MeDiGes Study: Metformine Use in Gestational Diabetes

NCT ID: NCT04222348

Last Updated: 2020-05-15

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-10-26

Study Completion Date

2020-07-01

Brief Summary

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Women with gestational diabete (GD) who do not meet glycemic control objectives with diet will be assigned to two treatment groups randomly. One: metformin at a dose of 850-2550mg every 24h; two: insulin detemir associated or not with rapid insulin analogue (aspart) according to your glycemic controls. The Metformin group may additionally receive insulin in a second time in case the glycemic control is not appropriate with monotherapy.

Detailed Description

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Women with gestational diabete (GD) who do not meet glycemic control objectives with diet will be assigned to two treatment groups randomly. One: metformin at a dose of 850-2550mg every 24h; two: insulin detemir associated or not with rapid insulin analogue (aspart) according to your glycemic controls. The Metformin group may additionally receive insulin in a second time in case the glycemic control is not appropriate with monotherapy.

The objectives are: Demonstrate that treatment with metformin in women with GD (not controlled with diet) can get no lower obstetric and perinatal outcomes than those with standard treatment with insulin.

Demonstrate that glycemic control with metformin in properly selected women, can be equivalent to that obtained with insulin.

Conditions

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Diabetes, Gestational Perinatal Disorder Puerperal Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Inferiority, randomized, open, parallel arms, multicenter clinical trial
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Metformin

850-2550 mg every 24h.

Group Type EXPERIMENTAL

Metformin

Intervention Type DRUG

850-2550 mg every 24h.

Insulin Detemir

Intervention Type DRUG

Insulin detemir associated or not with rapid insulin analogue (aspart) according to individual glycemic controls.

Insulin Detemir

Individual doses according to glycemic controls.

Group Type ACTIVE_COMPARATOR

Metformin

Intervention Type DRUG

850-2550 mg every 24h.

Insulin Detemir

Intervention Type DRUG

Insulin detemir associated or not with rapid insulin analogue (aspart) according to individual glycemic controls.

Interventions

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Metformin

850-2550 mg every 24h.

Intervention Type DRUG

Insulin Detemir

Insulin detemir associated or not with rapid insulin analogue (aspart) according to individual glycemic controls.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. 18-45 years old.
2. Diagnosis of GD, with fasting glucose \<120 mg / dL.
3. not controlled by diet: fasting capillary blood glucose\> 95 mg / dl in at least 2-3 times or 1 hour postprandial \>140 mg / dl on, at least 2-3 times a week.
4. 2nd or 3rd trimesters of pregnancy.
5. Able to give informed consent.

Exclusion Criteria

1. Psychopathological situations that do not guarantee proper adhesion to follow up
2. 1st trimester of pregnancy
3. gastrointestinal diseases that may cause poorer tolerance or increased symptoms with metformin.
4. Patients who can not attend the scheduled consultation.
5. Language barrier limiting for understanding treatment settings
6. Twin pregnancy.
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Fundación Pública Andaluza para la Investigación de Málaga en Biomedicina y Salud

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Other Identifiers

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FIM-MET-2015-01

Identifier Type: -

Identifier Source: org_study_id

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