Clinical trial Recruiting at 1 site Observational Ages 6 and up

Postmarket monitoring of twiist automated insulin delivery for people with Type 1 diabetes

Official title: Twiist Postmarket Surveillance Study in Adults and Youth With Type 1 Diabetes

Run by Deka Research and Development · NCT07356089 · Data updated 2026-11-12

This project will collect real-world data from people age 6 and older with Type 1 diabetes who recently started using the twiist automated insulin delivery system to see how it works for them over 12 months.

More Type 1 Diabetes Mellitus trials

Quick facts

Study typeObservational
Ages6 Years and up
SexAll
Enrollment1875 (estimated)
SponsorDeka Research and Development
Industry-sponsored
Locations1 site (Tampa, Florida)
StatusRecruiting
StartedDecember 9, 2025
Main results expectedMay 1, 2027
Study endsMay 1, 2028
Registry record updatedJanuary 21, 2026
Trial IDNCT07356089 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal participants are U.S. residents age 6 or older with a diagnosis of Type 1 diabetes who started using the twiist system within the prior 90 days, are willing to share device and support data, complete monthly surveys for 12 months, and are not pregnant or planning pregnancy.

Probably not a fit

People younger than 6, those not using twiist or who started twiist more than 90 days before enrollment, non-U.S. residents, or those unwilling to share device data or complete monthly surveys are unlikely to benefit from this surveillance.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a postmarket observational surveillance following youth and adults (≥6 years) with Type 1 diabetes who began using the twiist AID system within 90 days of enrollment. Participants will allow twiist device data and any customer-support reports to be used and will complete a baseline survey and monthly surveys for 12 months. The study may request medical records for any hospitalizations and requires U.S. residency and regular cellular or weekly Wi‑Fi access for uploads. Data collection is coordinated with Jaeb Center for Health Research and the device sponsor to characterize real-world safety, device use patterns, and clinical outcomes.

Why it matters

Potential benefit: If successful, this could show whether twiist helps people with Type 1 diabetes manage glucose control, is safe in everyday use, and is user-friendly.

How similar studies have gone: Other automated insulin delivery systems have shown improvements in time-in-range and fewer hypoglycemia events in clinical and real-world studies, but twiist-specific postmarket evidence is currently limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Willing and able to provide informed consent (or a parent or other legally authorized representative)
* Age ≥ 6 years old
* Diagnosis of T1D
* Currently using twiist AID system, with initiation of twiist within 90 days of enrollment
* Willing to only use an insulin approved for the pump
* Residing in United States
* Willing to use twiist in accordance with the user manual
* Willing to have the study use the twiist data and any information that has been provided to Sequel Medtech, LLC or customer support since twiist was started
* Willing to complete surveys at the beginning of the study and then monthly for 12 months
* Willing to be contacted if clarification or further information is needed for any events reported on a survey or to customer support
* Willing to provide medical records or sign a record release for any hospitalizations
* Has cell service or if not, will have access to WIFI at least once a week
* For females, not pregnant or planning pregnancy in the next 12 months
* Able to speak and read English
* Able to obtain documentation of HbA1c result obtained within 6 months prior to twiist initiation

Exclusion Criteria:

* Any form of diabetes other than T1D
* Receiving dialysis for end-stage renal disease

Where it's running

  • Jaeb Center for Health Research
    Tampa, Florida, United States
    Recruiting

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.