ClinicalTrials.gg
Status unknownNCT04222348FIMMET201501Updated May 15, 2020

MeDiGes Study: Metformine Use in Gestational Diabetes

A Phase 3 interventional study of Metformin and Insulin Detemir in Diabetes, Gestational, Perinatal Disorder and Puerperal Disorder, sponsored by Fundación Pública Andaluza para la Investigación de Málaga en Biomedicina y Salud. Status unknown. Open to female participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2020-05-15.

Sponsored by Fundación Pública Andaluza para la Investigación de Málaga en Biomedicina y Salud · Phase 3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Dec 2019), so the status shown — last known as Active, not recruiting — may be out of date.

From the registry’s dates

  • Registered 3 years 1 month after the study started (first participant enrolled Oct 2016, registered Dec 2019).
Phase
Phase 3
Study type
Interventional
Enrollment
200
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

Women with gestational diabete (GD) who do not meet glycemic control objectives with diet will be assigned to two treatment groups randomly. One: metformin at a dose of 850-2550mg every 24h; two: insulin detemir associated or not with rapid insulin analogue (aspart) according to your glycemic controls. The Metformin group may additionally receive insulin in a second time in case the glycemic control is not appropriate with monotherapy.

Read the detailed description

Women with gestational diabete (GD) who do not meet glycemic control objectives with diet will be assigned to two treatment groups randomly. One: metformin at a dose of 850-2550mg every 24h; two: insulin detemir associated or not with rapid insulin analogue (aspart) according to your glycemic controls. The Metformin group may additionally receive insulin in a second time in case the glycemic control is not appropriate with monotherapy.

The objectives are: Demonstrate that treatment with metformin in women with GD (not controlled with diet) can get no lower obstetric and perinatal outcomes than those with standard treatment with insulin.

Demonstrate that glycemic control with metformin in properly selected women, can be equivalent to that obtained with insulin.

02

Conditions studied

  • Diabetes, Gestational
  • Perinatal Disorder
  • Puerperal Disorder
03

In context

Diabetes, Gestational

877 studies on the registry are indexed under Diabetes, Gestational; 203 are open to participants now.

This study's enrollment of 200 is above the median of 110 across 564 interventional studies indexed under Diabetes, Gestational.

Browse Diabetes, Gestational studies →

Lead sponsor

Fundación Pública Andaluza para la Investigación de Málaga en Biomedicina y Salud is the lead sponsor of 71 studies on the registry; 23 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. 18-45 years old.
  2. Diagnosis of GD, with fasting glucose \<120 mg / dL.
  3. not controlled by diet: fasting capillary blood glucose> 95 mg / dl in at least 2-3 times or 1 hour postprandial >140 mg / dl on, at least 2-3 times a week.
  4. 2nd or 3rd trimesters of pregnancy.
  5. Able to give .

Exclusion criteria

Exclusion Criteria:

  1. Psychopathological situations that do not guarantee proper adhesion to follow up
  2. 1st trimester of pregnancy
  3. gastrointestinal diseases that may cause poorer tolerance or increased symptoms with metformin.
  4. Patients who can not attend the scheduled consultation.
  5. Language barrier limiting for understanding treatment settings
  6. Twin pregnancy.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
200 participants (actual)

Study arms

  • Experimental
    Metformin

    850-2550 mg every 24h.

    Drug: Metformin · Drug: Insulin Detemir

  • Active comparator
    Insulin Detemir

    Individual doses according to glycemic controls.

    Drug: Metformin · Drug: Insulin Detemir

Interventions

  • 850-2550 mg every 24h.

  • Insulin detemir associated or not with rapid insulin analogue (aspart) according to individual glycemic controls.

06

What researchers measure

Primary outcomes

  1. Metformin benefits

    Change of Weigth

    Time frame: 50 weeks

  2. Good glycemic control

    Change of glycemic levels

    Time frame: 50 weeks

  3. Baby wellness

    Weight

    Time frame: Delivery

Secondary outcomes

  1. Adverse event profile

    Number of adverse events

    Time frame: 50 weeks

  2. Fructosamine as a marker of insulinization

    Concentration of fructosamine

    Time frame: 50 weeks

  3. Satisfaction with the treatment

    Questionnaire of satisfaction with the treatment. Range: 5 (worst)-16 (best)

    Time frame: 50 weeks

  4. IL-6 profile

    IL-6 levels

    Time frame: 50 weeks

  5. IL-10 profile and oxidativge stress as well as in lipid profile

    IL-10 (ultrasensitive PCR) levels

    Time frame: 50 weeks

  6. Leptin profile

    Leptin levels

    Time frame: 50 weeks

  7. Ladiponectin and oxidativge stress as well as in lipid profile

    Ladiponectin levels

    Time frame: 50 weeks

  8. LPS profile

    LPS levels

    Time frame: 50 weeks

  9. LBP profile and oxidativge stress as well as in lipid profile

    LBP levels

    Time frame: 50 weeks

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 15, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04222348
Lead sponsor
Fundación Pública Andaluza para la Investigación de Málaga en Biomedicina y Salud
Responsible party
Sponsor
First posted
Jan 10, 2020
Start date
Oct 26, 2016
Primary completion
May 28, 2020 (estimated)
Completion
Jul 1, 2020 (estimated)
Last update
May 15, 2020

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Dec 2019. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Metformin

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