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Control-IQ Technology for High Insulin Users With Type 1 Diabetes (Higher-IQ)

Control-IQ Technology for High Insulin Users With Type 1 Diabetes (Higher-IQ)

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05422053
Enrollment
34
Registered
2022-06-16
Start date
2022-06-29
Completion date
2023-01-06
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

Keywords

Control-IQ, type 1 diabetes, t:slim X2

Brief summary

A prospective, single-arm study of 13 weeks of home use of the t:slim X2 insulin pump with Control-IQ technology in individuals with type 1 diabetes who will plan to use at least one basal rate \> 3 units/hr.

Detailed description

The objectives of the study are to assess safety and explore glycemic outcomes with use of an automated insulin dosing (AID) system (t:slim X2 insulin pump with Control-IQ technology v1.5) in adults with type 1 diabetes who will plan to use at least one basal rate \> 3 units/hr. Up to 60 participants may be recruited.

Interventions

t:slim X2 insulin pump with Control-IQ technology 1.5, and wearing the Dexcom G6 CGM.

Sponsors

Tandem Diabetes Care, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Age ≥ 18 years * Diagnosis of type 1 diabetes for at least 1 year * Currently using an insulin pump (of any brand) for at least 3 months, and will plan to use at least one basal rate above 3 units/hr with the study pump * HbA1c \< 10.5% * Weight ≤ 200 kg * Residing full-time in the United States, with no anticipated travel outside the United States during the period of study participation. * Participant has agreed to participate in the study; and has read, understood and signed the informed consent form (ICF); and has agreed to follow all study procedures, including suspending use of any personal CGM for the duration of the clinical trial once the study CGM is in use. * Willing to use only aspart (novolog) or lispro (humalog) insulin with the study pump, with no use of concentrated insulin above U-100, long-acting basal insulin injections, or inhaled insulin with the study pump. * Have current glucagon product to treat severe hypoglycemia (injectable or nasal) at home (will provide prescription if they do not have one) * Willing and able to perform the study exercise and meal challenges. * Have a care partner, trained in hypoglycemia and hyperglycemia treatment guidelines, present during the challenges and until the next day. * Investigator has confidence that the participant can successfully operate all study devices and is capable of adhering to the protocol, including ability to respond to alerts and alarms, and to provide basic diabetes self-management.

Exclusion criteria

* More than 1 episode of diabetic ketoacidosis (DKA) in the past 6 months * More than 1 episode of severe hypoglycemia (needing assistance) in the past 6 months * Inpatient psychiatric treatment in the past 6 months * History of drug abuse (defined as any illicit drug use) or history of alcohol abuse prior to screening or unwillingness to agree to abstain from illicit drugs throughout the study. * For Female: Currently pregnant or planning to become pregnant during the time period of study participation * Use of sulfonylureas, meglitinides or other medications specifically listed in protocol or determined by investigator to interfere with the study * Unstable dose of SGLT-2 inhibitor, GLP-1 receptor agonist, or DPP-4 inhibitor as listed in the protocol, or starting a new non-insulin glucose lowering or weight loss agent during the trial * Hemophilia or any other bleeding disorder * History of heart, liver, lung or kidney disease determined by investigator to interfere with the study * History of allergic reaction to Humalog or Novolog * Use of glucocorticoids or other medications determined by investigator to interfere with study * Abnormal screening electrocardiogram consistent with increased risk during study exercise activities, such as arrhythmia, ischemia, or prolonged QTc interval. Investigator will review all electrocardiograms * Significant chronic kidney disease (which could impact CGM accuracy in investigator's judgment) or hemodialysis * History of adrenal insufficiency * History of abnormal TSH consistent with hypothyroidism or hyperthyroidism that is not appropriately treated * History of gastroparesis * A condition, which in the opinion of the investigator or designee, would put the participant or study at risk * Participation in another pharmaceutical or device trial at the time of enrollment or anticipated for during the time period of study participation * Employed by, or having immediate family members employed by Tandem Diabetes Care, Inc., or having a direct supervisor at place of employment who is also directly involved in conducting the clinical trial (as a study investigator, coordinator, etc.); or having a first-degree relative who is directly involved in conducting the clinical trial

Design outcomes

Primary

MeasureTime frameDescription
Number of Severe Hypoglycemic Events3 monthsNumber of severe hypoglycemia events (with cognitive impairment such that assistance of another individual is needed for treatment) during the entire study period
Number of Diabetic Ketoacidosis Events3 monthsNumber of diabetic ketoacidosis events during the entire study period
Unanticipated Adverse Device Effects3 monthsNumber of unanticipated adverse device effects during the entire study period
Other Serious Adverse Events3 monthsNumber of serious adverse events during the entire study period

Secondary

MeasureTime frameDescription
CGM Time <70 mg/dL Daytime Only3 monthsPercent time CGM glucose \<70 mg/dL daytime only (06:00 - 24:00)
CGM Time <54 mg/dL Overall3 monthsPercent time CGM glucose \<54 mg/dL overall
CGM Time <70 mg/dL Nighttime Only3 monthsPercent time CGM glucose \<70 mg/dL nighttime only (00:00 - 06:00)
CGM Time <54 mg/dL Daytime Only3 monthsPercent time CGM glucose \<54 mg/dL daytime only (06:00 - 24:00)
CGM Time <54 mg/dL Nighttime Only3 monthsPercent time CGM glucose \<54 mg/dL nighttime only (00:00 - 06:00)
CGM Time <70 mg/dL Overall3 monthsPercent time CGM glucose \<70 mg/dL overall

Other

MeasureTime frameDescription
CGM Time in Range 70-140 mg/dL Overall3 monthsPercent time CGM glucose in range 70-140 mg/dl overall
CGM Time in Range 70-140 mg/dL Daytime Only3 monthsPercent time CGM glucose in range 70-140 mg/dl daytime only (06:00 - 24:00)
CGM Time in Range 70-140 mg/dL Nighttime Only3 monthsPercent time CGM glucose in range 70-140 mg/dl nighttime only (00:00 - 06:00)
CGM Mean Glucose mg/dL Overall3 monthsCGM-measured mean glucose (mg/dL) overall
CGM Mean Glucose mg/dL Daytime Only3 monthsCGM-measured mean glucose (mg/dL) daytime only (06:00 - 24:00)
CGM Mean Glucose mg/dL Nighttime Only3 monthsCGM-measured mean glucose (mg/dL) nighttime only (00:00 - 06:00)
Hemoglobin A1c3 monthsChange in Hemoglobin A1c from baseline
Coefficient of Variation Daytime Only3 monthsCGM measured glucose variability measured with the coefficient of variation daytime only (06:00 - 24:00)
Coefficient of Variation Nighttime Only3 monthsCGM measured glucose variability measured with the coefficient of variation nighttime only (00:00 - 06:00)
Standard Deviation of Glucose, Overall3 monthsCGM measured standard deviation of glucose (mg/dL) overall
Standard Deviation of Glucose, Daytime3 monthsCGM measured standard deviation of glucose (mg/dL), daytime only (06:00 - 24:00)
Standard Deviation of Glucose, Nighttime Only3 monthsCGM measured standard deviation of glucose (mg/dL), nighttime only (00:00 - 06:00)
Coefficient of Variation Overall3 monthsCGM measured glucose variability measured with the coefficient of variation overall
CGM Time in Range 70-180 mg/dL Overall3 monthsPercent time CGM glucose in range 70-180 mg/dl overall
CGM Time in Range 70-180 mg/dL Daytime Only3 monthsPercent time CGM glucose in range 70-180 mg/dl daytime only (06:00 - 24:00)
CGM Time in Range 70-180 mg/dL Nighttime Only3 monthsPercent time CGM glucose in range 70-180 mg/dl nighttime only (00:00 - 06:00)
CGM Time >180 mg/dL Overall3 monthsPercent time CGM glucose\> 180 mg/dL overall
CGM Time >180 mg/dL Daytime Only3 monthsPercent time CGM glucose\> 180 mg/dL daytime only (06:00 - 24:00)
CGM Time >180 mg/dL Nighttime Only3 monthsPercent time CGM glucose\> 180 mg/dL nighttime only (00:00 - 06:00)
CGM Time >250 mg/dL Overall3 monthsPercent time CGM glucose \>250 mg/dL overall
CGM Time >250 mg/dL Daytime Only3 monthsPercent time CGM glucose \>250 mg/dL daytime only (06:00 - 24:00)
CGM Time >250 mg/dL Nighttime Only3 monthsPercent time CGM glucose \>250 mg/dL nighttime only (00:00 - 06:00)

Countries

United States

Participant flow

Participants by arm

ArmCount
t:Slim X2 Insulin Pump With Control-IQ Technology
Adults with type 1 diabetes will use the t:slim X2 insulin pump with Control-IQ technology 1.5 for 3-months of outpatient use. Meal and exercise challenges will be performed. t:slim X2 insulin pump with Control-IQ technology 1.5: t:slim X2 insulin pump with Control-IQ technology 1.5, and wearing the Dexcom G6 CGM.
34
Total34

Baseline characteristics

Characteristict:Slim X2 Insulin Pump With Control-IQ Technology
Age, Categorical
<=18 years
0 Participants
Age, Categorical
>=65 years
1 Participants
Age, Categorical
Between 18 and 65 years
33 Participants
Age, Continuous39.9 years
BMI37.6 kg/m^2
STANDARD_DEVIATION 5.2
Duration of Diabetes21.8 years
STANDARD_DEVIATION 11.2
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
31 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
HbA1c at Control-IQ Start7.7 percentage of glycated hemoglobin
STANDARD_DEVIATION 1.1
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
0 Participants
Race (NIH/OMB)
Black or African American
0 Participants
Race (NIH/OMB)
More than one race
2 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
White
32 Participants
Region of Enrollment
United States
34 participants
Sex: Female, Male
Female
14 Participants
Sex: Female, Male
Male
20 Participants
Socio-economic factors (education)
Associate degree (AA)
3 participants
Socio-economic factors (education)
Bachelor's degree (BA, BS, AB)
13 participants
Socio-economic factors (education)
Doctorate degree (PhD, EdD)
0 participants
Socio-economic factors (education)
Does not wish to provide
0 participants
Socio-economic factors (education)
High school graduate / diploma / GED
4 participants
Socio-economic factors (education)
Less than high school
1 participants
Socio-economic factors (education)
Master's degree (MA, MS, MSW, MBA, MPH)
5 participants
Socio-economic factors (education)
Professional degree (MD, DDS, DVM, LLB, JD)
0 participants
Socio-economic factors (education)
Some college but no degree
8 participants
Socio-economic factors (education)
Unknown
0 participants
Socio-economic factors (income)
$100,000 to less than $200,000
11 participants
Socio-economic factors (income)
$200,000 or more
3 participants
Socio-economic factors (income)
$25,000 to less than $35,000
0 participants
Socio-economic factors (income)
$35,000 to less than $50,000
3 participants
Socio-economic factors (income)
$50,000 to less than $75,000
1 participants
Socio-economic factors (income)
$75,000 to less than $100,000
8 participants
Socio-economic factors (income)
Less than $25,000
3 participants
Socio-economic factors (income)
Unknown
5 participants
Total daily insulin1.2 units/kg/day
STANDARD_DEVIATION 0.4

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 34
other
Total, other adverse events
19 / 34
serious
Total, serious adverse events
1 / 34

Outcome results

Primary

Number of Diabetic Ketoacidosis Events

Number of diabetic ketoacidosis events during the entire study period

Time frame: 3 months

ArmMeasureValue (NUMBER)
t:Slim X2 Insulin Pump With Control-IQ TechnologyNumber of Diabetic Ketoacidosis Events0 events
Primary

Number of Severe Hypoglycemic Events

Number of severe hypoglycemia events (with cognitive impairment such that assistance of another individual is needed for treatment) during the entire study period

Time frame: 3 months

ArmMeasureValue (NUMBER)
t:Slim X2 Insulin Pump With Control-IQ TechnologyNumber of Severe Hypoglycemic Events0 events
Primary

Other Serious Adverse Events

Number of serious adverse events during the entire study period

Time frame: 3 months

ArmMeasureValue (NUMBER)
t:Slim X2 Insulin Pump With Control-IQ TechnologyOther Serious Adverse Events1 events
Primary

Unanticipated Adverse Device Effects

Number of unanticipated adverse device effects during the entire study period

Time frame: 3 months

ArmMeasureValue (NUMBER)
t:Slim X2 Insulin Pump With Control-IQ TechnologyUnanticipated Adverse Device Effects0 events
Secondary

CGM Time <54 mg/dL Daytime Only

Percent time CGM glucose \<54 mg/dL daytime only (06:00 - 24:00)

Time frame: 3 months

ArmMeasureValue (MEAN)Dispersion
t:Slim X2 Insulin Pump With Control-IQ TechnologyCGM Time <54 mg/dL Daytime Only0.2 percentage of timeStandard Deviation 0.2
Secondary

CGM Time <54 mg/dL Nighttime Only

Percent time CGM glucose \<54 mg/dL nighttime only (00:00 - 06:00)

Time frame: 3 months

ArmMeasureValue (MEAN)Dispersion
t:Slim X2 Insulin Pump With Control-IQ TechnologyCGM Time <54 mg/dL Nighttime Only0.4 percentage of timeStandard Deviation 0.4
Secondary

CGM Time <54 mg/dL Overall

Percent time CGM glucose \<54 mg/dL overall

Time frame: 3 months

ArmMeasureValue (MEAN)Dispersion
t:Slim X2 Insulin Pump With Control-IQ TechnologyCGM Time <54 mg/dL Overall0.2 percentage of timeStandard Deviation 0.2
Secondary

CGM Time <70 mg/dL Daytime Only

Percent time CGM glucose \<70 mg/dL daytime only (06:00 - 24:00)

Time frame: 3 months

ArmMeasureValue (MEAN)Dispersion
t:Slim X2 Insulin Pump With Control-IQ TechnologyCGM Time <70 mg/dL Daytime Only0.9 percentage of timeStandard Deviation 0.9
Secondary

CGM Time <70 mg/dL Nighttime Only

Percent time CGM glucose \<70 mg/dL nighttime only (00:00 - 06:00)

Time frame: 3 months

ArmMeasureValue (MEAN)Dispersion
t:Slim X2 Insulin Pump With Control-IQ TechnologyCGM Time <70 mg/dL Nighttime Only1.4 percentage of timeStandard Deviation 1.5
Secondary

CGM Time <70 mg/dL Overall

Percent time CGM glucose \<70 mg/dL overall

Time frame: 3 months

ArmMeasureValue (MEAN)Dispersion
t:Slim X2 Insulin Pump With Control-IQ TechnologyCGM Time <70 mg/dL Overall1.0 percentage of timeStandard Deviation 1
Other Pre-specified

CGM Mean Glucose mg/dL Daytime Only

CGM-measured mean glucose (mg/dL) daytime only (06:00 - 24:00)

Time frame: 3 months

ArmMeasureValue (MEAN)Dispersion
t:Slim X2 Insulin Pump With Control-IQ TechnologyCGM Mean Glucose mg/dL Daytime Only168.8 mg/dLStandard Deviation 17.3
Other Pre-specified

CGM Mean Glucose mg/dL Nighttime Only

CGM-measured mean glucose (mg/dL) nighttime only (00:00 - 06:00)

Time frame: 3 months

ArmMeasureValue (MEAN)Dispersion
t:Slim X2 Insulin Pump With Control-IQ TechnologyCGM Mean Glucose mg/dL Nighttime Only163.1 mg/dLStandard Deviation 25.1
Other Pre-specified

CGM Mean Glucose mg/dL Overall

CGM-measured mean glucose (mg/dL) overall

Time frame: 3 months

ArmMeasureValue (MEAN)Dispersion
t:Slim X2 Insulin Pump With Control-IQ TechnologyCGM Mean Glucose mg/dL Overall167.4 mg/dLStandard Deviation 17.7
Other Pre-specified

CGM Time >180 mg/dL Daytime Only

Percent time CGM glucose\> 180 mg/dL daytime only (06:00 - 24:00)

Time frame: 3 months

ArmMeasureValue (MEAN)Dispersion
t:Slim X2 Insulin Pump With Control-IQ TechnologyCGM Time >180 mg/dL Daytime Only35.6 percentage of timeStandard Deviation 11.3
Other Pre-specified

CGM Time >180 mg/dL Nighttime Only

Percent time CGM glucose\> 180 mg/dL nighttime only (00:00 - 06:00)

Time frame: 3 months

ArmMeasureValue (MEAN)Dispersion
t:Slim X2 Insulin Pump With Control-IQ TechnologyCGM Time >180 mg/dL Nighttime Only30.1 percentage of timeStandard Deviation 15.1
Other Pre-specified

CGM Time >180 mg/dL Overall

Percent time CGM glucose\> 180 mg/dL overall

Time frame: 3 months

ArmMeasureValue (MEAN)Dispersion
t:Slim X2 Insulin Pump With Control-IQ TechnologyCGM Time >180 mg/dL Overall34.2 percentage of timeStandard Deviation 11.1
Other Pre-specified

CGM Time >250 mg/dL Daytime Only

Percent time CGM glucose \>250 mg/dL daytime only (06:00 - 24:00)

Time frame: 3 months

ArmMeasureValue (MEAN)Dispersion
t:Slim X2 Insulin Pump With Control-IQ TechnologyCGM Time >250 mg/dL Daytime Only10.7 percentage of timeStandard Deviation 6.3
Other Pre-specified

CGM Time >250 mg/dL Nighttime Only

Percent time CGM glucose \>250 mg/dL nighttime only (00:00 - 06:00)

Time frame: 3 months

ArmMeasureValue (MEAN)Dispersion
t:Slim X2 Insulin Pump With Control-IQ TechnologyCGM Time >250 mg/dL Nighttime Only9.6 percentage of timeStandard Deviation 10.4
Other Pre-specified

CGM Time >250 mg/dL Overall

Percent time CGM glucose \>250 mg/dL overall

Time frame: 3 months

ArmMeasureValue (MEAN)Dispersion
t:Slim X2 Insulin Pump With Control-IQ TechnologyCGM Time >250 mg/dL Overall10.5 percentage of timeStandard Deviation 6.8
Other Pre-specified

CGM Time in Range 70-140 mg/dL Daytime Only

Percent time CGM glucose in range 70-140 mg/dl daytime only (06:00 - 24:00)

Time frame: 3 months

ArmMeasureValue (MEAN)Dispersion
t:Slim X2 Insulin Pump With Control-IQ TechnologyCGM Time in Range 70-140 mg/dL Daytime Only37.0 percentage of timeStandard Deviation 10.8
Other Pre-specified

CGM Time in Range 70-140 mg/dL Nighttime Only

Percent time CGM glucose in range 70-140 mg/dl nighttime only (00:00 - 06:00)

Time frame: 3 months

ArmMeasureValue (MEAN)Dispersion
t:Slim X2 Insulin Pump With Control-IQ TechnologyCGM Time in Range 70-140 mg/dL Nighttime Only40.6 percentage of timeStandard Deviation 14.4
Other Pre-specified

CGM Time in Range 70-140 mg/dL Overall

Percent time CGM glucose in range 70-140 mg/dl overall

Time frame: 3 months

ArmMeasureValue (MEAN)Dispersion
t:Slim X2 Insulin Pump With Control-IQ TechnologyCGM Time in Range 70-140 mg/dL Overall37.9 percentage of timeStandard Deviation 10.8
Other Pre-specified

CGM Time in Range 70-180 mg/dL Daytime Only

Percent time CGM glucose in range 70-180 mg/dl daytime only (06:00 - 24:00)

Time frame: 3 months

ArmMeasureValue (MEAN)Dispersion
t:Slim X2 Insulin Pump With Control-IQ TechnologyCGM Time in Range 70-180 mg/dL Daytime Only63.5 percentage of timeStandard Deviation 10.9
Other Pre-specified

CGM Time in Range 70-180 mg/dL Nighttime Only

Percent time CGM glucose in range 70-180 mg/dl nighttime only (00:00 - 06:00)

Time frame: 3 months

ArmMeasureValue (MEAN)Dispersion
t:Slim X2 Insulin Pump With Control-IQ TechnologyCGM Time in Range 70-180 mg/dL Nighttime Only68.5 percentage of timeStandard Deviation 14.8
Other Pre-specified

CGM Time in Range 70-180 mg/dL Overall

Percent time CGM glucose in range 70-180 mg/dl overall

Time frame: 3 months

ArmMeasureValue (MEAN)Dispersion
t:Slim X2 Insulin Pump With Control-IQ TechnologyCGM Time in Range 70-180 mg/dL Overall64.8 percentage of timeStandard Deviation 10.8
Other Pre-specified

Coefficient of Variation Daytime Only

CGM measured glucose variability measured with the coefficient of variation daytime only (06:00 - 24:00)

Time frame: 3 months

ArmMeasureValue (MEAN)Dispersion
t:Slim X2 Insulin Pump With Control-IQ TechnologyCoefficient of Variation Daytime Only34.4 percentage of coefficient of variationStandard Deviation 4.6
Other Pre-specified

Coefficient of Variation Nighttime Only

CGM measured glucose variability measured with the coefficient of variation nighttime only (00:00 - 06:00)

Time frame: 3 months

ArmMeasureValue (MEAN)Dispersion
t:Slim X2 Insulin Pump With Control-IQ TechnologyCoefficient of Variation Nighttime Only33.7 percentage of coefficient of variationStandard Deviation 6.4
Other Pre-specified

Coefficient of Variation Overall

CGM measured glucose variability measured with the coefficient of variation overall

Time frame: 3 months

ArmMeasureValue (MEAN)Dispersion
t:Slim X2 Insulin Pump With Control-IQ TechnologyCoefficient of Variation Overall34.7 percentage of coefficient of variationStandard Deviation 5.1
Other Pre-specified

Hemoglobin A1c

Change in Hemoglobin A1c from baseline

Time frame: 3 months

ArmMeasureValue (MEAN)Dispersion
t:Slim X2 Insulin Pump With Control-IQ TechnologyHemoglobin A1c-0.82 percentage of glycated hemoglobinStandard Deviation 0.73
Comparison: End of Control-IQ Use (13 Weeks) compared to Control-IQ Startp-value: <0.001t-test, 2 sided
Other Pre-specified

Standard Deviation of Glucose, Daytime

CGM measured standard deviation of glucose (mg/dL), daytime only (06:00 - 24:00)

Time frame: 3 months

ArmMeasureValue (MEAN)Dispersion
t:Slim X2 Insulin Pump With Control-IQ TechnologyStandard Deviation of Glucose, Daytime58.4 mg/dLStandard Deviation 11
Other Pre-specified

Standard Deviation of Glucose, Nighttime Only

CGM measured standard deviation of glucose (mg/dL), nighttime only (00:00 - 06:00)

Time frame: 3 months

ArmMeasureValue (MEAN)Dispersion
t:Slim X2 Insulin Pump With Control-IQ TechnologyStandard Deviation of Glucose, Nighttime Only55.1 mg/dLStandard Deviation 14.3
Other Pre-specified

Standard Deviation of Glucose, Overall

CGM measured standard deviation of glucose (mg/dL) overall

Time frame: 3 months

ArmMeasureValue (MEAN)Dispersion
t:Slim X2 Insulin Pump With Control-IQ TechnologyStandard Deviation of Glucose, Overall58.2 mg/dLStandard Deviation 11.7

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026