of Hypoglycemia (<70 mg/dL Confirmed by BG)

Measure of device safety

Time frame: HypoProtect compared to standard Omnipod 5 system use (3-day exercise challenge)

ArmMeasureGroupValue (NUMBER)
TreatmentIncidence Rate of Hypoglycemia (<70 mg/dL Confirmed by BG)Exercise in Automated Mode without use of HypoProtect.40.8 Percentage with hypoglycemia events
TreatmentIncidence Rate of Hypoglycemia (<70 mg/dL Confirmed by BG)Hpt-60 (HypoProtect started 60 min before exercise.)34.7 Percentage with hypoglycemia events
TreatmentIncidence Rate of Hypoglycemia (<70 mg/dL Confirmed by BG)HPt-30 (HypoProtect started 30 min before exercise.)36.0 Percentage with hypoglycemia events
Other Pre-specified

Mean Absolute Decrease in Glucose (Based on CGM Value, From Start of Exercise to Nadir Glucose)

Measure of device effectiveness

Time frame: HypoProtect compared to Automated Mode (3-day exercise challenge)

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentMean Absolute Decrease in Glucose (Based on CGM Value, From Start of Exercise to Nadir Glucose)Automated Mode58.1 mg/dLStandard Deviation 35
TreatmentMean Absolute Decrease in Glucose (Based on CGM Value, From Start of Exercise to Nadir Glucose)HPt-6047.8 mg/dLStandard Deviation 35.6
TreatmentMean Absolute Decrease in Glucose (Based on CGM Value, From Start of Exercise to Nadir Glucose)HPt-3042.0 mg/dLStandard Deviation 37.2
Other Pre-specified

Mean Glucose

Glucose metric from study continuous glucose monitoring system (CGM)

Time frame: Automated Mode compared to HypoProtect use during 70-minute exercise session and at 4-, 12-, and 24-hours post-exercise

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentMean GlucoseDuring Exercise Automated Mode117.6 mg/dLStandard Deviation 20.7
TreatmentMean GlucoseDuring Exercise HPt-60123.2 mg/dLStandard Deviation 26.9
TreatmentMean GlucoseDuring Exercise HPt-30119.7 mg/dLStandard Deviation 28.9
TreatmentMean GlucoseEnd of exercise through 4 hours post exercise Automated Mode150.6 mg/dLStandard Deviation 39.7
TreatmentMean GlucoseEnd of exercise through 4 hours post exercise HPt-60156.9 mg/dLStandard Deviation 34.5
TreatmentMean GlucoseEnd of exercise through 4 hours post exercise HPt-30167.2 mg/dLStandard Deviation 45.8
TreatmentMean GlucoseEnd of exercise through 12 hours post exercise Automated Mode156.7 mg/dLStandard Deviation 34.5
TreatmentMean GlucoseEnd of exercise through 12 hours post exercise HPt-60153.6 mg/dLStandard Deviation 28.4
TreatmentMean GlucoseEnd of exercise through 12 hours post exercise HPt-30155.2 mg/dLStandard Deviation 36.2
TreatmentMean GlucoseEnd of exercise through 24 hours post exercise Automated Mode150.8 mg/dLStandard Deviation 25.7
TreatmentMean GlucoseEnd of exercise through 24 hours post exercise HPt-60150.0 mg/dLStandard Deviation 24.1
TreatmentMean GlucoseEnd of exercise through 24 hours post exercise HPt-30151.4 mg/dLStandard Deviation 26.3
Other Pre-specified

Minimum Continuous Glucose Monitor Value (Nadir Glucose)

Measure of device effectiveness

Time frame: HypoProtect compared to Automated Mode (3-day exercise challenge)

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentMinimum Continuous Glucose Monitor Value (Nadir Glucose)Automated Mode83.9 mg/dLStandard Deviation 25
TreatmentMinimum Continuous Glucose Monitor Value (Nadir Glucose)HPt-6094.9 mg/dLStandard Deviation 33.1
TreatmentMinimum Continuous Glucose Monitor Value (Nadir Glucose)HPt-3093.8 mg/dLStandard Deviation 32.8
Other Pre-specified

Number of Hypoglycemic Events (<70 mg/dL Confirmed by BG)

Number of hypoglycemic events less than 70mg/dL which was confirmed with a blood glucose reading.

Time frame: HypoProtect compared to Automated Mode (3-day exercise challenge)

ArmMeasureGroupValue (NUMBER)
TreatmentNumber of Hypoglycemic Events (<70 mg/dL Confirmed by BG)Automated Mode23 Number of events
TreatmentNumber of Hypoglycemic Events (<70 mg/dL Confirmed by BG)HPt-6019 Number of events
TreatmentNumber of Hypoglycemic Events (<70 mg/dL Confirmed by BG)HPt-3019 Number of events
Other Pre-specified

Percent of Time > 180 mg/dL

Measure of device effectiveness

Time frame: Automated Mode compared to HypoProtect use during 70-minute exercise session and at 4-, 12-, and 24-hours post-exercise

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentPercent of Time > 180 mg/dLDuring Exercise Automated Mode4.5 Percent of timeStandard Deviation 11.4
TreatmentPercent of Time > 180 mg/dLDuring Exercise HPt-604.5 Percent of timeStandard Deviation 13
TreatmentPercent of Time > 180 mg/dLDuring Exercise HPt-304.6 Percent of timeStandard Deviation 18.6
TreatmentPercent of Time > 180 mg/dL4 Hours Post Exercise Automated Mode27.9 Percent of timeStandard Deviation 28
TreatmentPercent of Time > 180 mg/dL4 Hours Post Exercise HPt-6030.9 Percent of timeStandard Deviation 25.9
TreatmentPercent of Time > 180 mg/dL4 Hours Post Exercise HPt-3031.7 Percent of timeStandard Deviation 28
TreatmentPercent of Time > 180 mg/dL12 Hours Post Exercise Automated Mode30.5 Percent of timeStandard Deviation 24.1
TreatmentPercent of Time > 180 mg/dL12 Hours Post Exercise HPt-6027.3 Percent of timeStandard Deviation 19.9
TreatmentPercent of Time > 180 mg/dL12 Hours Post Exercise HPt-3026.4 Percent of timeStandard Deviation 22.9
TreatmentPercent of Time > 180 mg/dL24 Hours Post Exercise Automated Mode24.1 Percent of timeStandard Deviation 17.5
TreatmentPercent of Time > 180 mg/dL24 Hours Post Exercise HPt-6023.3 Percent of timeStandard Deviation 16.9
TreatmentPercent of Time > 180 mg/dL24 Hours Post Exercise HPt-3023.1 Percent of timeStandard Deviation 16.9
Other Pre-specified

Percent of Time ≥ 250 mg/dL

Measure of device effectiveness

Time frame: Automated Mode compared to HypoProtect use during 70-minute exercise session and at 4-, 12-, and 24-hours post-exercise

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentPercent of Time ≥ 250 mg/dLDuring Exercise Automated Mode0.3 Percent of timeStandard Deviation 2.3
TreatmentPercent of Time ≥ 250 mg/dLDuring Exercise HPt-600.0 Percent of timeStandard Deviation 0
TreatmentPercent of Time ≥ 250 mg/dLDuring Exercise HPt-300.0 Percent of timeStandard Deviation 0
TreatmentPercent of Time ≥ 250 mg/dL4 Hours Post Exercise Automated Mode6.3 Percent of timeStandard Deviation 14.7
TreatmentPercent of Time ≥ 250 mg/dL4 Hours Post Exercise HPt-604.5 Percent of timeStandard Deviation 12.6
TreatmentPercent of Time ≥ 250 mg/dL4 Hours Post Exercise HPt-3012.0 Percent of timeStandard Deviation 21.2
TreatmentPercent of Time ≥ 250 mg/dL12 Hours Post Exercise Automated Mode7.0 Percent of timeStandard Deviation 12.9
TreatmentPercent of Time ≥ 250 mg/dL12 Hours Post Exercise HPt-607.1 Percent of timeStandard Deviation 11.2
TreatmentPercent of Time ≥ 250 mg/dL12 Hours Post Exercise HPt-308.4 Percent of timeStandard Deviation 12.4
TreatmentPercent of Time ≥ 250 mg/dL24 Hours Post Exercise Automated Mode5.3 Percent of timeStandard Deviation 8.5
TreatmentPercent of Time ≥ 250 mg/dL24 Hours Post Exercise HPt-605.8 Percent of timeStandard Deviation 8.8
TreatmentPercent of Time ≥ 250 mg/dL24 Hours Post Exercise HPt-307.0 Percent of timeStandard Deviation 9.5
Other Pre-specified

Percent of Time ≥ 300 mg/dL

Measure of device effectiveness

Time frame: Automated Mode compared to HypoProtect use during 70-minute exercise session and at 4-, 12-, and 24-hours post-exercise

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentPercent of Time ≥ 300 mg/dLDuring Exercise Automated Mode0.0 percent of timeStandard Deviation 0
TreatmentPercent of Time ≥ 300 mg/dLDuring Exercise HPt-600.0 percent of timeStandard Deviation 0
TreatmentPercent of Time ≥ 300 mg/dLDuring Exercise HPt-300.0 percent of timeStandard Deviation 0
TreatmentPercent of Time ≥ 300 mg/dL4 Hours Post Exercise Automated Mode1.4 percent of timeStandard Deviation 5.6
TreatmentPercent of Time ≥ 300 mg/dL4 Hours Post Exercise HPt-601.8 percent of timeStandard Deviation 8.8
TreatmentPercent of Time ≥ 300 mg/dL4 Hours Post Exercise HPt-305.3 percent of timeStandard Deviation 13.9
TreatmentPercent of Time ≥ 300 mg/dL12 Hours Post Exercise Automated Mode2.4 percent of timeStandard Deviation 8.1
TreatmentPercent of Time ≥ 300 mg/dL12 Hours Post Exercise HPt-602.5 percent of timeStandard Deviation 6
TreatmentPercent of Time ≥ 300 mg/dL12 Hours Post Exercise HPt-303.3 percent of timeStandard Deviation 8
TreatmentPercent of Time ≥ 300 mg/dL24 Hours Post Exercise Automated Mode1.6 percent of timeStandard Deviation 5.1
TreatmentPercent of Time ≥ 300 mg/dL24 Hours Post Exercise HPt-601.7 percent of timeStandard Deviation 4.7
TreatmentPercent of Time ≥ 300 mg/dL24 Hours Post Exercise HPt-302.2 percent of timeStandard Deviation 4.4
Other Pre-specified

Percent of Time < 54 mg/dL

Measure of device effectiveness

Time frame: Automated Mode compared to HypoProtect use during 70-minute exercise session and at 4-, 12-, and 24-hours post-exercise

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentPercent of Time < 54 mg/dLDuring Exercise Automated Mode1.40 Percent of timeStandard Deviation 4.96
TreatmentPercent of Time < 54 mg/dLDuring Exercise HPT-600.52 Percent of timeStandard Deviation 2.12
TreatmentPercent of Time < 54 mg/dLDuring Exercise HPT-300.37 Percent of timeStandard Deviation 1.47
TreatmentPercent of Time < 54 mg/dL4 Hours Post Exercise Automated Mode0.38 Percent of timeStandard Deviation 1.89
TreatmentPercent of Time < 54 mg/dL4 Hours Post Exercise HPt-600.60 Percent of timeStandard Deviation 2.04
TreatmentPercent of Time < 54 mg/dL4 Hours Post Exercise HPt-300.26 Percent of timeStandard Deviation 0.93
TreatmentPercent of Time < 54 mg/dL12 Hours Post Exercise Automated Mode0.40 Percent of timeStandard Deviation 1.17
TreatmentPercent of Time < 54 mg/dL12 Hours Post Exercise HPt-600.62 Percent of timeStandard Deviation 1.82
TreatmentPercent of Time < 54 mg/dL12 Hours Post Exercise HPt-300.70 Percent of timeStandard Deviation 2.66
TreatmentPercent of Time < 54 mg/dL24 Hours Post Exercise Automated Mode0.26 Percent of timeStandard Deviation 0.71
TreatmentPercent of Time < 54 mg/dL24 Hours Post Exercise HPt-600.41 Percent of timeStandard Deviation 1.07
TreatmentPercent of Time < 54 mg/dL24 Hours Post Exercise HPt-300.44 Percent of timeStandard Deviation 1.48
Other Pre-specified

Percent of Time < 70 mg/dL

Measure of device effectiveness

Time frame: Automated Mode compared to HypoProtect use during 70-minute exercise session and at 4-, 12-, and 24-hours post-exercise

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentPercent of Time < 70 mg/dLDuring Exercise Automated Mode6.52 Percent of timeStandard Deviation 12.27
TreatmentPercent of Time < 70 mg/dLDuring Exercise HPt-605.12 Percent of timeStandard Deviation 9.06
TreatmentPercent of Time < 70 mg/dLDuring Exercise HPt-305.88 Percent of timeStandard Deviation 11.6
TreatmentPercent of Time < 70 mg/dL4 Hours Post Exercise Automated Mode2.72 Percent of timeStandard Deviation 5.99
TreatmentPercent of Time < 70 mg/dL4 Hours Post Exercise HPt-602.17 Percent of timeStandard Deviation 5.19
TreatmentPercent of Time < 70 mg/dL4 Hours Post Exercise HPt-301.68 Percent of timeStandard Deviation 3.98
TreatmentPercent of Time < 70 mg/dL12 Hours Post Exercise Automated Mode2.21 Percent of timeStandard Deviation 3.42
TreatmentPercent of Time < 70 mg/dL12 Hours Post Exercise HPt-602.65 Percent of timeStandard Deviation 4.33
TreatmentPercent of Time < 70 mg/dL12 Hours Post Exercise HPt-302.33 Percent of timeStandard Deviation 4.81
TreatmentPercent of Time < 70 mg/dL24 Hours Post Exercise Automated Mode1.72 Percent of timeStandard Deviation 2.32
TreatmentPercent of Time < 70 mg/dL24 Hours Post Exercise HPt-602.00 Percent of timeStandard Deviation 3.01
TreatmentPercent of Time < 70 mg/dL24 Hours Post Exercise HPt-301.78 Percent of timeStandard Deviation 3.8
Other Pre-specified

Percent of Time in Range 70-180 mg/dL

Measure of device effectiveness

Time frame: Automated Mode compared to HypoProtect use during 70-minute exercise session and at 4-, 12-, and 24-hours post-exercise

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentPercent of Time in Range 70-180 mg/dL12 Hours Post Exercise HPt-3071.3 Percent of timeStandard Deviation 22.1
TreatmentPercent of Time in Range 70-180 mg/dLDuring Exercise Automated Mode88.9 Percent of timeStandard Deviation 16.4
TreatmentPercent of Time in Range 70-180 mg/dLDuring Exercise HPt-6090.4 Percent of timeStandard Deviation 14.3
TreatmentPercent of Time in Range 70-180 mg/dLDuring Exercise HPt-3089.5 Percent of timeStandard Deviation 20.8
TreatmentPercent of Time in Range 70-180 mg/dL4-Hours Post Exercise Automated Mode69.4 Percent of timeStandard Deviation 26.9
TreatmentPercent of Time in Range 70-180 mg/dL4-Hours Post Exercise HPt-6066.9 Percent of timeStandard Deviation 24.8
TreatmentPercent of Time in Range 70-180 mg/dL4-Hours Post Exercise HPt-3066.6 Percent of timeStandard Deviation 27.6
TreatmentPercent of Time in Range 70-180 mg/dL12 hours Post Exercise Automated Mode67.3 Percent of timeStandard Deviation 23.8
TreatmentPercent of Time in Range 70-180 mg/dL12 Hours Post Exercise HPt-6070.1 Percent of timeStandard Deviation 20.2
TreatmentPercent of Time in Range 70-180 mg/dL24 Hours Post Exercise Automated Mode74.2 Percent of timeStandard Deviation 17.1
TreatmentPercent of Time in Range 70-180 mg/dL24 Hours Post Exercise HPt-6074.7 Percent of timeStandard Deviation 17.1
TreatmentPercent of Time in Range 70-180 mg/dL24 Hours Post Exercise HPt-3075.1 Percent of timeStandard Deviation 16.6
Other Pre-specified

Standard Deviation (of Glucose)

Glucose metric from study continuous glucose monitoring system (CGM)-measured glucose variability with the standard deviation (SD)

Time frame: Automated Mode compared to HypoProtect use during 70-minute exercise session and at 4-, 12-, and 24-hours post-exercise

ArmMeasureGroupValue (MEAN)Dispersion
TreatmentStandard Deviation (of Glucose)During Exercise Automated Mode24.8 mg/dLStandard Deviation 13.8
TreatmentStandard Deviation (of Glucose)During Exercise HPt-6019.8 mg/dLStandard Deviation 11.6
TreatmentStandard Deviation (of Glucose)During Exercise HPt-3019.1 mg/dLStandard Deviation 11.3
TreatmentStandard Deviation (of Glucose)4 Hours Post Exercise Automated Mode39.7 mg/dLStandard Deviation 17.7
TreatmentStandard Deviation (of Glucose)4 Hours Post Exercise HPt-6037.2 mg/dLStandard Deviation 16.1
TreatmentStandard Deviation (of Glucose)4 Hours Post Exercise HPt-3042.1 mg/dLStandard Deviation 24.2
TreatmentStandard Deviation (of Glucose)12 Hours Post Exercise Automated Mode45.4 mg/dLStandard Deviation 19
TreatmentStandard Deviation (of Glucose)12 Hours Post Exercise HPt-6047.0 mg/dLStandard Deviation 20
TreatmentStandard Deviation (of Glucose)12 Hours Post Exercise HPt-3046.3 mg/dLStandard Deviation 19
TreatmentStandard Deviation (of Glucose)24 Hours Post Exercise Automated Mode44.2 mg/dLStandard Deviation 15.3
TreatmentStandard Deviation (of Glucose)24 Hours Post Exercise HPt-6045.1 mg/dLStandard Deviation 17.5
TreatmentStandard Deviation (of Glucose)24 Hours Post Exercise HPt-3046.7 mg/dLStandard Deviation 16.2

Source: ClinicalTrials.gov · Data processed: Feb 21, 2026