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Comparator Trial Using Insulin Glulisine vs. Insulin Lispro for Treatment of Gestational Diabetes

Plain-language guide to NCT01662921: phase 2 randomized trial of Insulin Lispro and NPH Insulin (isophane), 17 participants. Who took part, design and what was measured.

Key Facts

Registry ID
NCT01662921
Phase
phase 2
Status
completed
Start
2013-04
Completion (planned or actual)
2015-01-31
Participants
17 (actual)
Design
randomized, open label (everyone knows who gets what), treatment
Conditions studied
Diabetes During Pregnancy
Results posted
not yet

What This Study Did, in Plain Language

What Was Tested

In this phase 2 trial, researchers set out to test Insulin Lispro and NPH Insulin (isophane).

It had two arms (groups): NPH and insulin lispro (active comparator) and NPH and insulin glulisine (active comparator).

The registry classes the interventions as drug.

Who Took Part

Enrollment: 17 actual participants took part.

It was open to women only aged from 18 years with no upper age limit.

Healthy volunteers were not accepted; participants needed the condition being studied.

Examples of who could join: Informed Consent to participate in clinical trial. Pregnant and 20-30 weeks gestation. Eat at least 2 meals per day.

The full record lists 5 inclusion and 10 exclusion criteria; among the exclusions: pregnant women \<18 years old; blood pressure \> 140/80 mmhg; pre-pregnancy bmi \> 40kg/m squared.

How the Study Was Run

Design: randomized, parallel-group and open-label.

Because people in this Insulin Lispro study were split into groups at random, differences between the groups are less likely to reflect who happened to join each one.

Groups ran in parallel: each of the participants stayed in one arm throughout.

Everyone knew when Insulin Lispro was being given (open label), which is simpler to run but leaves more room for expectations to affect what is reported.

It started in 2013-04 with completion listed for 2015-01-31.

It ran at 1 site in United States.

Its stated primary purpose is treatment.

What Was Measured

It also tracked 3 secondary outcomes, for example Serum blood glucose area under the curve (AUC) at one 4-hour in-clinic meal challenge and Compare A1C at enrollment and weekly until delivery.

What This Means in Plain Language

Put simply, this is a phase 2, randomized trial of Insulin Lispro and NPH Insulin (isophane) in 17 people.

Its size is small, so on its own it can only give an early look.

The trial is marked completed; no results are posted to the registry yet, so nothing here describes outcomes.

More context: the Insulin Lispro compound page and the NPH Insulin (isophane) compound page, all human trials.

Our Notes on the Compounds

Insulin Lispro: A rapid-acting mealtime insulin analog; brands include Humalog, Admelog and Lyumjev.

NPH Insulin (isophane): An intermediate-acting insulin made by combining insulin with protamine; also called isophane or NPH insulin (Humulin N, Novolin N).

Related Pages

Source: ClinicalTrials.gov record. This explanation is written by PeptideWhiz from the public record. For research and education only. Not medical advice; no dosing information is given.