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Type 1 DiabetesNCT05893797

A Study of LY8888AX in Participants Using a Connected Insulin Management Platform

A study testing Insulin Lispro, Tempo Smart Button and Dexcom G6 CGM in people with Type 1 Diabetes and Type 2 Diabetes, run by Eli Lilly and Company at 9 sites in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The main purpose of this study is to assess participant adherence and glucose control while using a connected insulin management platform. Approximately 50 participants will be enrolled in each country. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Insulin Lispro, Tempo Smart Button and Dexcom G6 CGM
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
36 participants
Where
9 sitesFrance
Study dates
5 Oct 2023to 16 Sep 2024
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Have been diagnosed (clinically) with T1D for at least 1 year or are patients with T2D on basal bolus insulin therapy for at least 6 months
  • HbA1c ≥8% as confirmed by point-of-care test at screening
  • Are currently using the Dexcom G6 CGM or agree to start using the Dexcom G6 during the study and agree to switch to Glooko RMA
  • Are currently using Humalog ® insulin or another rapid acting insulin analogue (e.g., Apidra® , or Novorapid ® ) and agree to switch to study-provided Humalog mealtime insulin for duration of trial
  • Have been prescribed ≥3 doses of bolus insulin per day
  • Must be taking a stable insulin dose regimen (per investigator's judgement) for at least 3 months preceding study screening
  • Have in-home refrigeration for storage of insulin

Who cannot join

  • Previously used the Glooko RMA and/or Dexcom G6 CGM and were judged by the investigator to be non-adherent
  • Have participated, within the last 30 days, in a clinical study involving an investigational product. If the previous investigational product has a long half-life, 5 half-lives or 30 days (whichever is longer) should have passed
  • Have previously used or have been using an approved or investigational connected pen system within the 3 months prior to screening
  • Are currently breastfeeding, pregnant, or plan to become pregnant during the next 4-6 months
  • Are on ultra-rapid insulin (e.g., Fiasp or Lyumjev) or rapid acting human insulin (i.e., Humulin) for previous 3 months, at the time of screening
  • Are currently undergoing dialysis treatment or have any other medical condition which may preclude them from participating in this trial as per the investigator's judgement
  • Have vision loss or vision impairment that does not allow recognition of Glooko RMA screen features

Trial locations and contacts

9 sites in 1 country.

9 sites in 1 country

France9 sites
  • CHU de Besancon Hopital Jean Minjoz

    Besançon, 25030

  • CHU de Caen Hôpital Cote de Nacre

    Caen, Cedex 9, 14033

  • Centre Hospitalier Sud Francilien-Pharmacie

    Corbeil-Essonnes, 91100

  • Chu de Grenoble

    Grenoble Cédex 9, 38043

  • CHU de Lyon

    Lyon, 69008

  • CHU - l'Assistance Publique - Hôpitaux de Marseille

    Marseille, 13005

  • Centre Hospitalier Universitaire de Nice - Hôpital l'Archet

    Nice, 6202

  • CHU Strasbourg-Hautepierre

    Strasbourg, Alsace, 67098

  • Groupe Hospitalier Mutualiste Les Portes du Sud

    Vénissieux, 69200

Other trials in France

About this study

Official title: Assessment of Participant Adherence and Glucose Control While Using a Connected Insulin Management Platform

The main purpose of this study is to assess participant adherence and glucose control while using a connected insulin management platform. Approximately 50 participants will be enrolled in each country.

Being tested
Insulin Lispro, Tempo Smart Button, Dexcom G6 CGM, Glooko Research Mobile App (RMA)
Keywords
T1D, T2D
Medical subject headings
Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Insulin LisproDrug

    Also called Humalog Tempo Pen

    As prescribed.

  • Tempo Smart ButtonDevice

    Attached to the Tempo Pen

  • Dexcom G6 CGMDevice

    Continuous glucose monitor

  • Glooko Research Mobile App (RMA)Device

    Installed on a study provided android phone.

Study groups in NCT05893797
Study groupRoleWhat they receive
Humalog Tempo Pen With CGM MonitoringExperimentalStudy Period 1: Weeks 1 to 6 * Participants used a Sponsor-provided Humalog Tempo Pen with Tempo Smart Button (TSB), Dexcom G6 continuous glucose monitoring (CGM), and the Glooko Research Mobile App (RMA) to share insulin dose and timing data with healthcare providers (HCPs) via the Glooko HCP platform. Mealtime insulin data was masked to participants but visible to HCPs. Participants followed their usual insulin regimen and lifestyle, manually logged basal insulin and activities in the app. After 6 weeks, data was unmasked and reviewed with HCPs. Study Period 2: Weeks 7 to 18 * Participants used the Humalog Tempo Pen with TSB, Dexcom G6 CGM, and Glooko RMA study app for 12 weeks. Insulin dose and timing data was unmasked and visible to both participants and HCPs via the Glooko RMA and HCP platform. Participants regularly upload CGM and pen data. HCPs monitor adherence and follow up as needed to ensure data transfer and CGM use.
Receives: Drug: Insulin Lispro; Device: Tempo Smart Button; Device: Dexcom G6 CGM; Device: Glooko Research Mobile App (RMA)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Missed Bolus Doses (MBDs) Per Week

    Missed bolus dose is defined as no insulin dose from 1 hour prior to through 1 hour after the start of a glucose excursion (meal), where a glucose excursion was defined as a greater than (>) 70 milligrams per deciliter (mg/dL) (>3.9 millimoles per liter [mmol/L]) rise within 2 hours, not preceded by a value <70 mg/dL (<3.9 mmol/L).

    Measured: Study Period 1: Week 6 ; Study Period 2: Week 18

Secondary outcomes (24)
  1. Percentage of Time in Blood Glucose (BG) Range 70 to 180 mg/dL Captured by Continuous Glucose Monitoring (CGM)

    Measured: Study Period 1: Week 6; Study Period 2: Week 18

  2. Percentage of Time in Hyperglycemic Range of >180 mg/dL and >250 mg/dL Captured by CGM

    Measured: Study Period 1: Week 6; Study Period 2: Week 18

  3. Percentage of Time in Hypoglycemic Range <54 mg/dL and 54 to 69 mg/dL Captured by CGM

    Measured: Study Period 1: Week 6; Study Period 2: Week 18

  4. Coefficient of Variation for Glucose

    Measured: Study Period 1: Week 6; Study Period 2: Week 18

  5. Mean Glucose as Measured by CGM

    Measured: Study Period 1: Week 6; Study Period 2: Week 18

  6. Number of Mistimed Bolus Dose Per Week

    A mistimed bolus dose is defined as a bolus dose administered from the start of a glucose excursion up to 1 hour after the start of glucose excursion and before the peak of glucose excursion.

    Measured: Study Period 1: Week 6 ; Study Period 2: Week 18

  7. Total Insulin Dose Per Day

    Measured: Study Period 1: Week 6; Study Period 2: Weeks 18

  8. Number of Correction Bolus Dose Per Week

    Correction bolus is defined as taking a bolus dose given after the peak of a glucose excursion but within 4 hours from the start of a glucose excursion and prior to start of next glucose excursion.

    Measured: Study Period 1: Week 6; Study Period 2: Week 18

  9. Correlation Between Missed Bolus Dose and Glycemic Outcomes [i.e., HbA1c, Time in BG Range (70-180 mg/dL), Time in Hyperglycemic Range (>250 mg/dL), and Time in Hypoglycemia (<54 mg/dL)] Using Raw CGM Integrated Data From Tempo Pen and Tempo Smart Button

    Correlation between Missed Bolus Dose and Glycemic Outcomes i.e., HbA1c, Time in Blood glucose (BG) Range (70-180 mg/dL), Time in Hyperglycemic Range (>250 mg/dL), and Time in Hypoglycemia (<54 mg/dL) was calculated by spearman correlation. Spearman correlation coefficients range from -1 to +1. A value of -1 indicates a perfect negative correlation, and +1 indicates a perfect positive correlation.

    Measured: Study Period 1: Week 6; Study Period 2: Week 18

  10. Correlation Between Mistimed Bolus Dose and Glycemic Outcomes [i.e., HbA1c, Time in BG Range (70-180 mg/dL), Time in Hyperglycemic Range (>250 mg/dL), Time in Hypoglycemia (<54 mg/dL)] Using Raw CGM Integrated Data From Tempo Pen and Tempo Smart Button

    Correlation between Mistimed Bolus Dose and Glycemic Outcomes i.e., HbA1c, Time in Blood glucose (BG) Range (70-180 mg/dL), Time in Hyperglycemic Range (>250 mg/dL), and Time in Hypoglycemia (<54 mg/dL) was calculated by spearman correlation. Spearman correlation coefficients range from -1 to +1. A value of -1 indicates a perfect negative correlation, and +1 indicates a perfect positive correlation.

    Measured: Study Period 1: Week 6; Study Period 2: Week 18

  11. Study Period 1: Participant Questionnaires (Device Satisfaction)- On Average, How Satisfied Are You With Your Current Insulin Pen?

    Participant questionnaires evaluated responses to the Humalog Tempo Pen and Tempo smart button device focusing on platform satisfaction, preferences, and usefulness.

    To assess existing device satisfaction of tempo pen and smart button that participants were using before the study, participants were asked: "On average, how satisfied are you with your current insulin pen?" Participants were categorized based on their responses on a 5-point Likert scale as below and are reported

    1. Extremely Unsatisfied
    2. Unsatisfied
    3. Neutral
    4. Satisfied
    5. Extremely Satisfied

    Measured: At Baseline

  12. Study Period 1: Participant Questionnaires (Device Satisfaction) - On Average, How Satisfied Are You With the Way You Manage Your Insulin Treatment on a Day-to-day Basis?

    Participant questionnaires evaluated responses to the Humalog Tempo Pen and Tempo smart button device focusing on platform satisfaction, preferences, and usefulness.

    To assess existing device satisfaction of tempo pen and smart button that participants were using before the study, participants were asked: "On average, how satisfied are you with the way you manage your insulin treatment on a day-to-day basis?" Participants were categorized based on their responses on a 5-point Likert scale as below and are reported.

    1. Extremely Unsatisfied
    2. Unsatisfied
    3. Neutral
    4. Satisfied
    5. Extremely Satisfied

    Measured: At Baseline

  13. Study Period 2: Participant Questionnaires (Device Preference) - I Prefer the Connected Insulin Pen Compared to the Insulin Pen I Used Before the Study?

    Participant questionnaires evaluated responses to the Humalog Tempo Pen and Tempo smart button device focusing on platform satisfaction, preferences, and usefulness.

    To assess device preference of Humalog Tempo Pen and Tempo smart button participants were asked: "I prefer the connected insulin pen compared to the insulin pen I used before the study?" Participants were categorized based on their responses on a 5-point Likert scale as below and are reported

    1. Strongly disagree
    2. Disagree
    3. Neutral
    4. Agree
    5. Strongly agree

    Measured: Study Period 2: Week 18

  14. Study Period 2: Participant Questionnaires (Device Usefulness) - I Found the App Difficult to Use to Monitor my Insulin Doses

    Participant questionnaires evaluated responses to the Humalog Tempo Pen and Tempo smart button device focusing on satisfaction, preferences, and usefulness.

    To assess device usefulness of Humalog Tempo Pen and Tempo smart button participants were asked: "I found the app difficult to use to monitor my insulin doses" Participants were categorized based on their responses on a 5-point Likert scale as below and are reported.

    1. Strongly Disagree
    2. Disagree
    3. Neutral
    4. Agree
    5. Strongly Agree

    Measured: Study Period 2: Week 18

  15. Study Period 2: Participant Questionnaires (Device Usefulness) - It Helped me to Forget Fewer Doses

    Participant questionnaires evaluated responses to the Humalog Tempo Pen and Tempo smart button device focusing on platform satisfaction, preferences, and usefulness.

    To assess device usefulness of Humalog Tempo Pen and Tempo smart button participants were asked: "It helped me to forget fewer doses" Participants were categorized based on their responses on a 5-point Likert scale as below and are reported

    1. Strongly Disagree
    2. Disagree
    3. Neutral
    4. Agree
    5. Strongly Agree

    Measured: Study Period 2: Week 18

  16. Study Period 2: Participant Questionnaires (Device Usefulness) - I no Longer Had to Worry About When my Last Dose Was Injected or Not

    Participant questionnaires evaluated responses to the Humalog Tempo Pen and Tempo smart button device focusing on platform satisfaction, preferences, and usefulness.

    To assess device usefulness of Humalog Tempo Pen and Tempo smart button participants were asked "I no longer had to worry about when my last dose was injected or not" Participants were categorized based on their responses on a 5-point Likert scale as below and are reported

    1. Strongly Disagree
    2. Disagree
    3. Neutral
    4. Agree
    5. Strongly Agree

    Measured: Study Period 2: Week 18

  17. Study Period 2: Participant Questionnaires (Device Usefulness) - Having All my Insulin and Glucose Data in One Place Simplified my Diabetes Management

    Participant questionnaires evaluated responses to the Humalog Tempo Pen and Tempo smart button device focusing on platform satisfaction, preferences, and usefulness.

    To assess device usefulness of Humalog Tempo Pen and Tempo smart button participants were asked: "Having all my insulin and glucose data in one place simplified my diabetes management" Participants were categorized based on their responses on a 5-point Likert scale as below and are reported

    1. Strongly Disagree
    2. Disagree
    3. Neutral
    4. Agree
    5. Strongly Agree

    Measured: Study Period 2: Week 18

  18. Study Period 2: Participant Questionnaires (Device Usefulness): I Found the Connected Pen to be Difficult to Use

    Participant questionnaires evaluated responses to the Humalog Tempo Pen and Tempo smart button device focusing on platform satisfaction, preferences, and usefulness.

    To assess device usefulness of Humalog Tempo Pen and Tempo smart button participants were asked: "I found the connected pen to be difficult to use" Participants were categorized based on their responses on a 5-point Likert scale as below and are reported.

    1. Strongly Disagree
    2. Disagree
    3. Neutral
    4. Agree
    5. Strongly Agree

    Measured: Study Period 2: Week 18

  19. Study Period 2: Participant Questionnaires (Device Usefulness): The Use of the Connected Insulin Pen Reduced the Amount of Time I Spent on my Diabetes Management

    Participant questionnaires evaluated responses to the Humalog Tempo Pen and Tempo smart button device focusing on platform satisfaction, preferences, and usefulness.

    To assess device usefulness of Humalog Tempo Pen and Tempo smart button participants were asked: "The use of the connected insulin pen reduced the amount of time I spent on my diabetes management". Participants were categorized based on their responses on a 5-point Likert scale as below and are reported.

    1. Strongly Disagree
    2. Disagree
    3. Neutral
    4. Agree
    5. Strongly Agree

    Measured: Study Period 2: Week 18

  20. Health Care Provider (HCP) Questionnaires (Device Satisfaction) - On Average, How Satisfied Are You With the Connected Insulin Pen Your Patients Have Been Using in the Study?

    The Health Care Provider (HCP) questionnaires evaluated responses from HCPs related to Humalog Tempo Pen and Tempo smart button device focusing on satisfaction, preferences, and usefulness. Questionnaire was completed independently by HCPs (Including Principal Investigator, study coordinator or nurse). This evaluation was a general, aggregate assessment and was not linked to any specific participant. To assess Humalog Tempo Pen and Tempo smart button device satisfaction HCPs were asked: "On average, how satisfied are you with the connected insulin pen your patients have been using in the study?"

    HCPs were categorized based on their responses on a 5-point Likert scale as below and are reported.

    1. Extremely Unsatisfied
    2. Unsatisfied
    3. Neutral
    4. Satisfied
    5. Extremely Satisfied

    Measured: Following completion of participant's Last visit in the study (approximately 3 days after last visit on week 18)

  21. Health Care Provider (HCP) Questionnaires (Device Usefulness) - Offered me Objective Date on my Patients Dosing History Allowing me to Provide Appropriate Dosing Guidance

    The Health Care Provider (HCP) questionnaires evaluated responses from HCPs related to Humalog Tempo Pen and Tempo smart button device focusing on device satisfaction, preferences, and usefulness. Questionnaire was completed independently by HCPs (including principal Investigator, study coordinator or nurse). This evaluation was a general, aggregate assessment and was not linked to any specific participant. To assess Humalog Tempo Pen and Tempo smart button device usefulness HCPs were asked: "Offered me objective date on my patients dosing history allowing me to provide appropriate dosing guidance".

    HCPs were categorized based on their responses on a 5-point Likert scale as below and are reported.

    1. Strongly Disagree
    2. Disagree
    3. Neutral
    4. Agree
    5. Strongly Agree

    Measured: Following completion of participant's Last visit in the study (approximately 3 days after last visit on week 18)

  22. Health Care Provider (HCP) Questionnaires (Device Usefulness)- It Improved my Confidence in Making Appropriate Dosing Decisions

    The Health Care Provider (HCP) questionnaires evaluated responses from HCPs related to Humalog Tempo Pen and Tempo smart button device focusing on satisfaction, preferences, and usefulness.

    Questionnaire was completed independently by HCPs (including principal Investigator, study coordinator or nurse). This evaluation was a general, aggregate assessment and was not linked to any specific participant. To assess Humalog Tempo Pen and Tempo smart button device usefulness HCPs were asked: "It improved my confidence in making appropriate dosing decisions".

    HCPs were categorized based on their responses on a 5-point Likert scale as below and are reported.

    1. Strongly Disagree
    2. Disagree
    3. Neutral
    4. Agree
    5. Strongly Agree

    Measured: Following completion of participant's Last visit in the study (approximately 3 days after last visit on week 18)

  23. Health Care Provider (HCP) Questionnaires (Device Usefulness) - I Suspect That my Patients Miss Insulin Doses Regularly

    The Health Care Provider (HCP) questionnaires evaluated responses from HCPs related to Humalog Tempo Pen and Tempo smart button device focusing on satisfaction, preferences, and usefulness.

    Questionnaire was completed independently by HCPs (Including principal Investigator, study coordinator or nurse). This evaluation was a general, aggregate assessment and was not linked to any specific participant. To assess Humalog Tempo Pen and Tempo smart button device usefulness HCPs were asked: "I suspect that my patients miss insulin doses regularly".

    HCPs were categorized based on their responses on a 5-point Likert scale as below and are reported.

    1. Strongly Disagree
    2. Disagree
    3. Neutral
    4. Agree
    5. Strongly Agree

    Measured: Following completion of participant's Last visit in the study (approximately 3 days after last visit on week 18)

  24. Health Care Provider (HCP) Questionnaires (Device Usefulness)- Allowed me to Objectively Discuss Missed Doses or Mistimed Doses With my Patients

    The Health Care Provider (HCP) questionnaires evaluated responses from HCPs related to Humalog Tempo Pen and Tempo smart button device focusing on satisfaction, preferences, and usefulness.

    Questionnaire was completed independently by HCP (Including principal Investigator, study coordinator or nurse. This evaluation was a general, aggregate assessment and was not linked to any specific participant. To assess Humalog Tempo Pen and Tempo smart button device usefulness HCPs were asked: "Allowed me to objectively discuss missed doses or mistimed doses with my patients".

    HCPs were categorized based on their responses on a 5-point Likert scale as below and are reported.

    1. Strongly Disagree
    2. Disagree
    3. Neutral
    4. Agree
    5. Strongly Agree

    Measured: Following completion of participant's Last visit in the study (approximately 3 days after last visit on week 18)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Jun 2023
  2. Study start5 Oct 2023
  3. Primary completion16 Sep 2024
  4. Study completion16 Sep 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
36 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05893797
Sponsor's protocol ID
18171
Other IDs
F3Z-MC-IORW, 2022-A02807-36
Status last verified
Oct 2025
First submitted
30 May 2023
Last updated
10 Nov 2025
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Insulin Lispro, Tempo Smart Button and Dexcom G6 CGM in people with Type 1 Diabetes and Type 2 Diabetes, run by Eli Lilly and Company at 9 sites in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 10 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 9 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 10 Nov 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Missed Bolus Doses (MBDs) Per Week (time frame: Study Period 1: Week 6 ; Study Period 2: Week 18). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Nov 2025.

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Clinical Trial NCT05893797 | AzTrials