Using hybrid closed-loop insulin pumps to improve diabetes management in diverse adults
Official title: Starting Technology in At Risk Type 1 Diabetes (STAR-T1D) Study
Run by University of California, Los Angeles · NCT06453928 · Data updated 2026-11-12
This study is testing if a new type of insulin pump can help adults with poorly controlled Type 1 Diabetes manage their condition better, especially those from different backgrounds who usually have trouble accessing diabetes technology.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 40 (estimated) |
| Sponsor | University of California, Los Angeles Academic / other |
| Locations | 3 sites (Santa Monica, California and 2 other locations) |
| Status | Recruiting |
| Started | September 5, 2024 |
| Main results expected | January 31, 2027 |
| Study ends | June 1, 2027 |
| Registry record updated | October 29, 2026 |
| Trial ID | NCT06453928 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults with Type 1 Diabetes, an HbA1c greater than 8.5%, who are not currently using an insulin pump and have medical insurance.
✕Probably not a fit
Patients with significant comorbidities affecting A1c accuracy, cognitive or physical impairments, or those with a limited life expectancy may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This pilot study aims to evaluate the feasibility of using hybrid closed-loop insulin pump therapy in a diverse group of adults with poorly controlled Type 1 Diabetes, specifically those with an HbA1c greater than 8.5%. The study will include 40 participants from various racial and ethnic backgrounds, focusing on those who have historically faced barriers to accessing diabetes technology. By expanding the participant pool beyond typical demographics, the researchers hope to identify facilitators and barriers to effective use of this technology. The study will take place in major health systems in the Los Angeles area, including UCLA and Harbor-UCLA Medical Center.
Why it matters
Potential benefit: If successful, this study could lead to improved diabetes management and health outcomes for underserved populations with Type 1 Diabetes.
How similar studies have gone: While there have been studies on diabetes technology, this approach focusing on diverse and underserved populations is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Type 1 Diabetes * A1c ≥ 8.0% * Not insulin pump user * Primary language of English or Spanish * Have medical insurance coverage Exclusion Criteria: * No measured A1c in the past year * Have comorbidities that can result in inaccurate hemoglobin A1c * Have cognitive, physical or mental impairment precluding diabetes technology use * Limited life expectancy (\<1 year) * Pregnancy
Where it's running
-
UCLA
Santa Monica, California, United States Recruiting -
Olive View-UCLA Medical Center
Sylmar, California, United States Recruiting -
Harbor-UCLA Medical Center
Torrance, California, United States Recruiting
Study contacts
- Study coordinator: Estelle M Everett, MD, MHS
- Email: eeverett@mednet.ucla.edu
- Phone: 310-267-0625
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Predictive CGM with App for people with type 1 or insulin-treated type 2 diabetes
This study tests whether using the Accu-Chek SmartGuide CGM with its Predict App can reduce fear of hypoglycemia and improve related behaviors and confidence in adults with type 1 or insulin-treated type 2 diabetes.
-
Tirzepatide for type 1 diabetes patients who are overweight or obese
This study tests whether tirzepatide can affect stomach emptying in adults with type 1 diabetes and overweight or obesity.
-
Oral insulin vs. subcutaneous insulin in adults with type 1 diabetes
This study tests an oral insulin tablet (SCD0503) against subcutaneous insulin and placebo to see how it behaves in the blood and helps control blood sugar in adults with type 1 diabetes.
-
Genetic risk score and progression to insulin in type 1 diabetes
This study tests whether a genetic risk score can predict which people with type 1 diabetes will need insulin progression over three years.
-
Home-based use of an advanced hybrid closed-loop insulin pump with telemonitoring for adults with type 1 diabetes
This study tests whether starting an advanced hybrid closed-loop insulin pump at home, with online education and telemonitoring, is feasible and safe for adults with type 1 diabetes.
-
Diabetes multimorbidity and a voice diary app to help self-manage
This study tests whether the Fabla-diabetesMM audio diary app is feasible and helpful for older adults with type 1 or type 2 diabetes who also have additional chronic conditions.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.