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Recruiting

NCT Number: NCT06891898

The iLet Experience Study

A one-year, prospective single-arm cohort study to collect safety and effectiveness data on the iLet Dosing Decision Software during real-world use in people 6 years of age or older with type 1 diabetes (T1D) with 12 months follow-up.

Recruiting

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Key information

Age range

6 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Beta Bionics

Irvine, California, 92618, United States

Location status: Recruiting

Location contact

Courtney Balliro, BSN

CONTACT

[email protected]

Steven J Russell, MD, PhD

CONTACT

[email protected]

855-745-3800

Steven J Russell, MD, PhD

PRINCIPAL_INVESTIGATOR

About this study

The study will compare outcomes data during iLet use to efficacy and safety outcomes data derived from epidemiological studies, such as data published by the T1D Exchange registry, and to the results of the Bionic Pancreas Pivotal Trial (BPPT), with a special emphasis on serious adverse effects such as severe hypoglycemia and DKA. An analysis will be conducted comparing glycemic outcomes during iLet use to baseline pre-iLet CGM and HbA1c data in participants who have provided this data. In addition, the study will determine the frequency and types of anticipated and unanticipated device issues experienced by users during real-world use.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Users must meet the following criteria in order to be enrolled in the study:
  • Diagnosed with type 1 diabetes and prescribed the iLet Bionic Pancreas System
  • At least 6 years of age
  • Using or planning to use either U100 Novolog (insulin aspart) or U100 Humalog (insulin lispro) in ready-to-fill cartridges, or U100 Fiasp® PumpCart® (insulin aspart) in pre-filled 1.6mL cartridges
  • Willing to provide HbA1c results obtained within the 6-month period prior to starting use of the iLet and during the last 6-months of study participation
  • Willing to provide CGM data, if available, obtained in the 1-month period prior to starting use of the iLet
  • For females, not pregnant or planning pregnancy in the next 12 months
  • Able to respond to alerts and alarms, and to provide basic diabetes self-management
  • Reside full-time in the US
  • Able to speak and read English
  • Willing and able to download the iLet Mobile App and keep it active throughout the study and upload device data regularly
  • Willing to answer baseline survey, monthly surveys, and share CGM data, and follow-up data, as necessary

Exclusion criteria

  • Users with the following characteristics will not be considered candidates for the study:
  • Type 2 diabetes, cystic fibrosis-related diabetes, congenital hyperinsulinism, pancreatogenic diabetes, or any form of diabetes mellitus other than type 1 diabetes
  • Use or planned use of any insulin in the iLet other than U100 Novolog (insulin aspart) or U100 Humalog (insulin lispro) in ready-to-fill cartridges, or U100 Fiasp® PumpCart® (insulin aspart) in pre-filled 1.6mL cartridges
  • End-stage renal disease on renal replacement therapy (peritoneal dialysis or hemodialysis)
  • Use or planned use of hydroxyurea

Treatment and study plan

iLet Dosing Decision Software

Device

Interoperable alternate glycemic controller

Other names: iLet Bionic Pancreas

Primary outcomes

  1. Severe Hypoglycemia/cognitive impairment

    Time frame: 1 year

    Number of severe hypoglycemia events associated with cognitive impairment requiring the assistance of a third party for treatment per 100 patient years

Secondary outcomes

  1. Severe Hypoglycema/unconsciousness or seizure

    Time frame: 1 year

    Number of severe hypoglycemia events associated with unconsciousness or seizure per 100 patient years

  2. DKA

    Time frame: 1 year

    Number of diabetic ketoacidosis events per 100 patient years

  3. Unanticipated Adverse Device Effects

    Time frame: 1 year

    Rate of unanticipated adverse device effects

  4. Mean CGM Glucose

    Time frame: 1 year

    Mean glucose as determined by CGM after 1 year of iLet use

  5. Time < 54 mg/dL

    Time frame: 1 year

    Percentage of time with CGM glucose < 54 mg/dL

  6. Time < 70 mg/dL

    Time frame: 1 year

    Percentage of time with CGM glucose < 70 mg/dL

  7. Time in Range

    Time frame: 1 year

    Percentage of time with CGM glucose 70-180 mg/dL

  8. Time > 180 mg/dL

    Time frame: 1 year

    Percentage of time with CGM glucose > 180 mg/dL

  9. Time > 250 mg/dL

    Time frame: 1 year

    Percentage of time with CGM glucose > 250 mg/dL

  10. Rate of CGM-determined hypoglycemic events

    Time frame: 1 year

    Rate of hypoglycemic events defined as at least 15 consecutive minutes of CGM glucose < 54 mg/dL - the hypoglycemic event ends when there are at least 15 consecutive minutes with a CGM glucose greater than or equal to 70 mg/dL and the participant becomes eligible for another hypoglycemic event

  11. Rate of CGM-determined hyperglycemic events

    Time frame: 1 year

    Rate of hyperglycemic events defined as at least 90 cumulative minutes with a CGM glucose value > 300 mg/dL within a 120-minute period - the hyperglycemic event ends when there are at least 15 consecutive minutes with a CGM glucose value less than or equal to 180 mg/dL and the participant becomes eligible for another hyperglycemic event.

  12. Mean glucose coefficient of variation

    Time frame: 1 year

    Mean CGM glucose Intrasubject coefficient of variation

  13. Time in BG-Run mode

    Time frame: 1 year

    Percent of time spent in BG-run mode

  14. Time in BG-run mode for longer than 4 hours

    Time frame: 1 year

    Percent of time spent in BG-run mode episodes longer than 4 hours

  15. Severe Hypoglycemia During BG-run mode

    Time frame: 1 year

    Rate of severe hypoglycemic events beginning during a BG-run mode episode that lasted more than 4 hours or within 6 hours of a BG-run episode that lasted more than 4 hours

  16. DKA During BG-run mode

    Time frame: 1 year

    Rate of diabetic ketoacidosis events during a BG-run mode episode that lasted more than 4 hours or within 6 hours of a BG-run episode that lasted more than 4 hours

  17. Unanticipated Adverse Device Effects during BG-run mode

    Time frame: 1 year

    Rate of unanticipated adverse device effects during BG-run mode

  18. Average duration of BG-run mode episodes

    Time frame: 1 year

    Average duration of BG-run mode episodes

  19. Percentage of time insulin suspended during BG-Run episodes >4 hours

    Time frame: 1 year

    During BG-run mode episodes that lasted more than 4 hours, percentage of time no insulin could be delivered as a result of failure to enter BG values at the required intervals

  20. Mean CGM glucose at time of entry into BG-run episodes >4 hours

    Time frame: 1 year

    Mean CGM glucose at the time of entry into BG-run mode episodes that lasted more than 4 hours

  21. Mean CGM glucose at time of exit from BG-run episodes >4 hours

    Time frame: 1 year

    Mean CGM glucose at the time of exit from BG-run mode into CGM-run mode after episodes of BG-run mode that lasted more than 4 hours

  22. Insulin TDD

    Time frame: 1 year

    Insulin total daily dose (u/kg/day)

  23. Mean Baseline HbA1c of all Participants

    Time frame: Baseline

    The last available baseline HbA1c value (when available) will be reported as the mean ± standard deviation.

  24. Mean HbA1c on iLet

    Time frame: 1 year or final available during study period

    The last available HbA1c value during the study period (when available) will be reported as the mean ± standard deviation.

  25. Mean change in HbA1c

    Time frame: 1 year or final available during study period compared to baseline

    The change in HbA1c from the last available baseline value to the last available value during the study period (when both values are available) will be reported as the mean ± standard deviation.

Other outcomes

  1. Mean number of swipes to unlock the iLet per day

    Time frame: 1 year

    Mean number of swipes to unlock the iLet per day

  2. Mean number of total meal announcements made per day

    Time frame: 1 year

    Mean number of meal announcements made per day - total regardless of meal type

  3. Average number of breakfast announcements made per day

    Time frame: 1 year

    Mean number of total breakfast announcements made per day

  4. Average number of lunch announcements made per day

    Time frame: 1 year

    Mean number of total lunch announcements made per day

  5. Average number of dinner announcements made per day

    Time frame: 1 year

    Mean number of total dinner announcements made per day

Study contacts

Contact information is provided by the study sponsor or research team.

Courtney Balliro, BS RN

CONTACT

[email protected]

978-500-2456

Sponsors and collaborators

Lead sponsor

Beta Bionics, Inc.

Industry

Collaborators

  • The Scripps Research Institute

Registry information

Official study title

iLet Dosing Decision Software Postmarket Surveillance Plan (PS240001): The iLet Experience Study

Important dates

Study start
2024
Primary completion
2027
Study completion
2027
First posted
Mar 24, 2025
Registry last updated
Mar 24, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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