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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention with insulin Fiasp | Experimental | Women randomized to insulin Fiasp |
|
| Control (insulin Novorapid) | Active Comparator | Women randomized to insulin NovoRapid |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Faster-acting Aspart insulin Fiasp | Drug | Randomization to treatment with insulin Fiasp |
|
| Measure | Description | Time Frame |
|---|---|---|
| Birth weight standard deviation score | Offspring birth weight (measured as standard deviation score) adjusted for gestational age and gender | At delivery |
| Measure | Description | Time Frame |
|---|---|---|
| HbA1c levels | HbA1c levels in pregnancy, one and three months after delivery | At inclusion in early pregnancy, at 21 weeks in pregnancy, at 33 weeks in pregnancy, at 36 weeks in pregnancy, at 1 month after delivery, at 3 months after delivery |
| Postprandial self-monitoring of plasma glucose (SMPG) levels |
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Inclusion criteria
Exclusion criteria
• Severe mental or psychiatric barriers or concurrent disease on the decision of the principal investigator
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| Name | Affiliation | Role |
|---|---|---|
| Lene Ringholm | Rigshospitalet, Denmark | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Center for Pregnant Women with Diabetes, Rigshospitalet | Copenhagen | Denmark |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37804858 | Derived | 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. | |
| 34086494 |
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Baseline data can be shared upon request.
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| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D011248 | Pregnancy Complications |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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| Control (insulin Novorapid) | Drug | Randomization to standard treatment with insulin Novorapid |
|
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Postprandial self-monitoring of plasma glucose (SMPG) levels in pregnancy |
| 9 months |
| Preprandial self-monitoring of plasma glucose (SMPG) levels | Preprandial self-monitoring of plasma glucose (SMPG) levels in pregnancy | 9 months |
| Insulin treatment and dose (IU) including insulin pump settings | Type of insulin, dose (IU) during pregnancy, around delivery and until 3 months after delivery. In women on insulin pump therapy: appropriate insulin pump dosing (IU) during pregnancy, around delivery and until 3 months after delivery. | At inclusion in early pregnancy, at 21 weeks in pregnancy, at 33 weeks in pregnancy, at 36 weeks in pregnancy, at 1 month after delivery, at 3 months after delivery |
| Continuous glucose monitoring data | The amount of time during CGM use spent in the target range 3.5-7.8 mmol/l, with glucose <3.5 mmol/L and glucose >7.8 mmol/L at night-time (23 pm to 7 am) and over 24 h, respectively, in pregnancy and around delivery (in the morning for induction of labour or planned caesarean section). • The percentage of time during the first one-week period after delivery spent in the target range 3.9-10.0 mmol/L, with glucose <3.9 mmol/L and glucose >10.0 mmol/L at night-time (23 pm to 7 am) and over 24 h, respectively. | 9 months |
| Severe hypoglycemia | The incidence of severe hypoglycemia in the year preceding pregnancy, during pregnancy and the first three months after giving birth | 2 years |
| Mild hypoglycaemia | The incidence of mild hypoglycemia during pregnancy and the first three months after giving birth. | 12 months |
| Maternal weight | Maternal weight in pregnancy and after delivery | At inclusion in early pregnancy, at 21 weeks in pregnancy, at 33 weeks in pregnancy, at 36 weeks in pregnancy, at 1 month after delivery, at 3 months after delivery |
| Pregnancy complications and outcomes | The prevalence of miscarriage, mode of delivery, early preterm delivery (before 34 completed weeks), preterm delivery (before 37 completed weeks), preeclampsia and perinatal death | 9 months |
| Fetal overgrowth | The prevalence of fetal overgrowth, defined as the offspring birth weight SD score +1.28 or >90th percentile | At birth |
| Infant weight | Infant weight during the first 3 months of life | 3 months |
| Neonatal morbidity (neonatal hypoglycaemia, jaundice, respiratory distress and duration of stay in neonatal intensive care unit) and infant morbidity evaluated as hospitalization during the first 3 months of life (after discharge in the neonatal period) | Neonatal morbidity | 3 months |
| Derived |
| 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. |
| 33837106 | Derived | 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. |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |