Efficacy and Safety of Insulin Aspart vs. Human Insulin During Pregnancy by Women With Type 1 Diabetes
A Randomised, Parallel-group, Open-label, Multinational Trial Comparing the Safety and Efficacy of Insulin Aspart (NovoRapid®) Versus Human Insulin (Actrapid®), Used in a Multiple Injection Regimen, in the Treatment of Pregnant Women With Type 1 Diabetes, Focusing on Maternal Hypoglycaemia and Pregnancy Outcomes
1 other identifier
interventional
419
18 countries
95
Brief Summary
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4 diabetes
Started Sep 2002
Typical duration for phase_4 diabetes
95 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2002
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2005
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2005
CompletedFirst Submitted
Initial submission to the registry
August 10, 2006
CompletedFirst Posted
Study publicly available on registry
August 17, 2006
CompletedDecember 21, 2016
December 1, 2016
2.6 years
August 10, 2006
December 20, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
Relative risk of major maternal hypoglycaemia
after 24 hours
Secondary Outcomes (4)
Relative risk of major and minor hypoglycaemia
Diabetic complications
Obstetric complications
Other Adverse Events
Interventions
Eligibility Criteria
You may qualify if:
- 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.
You may not qualify if:
- 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
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novo Nordisk A/Slead
Study Sites (95)
Novo Nordisk Investigational Site
Ciudad de Buenos Aires, 1405, Argentina
Novo Nordisk Investigational Site
Pcia de Cordoba, 5000, Argentina
Novo Nordisk Investigational Site
Graz, 8036, Austria
Novo Nordisk Investigational Site
Salzburg, 5020, Austria
Novo Nordisk Investigational Site
Vienna, 1090, Austria
Novo Nordisk Investigational Site
Vienna, A-1130, Austria
Novo Nordisk Investigational Site
Sofia, 1431, Bulgaria
Novo Nordisk Investigational Site
Halifax, Nova Scotia, B3H 1V7, Canada
Novo Nordisk Investigational Site
Ottawa, K1H 8L6, Canada
Novo Nordisk Investigational Site
St. John's, A1B 3V6, Canada
Novo Nordisk Investigational Site
Toronto, M5G 1X5, Canada
Novo Nordisk Investigational Site
Toronto, M5S 1B2, Canada
Novo Nordisk Investigational Site
Vancouver, V5Z 1C6, Canada
Novo Nordisk Investigational Site
Winnipeg, R3C 0N2, Canada
Novo Nordisk Investigational Site
Zagreb, 10 000, Croatia
Novo Nordisk Investigational Site
Hvidovre, 2650, Denmark
Novo Nordisk Investigational Site
København Ø, 2100, Denmark
Novo Nordisk Investigational Site
Helsinki, 00029, Finland
Novo Nordisk Investigational Site
Kuopio, 70210, Finland
Novo Nordisk Investigational Site
Oulu, 90029, Finland
Novo Nordisk Investigational Site
Angers, 49033, France
Novo Nordisk Investigational Site
Avignon, 84902, France
Novo Nordisk Investigational Site
Bondy, 93143, France
Novo Nordisk Investigational Site
Brest, 29609, France
Novo Nordisk Investigational Site
Lille, 59037, France
Novo Nordisk Investigational Site
Marseille Cédex 05, 13385, France
Novo Nordisk Investigational Site
Nantes, 44093, France
Novo Nordisk Investigational Site
Nîmes, 30006, France
Novo Nordisk Investigational Site
Paris, 75181, France
Novo Nordisk Investigational Site
Puyricard, 13540, France
Novo Nordisk Investigational Site
Strasbourg, 67000, France
Novo Nordisk Investigational Site
Strasbourg, 67091, France
Novo Nordisk Investigational Site
Toulouse, 31054, France
Novo Nordisk Investigational Site
Valenciennes, 59322, France
Novo Nordisk Investigational Site
Berlin, 12051, Germany
Novo Nordisk Investigational Site
Athens, 11521, Greece
Novo Nordisk Investigational Site
Athens, 151 23, Greece
Novo Nordisk Investigational Site
Athens, GR-11528, Greece
Novo Nordisk Investigational Site
Dublin, DUBLIN 7, Ireland
Novo Nordisk Investigational Site
Beersheba, 84101, Israel
Novo Nordisk Investigational Site
Haifa, 31096, Israel
Novo Nordisk Investigational Site
Jerusalem, 91031, Israel
Novo Nordisk Investigational Site
Petah Tikva, 49100, Israel
Novo Nordisk Investigational Site
Apeldoorn, 7334 DZ, Netherlands
Novo Nordisk Investigational Site
Brunssum, 6442 BE, Netherlands
Novo Nordisk Investigational Site
Eindhoven, 5631 BM, Netherlands
Novo Nordisk Investigational Site
Roermond, 6043 CV, Netherlands
Novo Nordisk Investigational Site
Rotterdam, 3045 PM, Netherlands
Novo Nordisk Investigational Site
The Hague, 2597 AX, Netherlands
Novo Nordisk Investigational Site
Utrecht, 3584 CX, Netherlands
Novo Nordisk Investigational Site
Oslo, 0027, Norway
Novo Nordisk Investigational Site
Tromsø, 9038, Norway
Novo Nordisk Investigational Site
Trondheim, NO-7030, Norway
Novo Nordisk Investigational Site
Krakow, 31-501, Poland
Novo Nordisk Investigational Site
Lodz, 93-338, Poland
Novo Nordisk Investigational Site
Lublin, 20-081, Poland
Novo Nordisk Investigational Site
Olsztyn, 10-457, Poland
Novo Nordisk Investigational Site
Poznan, 60-535, Poland
Novo Nordisk Investigational Site
Szczecin, 71-455, Poland
Novo Nordisk Investigational Site
Warsaw, 02-097, Poland
Novo Nordisk Investigational Site
Wroclaw, 50-306, Poland
Novo Nordisk Investigational Site
Moscow, 101000, Russia
Novo Nordisk Investigational Site
Moscow, 127411, Russia
Novo Nordisk Investigational Site
Saint Petersburg, 199034, Russia
Novo Nordisk Investigational Site
Alicante, 03010, Spain
Novo Nordisk Investigational Site
Girona, 17007, Spain
Novo Nordisk Investigational Site
Santander, 39008, Spain
Novo Nordisk Investigational Site
Seville, 41014, Spain
Novo Nordisk Investigational Site
Ashington, NE63 9JJ, United Kingdom
Novo Nordisk Investigational Site
Bath, BA1 3NG, United Kingdom
Novo Nordisk Investigational Site
Belfast, BT12 6BA, United Kingdom
Novo Nordisk Investigational Site
Birmingham, B9 5SS, United Kingdom
Novo Nordisk Investigational Site
Bristol, BS10 5NB, United Kingdom
Novo Nordisk Investigational Site
Cambridge, CB2 2QQ, United Kingdom
Novo Nordisk Investigational Site
Edgbaston, Birmingham, B15 2TH, United Kingdom
Novo Nordisk Investigational Site
Edinburgh, EH16 4SA, United Kingdom
Novo Nordisk Investigational Site
Exeter, EX2 5AX, United Kingdom
Novo Nordisk Investigational Site
Hull, HU3 2JZ, United Kingdom
Novo Nordisk Investigational Site
Leeds, LS9 7TF, United Kingdom
Novo Nordisk Investigational Site
Leicester, LE1 5WW, United Kingdom
Novo Nordisk Investigational Site
Liverpool, L7 8XP, United Kingdom
Novo Nordisk Investigational Site
London, SE5 9RS, United Kingdom
Novo Nordisk Investigational Site
London, W12 OHS, United Kingdom
Novo Nordisk Investigational Site
Newcastle, NE29 0LR, United Kingdom
Novo Nordisk Investigational Site
Norfolk, NR4 7UY, United Kingdom
Novo Nordisk Investigational Site
Northampton, NN1 5BD, United Kingdom
Novo Nordisk Investigational Site
Nottingham, NG7 2UH, United Kingdom
Novo Nordisk Investigational Site
Oxford, OX3 9DU, United Kingdom
Novo Nordisk Investigational Site
Plymouth, PL8 8DQ, United Kingdom
Novo Nordisk Investigational Site
Reading, RG51 5BS, United Kingdom
Novo Nordisk Investigational Site
Sheffield, S10 2JF, United Kingdom
Novo Nordisk Investigational Site
Sheffield, S5 7AU, United Kingdom
Novo Nordisk Investigational Site
Southampton, SO16 6YD, United Kingdom
Novo Nordisk Investigational Site
Stourbridge, DY3 3BG, United Kingdom
Novo Nordisk Investigational Site
Worcester, WR5 1HN, United Kingdom
Related Publications (8)
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.
PMID: 17392539RESULTHod 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.
PMID: 17596485RESULTHod 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.
PMID: 17905178RESULTMcCance 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.
PMID: 18726086RESULTHeller 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.
PMID: 20007944RESULTDamm 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.
PMID: 23687948RESULTAltschuler 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.
PMID: 17392542DERIVEDWilliams 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.
PMID: 17392541DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Global Clinical Registry (1452, GCR)
Novo Nordisk A/S
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 10, 2006
First Posted
August 17, 2006
Study Start
September 1, 2002
Primary Completion
April 1, 2005
Study Completion
April 1, 2005
Last Updated
December 21, 2016
Record last verified: 2016-12