Study Data Show Significant Glycemic Improvements With Omnipod 5

Insulet Corporation is sharing promising new Omnipod 5 clinical data from its RADIANT study. Results indicate that people using Omnipod 5 had significantly improved HbA1c levels (an average -0.8% reduction) compared with those using multiple daily injections and a continuous glucose monitor. 

The RADIANT study is the first randomized controlled trial to evaluate the direct transition from multiple daily injections (MDI) to an automated insulin delivery (AID) system in adults and children with type 1 diabetes, as well as being the first to assess the safety and efficacy of an AID system paired with an Abbott FreeStyle Libre 2 family sensor. For adults and children not previously meeting clinical HbA1c targets on MDI, Insulet’s Omnipod 5 AID System provided clinically significant improvements in blood sugar levels compared with MDI used with a continuous glucose monitor (CGM).

Despite advances in diabetes technology, MDI is the predominant therapy option for type 1 diabetes,¹ and an estimated 35 years of healthy life are lost on average per person globally due to this condition.2 U.S. data reveal that many people using MDI plus CGM are not meeting the recommended HbA1c level goal of less than 7%, with average HbA1c levels of 8.7% reported.³ Increased HbA1c is associated with a greater risk of developing diabetes-related complications.⁴

The RADIANT study included 188 people aged 4 to 70 with type 1 diabetes and HbA1c levels of 7.5% to 11%, all of whom were using MDI with a CGM for at least three months prior. Participants, recruited at 19 clinical centers in France, the U.K., and Belgium, were randomized to initiate the Omnipod 5 AID System (N=125) or to continue with their usual MDI plus CGM therapy (N=63) for three months.

“Omnipod 5 has proved clinical efficacy in people living with type 1 diabetes. The RADIANT experience showed us that it was easy to implement in pump naïve patients, with very good results. It encourages us to pursue a direct switch from multiple daily injections to automated insulin delivery so patients can immediately receive the clear benefits, without a long period of manual pump treatment,” said Professor Hélène Hanaire, head of the Department of Diabetology, Metabolic Diseases, and Nutrition of the University Hospital of Toulouse, France, and a RADIANT study investigator.

Participants began with an average HbA1c level of 8.1%. After three months, people who used the Omnipod 5 System improved their HbA1c by an average of 0.8% compared with those using MDI plus CGM, resulting in a final HbA1c of 7.2%. For those beginning with an HbA1c level above 8% the benefit was even greater, with an improvement of 1.0% compared with MDI plus CGM. Lowering HbA1c by this amount can decrease the risk of developing diabetes complications in the future, such as cardiovascular disease, kidney disease, and eye problems.⁴

“Omnipod 5 is changing the lives of an estimated 365,000 users worldwide by eliminating the need for injections and reducing the burden of diabetes. Results from this randomized controlled trial build on our previous studies and once again clearly demonstrate the significant therapeutic benefits for people who require insulin to live and switch from injections to Omnipod 5,” Insulet Senior Vice President/Chief Medical Officer Dr. Trang Ly, Ph.D., said.

In addition to improving their HbA1c, Omnipod 5 users spent an additional 5.4 hours per day with glucose levels in the target range (70-180mg/dL) compared with MDI plus CGM users, resulting in a final average time in range of 65%, up from 39% at baseline. This was accompanied by significantly less time per day with high glucose levels (>180mg/dL and >300mg/dL), and no increase in time spent with dangerously low glucose (<70mg/dL or <54mg/dL). There were no life-threatening acute events involving severe hypoglycemia or diabetes-related ketoacidosis in either treatment group during the three-month study.

“The RADIANT population was a cohort of individuals who, despite multiple daily injections and CGM, were not achieving target HbA1c levels. These participants, many of whom were waiting for a tubeless AID option, were able to safely transition directly from MDI to Omnipod 5 and achieve significant improvements in glucose levels,” said Dr. Emma G. Wilmot, associate professor at the University of Nottingham, Honorary Consultant Diabetologist in Derby and founder of the Diabetes Technology Network U.K. Dr. Wilmot served as a chief investigator for the RADIANT study.

Approximately 5.2 million people live with type 1 diabetes in the 25 countries Insulet currently serves globally,⁵ including the United States and 10 countries outside the United States where Omnipod 5 is currently commercially available. RADIANT results will be submitted for publication later this year.

Headquartered in Massachusetts, Insulet Corporation is a medical device company dedicated to simplifying life for people with diabetes and other conditions through its Omnipod product platform. The Omnipod Insulin Management System provides an alternative to traditional insulin delivery methods. With its simple, wearable design, the tubeless disposable Pod provides up to three days of non-stop insulin delivery, without the need to see or handle a needle. Insulet’s flagship innovation, the Omnipod 5 Automated Insulin Delivery System, integrates with a continuous glucose monitor to manage blood sugar with no multiple daily injections, zero fingersticks, and can be controlled by a compatible personal smartphone or by the Omnipod 5 Controller. Insulet also leverages the design of its Pod by tailoring its Omnipod technology platform for the delivery of non-insulin subcutaneous drugs across other therapeutic areas.

References
¹ 2024. Data on file. Seagrove Partners LLC.
² Type 1 Diabetes Index. https://www.t1dindex.org Accessed February 11, 2025
³ Gandhi et al. T1D Exchange Quality Improvement Collaborative; Insulin Pump Utilization in 2017–2021 for More Than 22,000 Children and Adults With Type 1 Diabetes: A Multicenter Observational Study. Clin Diabetes 15 January 2024; 42 (1): 56–64. https://doi.org/10.2337/cd23-0055.
⁴ DCCT Research Group; The Effect of Intensive Treatment of Diabetes on the Development and Progression of Long-Term Complications in Insulin-Dependent Diabetes Mellitus. NEJM 30 September 1993; 329 (14): 977-86. https://doi.org/10.1056/nejm199309303291401
⁵ Insulet data on file, January 2025