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Insulin Delivery Device

Closed-loop Insulin Delivery for Type 1 Diabetes during Pregnancy (CIRCUIT Trial)

N/A
Recruiting
Led By Lois Donovan, MD
Research Sponsored by University of Calgary
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Between 18 and 45 years of age (inclusive)
Diagnosis of type 1 diabetes for at least 12 months as defined by Diabetes Canada
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 7-13 weeks + 6 days gestation, 24 weeks gestation, 34 weeks gestation, 6 weeks postpartum
Awards & highlights

CIRCUIT Trial Summary

This trial will assess how well the Tandem t:slim X2 insulin pump with Control IQ technology works compared to standard insulin delivery plus a continuous glucose monitor (CGM) in pregnant women with type 1 diabetes.

Who is the study for?
This trial is for pregnant women aged 18-45 with type 1 diabetes, who are less than 14 weeks into their pregnancy and have been managing their condition with intensive insulin therapy. Participants should have an A1c level between 6.5% and <10%, be able to use email, and consent to using the study devices throughout the trial. Women with severe diabetes complications or on treatments affecting glucose metabolism cannot join.Check my eligibility
What is being tested?
The CIRCUIT trial is testing the effectiveness of a Tandem t:slim X2 insulin pump equipped with Control IQ technology in managing blood sugar levels during pregnancy compared to standard insulin delivery plus continuous glucose monitoring (CGM) in women with type 1 diabetes.See study design
What are the potential side effects?
Potential side effects may include skin irritation at the infusion site, hypoglycemia (low blood sugar), hyperglycemia (high blood sugar), or allergic reactions to components of the pump system. The device's automated features could also malfunction leading to incorrect insulin dosing.

CIRCUIT Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am between 18 and 45 years old.
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I have been diagnosed with type 1 diabetes for over a year.
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I use intensive insulin therapy, either through injections or a pump.

CIRCUIT Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~7-13 weeks + 6 days gestation, 24 weeks gestation, 34 weeks gestation, 6 weeks postpartum
This trial's timeline: 3 weeks for screening, Varies for treatment, and 7-13 weeks + 6 days gestation, 24 weeks gestation, 34 weeks gestation, 6 weeks postpartum for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Glycemic control as reflected by percent glucose time-in-range
Secondary outcome measures
Comparison of birthweight z-score
Diabetes-related distress to the participant
Complications of Diabetes Mellitus
+24 more

Side effects data

From 2016 Phase 4 trial • 85 Patients • NCT01970241
21%
Hypoglycemia
100%
80%
60%
40%
20%
0%
Study treatment Arm
NPH With Corticosteroid
Control

CIRCUIT Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: Tandem t:slim X2 insulin pump with Control IQ technology plus CGMExperimental Treatment1 Intervention
Participants randomized to the intervention group will be fitted with the Tandem t:slim X2 insulin pump with Control IQ technology and Dexcom G6 Continuous Glucose Monitor.
Group II: Standard insulin delivery (multiple daily injections (MDI) or pump) and CGMActive Control1 Intervention
Participants randomized to the control group will be fitted with the Dexcom G6 Continuous Glucose Monitor. They will continue to use standard insulin delivery (MDI or pump) and CGM.

Find a Location

Who is running the clinical trial?

University of CalgaryLead Sponsor
792 Previous Clinical Trials
869,064 Total Patients Enrolled
Lois Donovan, MDPrincipal InvestigatorUniversity of Calgary
Denice Feig, MDPrincipal InvestigatorMOUNT SINAI HOSPITAL
4 Previous Clinical Trials
1,332 Total Patients Enrolled

Media Library

Tandem t:slim X2 insulin pump with Control IQ technology (Insulin Delivery Device) Clinical Trial Eligibility Overview. Trial Name: NCT04902378 — N/A
Type 1 Diabetes Research Study Groups: Tandem t:slim X2 insulin pump with Control IQ technology plus CGM, Standard insulin delivery (multiple daily injections (MDI) or pump) and CGM
Type 1 Diabetes Clinical Trial 2023: Tandem t:slim X2 insulin pump with Control IQ technology Highlights & Side Effects. Trial Name: NCT04902378 — N/A
Tandem t:slim X2 insulin pump with Control IQ technology (Insulin Delivery Device) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04902378 — N/A

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What is the total capacity of participants for this medical experiment?

"Affirmative. Clinicaltrials.gov records demonstrate that this clinical trial, which was first posted on June 15th 2021, is presently recruiting participants. 66 patients are required from two sites."

Answered by AI

Are any additional participants being welcomed into this clinical trial at present?

"Affirmative. As indicated by clinicaltrials.gov, this experiment is recruiting volunteers at the present time. The trial was initially posted on June 15th 2021 and freshly modified on August 4th 2022; it requires 66 participants from 2 distinct sites to take part in the research."

Answered by AI

Does this investigation permit individuals above the age of sixty to enroll?

"Per the clinical trial's eligibility criteria, individuals between 18 and 45 years old are qualified to apply. Additionally, there exists 286 trials accepting minors as participants while 1100 studies target senior citizens who exceed 65 years of age."

Answered by AI

Can I join this clinical research project given my circumstances?

"This clinical trial requires 66 participants with glucose metabolism issues who are between 18 and 45 years old. In addition, they must meet the following conditions: willingness to use assigned devices during the course of study, A1c ≥ 6.5% on a pre-enrollment blood test, have given informed consent prior to enrolment, possess email access , type 1 diabetes diagnosis according to Diabetes Canada standards for at least 12 months, regular insulin treatment (either 3 injections or Continuous subcutaneous infusion therapy), singleton pregnancy confirmed by ultrasound below 14 weeks gestation."

Answered by AI

Who else is applying?

What state do they live in?
Virginia
How old are they?
18 - 65
What site did they apply to?
University of Calgary
What portion of applicants met pre-screening criteria?
Met criteria
Recent research and studies
~33 spots leftby Jan 2026