Comparison of Insulin Alone to Insulin With Metformin to Treat Gestational Diabetes Mellitus
NCT03651531 · Status: TERMINATED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 1
Last updated 2020-07-24
Summary
This study is a prospective, unmasked randomized clinical trial comparing the use of insulin vs combination insulin and metformin for treatment in women diagnosed with gestational diabetes mellitus (GDM). The investigator's hypothesis is that the combination of metformin and insulin will be superior to insulin alone to achieve tight glucose control during pregnancy.
Conditions
- Gestational Diabetes
Interventions
- DRUG
-
Weight based insulin will be calculated using 0.7 units/kg/day in the first trimester, 0.8 units/kg/day in the second trimester and 1 units/kg/day in the third trimester. This total insulin will then be divided into short acting insulin and intermediate acting insulin per provider discretion.
- DRUG
-
Will be initiated at dose of 500 mg twice daily. If glycemic control is suboptimal, the dose of metformin will be increased to 1000 mg twice a day. Metformin will be titrated prior to increases in insulin.
Sponsors & Collaborators
-
Women and Infants Hospital of Rhode Island
lead OTHER
Principal Investigators
-
Christopher Nau, MD · Women & Infants Hospital
-
Erika Werner · Women & Infants Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-01-03
- Primary Completion
- 2019-07-30
- Completion
- 2019-07-30
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Metformin Compared to Glyburide in Gestational Diabetes
NCT00965991 ·Status: COMPLETED ·Phase: NA
-
Metformin Versus Insulin in the Treatment of Gestational Diabetes Mellitus
NCT01087866 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Medical Optimization of Management of Type 2 Diabetes Complicating Pregnancy (MOMPOD)
NCT02932475 ·Status: TERMINATED ·Phase: PHASE3
-
Hyperemesis Gravidarum Risk Reduction With Metformin
NCT07129473 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Metformin in Women With Type 2 Diabetes in Pregnancy Trial
NCT01353391 ·Status: COMPLETED ·Phase: PHASE3
-
Study to Understand the Genetics of the Acute Response to Metformin and Glipizide in Humans
NCT01762046 ·Status: COMPLETED ·Phase: PHASE1
-
Glyburide and Metformin for Gestational Diabetes Mellitus (GDM)
NCT01329016 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Oral Antidiabetic Agents in Pregnancy
NCT02091336 ·Status: UNKNOWN ·Phase: PHASE4
-
Comparison Between Metformin and Glyburide in the Management of Gestational Diabetes
NCT06589141 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Metformin for the Treatment of Microvascular Dysfunction After Gestational Diabetes
NCT05917587 ·Status: RECRUITING ·Phase: EARLY_PHASE1
-
Effect of Adding Metformin to Insulin Therapy on Pregnancy Outcomes in Women With Uncontrolled Type I Diabetes.
NCT03928340 ·Status: COMPLETED ·Phase: PHASE4
-
Metformin as Adjuvant to Insulin Therapy in Insulin-resistant Diabetes Mellitus With Pregnancy
NCT01915550 ·Status: COMPLETED ·Phase: PHASE3
-
A Study in Type 2 Diabetic Subjects on Stable Metformin Therapy to Investigate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Co-administering Single and Multiple Oral Doses of GSK1292263
NCT01128621 ·Status: COMPLETED ·Phase: PHASE2
-
Glucophage Plus Myo-Inositol vs Glucophage in Glycemic Control Among Patients With Gestational Diabetes Mellitus
NCT06840613 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Maternal Weight Gain in Gestational Diabetes Controlled by Metformin Versus Insulin
NCT03841591 ·Status: COMPLETED ·Phase: PHASE3
-
Effect of Metformin on Healthy Live Birth in Women With Prediabetes
NCT06064669 ·Status: RECRUITING ·Phase: NA
-
A Study of the Safety and Efficacy of Omarigliptin (MK-3102) Compared With Glimepiride in Participants With Type 2 Diabetes Mellitus With Inadequate Glycemic Control on Metformin (MK-3102-016)
NCT01682759 ·Status: COMPLETED ·Phase: PHASE3
-
Addition of Omarigliptin (MK-3102) to Participants With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control on Combination Therapy With Glimepiride and Metformin (MK-3102-022)
NCT01704261 ·Status: COMPLETED ·Phase: PHASE3
-
A Study to Evaluate the Safety and Efficacy of Omarigliptin (MK-3102) Compared With Glimepiride in Participants With Type 2 Diabetes Mellitus for Whom Metformin is Inappropriate (MK-3102-027)
NCT01863667 ·Status: TERMINATED ·Phase: PHASE3
-
Metformin for the Treatment of Diabetes in Pregnancy
NCT00414245 ·Status: UNKNOWN ·Phase: PHASE3
-
Comparison of Biphasic Insulin Aspart 70/30 Versus Insulin Glargine in Subjects With Type 2 Diabetes
NCT00097877 ·Status: COMPLETED ·Phase: PHASE3
-
Glimepiride vs Metformin as Monotherapy in Pediatric Subjects With Type 2 Diabetes Mellitus
NCT00353691 ·Status: COMPLETED ·Phase: PHASE3
-
Mitiglinide in Combination With Metformin vs. Metformin Alone in Patients With Type 2 Diabetes Mellitus
NCT00519142 ·Status: COMPLETED ·Phase: PHASE3
-
Study of Clinical Response to Acute Metformin By Leveraging Evaluations During a Mixed Meal Tolerance Test for Exploring Glycemia and GeneticS
NCT02087826 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
A Study to Evaluate the Safety, Tolerability, and Efficacy of the Addition of Omarigliptin (MK-3102) to Participants With Type 2 Diabetes Mellitus Who Have Inadequate Glycemic Control on Metformin Therapy (MK-3102-024)
NCT01755156 ·Status: COMPLETED ·Phase: PHASE3