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NCT04599075

Intravenous Insulin vs Subcutaneous Insulin Infusion in Intrapartum Management of Type 1 Diabetes Mellitus

Completed Phase 4 Results posted Last updated 8 July 2024
What this trial tests

Phase 4 trial testing Insulin in Type 1 Diabetes in 70 participants. Completed in 2 May 2023.

Timeline
15 March 2021
Primary endpoint
1 May 2023
2 May 2023

Quick facts

Lead sponsorGianna Wilkie
PhasePhase 4
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposetreatment
Enrollment70
Start date15 March 2021
Primary completion1 May 2023
Estimated completion2 May 2023
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Gianna Wilkie

Who can join

18 and older, female only, with Type 1 Diabetes or Pregnancy, High Risk. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Neonatal Hypoglycemia Primary · Within 2 hours of birth

First neonatal blood sugar obtained within 2 hours of birth

GroupValue95% CI
Intravenous Insulin Infusion49.2± 22.6
Continuous Subcutaneous Insulin Infusion (CSII)50.1± 23.4
Number of Maternal Hypoglycemic Events Secondary · During labor

Number of maternal blood sugars \< 60 mg/dL

GroupValue95% CI
Intravenous Insulin Infusion5
Continuous Subcutaneous Insulin Infusion (CSII)1
Development of Diabetic Ketoacidosis During Labor Secondary · During Labor

Development of Diabetic Ketoacidosis during labor

GroupValue95% CI
Intravenous Insulin Infusion0
Continuous Subcutaneous Insulin Infusion (CSII)0
Mode of Delivery Secondary · At birth

Mode of Delivery (vaginal versus cesarean)

GroupValue95% CI
Intravenous Insulin Infusion17
Continuous Subcutaneous Insulin Infusion (CSII)23
Intravenous Insulin Infusion16
Continuous Subcutaneous Insulin Infusion (CSII)11
Intravenous Insulin Infusion2
Continuous Subcutaneous Insulin Infusion (CSII)1
Neonatal Birthweight Secondary · At Birth

Neonatal Birthweight

GroupValue95% CI
Intravenous Insulin Infusion3067.8± 1035.8
Continuous Subcutaneous Insulin Infusion (CSII)3293.3± 883.7
Number of Participants With Shoulder Dystocia Secondary · At birth

Number of participants with shoulder dystocia

GroupValue95% CI
Intravenous Insulin Infusion4
Continuous Subcutaneous Insulin Infusion (CSII)1
Number of Participants With Brachial Plexus Injury Secondary · At birth

Number of participants with brachial plexus injury

GroupValue95% CI
Intravenous Insulin Infusion0
Continuous Subcutaneous Insulin Infusion (CSII)0
5 Minute Apgar Score < 7 Secondary · At delivery (5 minutes)

Neonatal Apgar Score: The Apgar score is based on a total score of 1 to 10. The higher the score, the better the baby is doing after birth. A score of 7, 8, or 9 is normal and is a sign that the newborn is in good health.

GroupValue95% CI
Intravenous Insulin Infusion7
Continuous Subcutaneous Insulin Infusion (CSII)3
Received Neonatal Intervention for Hypoglycemia Secondary · Within 24 hours of life

Received intervention for hypoglycemia (any oral, IV, or both)

GroupValue95% CI
Intravenous Insulin Infusion18
Continuous Subcutaneous Insulin Infusion (CSII)20
Neonatal Intensive Care Unit Admission Secondary · At delivery and within first 2 day of life

Admission to level 2 or greater neonatal ICU. This is a marker for additional need for neonatal support and care after delivery.

GroupValue95% CI
Intravenous Insulin Infusion16
Continuous Subcutaneous Insulin Infusion (CSII)17
Gestational Age at Delivery Secondary · At birth

Gestational age at delivery

GroupValue95% CI
Intravenous Insulin Infusion35.6± 3.6
Continuous Subcutaneous Insulin Infusion (CSII)36.0± 2.8
Number of Participants With Neonatal Respiratory Distress Secondary · At delivery

Requiring 2 or more hours of respiratory support or oxygen with associated diagnosis

GroupValue95% CI
Intravenous Insulin Infusion4
Continuous Subcutaneous Insulin Infusion (CSII)2

Sponsor's own description

The purpose of this study is to perform a randomized trial to investigate if intrapartum insulin delivery mechanisms reduces adverse outcomes associated with type 1 diabetes in pregnancy. The investigators aim to compare subcutaneous insulin pump versus intravenous insulin infusion with regard to the primary outcome of neonatal blood sugar.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

Verify or expand the search:

Other trials of Insulin

Trials testing the same drug.

Other recruiting trials for Type 1 Diabetes

Currently open trials in the same condition.

Other Gianna Wilkie trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04599075.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing