Trial Outcomes & Findings for Omnipod 5 System Compared to Pump Therapy (NCT NCT05409131)

NCT ID: NCT05409131

Last Updated: 2025-09-16

Results Overview

Glucose metric from study continuous glucose monitoring system

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

196 participants

Primary outcome timeframe

Comparing intervention group with control group during the 13-week study phase

Results posted on

2025-09-16

Participant Flow

Participant milestones

Participant milestones
Measure
Intervention Arm
Omnipod 5 System with Dexcom G6 continuous glucose monitoring system Omnipod 5 System: Omnipod 5 System automates insulin delivery based on information received from the continuous glucose monitoring system every 5 minutes.
Control Arm
Participant's current insulin pump with Dexcom G6 continuous glucose monitoring system
Overall Study
STARTED
132
62
Overall Study
COMPLETED
131
21
Overall Study
NOT COMPLETED
1
41

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Due to privacy laws, race and ethnicity were reported by participants in the U.S. only. Two participants identified as "Other race", so their results are included in the "Unknown or Not Reported" row.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention Arm
n=132 Participants
Omnipod 5 System with Dexcom G6 continuous glucose monitoring system Omnipod 5 System: Omnipod 5 System automates insulin delivery based on information received from the continuous glucose monitoring system every 5 minutes.
Control Arm
n=62 Participants
Participant's current insulin pump with Dexcom G6 continuous glucose monitoring system
Total
n=194 Participants
Total of all reporting groups
Age, Continuous
36 years
STANDARD_DEVIATION 14 • n=132 Participants
36 years
STANDARD_DEVIATION 13 • n=62 Participants
36 years
STANDARD_DEVIATION 14 • n=194 Participants
Sex: Female, Male
Female
78 Participants
n=132 Participants
38 Participants
n=62 Participants
116 Participants
n=194 Participants
Sex: Female, Male
Male
54 Participants
n=132 Participants
24 Participants
n=62 Participants
78 Participants
n=194 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=80 Participants • Due to privacy laws, race and ethnicity were reported by participants in the U.S. only. Two participants identified as "Other race", so their results are included in the "Unknown or Not Reported" row.
1 Participants
n=38 Participants • Due to privacy laws, race and ethnicity were reported by participants in the U.S. only. Two participants identified as "Other race", so their results are included in the "Unknown or Not Reported" row.
1 Participants
n=118 Participants • Due to privacy laws, race and ethnicity were reported by participants in the U.S. only. Two participants identified as "Other race", so their results are included in the "Unknown or Not Reported" row.
Race (NIH/OMB)
Asian
1 Participants
n=80 Participants • Due to privacy laws, race and ethnicity were reported by participants in the U.S. only. Two participants identified as "Other race", so their results are included in the "Unknown or Not Reported" row.
2 Participants
n=38 Participants • Due to privacy laws, race and ethnicity were reported by participants in the U.S. only. Two participants identified as "Other race", so their results are included in the "Unknown or Not Reported" row.
3 Participants
n=118 Participants • Due to privacy laws, race and ethnicity were reported by participants in the U.S. only. Two participants identified as "Other race", so their results are included in the "Unknown or Not Reported" row.
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=80 Participants • Due to privacy laws, race and ethnicity were reported by participants in the U.S. only. Two participants identified as "Other race", so their results are included in the "Unknown or Not Reported" row.
0 Participants
n=38 Participants • Due to privacy laws, race and ethnicity were reported by participants in the U.S. only. Two participants identified as "Other race", so their results are included in the "Unknown or Not Reported" row.
0 Participants
n=118 Participants • Due to privacy laws, race and ethnicity were reported by participants in the U.S. only. Two participants identified as "Other race", so their results are included in the "Unknown or Not Reported" row.
Race (NIH/OMB)
Black or African American
4 Participants
n=80 Participants • Due to privacy laws, race and ethnicity were reported by participants in the U.S. only. Two participants identified as "Other race", so their results are included in the "Unknown or Not Reported" row.
3 Participants
n=38 Participants • Due to privacy laws, race and ethnicity were reported by participants in the U.S. only. Two participants identified as "Other race", so their results are included in the "Unknown or Not Reported" row.
7 Participants
n=118 Participants • Due to privacy laws, race and ethnicity were reported by participants in the U.S. only. Two participants identified as "Other race", so their results are included in the "Unknown or Not Reported" row.
Race (NIH/OMB)
White
70 Participants
n=80 Participants • Due to privacy laws, race and ethnicity were reported by participants in the U.S. only. Two participants identified as "Other race", so their results are included in the "Unknown or Not Reported" row.
29 Participants
n=38 Participants • Due to privacy laws, race and ethnicity were reported by participants in the U.S. only. Two participants identified as "Other race", so their results are included in the "Unknown or Not Reported" row.
99 Participants
n=118 Participants • Due to privacy laws, race and ethnicity were reported by participants in the U.S. only. Two participants identified as "Other race", so their results are included in the "Unknown or Not Reported" row.
Race (NIH/OMB)
More than one race
2 Participants
n=80 Participants • Due to privacy laws, race and ethnicity were reported by participants in the U.S. only. Two participants identified as "Other race", so their results are included in the "Unknown or Not Reported" row.
2 Participants
n=38 Participants • Due to privacy laws, race and ethnicity were reported by participants in the U.S. only. Two participants identified as "Other race", so their results are included in the "Unknown or Not Reported" row.
4 Participants
n=118 Participants • Due to privacy laws, race and ethnicity were reported by participants in the U.S. only. Two participants identified as "Other race", so their results are included in the "Unknown or Not Reported" row.
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=80 Participants • Due to privacy laws, race and ethnicity were reported by participants in the U.S. only. Two participants identified as "Other race", so their results are included in the "Unknown or Not Reported" row.
1 Participants
n=38 Participants • Due to privacy laws, race and ethnicity were reported by participants in the U.S. only. Two participants identified as "Other race", so their results are included in the "Unknown or Not Reported" row.
4 Participants
n=118 Participants • Due to privacy laws, race and ethnicity were reported by participants in the U.S. only. Two participants identified as "Other race", so their results are included in the "Unknown or Not Reported" row.
Region of Enrollment
United States
80 participants
n=132 Participants
38 participants
n=62 Participants
118 participants
n=194 Participants
Region of Enrollment
France
52 participants
n=132 Participants
24 participants
n=62 Participants
76 participants
n=194 Participants
BMI (kg/m^2)
26.6 (kg/m^2)
STANDARD_DEVIATION 4.8 • n=132 Participants
25.4 (kg/m^2)
STANDARD_DEVIATION 4.1 • n=62 Participants
26.2 (kg/m^2)
STANDARD_DEVIATION 4.6 • n=194 Participants
HbA1c at Screening
8.5 Percentage
STANDARD_DEVIATION 0.8 • n=132 Participants
8.6 Percentage
STANDARD_DEVIATION 0.9 • n=62 Participants
8.5 Percentage
STANDARD_DEVIATION 0.8 • n=194 Participants
HbA1c ≥ 8%
106 Participants
n=132 Participants
51 Participants
n=62 Participants
157 Participants
n=194 Participants
Daily Insulin Dose
0.63 units/kg
STANDARD_DEVIATION 0.20 • n=132 Participants
0.59 units/kg
STANDARD_DEVIATION 0.17 • n=62 Participants
0.62 units/kg
STANDARD_DEVIATION 0.19 • n=194 Participants
Previous or Current CGM Use
124 Participants
n=132 Participants
59 Participants
n=62 Participants
183 Participants
n=194 Participants
Duration of Insulin Pump Use
9.5 years
STANDARD_DEVIATION 7.4 • n=132 Participants
9.8 years
STANDARD_DEVIATION 6.8 • n=62 Participants
9.6 years
STANDARD_DEVIATION 7.2 • n=194 Participants

PRIMARY outcome

Timeframe: Comparing intervention group with control group during the 13-week study phase

Population: Subjects are included in the Primary Endpoint Analysis even if data for one period is missing.

Glucose metric from study continuous glucose monitoring system

Outcome measures

Outcome measures
Measure
Intervention Arm
n=131 Participants
Omnipod 5 System with Dexcom G6 continuous glucose monitoring system Omnipod 5 System: Omnipod 5 System automates insulin delivery based on information received from the continuous glucose monitoring system every 5 minutes.
Control Arm
n=62 Participants
Participant's current insulin pump with Dexcom G6 continuous glucose monitoring system
Percent of Time in Range 70-180 mg/dL
Baseline
43.9 Percentage of time
Standard Deviation 14.0
41.3 Percentage of time
Standard Deviation 14.6
Percent of Time in Range 70-180 mg/dL
13 Weeks
61.2 Percentage of time
Standard Deviation 11.2
43.8 Percentage of time
Standard Deviation 14.5

SECONDARY outcome

Timeframe: Comparing intervention group with control group at the end of the 13-week study phase

Population: Subjects are included in the Secondary Endpoint Analysis even if data for one period is missing.

Glucose metric from study continuous glucose monitoring system

Outcome measures

Outcome measures
Measure
Intervention Arm
n=131 Participants
Omnipod 5 System with Dexcom G6 continuous glucose monitoring system Omnipod 5 System: Omnipod 5 System automates insulin delivery based on information received from the continuous glucose monitoring system every 5 minutes.
Control Arm
n=62 Participants
Participant's current insulin pump with Dexcom G6 continuous glucose monitoring system
Percent of Time <54 mg/dL (Non-inferiority)
Baseline
0.32 Percentage of time
Standard Deviation 0.53
0.42 Percentage of time
Standard Deviation 0.91
Percent of Time <54 mg/dL (Non-inferiority)
13 Weeks
0.23 Percentage of time
Standard Deviation 0.23
0.37 Percentage of time
Standard Deviation 0.53

SECONDARY outcome

Timeframe: Comparing intervention group with control group at the end of the 13-week study phase

Population: Subjects are included in the Secondary Endpoint Analysis even if data for one period is missing.

Glucose metric from study continuous glucose monitoring system

Outcome measures

Outcome measures
Measure
Intervention Arm
n=131 Participants
Omnipod 5 System with Dexcom G6 continuous glucose monitoring system Omnipod 5 System: Omnipod 5 System automates insulin delivery based on information received from the continuous glucose monitoring system every 5 minutes.
Control Arm
n=62 Participants
Participant's current insulin pump with Dexcom G6 continuous glucose monitoring system
Percent of Time >180 mg/dL
Baseline
54.4 Percentage of time
Standard Deviation 14.7
57.1 Percentage of time
Standard Deviation 15.5
Percent of Time >180 mg/dL
13 Weeks
37.6 Percentage of time
Standard Deviation 11.4
54.5 Percentage of time
Standard Deviation 15.4

SECONDARY outcome

Timeframe: Comparing intervention group with control group at the end of the 13-week study phase

Population: Subjects are included in the Secondary Endpoint Analysis even if data for one period is missing.

Glucose metric from study continuous glucose monitoring system

Outcome measures

Outcome measures
Measure
Intervention Arm
n=131 Participants
Omnipod 5 System with Dexcom G6 continuous glucose monitoring system Omnipod 5 System: Omnipod 5 System automates insulin delivery based on information received from the continuous glucose monitoring system every 5 minutes.
Control Arm
n=62 Participants
Participant's current insulin pump with Dexcom G6 continuous glucose monitoring system
Mean Glucose
Baseline
200.0 mg/dL
Standard Deviation 29.5
204.2 mg/dL
Standard Deviation 30.7
Mean Glucose
13 Weeks
173.7 mg/dL
Standard Deviation 19.7
199.8 mg/dL
Standard Deviation 30.3

SECONDARY outcome

Timeframe: Baseline compared to end of study visit (Day -30 to Day 90)

Population: Subjects are included in the Secondary Endpoint Analysis even if data for one period is missing.

Measures device effectiveness

Outcome measures

Outcome measures
Measure
Intervention Arm
n=119 Participants
Omnipod 5 System with Dexcom G6 continuous glucose monitoring system Omnipod 5 System: Omnipod 5 System automates insulin delivery based on information received from the continuous glucose monitoring system every 5 minutes.
Control Arm
n=55 Participants
Participant's current insulin pump with Dexcom G6 continuous glucose monitoring system
Change in HbA1c
-1.24 percentage of HbA1C
Standard Deviation 0.75
-0.68 percentage of HbA1C
Standard Deviation 0.93

SECONDARY outcome

Timeframe: Comparing intervention group with control group at the end of the 13-week study phase

Population: Subjects are included in the Secondary Endpoint Analysis even if data for one period is missing.

Glucose metric from study continuous glucose monitoring system

Outcome measures

Outcome measures
Measure
Intervention Arm
n=131 Participants
Omnipod 5 System with Dexcom G6 continuous glucose monitoring system Omnipod 5 System: Omnipod 5 System automates insulin delivery based on information received from the continuous glucose monitoring system every 5 minutes.
Control Arm
n=62 Participants
Participant's current insulin pump with Dexcom G6 continuous glucose monitoring system
Percent of Time <70 mg/dL
Baseline
1.66 Percentage of time
Standard Deviation 1.79
1.66 Percentage of time
Standard Deviation 2.25
Percent of Time <70 mg/dL
13 Weeks
1.18 Percentage of time
Standard Deviation 0.86
1.75 Percentage of time
Standard Deviation 1.68

SECONDARY outcome

Timeframe: Baseline compared to end of study visit (Day -14 to Day 90)

A questionnaire that measures seven critical dimensions of distress (28-item scale with 6 choices that range from 1 (Not a Problem) to 6 (A Very Serious Problem)). The total score can range from 1 to 6, with a lower score indicating a better outcome.

Outcome measures

Outcome measures
Measure
Intervention Arm
n=130 Participants
Omnipod 5 System with Dexcom G6 continuous glucose monitoring system Omnipod 5 System: Omnipod 5 System automates insulin delivery based on information received from the continuous glucose monitoring system every 5 minutes.
Control Arm
n=60 Participants
Participant's current insulin pump with Dexcom G6 continuous glucose monitoring system
Change in Diabetes Distress Scale for Adults With Type 1 Diabetes (T1-DDS) Total Score
-0.30 score on a scale
Standard Deviation 0.50
-0.20 score on a scale
Standard Deviation 0.47

SECONDARY outcome

Timeframe: Baseline compared to end of study visit (Day -14 to Day 90)

A questionnaire that examines the degree to which people with diabetes feel able, secure, and comfortable regarding their ability to stay safe from hypoglycemic-related problems (9-item scale with 4 choices that range from 1 (Not Confident At All) to 4 (Very Confident)). The total score can range from 1 to 4, with a higher score indicating a better outcome.

Outcome measures

Outcome measures
Measure
Intervention Arm
n=131 Participants
Omnipod 5 System with Dexcom G6 continuous glucose monitoring system Omnipod 5 System: Omnipod 5 System automates insulin delivery based on information received from the continuous glucose monitoring system every 5 minutes.
Control Arm
n=60 Participants
Participant's current insulin pump with Dexcom G6 continuous glucose monitoring system
Change in Hypoglycemic Confidence Scale (HCS) Total Score
0.16 score on a scale
Standard Deviation 0.52
0.01 score on a scale
Standard Deviation 0.49

SECONDARY outcome

Timeframe: Baseline compared to end of study visit (Day -14 to Day 90)

A questionnaire that assesses the relative burden of an intensive diabetes treatment regimen (15-item scale with 5 choices that range from 1 (Very Dissatisfied/All the Time) to 5 (Very Satisfied/Never)). The total score can range from 1 to 5, with a higher score indicating a better outcome.

Outcome measures

Outcome measures
Measure
Intervention Arm
n=130 Participants
Omnipod 5 System with Dexcom G6 continuous glucose monitoring system Omnipod 5 System: Omnipod 5 System automates insulin delivery based on information received from the continuous glucose monitoring system every 5 minutes.
Control Arm
n=60 Participants
Participant's current insulin pump with Dexcom G6 continuous glucose monitoring system
Change in Diabetes Quality of Life (DQOL)-Brief Total Score
0.35 score on a scale
Standard Deviation 0.44
-0.02 score on a scale
Standard Deviation 0.45

SECONDARY outcome

Timeframe: Comparing intervention group with control group at the end of the 13-week study phase

Proportion of participants achieving a minimal clinically important difference (MCID) of ≥ 0.19 points (improvement) on the T1-DDS questionnaire total score at 13 weeks compared between treatment groups

Outcome measures

Outcome measures
Measure
Intervention Arm
n=130 Participants
Omnipod 5 System with Dexcom G6 continuous glucose monitoring system Omnipod 5 System: Omnipod 5 System automates insulin delivery based on information received from the continuous glucose monitoring system every 5 minutes.
Control Arm
n=60 Participants
Participant's current insulin pump with Dexcom G6 continuous glucose monitoring system
Proportion of Participants With T1-DDS MCID After 13 Weeks
70 Participants
27 Participants

SECONDARY outcome

Timeframe: Comparing intervention group with control group at the end of the 13-week study phase

Proportion of participants achieving a clinically meaningful improvement in the DQOL-brief total score after 13 weeks

Outcome measures

Outcome measures
Measure
Intervention Arm
n=130 Participants
Omnipod 5 System with Dexcom G6 continuous glucose monitoring system Omnipod 5 System: Omnipod 5 System automates insulin delivery based on information received from the continuous glucose monitoring system every 5 minutes.
Control Arm
n=60 Participants
Participant's current insulin pump with Dexcom G6 continuous glucose monitoring system
Proportion of Participants With DQOL-brief Clinically Meaningful Improvement After 13 Weeks
77 Participants
13 Participants

SECONDARY outcome

Timeframe: Comparing intervention group with control group at the end of the 13-week study phase

Secondary Effectiveness Endpoint of Proportion of Participants with HCS Mean Score ≥ 3 After 13 Weeks OP5

Outcome measures

Outcome measures
Measure
Intervention Arm
n=131 Participants
Omnipod 5 System with Dexcom G6 continuous glucose monitoring system Omnipod 5 System: Omnipod 5 System automates insulin delivery based on information received from the continuous glucose monitoring system every 5 minutes.
Control Arm
n=60 Participants
Participant's current insulin pump with Dexcom G6 continuous glucose monitoring system
Proportion of Participants With HCS Mean Score ≥ 3 After 13 Weeks
107 Participants
37 Participants

Adverse Events

Intervention Arm

Serious events: 1 serious events
Other events: 11 other events
Deaths: 0 deaths

Control Arm

Serious events: 1 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Intervention Arm
n=132 participants at risk
Omnipod 5 System with Dexcom G6 continuous glucose monitoring system Omnipod 5 System: Omnipod 5 System automates insulin delivery based on information received from the continuous glucose monitoring system every 5 minutes.
Control Arm
n=62 participants at risk
Participant's current insulin pump with Dexcom G6 continuous glucose monitoring system
Injury, poisoning and procedural complications
Other
0.76%
1/132 • Number of events 1 • Start time of the standard therapy (14-days prior to Study Day 1) and continued until the participant's participation ended, up to 13 weeks.
0.00%
0/62 • Start time of the standard therapy (14-days prior to Study Day 1) and continued until the participant's participation ended, up to 13 weeks.
Endocrine disorders
Severe Hypoglycemia
0.00%
0/132 • Start time of the standard therapy (14-days prior to Study Day 1) and continued until the participant's participation ended, up to 13 weeks.
1.6%
1/62 • Number of events 1 • Start time of the standard therapy (14-days prior to Study Day 1) and continued until the participant's participation ended, up to 13 weeks.

Other adverse events

Other adverse events
Measure
Intervention Arm
n=132 participants at risk
Omnipod 5 System with Dexcom G6 continuous glucose monitoring system Omnipod 5 System: Omnipod 5 System automates insulin delivery based on information received from the continuous glucose monitoring system every 5 minutes.
Control Arm
n=62 participants at risk
Participant's current insulin pump with Dexcom G6 continuous glucose monitoring system
Investigations
Other
3.8%
5/132 • Number of events 6 • Start time of the standard therapy (14-days prior to Study Day 1) and continued until the participant's participation ended, up to 13 weeks.
6.5%
4/62 • Number of events 4 • Start time of the standard therapy (14-days prior to Study Day 1) and continued until the participant's participation ended, up to 13 weeks.
Endocrine disorders
Prolonged Hyperglycemia
3.0%
4/132 • Number of events 4 • Start time of the standard therapy (14-days prior to Study Day 1) and continued until the participant's participation ended, up to 13 weeks.
6.5%
4/62 • Number of events 5 • Start time of the standard therapy (14-days prior to Study Day 1) and continued until the participant's participation ended, up to 13 weeks.
Endocrine disorders
Hyperglycemia
1.5%
2/132 • Number of events 2 • Start time of the standard therapy (14-days prior to Study Day 1) and continued until the participant's participation ended, up to 13 weeks.
0.00%
0/62 • Start time of the standard therapy (14-days prior to Study Day 1) and continued until the participant's participation ended, up to 13 weeks.

Additional Information

Dr. Trang Ly

Insulet Corporation

Phone: 9786007628

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place