NCT00365170

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

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
419

participants targeted

Target at P75+ for phase_4 diabetes

Timeline
Completed

Started Sep 2002

Typical duration for phase_4 diabetes

Geographic Reach
18 countries

95 active sites

Status
completed

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

Completed
2.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2005

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2005

Completed
1.4 years until next milestone

First Submitted

Initial submission to the registry

August 10, 2006

Completed
7 days until next milestone

First Posted

Study publicly available on registry

August 17, 2006

Completed
Last Updated

December 21, 2016

Status Verified

December 1, 2016

Enrollment Period

2.6 years

First QC Date

August 10, 2006

Last Update Submit

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

Age18 Years+
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

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

Study Sites (95)

Novo Nordisk Investigational Site

Ciudad de Buenos Aires, 1405, Argentina

Location

Novo Nordisk Investigational Site

Pcia de Cordoba, 5000, Argentina

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Novo Nordisk Investigational Site

Graz, 8036, Austria

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Novo Nordisk Investigational Site

Salzburg, 5020, Austria

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Novo Nordisk Investigational Site

Vienna, 1090, Austria

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Novo Nordisk Investigational Site

Vienna, A-1130, Austria

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Novo Nordisk Investigational Site

Sofia, 1431, Bulgaria

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Novo Nordisk Investigational Site

Halifax, Nova Scotia, B3H 1V7, Canada

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Novo Nordisk Investigational Site

Ottawa, K1H 8L6, Canada

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Novo Nordisk Investigational Site

St. John's, A1B 3V6, Canada

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Novo Nordisk Investigational Site

Toronto, M5G 1X5, Canada

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Novo Nordisk Investigational Site

Toronto, M5S 1B2, Canada

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Novo Nordisk Investigational Site

Vancouver, V5Z 1C6, Canada

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Novo Nordisk Investigational Site

Winnipeg, R3C 0N2, Canada

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Novo Nordisk Investigational Site

Zagreb, 10 000, Croatia

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Novo Nordisk Investigational Site

Hvidovre, 2650, Denmark

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Novo Nordisk Investigational Site

København Ø, 2100, Denmark

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Novo Nordisk Investigational Site

Helsinki, 00029, Finland

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Novo Nordisk Investigational Site

Kuopio, 70210, Finland

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Novo Nordisk Investigational Site

Oulu, 90029, Finland

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Novo Nordisk Investigational Site

Angers, 49033, France

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Novo Nordisk Investigational Site

Avignon, 84902, France

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Novo Nordisk Investigational Site

Bondy, 93143, France

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Novo Nordisk Investigational Site

Brest, 29609, France

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Novo Nordisk Investigational Site

Lille, 59037, France

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Novo Nordisk Investigational Site

Marseille Cédex 05, 13385, France

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Novo Nordisk Investigational Site

Nantes, 44093, France

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Novo Nordisk Investigational Site

Nîmes, 30006, France

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Novo Nordisk Investigational Site

Paris, 75181, France

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Novo Nordisk Investigational Site

Puyricard, 13540, France

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Novo Nordisk Investigational Site

Strasbourg, 67000, France

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Novo Nordisk Investigational Site

Strasbourg, 67091, France

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Novo Nordisk Investigational Site

Toulouse, 31054, France

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Novo Nordisk Investigational Site

Valenciennes, 59322, France

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Novo Nordisk Investigational Site

Berlin, 12051, Germany

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Novo Nordisk Investigational Site

Athens, 11521, Greece

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Novo Nordisk Investigational Site

Athens, 151 23, Greece

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Novo Nordisk Investigational Site

Athens, GR-11528, Greece

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Novo Nordisk Investigational Site

Dublin, DUBLIN 7, Ireland

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Novo Nordisk Investigational Site

Beersheba, 84101, Israel

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Novo Nordisk Investigational Site

Haifa, 31096, Israel

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Novo Nordisk Investigational Site

Jerusalem, 91031, Israel

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Novo Nordisk Investigational Site

Petah Tikva, 49100, Israel

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Novo Nordisk Investigational Site

Apeldoorn, 7334 DZ, Netherlands

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Novo Nordisk Investigational Site

Brunssum, 6442 BE, Netherlands

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Novo Nordisk Investigational Site

Eindhoven, 5631 BM, Netherlands

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Novo Nordisk Investigational Site

Roermond, 6043 CV, Netherlands

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Novo Nordisk Investigational Site

Rotterdam, 3045 PM, Netherlands

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Novo Nordisk Investigational Site

The Hague, 2597 AX, Netherlands

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Novo Nordisk Investigational Site

Utrecht, 3584 CX, Netherlands

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Novo Nordisk Investigational Site

Oslo, 0027, Norway

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Novo Nordisk Investigational Site

Tromsø, 9038, Norway

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Novo Nordisk Investigational Site

Trondheim, NO-7030, Norway

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Novo Nordisk Investigational Site

Krakow, 31-501, Poland

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Novo Nordisk Investigational Site

Lodz, 93-338, Poland

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Novo Nordisk Investigational Site

Lublin, 20-081, Poland

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Novo Nordisk Investigational Site

Olsztyn, 10-457, Poland

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Novo Nordisk Investigational Site

Poznan, 60-535, Poland

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Novo Nordisk Investigational Site

Szczecin, 71-455, Poland

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Novo Nordisk Investigational Site

Warsaw, 02-097, Poland

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Novo Nordisk Investigational Site

Wroclaw, 50-306, Poland

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Novo Nordisk Investigational Site

Moscow, 101000, Russia

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Novo Nordisk Investigational Site

Moscow, 127411, Russia

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Novo Nordisk Investigational Site

Saint Petersburg, 199034, Russia

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Novo Nordisk Investigational Site

Alicante, 03010, Spain

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Novo Nordisk Investigational Site

Girona, 17007, Spain

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Novo Nordisk Investigational Site

Santander, 39008, Spain

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Novo Nordisk Investigational Site

Seville, 41014, Spain

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Novo Nordisk Investigational Site

Ashington, NE63 9JJ, United Kingdom

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Novo Nordisk Investigational Site

Bath, BA1 3NG, United Kingdom

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Novo Nordisk Investigational Site

Belfast, BT12 6BA, United Kingdom

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Novo Nordisk Investigational Site

Birmingham, B9 5SS, United Kingdom

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Novo Nordisk Investigational Site

Bristol, BS10 5NB, United Kingdom

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Novo Nordisk Investigational Site

Cambridge, CB2 2QQ, United Kingdom

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Novo Nordisk Investigational Site

Edgbaston, Birmingham, B15 2TH, United Kingdom

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Novo Nordisk Investigational Site

Edinburgh, EH16 4SA, United Kingdom

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Novo Nordisk Investigational Site

Exeter, EX2 5AX, United Kingdom

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Novo Nordisk Investigational Site

Hull, HU3 2JZ, United Kingdom

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Novo Nordisk Investigational Site

Leeds, LS9 7TF, United Kingdom

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Novo Nordisk Investigational Site

Leicester, LE1 5WW, United Kingdom

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Novo Nordisk Investigational Site

Liverpool, L7 8XP, United Kingdom

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Novo Nordisk Investigational Site

London, SE5 9RS, United Kingdom

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Novo Nordisk Investigational Site

London, W12 OHS, United Kingdom

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Novo Nordisk Investigational Site

Newcastle, NE29 0LR, United Kingdom

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Novo Nordisk Investigational Site

Norfolk, NR4 7UY, United Kingdom

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Novo Nordisk Investigational Site

Northampton, NN1 5BD, United Kingdom

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Novo Nordisk Investigational Site

Nottingham, NG7 2UH, United Kingdom

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Novo Nordisk Investigational Site

Oxford, OX3 9DU, United Kingdom

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Novo Nordisk Investigational Site

Plymouth, PL8 8DQ, United Kingdom

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Novo Nordisk Investigational Site

Reading, RG51 5BS, United Kingdom

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Novo Nordisk Investigational Site

Sheffield, S10 2JF, United Kingdom

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Novo Nordisk Investigational Site

Sheffield, S5 7AU, United Kingdom

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Novo Nordisk Investigational Site

Southampton, SO16 6YD, United Kingdom

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Novo Nordisk Investigational Site

Stourbridge, DY3 3BG, United Kingdom

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Novo Nordisk Investigational Site

Worcester, WR5 1HN, United Kingdom

Location

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.

  • Hod 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.

  • Hod 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.

  • McCance 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.

  • Heller 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.

  • Damm 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.

  • Altschuler 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.

  • Williams 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.

Related Links

MeSH Terms

Conditions

Diabetes MellitusDiabetes Mellitus, Type 1

Interventions

InsulinInsulin Aspart

Condition Hierarchy (Ancestors)

Glucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System DiseasesAutoimmune DiseasesImmune System Diseases

Intervention Hierarchy (Ancestors)

ProinsulinInsulinsPancreatic HormonesPeptide HormonesHormonesHormones, Hormone Substitutes, and Hormone AntagonistsPeptidesAmino Acids, Peptides, and ProteinsInsulin, Short-Acting

Study Officials

  • Global Clinical Registry (1452, GCR)

    Novo Nordisk A/S

    STUDY DIRECTOR

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

Locations