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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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

470 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-05-31

Study Completion Date

2010-08-31

Brief Summary

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This trial is conducted in Africa, Europe, North and South America and Oceania. The aim of this trial is to compare the effect and safety on blood glucose control in pregnant women with type 1 diabetes of a modern insulin analogue (insulin detemir) and human insulin (NPH insulin) given as long-acting insulin in combination with a short-acting insulin (insulin aspart).

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

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 Subjects who were not pregnant at 52 weeks after randomisation were withdrawn

Group Type EXPERIMENTAL

insulin detemir

Intervention Type DRUG

Treat-to-target, dose titration, s.c. (under the skin) injection

insulin aspart

Intervention Type DRUG

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

Group Type ACTIVE_COMPARATOR

NPH insulin

Intervention Type DRUG

Treat-to-target, dose titration, s.c. (under the skin) injection

insulin aspart

Intervention Type DRUG

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

Intervention Type DRUG

NPH insulin

Treat-to-target, dose titration, s.c. (under the skin) injection

Intervention Type DRUG

insulin aspart

Treat-to-target, dose titration, s.c. (under the skin) injection

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Type 1 diabetes treated with insulin for at least 12 months
* 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

* Known or suspected hypersensitivity to the trial product(s) or related products
* 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
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 (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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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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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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Norwich, , United Kingdom

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Plymouth, , United Kingdom

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Watford, , United Kingdom

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Countries

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Argentina Australia Austria Brazil Canada Croatia Denmark Finland France Ireland Israel Norway Poland Russia South Africa Spain United Kingdom

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.

Reference Type RESULT
PMID: 21557440 (View on PubMed)

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.

Reference Type RESULT
PMID: 22851598 (View on PubMed)

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.

Reference Type RESULT
PMID: 23617228 (View on PubMed)

Related Links

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http://novonordisk-trials.com

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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