Longitudinal Study of Intra-Uterine Growth Restriction

NCT ID: NCT02382601

Last Updated: 2024-05-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

200 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-04-30

Study Completion Date

2025-12-31

Brief Summary

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The investigation will employ a longitudinal approach in which every fetus diagnosed to be SGA (Small for Gestational Age ) will be studied at frequent intervals with sophisticated imaging techniques to assess subtle physiologic changes in the brain, heart, and placenta over time. These findings will be correlated with neurological and cardiovascular function in the newborn and early childhood. This research initiative should yield diagnostic and therapeutic templates that will improve the quality of life of IUGR babies in addition to providing important information that will better inform current diagnostic practices.

Detailed Description

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The overarching objective is to serially assess changes in the fetal circulation, heart, and brain with sophisticated ultrasound, MRI (Magnetic Resonance Imaging), and body composition techniques that will provide clues as to how growth restricted babies will tolerate life outside the uterus. Employing a longitudinal study will allow the investigators to correlate perinatal and postnatal outcomes more comprehensively than previous studies.

Conditions

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IUGR Pregnancy

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Small for Gestational Age Pregancies (controls)

Small for gestational age (SGA) pregnancies that do not develop IUGR will be considered controls. Each subject will have an ultrasound, MRI, maternal blood and cord blood collection, placental analysis, neurological function assessments (infant), and body fat measurements (infant).

Ultrasound

Intervention Type RADIATION

With 3-D and 4-D high-resolution color Doppler methods it is possible to map out the placental circulation, fetal circulation, fetal brain, and fetal cardiac function. Investigators will collect these data points prenatally.

MRI

Intervention Type RADIATION

Similar to the Ultrasound data, investigators will collect MRI images of the fetal brain and the placenta. MRI will allow investigators to collect more detailed images of both the fetal brain and placenta, and investigators will be utilizing this technique both prenatally and postnatally.

Blood collection

Intervention Type PROCEDURE

The maternal and cord blood will be collected for the processing of plasma and serum. There may be early biomarkers of IUGR in the maternal circulation that investigators can use to better determine the appropriate strategy for clinical management of care. Collection and subsequent analysis of molecular markers in the umbilical cord blood will be used to further confirm physiological dysfunction as detected by ultrasound and MRI techniques.

Neurological Function Assessment

Intervention Type BEHAVIORAL

Neurological development tests including a Bayley exam, Mullen exam, Developmental Profile-3, Child Behavior Checklist, and Pediatric Stroke Outcome Measure (PSOM) will be performed.

Placental Analysis

Intervention Type PROCEDURE

Placentas will undergo pathological evaluation for placental function.

Measurement of body fat

Intervention Type PROCEDURE

The baby's body fat will be measured in a special incubator called a PEAPOD or BODPOD when an infant.

Pediatric heart ultrasound

Intervention Type RADIATION

Children will have ultrasounds of their hearts during follow-up visits.

IUGR Pregnancies (cases)

Small for gestational age (SGA) pregnancies that do develop IUGR will be considered cases. Each subject will have an ultrasound, MRI, maternal blood and cord blood collection, placental analysis, neurological function assessments (infant), and body fat measurements (infant).

Ultrasound

Intervention Type RADIATION

With 3-D and 4-D high-resolution color Doppler methods it is possible to map out the placental circulation, fetal circulation, fetal brain, and fetal cardiac function. Investigators will collect these data points prenatally.

MRI

Intervention Type RADIATION

Similar to the Ultrasound data, investigators will collect MRI images of the fetal brain and the placenta. MRI will allow investigators to collect more detailed images of both the fetal brain and placenta, and investigators will be utilizing this technique both prenatally and postnatally.

Blood collection

Intervention Type PROCEDURE

The maternal and cord blood will be collected for the processing of plasma and serum. There may be early biomarkers of IUGR in the maternal circulation that investigators can use to better determine the appropriate strategy for clinical management of care. Collection and subsequent analysis of molecular markers in the umbilical cord blood will be used to further confirm physiological dysfunction as detected by ultrasound and MRI techniques.

Neurological Function Assessment

Intervention Type BEHAVIORAL

Neurological development tests including a Bayley exam, Mullen exam, Developmental Profile-3, Child Behavior Checklist, and Pediatric Stroke Outcome Measure (PSOM) will be performed.

Placental Analysis

Intervention Type PROCEDURE

Placentas will undergo pathological evaluation for placental function.

Measurement of body fat

Intervention Type PROCEDURE

The baby's body fat will be measured in a special incubator called a PEAPOD or BODPOD when an infant.

Pediatric heart ultrasound

Intervention Type RADIATION

Children will have ultrasounds of their hearts during follow-up visits.

Interventions

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Ultrasound

With 3-D and 4-D high-resolution color Doppler methods it is possible to map out the placental circulation, fetal circulation, fetal brain, and fetal cardiac function. Investigators will collect these data points prenatally.

Intervention Type RADIATION

MRI

Similar to the Ultrasound data, investigators will collect MRI images of the fetal brain and the placenta. MRI will allow investigators to collect more detailed images of both the fetal brain and placenta, and investigators will be utilizing this technique both prenatally and postnatally.

Intervention Type RADIATION

Blood collection

The maternal and cord blood will be collected for the processing of plasma and serum. There may be early biomarkers of IUGR in the maternal circulation that investigators can use to better determine the appropriate strategy for clinical management of care. Collection and subsequent analysis of molecular markers in the umbilical cord blood will be used to further confirm physiological dysfunction as detected by ultrasound and MRI techniques.

Intervention Type PROCEDURE

Neurological Function Assessment

Neurological development tests including a Bayley exam, Mullen exam, Developmental Profile-3, Child Behavior Checklist, and Pediatric Stroke Outcome Measure (PSOM) will be performed.

Intervention Type BEHAVIORAL

Placental Analysis

Placentas will undergo pathological evaluation for placental function.

Intervention Type PROCEDURE

Measurement of body fat

The baby's body fat will be measured in a special incubator called a PEAPOD or BODPOD when an infant.

Intervention Type PROCEDURE

Pediatric heart ultrasound

Children will have ultrasounds of their hearts during follow-up visits.

Intervention Type RADIATION

Other Intervention Names

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Peapod Bodpod

Eligibility Criteria

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Inclusion Criteria

* Patients with diagnosed SGA by an ultrasound estimated fetal weight (EFW) of less than the 10th percentile or a fetal abdominal circumference of less than the 5th percentile will be included in the study at the time of their first examination.

Exclusion Criteria

* Patients \< 18 years of age, and chromosomal anomalies as identified by regular aneuploidy screening.
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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The Perelman Family Foundation

UNKNOWN

Sponsor Role collaborator

University of Colorado, Denver

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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John Hobbins, MD

Role: PRINCIPAL_INVESTIGATOR

University of Colorado, Denver

Locations

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University of Colorado Denver Anschutz Medical Campus

Aurora, Colorado, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Emma Peek, BS

Role: CONTACT

Facility Contacts

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Emma Peek, BS

Role: primary

References

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Other Identifiers

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14-1360

Identifier Type: -

Identifier Source: org_study_id

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