Efficacy and Safety of Insulin Detemir Versus Neutral Protamine Hagedorn (NPH) Insulin in Pregnant Women With Type 1 Diabetes
NCT ID: NCT00474045
Last Updated: 2017-03-10
Study Results
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View full resultsBasic Information
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COMPLETED
PHASE3
470 participants
INTERVENTIONAL
2007-05-31
2010-08-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Insulin detemir
Individually adjusted insulin detemir injected subcutaneously as basal insulin + individually adjusted insulin aspart injected subcutaneously as bolus insulin from randomisation (gestational week 8-12) and continued until 6 weeks after delivery. If a subject was not pregnant at randomisation, treatment was given up to a maximum of 52 weeks. For subjects who became pregnant, randomised treatment was continued until 6 weeks after delivery. Subjects who were not pregnant at 52 weeks after randomisation were withdrawn
insulin detemir
Treat-to-target, dose titration, s.c. (under the skin) injection
insulin aspart
Treat-to-target, dose titration, s.c. (under the skin) injection
Neutral Protamine Hagedorn (NPH) insulin
Individually adjusted NPH insulin injected subcutaneously as basal insulin + individually adjusted insulin aspart injected subcutaneously as bolus insulin from randomisation (gestational week 8-12) and continued until 6 weeks after delivery. If a subject was not pregnant at randomisation, treatment was given up to a maximum of 52 weeks. For subjects who became pregnant, randomised treatment was continued until 6 weeks after delivery. Subjects who were not pregnant at 52 weeks after randomisation were withdrawn
NPH insulin
Treat-to-target, dose titration, s.c. (under the skin) injection
insulin aspart
Treat-to-target, dose titration, s.c. (under the skin) injection
Interventions
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insulin detemir
Treat-to-target, dose titration, s.c. (under the skin) injection
NPH insulin
Treat-to-target, dose titration, s.c. (under the skin) injection
insulin aspart
Treat-to-target, dose titration, s.c. (under the skin) injection
Eligibility Criteria
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Inclusion Criteria
* Planning to become pregnant and have a screening HbA1c (glycosylated haemoglobin) lesser than or equal to 9.0%, or
* Pregnant with an intrauterine singleton living foetus, 8-12 weeks pregnant when joining the trial and a HbA1c lesser than or equal to 8.0% when pregnancy is confirmed
Exclusion Criteria
* Untreated hyperthyroidism or hypothyroidism
* Known or suspected abuse of alcohol or narcotics
* Cardiac problems
* Impaired kidney function
* History of severe hyperemesis gravidarum
* Treatment with in-vitro fertilisation or other medical infertility treatment
* Impaired liver function
* Uncontrolled hypertension
* Proliferative retinopathy or maculopathy requiring acute treatment
* Known to be HIV (human immunodeficiency virus) positive, Hepatitis B or Hepatitis C positive
* Any concomitant medication contraindicated in pregnancy
18 Years
FEMALE
No
Sponsors
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Novo Nordisk A/S
INDUSTRY
Responsible Party
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Principal Investigators
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Global Clinical Registry (GCR, 1452)
Role: STUDY_DIRECTOR
Novo Nordisk A/S
Locations
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Novo Nordisk Investigational Site
Buenos Aires, , Argentina
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Buenos Aires, , Argentina
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Buenos Aires, , Argentina
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Buenos Aires, , Argentina
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Mar del Plata, , Argentina
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Pcia de Cordoba, , Argentina
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Salta, , Argentina
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Broadmeadow, New South Wales, Australia
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Camperdown, New South Wales, Australia
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St Leonards, New South Wales, Australia
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Elizabeth Vale, South Australia, Australia
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Clayton, , Australia
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Garran, , Australia
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South Brisbane, , Australia
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Subiaco, , Australia
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Wollongong, , Australia
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Feldkirch, , Austria
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Innsbruck, , Austria
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Salzburg, , Austria
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Vienna, , Austria
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Vienna, , Austria
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Vienna, , Austria
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Vienna, , Austria
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Curitiba, Paraná, Brazil
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Porto Alegre, , Brazil
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São Paulo, , Brazil
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São Paulo, , Brazil
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Calgary, Alberta, Canada
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Cambridge, Ontario, Canada
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London, Ontario, Canada
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Edmonton, , Canada
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Montreal, , Canada
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Québec, , 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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Aalborg, , Denmark
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Aarhus N, , Denmark
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København Ø, , Denmark
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Helsinki, , Finland
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Amiens, , France
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Angers, , France
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Bondy, , France
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Lille, , France
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Marseille, , France
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Montpellier, , France
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Nîmes, , France
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Strasbourg, , France
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Toulouse, , France
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Valenciennes, , France
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Dublin, , Ireland
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Dublin, , Ireland
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Petah Tikva, , Israel
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Bergen, , Norway
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Trondheim, , Norway
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Tønsberg, , 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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Szczecin, , Poland
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Warsaw, , Poland
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Warsaw, , Poland
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Wroclaw, , Poland
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Zabrze, , Poland
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Moscow, , Russia
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Moscow, , Russia
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Novosibirsk, , Russia
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Saint Petersburg, , Russia
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Samara, , Russia
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Tyumen, , Russia
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Port Elizabeth, Eastern Cape, South Africa
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Port Elizabeth, Eastern Cape, South Africa
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Pretoria, Gauteng, South Africa
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Durban, KwaZulu-Natal, South Africa
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Alcoy, , Spain
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Alicante, , Spain
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Barcelona, , Spain
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Madrid, , Spain
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Santander, , Spain
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Seville, , Spain
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Valencia, , Spain
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Belfast, , United Kingdom
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Birmingham, , United Kingdom
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Blackburn, , United Kingdom
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Bristol, , United Kingdom
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Edinburgh, , United Kingdom
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Exeter, , United Kingdom
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Leicester, , United Kingdom
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London, , United Kingdom
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Middlesbrough, , United Kingdom
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Northampton, , United Kingdom
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Norwich, , United Kingdom
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Plymouth, , United Kingdom
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Southampton, , United Kingdom
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Watford, , United Kingdom
Countries
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References
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Mathiesen ER, Damm P, Jovanovic L, McCance DR, Thyregod C, Jensen AB, Hod M. Basal insulin analogues in diabetic pregnancy: a literature review and baseline results of a randomised, controlled trial in type 1 diabetes. Diabetes Metab Res Rev. 2011 Sep;27(6):543-51. doi: 10.1002/dmrr.1213.
Mathiesen ER, Hod M, Ivanisevic M, Duran Garcia S, Brondsted L, Jovanovic L, Damm P, McCance DR; Detemir in Pregnancy Study Group. Maternal efficacy and safety outcomes in a randomized, controlled trial comparing insulin detemir with NPH insulin in 310 pregnant women with type 1 diabetes. Diabetes Care. 2012 Oct;35(10):2012-7. doi: 10.2337/dc11-2264. Epub 2012 Jul 30.
Hod M, Mathiesen ER, Jovanovic L, McCance DR, Ivanisevic M, Duran-Garcia S, Brondsted L, Nazeri A, Damm P. A randomized trial comparing perinatal outcomes using insulin detemir or neutral protamine Hagedorn in type 1 diabetes. J Matern Fetal Neonatal Med. 2014 Jan;27(1):7-13. doi: 10.3109/14767058.2013.799650. Epub 2013 Jun 5.
Related Links
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Clinical Trials at Novo Nordisk
Other Identifiers
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2006-004861-33
Identifier Type: EUDRACT_NUMBER
Identifier Source: secondary_id
NN304-1687
Identifier Type: -
Identifier Source: org_study_id
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