Insulin Fiasp vs. Insulin Novorapid During Pregnancy and Laction in Women With Pre-existing Diabetes

NCT ID: NCT03770767

Last Updated: 2023-05-06

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

PHASE3

Total Enrollment

216 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-11-11

Study Completion Date

2023-03-23

Brief Summary

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A randomised controlled, open-label trial in an unselected cohort of pregnant women with type 1 or type 2 diabetes allocated to insulin Fiasp® or insulin NovoRapid® during pregnancy and lactation.

Detailed Description

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Conditions

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Diabetes Mellitus Pregnancy Complications

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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Intervention with insulin Fiasp

Women randomized to insulin Fiasp

Group Type EXPERIMENTAL

Faster-acting Aspart insulin Fiasp

Intervention Type DRUG

Randomization to treatment with insulin Fiasp

Control (insulin Novorapid)

Women randomized to insulin NovoRapid

Group Type ACTIVE_COMPARATOR

Control (insulin Novorapid)

Intervention Type DRUG

Randomization to standard treatment with insulin Novorapid

Interventions

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Faster-acting Aspart insulin Fiasp

Randomization to treatment with insulin Fiasp

Intervention Type DRUG

Control (insulin Novorapid)

Randomization to standard treatment with insulin Novorapid

Intervention Type DRUG

Other Intervention Names

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Insulin Fiasp First generation insulin analog

Eligibility Criteria

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Inclusion Criteria

* Women, age ≥ 18 years
* Duration of type 1 diabetes (or mature onset of diabetes in the young) ≥ 12 months
* Type 2 diabetes (any duration)
* Pregnant with an intrauterine singleton living fetus confirmed by an ultrasound scan between 8+0 and 13+6 gestational weeks
* Routine use of insulin pump therapy, insulin detemir, insulin degludec, insulin glargine, insulin abasaglar, insulin toujeo or Neutral Protamine Hagedorn insulin and willing to continue routine treatment modality
* Women with type 1 diabetes using an insulin pump compatible with trial products
* Women with type 2 diabetes treated with diet, oral antidiabetic therapy or pre-mixed insulin before pregnancy and willing to change to trial medication according to randomization or to an appropriate long-acting insulin analogue, as indicated
* Proficiency in Danish to understand oral and written information

Exclusion Criteria

• Severe mental or psychiatric barriers or concurrent disease on the decision of the principal investigator
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Rigshospitalet, Denmark

OTHER

Sponsor Role lead

Responsible Party

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Lene Ringholm

Chief physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Lene Ringholm

Role: PRINCIPAL_INVESTIGATOR

Rigshospitalet, Denmark

Locations

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Center for Pregnant Women with Diabetes, Rigshospitalet

Copenhagen, , Denmark

Site Status

Countries

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Denmark

References

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Norgaard SK, Soholm JC, Mathiesen ER, Norgaard K, Clausen TD, Holmager P, Do NC, Damm P, Ringholm L. Faster-acting insulin aspart versus insulin aspart in the treatment of type 1 or type 2 diabetes during pregnancy and post-delivery (CopenFast): an open-label, single-centre, randomised controlled trial. Lancet Diabetes Endocrinol. 2023 Nov;11(11):811-821. doi: 10.1016/S2213-8587(23)00236-X. Epub 2023 Oct 4.

Reference Type DERIVED
PMID: 37804858 (View on PubMed)

Norgaard SK, Mathiesen ER, Norgaard K, Ringholm L. Comparison of Glycemic Metrics Measured Simultaneously by Intermittently Scanned Continuous Glucose Monitoring and Real-Time Continuous Glucose Monitoring in Pregnant Women with Type 1 Diabetes. Diabetes Technol Ther. 2021 Oct;23(10):665-672. doi: 10.1089/dia.2021.0109. Epub 2021 Jun 25.

Reference Type DERIVED
PMID: 34086494 (View on PubMed)

Norgaard SK, Mathiesen ER, Norgaard K, Clausen TD, Damm P, Ringholm L. CopenFast trial: Faster-acting insulin Fiasp versus insulin NovoRapid in the treatment of women with type 1 or type 2 diabetes during pregnancy and lactation - a randomised controlled trial. BMJ Open. 2021 Apr 9;11(4):e045650. doi: 10.1136/bmjopen-2020-045650.

Reference Type DERIVED
PMID: 33837106 (View on PubMed)

Other Identifiers

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U1111

Identifier Type: -

Identifier Source: org_study_id

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