Automated Insulin Delivery Versus Usual Insulin Treatment Modality Before and During Pregnancy in Women With Type 1 Diabetes
AID-DM
1 other identifier
interventional
305
1 country
8
Brief Summary
A national multi-center open-label randomized controlled trial that investigates whether the use of the automated insulin delivery system CamAPS FX initiated during pregnancy planning or in early pregnancy improves maternal time in glycemic targets and fetal growth in women with type 1 diabetes compared to usual insulin treatment modality combined with Continuous Glucose Monitoring.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Dec 2025
Typical duration for not_applicable
8 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 16, 2025
CompletedFirst Posted
Study publicly available on registry
November 20, 2025
CompletedStudy Start
First participant enrolled
December 1, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
October 1, 2028
January 14, 2026
November 1, 2025
2.8 years
November 16, 2025
January 13, 2026
Conditions
Outcome Measures
Primary Outcomes (2)
Time in range
The between group difference in time in range in pregnancy (3.5-7.8 mmol/L) between intervention and controls
From first day of last menstrual cycle (planning pregnancy) or randomization (early pregnancy) until delivery.
Neonatal outcome: Birthweight
Offspring birthweight standard deviation score adjusted for gestational age and infant gender.
At delivery
Secondary Outcomes (14)
Continuous glucose monitoring data
From randomisation during pregnancy planning until delivery or leaving study after 52 weeks (randomized during pregnancy planning) or from randomization in early pregnancy to delivery
Insulin and carbohydrates
Randomization, during pregnancy planning, study visits during pregnancy, around delivery and at one month post-delivery
System features
From inclusion until one month post-delivery
HbA1c
Inclusion, last before pregnancy, at 9, 21, 33 and 35 weeks
Severe hypoglycemia
2 years - if not becoming pregnant in the study period - until leaving the study
- +9 more secondary outcomes
Study Arms (2)
Automated closed-loop insulin delivery (AID)
EXPERIMENTALUsual insulin treatment modality
NO INTERVENTIONInterventions
Automated closed-loop insulin delivery and The mylife CamAPS FX algorithm combined with CGM
Eligibility Criteria
You may qualify if:
- Women, age 18-45 years
- Duration of type 1 diabetes ≥ 12 months
- Women who are not pregnant confirmed by a negative pregnancy test on the day of randomization
- Planning pregnancy within 52 weeks
- Women, age 18-45 years
- Duration of type 1 diabetes ≥ 12 months
- Pregnant with an intrauterine singleton living fetus confirmed by an ultrasound scan between 8+0 and 13+6 gestational weeks
- Accepting participation in the DDBR2 study during pregnancy, delivery and until one month after delivery
You may not qualify if:
- No proficiency in Danish to understand oral and written information
- Severe mental or psychiatric barriers or concurrent disease on the decision of the principal investigator
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- The Novo Nordic Foundationcollaborator
- mylife Diabetes Care AGcollaborator
- Abbottcollaborator
- Rigshospitalet, Denmarklead
Study Sites (8)
Department of Gynecology and Obstetrics, Aalborg University Hospital
Aalborg, Aalborg, 9000, Denmark
Department of Gynecology and Obstetrics, Aarhus University Hospital
Aarhus, Aarhus N, 8200, Denmark
Steno Diabetes Center Aarhus
Aarhus, Aarhus N, 8200, Denmark
Steno Diabetes Center Nordjylland
Aalborg, Gistrup, 9260, Denmark
Steno Diabetes Center Copenhagen
Copenhagen, Herlev, 2730, Denmark
Department of Gynecology and Obstetrics, Odense University Hospital
Odense, Odense C, 5000, Denmark
Steno Diabetes Center Odense, Odense University Hospital
Odense, Odense C, 5000, Denmark
Center for Pregnant Women with Diabetes, Rigshospitalet
Copenhagen, 2100, Denmark
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Lene Ringholm Chief physician, PhD, Associate Professor
CONTACT
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Chief physician, PhD, Associate Professor
Study Record Dates
First Submitted
November 16, 2025
First Posted
November 20, 2025
Study Start
December 1, 2025
Primary Completion (Estimated)
October 1, 2028
Study Completion (Estimated)
October 1, 2028
Last Updated
January 14, 2026
Record last verified: 2025-11
Data Sharing
- IPD Sharing
- Will not share
IPD will be shared if it is a requirement at our institution.