Diabetes MellitusNCT01892319
An International Non-interventional Cohort Study to Evaluate the Safety of Treatment With Insulin Detemir in Pregnant Women With Diabetes Mellitus. Diabetes Pregnancy Registry
An observational study of Diabetes Mellitus and Diabetes Mellitus, Type 1, run by Novo Nordisk A/S at 93 sites in 16 countries.
Trial summary
This study is conducted in Europe and Asia. The purpose of the study (Diabetes Pregnancy Registry) is to evaluate the safety of treatment with insulin detemir in pregnant women with diabetes mellitus. Read more about this study
- Who is it for?
- Any age, women only
- Conditions the study is for
- Diabetes Mellitus, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2
- What is being tested?
- insulin detemir and other injectable antidiabetic treatment regimens
- Type of treatment
- Injection or infusion
- How many people
- 2,446 participants
- Where
- 93 sitesin 16 countries
- Study dates
- 30 Sep 2013to 30 Sep 2019
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- Women only
- No healthy volunteers
- Child, Adult, Older adult
Study population: Women with diabetes mellitus, who are pregnant and treated with Levemir® or other injectable antidiabetic treatment regimens, and who have not changed basal insulin or other injectable antidiabetic treatment product (for those not treated with basal insulin) 4 weeks prior to and following conception will be included in the Diabetes Pregnancy Registry.
Inclusion Criteria: - Informed consent obtained before any data collection - Woman with a positive pregnancy test - Diabetes mellitus type 1 or 2, diagnosed prior to conception - Currently treated with Levemir® or other injectable antidiabetic treatment(s) - Unchanged basal insulin or other injectable antidiabetic treatment product (for those not treated with basal insulin) 4 weeks prior to and following conception Exclusion Criteria: - Women who have been pregnant for more than 16 weeks at baseline visit will be excluded from the study
Trial locations and contacts
93 sites in 16 countries.
93 sites in 16 countries
Malaysia12 sites
Novo Nordisk Investigational Site
Alor Gajah, 78300
Novo Nordisk Investigational Site
Alor Star, 05400
Novo Nordisk Investigational Site
Alor Star, 05460
Novo Nordisk Investigational Site
Batu Caves, 68100
Novo Nordisk Investigational Site
Ipoh, 30450
Novo Nordisk Investigational Site
Ipoh, 31400
Novo Nordisk Investigational Site
Kuala Lumpur, 52000
Novo Nordisk Investigational Site
Kuala Lumpur, 57000
Novo Nordisk Investigational Site
Kuala Lumpur, 59100
Novo Nordisk Investigational Site
Putrajaya, 62250
Novo Nordisk Investigational Site
Seremban, 70300
Novo Nordisk Investigational Site
Seremban, 70450
Germany9 sites
Novo Nordisk Investigational Site
Bramsche, 49565
Novo Nordisk Investigational Site
Eisenach, 99817
Novo Nordisk Investigational Site
Essen, 45136
Novo Nordisk Investigational Site
Friedrichsthal, 66299
Novo Nordisk Investigational Site
Ludwigshafen, 67059
Novo Nordisk Investigational Site
Neuwied, 56564
Novo Nordisk Investigational Site
Speyer, 67346
Novo Nordisk Investigational Site
Stuttgart, 70184
Novo Nordisk Investigational Site
Sulzbach-Rosenberg, 92237
Italy9 sites
Novo Nordisk Investigational Site
Livorno, 57124
Novo Nordisk Investigational Site
Milan, 20132
Novo Nordisk Investigational Site
Padova, 35143
Novo Nordisk Investigational Site
Roma, 00189
Novo Nordisk Investigational Site
Roma, 00195
Novo Nordisk Investigational Site
Sant'Andrea Delle Fratte (PG), 06129
Novo Nordisk Investigational Site
Torino, 10126
Novo Nordisk Investigational Site
Trento, 38122
Novo Nordisk Investigational Site
Verona, 37126
United Kingdom8 sites
Novo Nordisk Investigational Site
Bath, BA1 3NG
Novo Nordisk Investigational Site
Belfast, BT12 6BA
Novo Nordisk Investigational Site
Bristol, BS10 5NB
Novo Nordisk Investigational Site
Devon, EX2 5DW
Novo Nordisk Investigational Site
Glasgow, G31 2ER
Novo Nordisk Investigational Site
Inverness, IV2 3JH
Novo Nordisk Investigational Site
Southampton, SO16 5YA
Novo Nordisk Investigational Site
Stevenage, SG1 4AB
France7 sites
Novo Nordisk Investigational Site
Angers, 49000
Novo Nordisk Investigational Site
Corbeil-Essonnes, 91106
Novo Nordisk Investigational Site
Lille, 59037
Novo Nordisk Investigational Site
Nîmes, 30006
Novo Nordisk Investigational Site
Paris, 75014
Novo Nordisk Investigational Site
Toulouse, 31054
Novo Nordisk Investigational Site
Valenciennes, 59322
Norway7 sites
Novo Nordisk Investigational Site
Ålesund, 6026
Novo Nordisk Investigational Site
Bergen, 5021
Novo Nordisk Investigational Site
Gjøvik, NO-2819
Novo Nordisk Investigational Site
Hamar, 2318
Novo Nordisk Investigational Site
Lillehammer, 2609
Novo Nordisk Investigational Site
Moss, 1535
Novo Nordisk Investigational Site
Tønsberg, 3116
Portugal7 sites
Novo Nordisk Investigational Site
Almada, 2805-267
Novo Nordisk Investigational Site
Amadora, 2720-276
Novo Nordisk Investigational Site
Leiria, 2410-197
Novo Nordisk Investigational Site
Lisbon, 1069-089
Novo Nordisk Investigational Site
Lisbon, 1649-035
Novo Nordisk Investigational Site
Porto, 4099-001
Novo Nordisk Investigational Site
Porto, 4200-319
Poland6 sites
Novo Nordisk Investigational Site
Legnica, 59-220
Novo Nordisk Investigational Site
Lodz, 90-553
Novo Nordisk Investigational Site
Lubin, 59-300
Novo Nordisk Investigational Site
Poznan, 60-371
Novo Nordisk Investigational Site
Poznan, 61-693
Novo Nordisk Investigational Site
Szczecin, 70-376
Romania6 sites
Novo Nordisk Investigational Site
Bucharest, 020042
Novo Nordisk Investigational Site
Bucharest, 020359
Novo Nordisk Investigational Site
Bucharest, 020475
Novo Nordisk Investigational Site
Bucharest, 022441
Novo Nordisk Investigational Site
Galati, 800098
Novo Nordisk Investigational Site
Timișoara, Timiș County, 300736
Spain6 sites
Novo Nordisk Investigational Site
Barcelona, 08025
Novo Nordisk Investigational Site
Barcelona, 08036
Novo Nordisk Investigational Site
Madrid, 28046
Novo Nordisk Investigational Site
Málaga, 29006
Novo Nordisk Investigational Site
Seville, 41014
Novo Nordisk Investigational Site
Valencia, 46026
Netherlands5 sites
Novo Nordisk Investigational Site
Amsterdam, 1081 HV
Novo Nordisk Investigational Site
Apeldoorn, 7334 DZ
Novo Nordisk Investigational Site
Arnhem, 6815 AD
Novo Nordisk Investigational Site
Eindhoven, 5631 BM
Novo Nordisk Investigational Site
Utrecht, 3584 CX
Ireland4 sites
Novo Nordisk Investigational Site
Castlebar
Novo Nordisk Investigational Site
Co. Donegal
Novo Nordisk Investigational Site
Dublin
Novo Nordisk Investigational Site
Galway, H91 YR71
Finland3 sites
Novo Nordisk Investigational Site
Pori, 28500
Novo Nordisk Investigational Site
Tampere, 33521
Novo Nordisk Investigational Site
Turku, 20520
Greece2 sites
Novo Nordisk Investigational Site
Athens, GR-11528
Novo Nordisk Investigational Site
Nea Efkarpia - Thessaloniki, GR-56403
About this study
Official title: An International Non-interventional Cohort Study to Evaluate the Safety of Treatment With Levemir® (Insulin Detemir) in Pregnant Women With Diabetes Mellitus
This study is conducted in Europe and Asia. The purpose of the study (Diabetes Pregnancy Registry) is to evaluate the safety of treatment with insulin detemir in pregnant women with diabetes mellitus.
- Being tested
- insulin detemir, other injectable antidiabetic treatment regimens
- Medical subject headings
- Diabetes Mellitus, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
insulin detemirDrug
Patients will be treated according to routine clinical practice at the discretion of the treating physician
other injectable antidiabetic treatment regimensDrug
Patients will be treated according to routine clinical practice at the discretion of the treating physician
| Study group | Role | What they receive |
|---|---|---|
| All patients | Not described Receives: Drug: insulin detemir; Drug: other injectable antidiabetic treatment regimens |
What is being measured
The primary outcome is the main question the study is designed to answer.
Proportion of pregnancies (Levemir® treatment), compared to pregnancies (other basal insulin treatment regimens), resulting in none of the following events: Major congenital malformations, Perinatal death, Neonatal death
Measured: Assessed up to 4 weeks after delivery
Secondary outcomes (9)
Incidence of major hypoglycaemia
Measured: During pregnancy
Proportion of pregnancies complicated by pre-eclampsia
Measured: During pregnancy
Proportion of pregnancies resulting in perinatal death
Measured: Assessed 1 week after delivery
Proportion of pregnancies resulting in neonatal death
Measured: Assessed 4 weeks after delivery
Proportion of pregnancies resulting in spontaneous abortion
Measured: Assessed at pregnancy termination
Proportion of pregnancies resulting in pre-term delivery
Measured: Assessed at delivery
Height
Measured: At the age of 1 year
Weight
Measured: At the age of 1 year
Proportion with changes (progression/regression) of major congenital malformations
Measured: At the age of 1 year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Jul 2013 (estimated)
- Study start30 Sep 2013
- Primary completion30 Sep 2019
- Study completion30 Sep 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Diabetes MellitusStudies of the same condition, open and under way.
- More trials run by Novo Nordisk A/SThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 2,446 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novo Nordisk A/S
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Global Clinical Registry (GCR, 1452), Study director, Novo Nordisk A/S
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01892319
- Sponsor's protocol ID
- NN304-4016
- Other IDs
- U1111-1132-9442, ENCEPP/SDPP/4137
- Status last verified
- Nov 2019
- First submitted
- 27 Jun 2013
- Last updated
- 19 Nov 2019
- Results posted
- No
- Data monitoring committee
- No
Publications
Mathiesen ER, Andersen H, Kring SI, Damm P. Design and rationale of a large, international, prospective cohort study to evaluate the occurrence of malformations and perinatal/neonatal death using insulin detemir in pregnant women with diabetes in comparison with other long-acting insulins. BMC Pregnancy Childbirth. 2017 Jan 18;17(1):38. doi: 10.1186/s12884-016-1177-4.
PubMed 28100192Thorius IH, Petersen J, Husemoen LLN, Alibegovic AC, Gall MA, Damm P, Mathiesen ER. Glycemic Control and Risk of Congenital Malformations in Women With Type 1 Diabetes. Obstet Gynecol. 2024 Nov 1;144(5):725-732. doi: 10.1097/AOG.0000000000005722. Epub 2024 Sep 5.
PubMed 39236320Thorius IH, Husemoen LLN, Nordsborg RB, Alibegovic AC, Gall MA, Petersen J, Damm P, Mathiesen ER. Fetal Overgrowth and Preterm Delivery in Women With Type 1 Diabetes Using Insulin Pumps or Multiple Daily Injections: A Post Hoc Analysis of the EVOLVE Study Cohort. Diabetes Care. 2024 Mar 1;47(3):384-392. doi: 10.2337/dc23-1281.
PubMed 38128075Mathiesen ER, Ali N, Alibegovic AC, Anastasiou E, Cypryk K, de Valk H, Dores J, Dunne F, Gall MA, Garcia SD, Hanaire HP, Husemoen LLN, Ivanisevic M, Kempe HP, McCance DR, Damm P. Risk of Major Congenital Malformations or Perinatal or Neonatal Death With Insulin Detemir Versus Other Basal Insulins in Pregnant Women With Preexisting Diabetes: The Real-World EVOLVE Study. Diabetes Care. 2021 Sep;44(9):2069-2077. doi: 10.2337/dc21-0472. Epub 2021 Jul 30.
PubMed 34330786
Study at a glance
From the registry record, last updated by the sponsor on 19 Nov 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An International Non-interventional Cohort Study to Evaluate the Safety of Treatment With Levemir® (Insulin Detemir) in Pregnant Women With Diabetes Mellitus
- ClinicalTrials.gov ID
- NCT01892319
- Acronym / sponsor ID
- NN304-4016
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 2,446 participants (actual)
- Lead sponsor
- Novo Nordisk A/SIndustry (pharma, biotech, devices)
- Study start
- 30 Sep 2013 (actual)
- Primary completion
- 30 Sep 2019 (actual)
- Study completion
- 30 Sep 2019 (actual)
- First posted
- 4 Jul 2013 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is conducted in Europe and Asia. The purpose of the study (Diabetes Pregnancy Registry) is to evaluate the safety of treatment with insulin detemir in pregnant women with diabetes mellitus.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| All patients | – | Drug: insulin detemir, Drug: other injectable antidiabetic treatment regimens |
Who may qualify
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
- Study population
- Women with diabetes mellitus, who are pregnant and treated with Levemir® or other injectable antidiabetic treatment regimens, and who have not changed basal insulin or other injectable antidiabetic treatment product (for those not treated with basal insulin) 4 weeks prior to and following conception will be included in the Diabetes Pregnancy Registry.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| insulin detemirPatients will be treated according to routine clinical practice at the discretion of the treating physician | Drug | All patients |
| other injectable antidiabetic treatment regimensPatients will be treated according to routine clinical practice at the discretion of the treating physician | Drug | All patients |
Primary outcome
Proportion of pregnancies (Levemir® treatment), compared to pregnancies (other basal insulin treatment regimens), resulting in none of the following events: Major congenital malformations, Perinatal death, Neonatal death
Time frame: Assessed up to 4 weeks after delivery
9 secondary outcomes
Incidence of major hypoglycaemia
Time frame: During pregnancy
Proportion of pregnancies complicated by pre-eclampsia
Time frame: During pregnancy
Proportion of pregnancies resulting in perinatal death
Time frame: Assessed 1 week after delivery
Proportion of pregnancies resulting in neonatal death
Time frame: Assessed 4 weeks after delivery
Proportion of pregnancies resulting in spontaneous abortion
Time frame: Assessed at pregnancy termination
Proportion of pregnancies resulting in pre-term delivery
Time frame: Assessed at delivery
Height
Time frame: At the age of 1 year
Weight
Time frame: At the age of 1 year
Proportion with changes (progression/regression) of major congenital malformations
Time frame: At the age of 1 year
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Nov 2019.
- Results publication: PubMed 28100192Mathiesen ER, Andersen H, Kring SI, Damm P. Design and rationale of a large, international, prospective cohort study to evaluate the occurrence of malformations and perinatal/neonatal death using insulin detemir in pregnant women with diabetes in comparison with other long-acting insulins. BMC Pregnancy Childbirth. 2017 Jan 18;17(1):38. doi: 10.1186/s12884-016-1177-4.
- Derived from this study: PubMed 39236320Thorius IH, Petersen J, Husemoen LLN, Alibegovic AC, Gall MA, Damm P, Mathiesen ER. Glycemic Control and Risk of Congenital Malformations in Women With Type 1 Diabetes. Obstet Gynecol. 2024 Nov 1;144(5):725-732. doi: 10.1097/AOG.0000000000005722. Epub 2024 Sep 5.
- Derived from this study: PubMed 38128075Thorius IH, Husemoen LLN, Nordsborg RB, Alibegovic AC, Gall MA, Petersen J, Damm P, Mathiesen ER. Fetal Overgrowth and Preterm Delivery in Women With Type 1 Diabetes Using Insulin Pumps or Multiple Daily Injections: A Post Hoc Analysis of the EVOLVE Study Cohort. Diabetes Care. 2024 Mar 1;47(3):384-392. doi: 10.2337/dc23-1281.
- Derived from this study: PubMed 34330786Mathiesen ER, Ali N, Alibegovic AC, Anastasiou E, Cypryk K, de Valk H, Dores J, Dunne F, Gall MA, Garcia SD, Hanaire HP, Husemoen LLN, Ivanisevic M, Kempe HP, McCance DR, Damm P. Risk of Major Congenital Malformations or Perinatal or Neonatal Death With Insulin Detemir Versus Other Basal Insulins in Pregnant Women With Preexisting Diabetes: The Real-World EVOLVE Study. Diabetes Care. 2021 Sep;44(9):2069-2077. doi: 10.2337/dc21-0472. Epub 2021 Jul 30.
- Clinical Trials at Novo NordiskLink provided by the sponsor.
Related trials for Diabetes Mellitus
Not yet recruitingPhase 3
Efficacy and Safety of Once-Weekly SHR-3167 Compared With Once-Daily Insulin Glargine in Adults With Insulin-Naive Type 2 Diabetes
Type 2 Diabetes
Active, not recruiting
Digital Reinforcement of Motivational Interviewing Micro-Skills Among Primary Care Healthcare Professionals
Hypertension (Without Type 2 Diabetes Mellitus)
Recruiting
Effects of Lean Pork Loin Intake on Protein Homeostasis and Glucose Regulation in Prediabetic Adults
Hyperglycaemia (Non Diabetic), Prediabetes
Recruiting
PAW-Hydrogel for Chronic Wound Healing
Diabetic Foot Ulcer (DFU), Pressure Ulcer (PU)
Recruiting
Investigating Vascular Properties of HEMI and SPG Signals in Individuals With or at Risk for Chronic Kidney Disease
Chronic Kidney Disease, Hypertension (HTN)
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Global Clinical Registry (GCR, 1452) study director
Novo Nordisk A/S
93 sites in 16 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Diabetes Mellitus and Diabetes Mellitus, Type 1, run by Novo Nordisk A/S at 93 sites in 16 countries.
The full registered description is in the About this study section and the official record.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 19 Nov 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 93 sites in Malaysia, Germany, Italy, United Kingdom, France and 11 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Proportion of pregnancies (Levemir® treatment), compared to pregnancies (other basal insulin treatment regimens), resulting in none of the following events: Major congenital malformations, Perinatal death, Neonatal death (time frame: Assessed up to 4 weeks after delivery). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01892319, which also lists 4 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Nov 2019.