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NPH

Phase 2

Diabetes During Pregnancy | Small molecule | Metabolic |Sanofi|Last Updated: Apr 18, 2018

Success Probability

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Trial Design

RandomizedACTIVE_CONTROLLEDBiomarker
Total Trials1
Total Enrollment17

FDA Designations

No designations recorded

Clinical trial landscape

NPH · 1 trial · 1 indication

Phase 2 1
NCT01662921Comparator Trial Using Insulin Glulisine vs. Insulin Lispro for Treatment of Gestational DiabetesDiabetes During Pregnancy
COMPLETED17 Analytics
PHASE2COMPLETED
Comparator Trial Using Insulin Glulisine vs. Insulin Lispro for Treatment of Gestational Diabetes
Diabetes During PregnancyUnlock trial analytics

Study Endpoints

Primary Endpoints

show that insulin glulisine is non-inferior to insulin lispro in a basal/bolus regimen to treat hyperglycemia in patient with gestational diabetes mellitus
week 4 of insulin treatment

compare average 1-hour post prandial SMBG measurements between patients randomized to insulin glulisine or insulin lispro

Secondary Endpoints

Serum blood glucose area under the curve (AUC) at one 4-hour in-clinic meal challenge
week 2 of insulin treatment
Compare A1C at enrollment and weekly until delivery
up to 36 weeks
Compare incidence of hypoglycemic episodes <60 mg/dL with symptoms
up to 36 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
NPH and insulin lisproACTIVE_COMPARATORPatients diagnosed with diabetes during pregnancy will be randomized to long acting insulin NPH and short acting insulin lispro in a basal bolus regimen to treat post prandial hyperglycemia using a dosing schedule of 50% NPH calculated by the patients weight and gestational age and 50% lispro pending their last three SMPG average.
NPH and insulin glulisineACTIVE_COMPARATORPatients with a diagnosis of diabetes during pregnancy will be randomized to using long acting insulin NPH and short acting insulin glulisine as treatment for post prandial hyperglycemia with a 50% NPH dosing schedule based on the weight and gestational age and 50% glulisine schedule based on their last three SMBG result average.

Interventions

NameTypeDescription
NPHDRUGLong acting insulin NPH dosing will be titrated weekly derived from the patients current weight and gestational age
Insulin LISPRODRUGInsulin lispro dosing will be titrated weekly based on the patient's average SMBG readings from each meal during the past three days
Insulin glulisineDRUGInsulin glulisine will be titrated weekly based on the patient's average SMBG readings from each meal during the past three days
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Eligibility Criteria

Age Range18 Years to N/A
SexFEMALE
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Informed Consent to participate in clinical trial * Pregnant and 20-30 weeks gestation * Diagnosed with gestational diabetes * Failed diet therapy (failed lifestyle modification will be defined as 10% or greater SMBG values above pre-meal \<90mg/dL and post prandial \< 120mg/d...

Countries:United States
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Frequently asked questions about NPH

What is NPH used for in diabetes during pregnancy?

NPH is an investigational small molecule being studied for the treatment of diabetes during pregnancy. It is currently in Phase 2 clinical development. NPH is being evaluated in a completed clinical trial for this condition, though it is not yet approved and remains under investigation.

Who makes NPH?

NPH is being developed by Sanofi, a biopharmaceutical company listed on the stock exchange under the ticker SNY. Sanofi is conducting clinical research on NPH for the treatment of diabetes during pregnancy.

What phase is NPH in?

NPH is in Phase 2 clinical development. It has completed one Phase 2 trial for diabetes during pregnancy. NPH is an investigational drug and has not been approved by regulatory authorities, as it is still in the clinical development process.

What clinical trials is NPH in?

NPH has been studied in one completed Phase 2 clinical trial, identified as NCT01662921. This trial, titled "Comparator Trial Using Insulin Glulisine vs. Insulin Lispro for Treatment of Gestational Diabetes," enrolled 17 female participants aged 18 years and older in the United States.

Is NPH the same as insulin glulisine or insulin lispro?

NPH was studied in a comparator trial against insulin glulisine and insulin lispro for gestational diabetes, but NPH itself is a distinct investigational drug. The trial was active-controlled, meaning NPH was compared to these other treatments, but NPH is not the same as either of them.