Efficacy and Safety of Insulin Aspart vs. Human Insulin During Pregnancy by Women With Type 1 Diabetes

NCT ID: NCT00365170

Last Updated: 2016-12-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

419 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-09-30

Study Completion Date

2005-04-30

Brief Summary

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This trial was conducted in Europe, Middle East, North America and South America.

The aim of this trial was to compare the use of an intensified insulin treatment with insulin aspart (NovoRapid®) versus human insulin (Actrapid®) in pregnancy.

Detailed Description

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Conditions

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Diabetes Diabetes Mellitus, Type 1

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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human insulin

Intervention Type DRUG

insulin aspart

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Type 1 diabetes
* Treated with insulin for at least 12 months
* Either plan to become pregnant in the immediate future, willing to undertake pre pregnancy counselling, and has a screening HbA1c lesser than or equal to 12.0%, or
* Pregnant with normal singleton pregnancy, gestational age for at least 10 weeks at the time of randomisation, confirmed by ultrasound scan.

Exclusion Criteria

* Previous birth of child with a major congenital malformation
* More than 2 previous multiple miscarriages or stillbirths
* Severe hyperemesis gravidarum, requiring hospitalisation, according to Investigator judgement
* Subjects being treated for infertility
* Proliferative retinopathy or maculopathy requiring acute treatment
* Drug or alcohol abuse
* Impaired renal, hepatic or cardiac function
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Novo Nordisk A/S

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Global Clinical Registry (1452, GCR)

Role: STUDY_DIRECTOR

Novo Nordisk A/S

Locations

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Novo Nordisk Investigational Site

Ciudad de Buenos Aires, , Argentina

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Novo Nordisk Investigational Site

Pcia de Cordoba, , Argentina

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Novo Nordisk Investigational Site

Graz, , Austria

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Novo Nordisk Investigational Site

Salzburg, , Austria

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Vienna, , Austria

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Vienna, , Austria

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Sofia, , Bulgaria

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Novo Nordisk Investigational Site

Halifax, Nova Scotia, Canada

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Ottawa, , Canada

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St. John's, , Canada

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Toronto, , Canada

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Toronto, , Canada

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Vancouver, , Canada

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Winnipeg, , Canada

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Zagreb, , Croatia

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Hvidovre, , Denmark

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København Ø, , Denmark

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Helsinki, , Finland

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Kuopio, , Finland

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Oulu, , Finland

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Angers, , France

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Avignon, , France

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Bondy, , France

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Brest, , France

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Lille, , France

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Marseille Cédex 05, , France

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Nantes, , France

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Nîmes, , France

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Paris, , France

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Puyricard, , France

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Strasbourg, , France

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Strasbourg, , France

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Toulouse, , France

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Valenciennes, , France

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Berlin, , Germany

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Athens, , Greece

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Athens, , Greece

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Athens, , Greece

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Dublin, , Ireland

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Beersheba, , Israel

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Haifa, , Israel

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Jerusalem, , Israel

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Petah Tikva, , Israel

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Apeldoorn, , Netherlands

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Brunssum, , Netherlands

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Eindhoven, , Netherlands

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Roermond, , Netherlands

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Rotterdam, , Netherlands

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The Hague, , Netherlands

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Utrecht, , Netherlands

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Oslo, , Norway

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Tromsø, , Norway

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Trondheim, , Norway

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Krakow, , Poland

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Lodz, , Poland

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Lublin, , Poland

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Olsztyn, , Poland

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Poznan, , Poland

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Szczecin, , Poland

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Warsaw, , Poland

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Wroclaw, , Poland

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Moscow, , Russia

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Moscow, , Russia

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Saint Petersburg, , Russia

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Alicante, , Spain

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Girona, , Spain

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Santander, , Spain

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Seville, , Spain

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Ashington, , United Kingdom

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Bath, , United Kingdom

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Belfast, , United Kingdom

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Birmingham, , United Kingdom

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Bristol, , United Kingdom

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Cambridge, , United Kingdom

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Edgbaston, Birmingham, , United Kingdom

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Edinburgh, , United Kingdom

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Exeter, , United Kingdom

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Hull, , United Kingdom

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Leeds, , United Kingdom

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Leicester, , United Kingdom

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Liverpool, , United Kingdom

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London, , United Kingdom

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London, , United Kingdom

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Newcastle, , United Kingdom

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Norfolk, , United Kingdom

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Northampton, , United Kingdom

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Nottingham, , United Kingdom

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Oxford, , United Kingdom

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Plymouth, , United Kingdom

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Reading, , United Kingdom

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Sheffield, , United Kingdom

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Sheffield, , United Kingdom

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Southampton, , United Kingdom

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Stourbridge, , United Kingdom

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Novo Nordisk Investigational Site

Worcester, , United Kingdom

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Countries

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Argentina Austria Bulgaria Canada Croatia Denmark Finland France Germany Greece Ireland Israel Netherlands Norway Poland Russia Spain United Kingdom

References

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Mathiesen ER, Kinsley B, Amiel SA, Heller S, McCance D, Duran S, Bellaire S, Raben A; Insulin Aspart Pregnancy Study Group. Maternal glycemic control and hypoglycemia in type 1 diabetic pregnancy: a randomized trial of insulin aspart versus human insulin in 322 pregnant women. Diabetes Care. 2007 Apr;30(4):771-6. doi: 10.2337/dc06-1887.

Reference Type RESULT
PMID: 17392539 (View on PubMed)

Hod M, Jovanovic L. Improving outcomes in pregnant women with type 1 diabetes. Diabetes Care. 2007 Jul;30(7):e62. doi: 10.2337/dc07-0488. No abstract available.

Reference Type RESULT
PMID: 17596485 (View on PubMed)

Hod M, Damm P, Kaaja R, Visser GH, Dunne F, Demidova I, Hansen AS, Mersebach H; Insulin Aspart Pregnancy Study Group. Fetal and perinatal outcomes in type 1 diabetes pregnancy: a randomized study comparing insulin aspart with human insulin in 322 subjects. Am J Obstet Gynecol. 2008 Feb;198(2):186.e1-7. doi: 10.1016/j.ajog.2007.08.005. Epub 2007 Oct 1.

Reference Type RESULT
PMID: 17905178 (View on PubMed)

McCance DR, Damm P, Mathiesen ER, Hod M, Kaaja R, Dunne F, Jensen LE, Mersebach H. Evaluation of insulin antibodies and placental transfer of insulin aspart in pregnant women with type 1 diabetes mellitus. Diabetologia. 2008 Nov;51(11):2141-3. doi: 10.1007/s00125-008-1120-y. Epub 2008 Aug 23. No abstract available.

Reference Type RESULT
PMID: 18726086 (View on PubMed)

Heller S, Damm P, Mersebach H, Skjoth TV, Kaaja R, Hod M, Duran-Garcia S, McCance D, Mathiesen ER. Hypoglycemia in type 1 diabetic pregnancy: role of preconception insulin aspart treatment in a randomized study. Diabetes Care. 2010 Mar;33(3):473-7. doi: 10.2337/dc09-1605. Epub 2009 Dec 10.

Reference Type RESULT
PMID: 20007944 (View on PubMed)

Damm P, Mersebach H, Rastam J, Kaaja R, Hod M, McCance DR, Mathiesen ER. Poor pregnancy outcome in women with type 1 diabetes is predicted by elevated HbA1c and spikes of high glucose values in the third trimester. J Matern Fetal Neonatal Med. 2014 Jan;27(2):149-54. doi: 10.3109/14767058.2013.806896. Epub 2013 Jun 20.

Reference Type RESULT
PMID: 23687948 (View on PubMed)

Altschuler JA, Casella SJ, MacKenzie TA, Curtis KM. The effect of cinnamon on A1C among adolescents with type 1 diabetes. Diabetes Care. 2007 Apr;30(4):813-6. doi: 10.2337/dc06-1871.

Reference Type DERIVED
PMID: 17392542 (View on PubMed)

Williams MM, Clouse RE, Nix BD, Rubin EH, Sayuk GS, McGill JB, Gelenberg AJ, Ciechanowski PS, Hirsch IB, Lustman PJ. Efficacy of sertraline in prevention of depression recurrence in older versus younger adults with diabetes. Diabetes Care. 2007 Apr;30(4):801-6. doi: 10.2337/dc06-1825.

Reference Type DERIVED
PMID: 17392541 (View on PubMed)

Related Links

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http://novonordisk-trials.com

Clinical Trials at Novo Nordisk

Other Identifiers

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ANA-1474

Identifier Type: -

Identifier Source: org_study_id