Actively Recruiting

Phase 3
Age: 14Years +
All Genders
NCT06449677

Bionic Pancreas in CFRD

Led by Jaeb Center for Health Research · Updated on 2026-02-23

150

Participants Needed

16

Research Sites

131 weeks

Total Duration

On this page

Sponsors

J

Jaeb Center for Health Research

Lead Sponsor

C

Cystic Fibrosis Foundation

Collaborating Sponsor

AI-Summary

What this Trial Is About

This multi-center randomized controlled trial (RCT) will compare efficacy and safety endpoints using the insulin-only configuration of the iLet Bionic Pancreas System (BP) versus a control group using their usual care insulin delivery method and continuous glucose monitoring (CGM) during a 13-week study period in individuals ≥14 years old with cystic fibrosis-related diabetes (CFRD). After 13 weeks, participants will continue in a 13-week Extension Phase in which the BP group will continue to use the BP system and the Usual Care group will initiate use of the BP system.

CONDITIONS

Official Title

Bionic Pancreas in CFRD

Who Can Participate

Age: 14Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 14 years or older at time of informed consent
  • Able to provide informed consent (and assent if under 18 years old)
  • Diagnosed with cystic fibrosis by clinical features plus sweat chloride ≥60 mmol/l or two CFTR gene mutations
  • Clinical diagnosis of cystic fibrosis-related diabetes, treated with insulin for at least 3 months prior to screening
  • Using the same insulin regimen for at least 1 month prior to screening with no plans to change during study
  • Total daily insulin dose of at least 0.1 units/kg
  • Able to read and speak English to understand pump interface and materials
  • For participants under 18, living with a parent or guardian knowledgeable about emergency hypoglycemia procedures and willing care partner linked to Dexcom Follow app
  • For participants over 18 living alone, a relative or acquaintance within 30 minutes willing to be contacted and linked to Dexcom Follow app
  • No use of non-insulin glucose-lowering medications except metformin within 3 months prior and willing to avoid such medications during study
  • Willing and able to switch to an approved rapid-acting insulin if not currently using one approved for the iLet
  • Has or will obtain commercial glucagon for severe hypoglycemia treatment
  • Willing to authorize study team to contact primary physician
  • Enrolled in the Cystic Fibrosis Foundation Patient Registry or willing to enroll
  • No plans for trips over 14 consecutive days outside the US during study
  • Investigator believes participant can safely use the iLet and comply with protocol
Not Eligible

You will not qualify if you...

  • Current use of the iLet Bionic Pancreas or other automated insulin delivery system not FDA approved for type 1 diabetes
  • Known hemoglobinopathy (except sickle cell trait)
  • Participation in another diabetes-related interventional trial
  • History of allergy or severe reaction to adhesive or tape used in study
  • Pregnant, breastfeeding, planning pregnancy within 7 months, or sexually active and able to become pregnant without contraception
  • Current use of hydroxyurea or unable to avoid it during study
  • Started or stopped a CFTR modulator within 4 weeks prior to screening (dose changes allowed)
  • Anticipated lung or liver transplant or transplant within 1 year prior to screening with unstable rejection or medication doses
  • Acute pulmonary exacerbation or hospitalization or IV antibiotics within 4 weeks prior to screening
  • History of complete pancreatectomy
  • Currently using enteral tube feedings for nutrition
  • Medical conditions or medications that could affect study results or safety, including unstable coronary artery disease, severe heart failure, recent stroke or TIA, severe liver disease, renal failure requiring dialysis, untreated mental illness or eating disorders, substance abuse, or medications affecting decision-making
  • Employment or family relation to Beta Bionics or direct involvement in the clinical trial

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 16 locations

1

University of Colorado-Barbara Davis Center for Diabetes

Aurora, Colorado, United States, 80045

Actively Recruiting

2

Yale University School of Medicine

New Haven, Connecticut, United States, 06511

Actively Recruiting

3

Emory University

Atlanta, Georgia, United States, 30329

Actively Recruiting

4

Indiana University School of Medicine

Indianapolis, Indiana, United States, 46202

Actively Recruiting

5

Johns Hopkins University School of Medicine

Baltimore, Maryland, United States, 21287

Actively Recruiting

6

Massachusetts General Hospital

Boston, Massachusetts, United States, 02114

Actively Recruiting

7

University of Minnesota

Minneapolis, Minnesota, United States, 55455

Actively Recruiting

8

Children's Mercy Hospital

Kansas City, Missouri, United States, 64108

Actively Recruiting

9

Columbia University Medical Center

New York, New York, United States, 10032

Actively Recruiting

10

University Hospitals of Cleveland

Cleveland, Ohio, United States, 44106

Actively Recruiting

11

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States, 19104

Completed

12

UT Southwestern Medical Center

Dallas, Texas, United States, 75235

Actively Recruiting

13

Baylor College of Medicine

Houston, Texas, United States, 77030

Actively Recruiting

14

University of Texas Health San Antonio

San Antonio, Texas, United States, 78207

Actively Recruiting

15

University of Utah

Salt Lake City, Utah, United States, 84132

Actively Recruiting

16

University of Virginia-Center for Diabetes Technology

Charlottesville, Virginia, United States, 22903

Actively Recruiting

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Research Team

J

Judy Sibayan, MPH

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Bionic Pancreas in CFRD | DecenTrialz