Trial Outcomes & Findings for Gallbladder Functions & Serum Cholecystokinin Levels in Women Diagnosed With Hyperemesis Gravidarum (NCT NCT03950167)

NCT ID: NCT03950167

Last Updated: 2021-11-30

Results Overview

a gut hormone released, its level can be measured in blood as fasting level and postprandial

Recruitment status

COMPLETED

Target enrollment

325 participants

Primary outcome timeframe

Fasting (baseline) and postprandial (15 minutes after the test meal) CCK level

Results posted on

2021-11-30

Participant Flow

This is a prospective cohort study conducted in Ufuk University hospital, Ankara, Turkey (a tertiary center) between March 2019 and May 2020.

Excluded (n=275) * Not meeting inclusion criteria (n=163) Inclusion criteria were: gestation week between 6 and 14 weeks, singleton pregnancy with a live embryo, age range between 18 and 40 years, healthy women without any medical disorders, Women with any systemic disease, gallbladder disease or any psychological disorder that can cause vomiting, multiple gestation were excluded. * Declined to participate (n=112)

Participant milestones

Participant milestones
Measure
Hyperemesis Gravidarum
pregnant women before 14 weeks of pregnancy diagnosed with hyperemesis gravidarum will be assessed in terms of gallbladder functions and serum cholecystokinin levels after a fatty meal.
Healthy Pregnant Women
Healthy pregnant women before 14 weeks of pregnancy without hyperemesis gravidarum will be assessed in terms of gallbladder functions and serum cholecystokinin levels after a fatty meal.
Overall Study
STARTED
25
25
Overall Study
COMPLETED
24
22
Overall Study
NOT COMPLETED
1
3

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Gallbladder Functions & Serum Cholecystokinin Levels in Women Diagnosed With Hyperemesis Gravidarum

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Hyperemesis Gravidarum
n=24 Participants
pregnant women before 14 weeks of pregnancy diagnosed with hyperemesis gravidarum will be assessed in terms of gallbladder functions and serum cholecystokinin levels after a fatty meal.
Healthy Pregnant Women
n=22 Participants
Healthy pregnant women before 14 weeks of pregnancy without hyperemesis gravidarum will be assessed in terms of gallbladder functions and serum cholecystokinin levels after a fatty meal.
Total
n=46 Participants
Total of all reporting groups
Age, Continuous
30.08 years
STANDARD_DEVIATION 4.03 • n=5 Participants
30.91 years
STANDARD_DEVIATION 4.20 • n=7 Participants
30.49 years
STANDARD_DEVIATION 2.11 • n=5 Participants
Sex: Female, Male
Female
24 Participants
n=5 Participants
22 Participants
n=7 Participants
46 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
24 Participants
n=5 Participants
22 Participants
n=7 Participants
46 Participants
n=5 Participants
Region of Enrollment
Turkey
24 participants
n=5 Participants
22 participants
n=7 Participants
46 participants
n=5 Participants
age
30.91 years
STANDARD_DEVIATION 4.2 • n=5 Participants
30.08 years
STANDARD_DEVIATION 4.03 • n=7 Participants
30.49 years
STANDARD_DEVIATION 4.11 • n=5 Participants
body mass index (BMI)
23.95 kg/m²
STANDARD_DEVIATION 3.53 • n=5 Participants
24.55 kg/m²
STANDARD_DEVIATION 4.72 • n=7 Participants
24.25 kg/m²
STANDARD_DEVIATION 4.125 • n=5 Participants
gravidity
2 gravidity
n=5 Participants
2 gravidity
n=7 Participants
2 gravidity
n=5 Participants
Gestational age
9.07 weeks
n=5 Participants
8.92 weeks
n=7 Participants
8.995 weeks
n=5 Participants
parity
1 parity
n=5 Participants
1 parity
n=7 Participants
1 parity
n=5 Participants

PRIMARY outcome

Timeframe: Fasting (baseline) and postprandial (15 minutes after the test meal) CCK level

a gut hormone released, its level can be measured in blood as fasting level and postprandial

Outcome measures

Outcome measures
Measure
Hyperemesis Gravidarum
n=24 Participants
pregnant women before 14 weeks of pregnancy diagnosed with hyperemesis gravidarum will be assessed in terms of gallbladder functions and serum cholecystokinin levels after a fatty meal.
Healthy Pregnant Women
n=22 Participants
Healthy pregnant women before 14 weeks of pregnancy without hyperemesis gravidarum will be assessed in terms of gallbladder functions and serum cholecystokinin levels after a fatty meal.
Blood Cholecystokinin (CCK) Levels
fasting CCK
53.13 picogram/mililiters (pg/ml)
Standard Deviation 25.3
54.55 picogram/mililiters (pg/ml)
Standard Deviation 25.32
Blood Cholecystokinin (CCK) Levels
postprandial CCK
73.61 picogram/mililiters (pg/ml)
Standard Deviation 30.29
81.24 picogram/mililiters (pg/ml)
Standard Deviation 29.89

PRIMARY outcome

Timeframe: fasting and postprandial 45th minute

GB wall thickening measured with abdominal ultrasound at fasting and postprandial

Outcome measures

Outcome measures
Measure
Hyperemesis Gravidarum
n=24 Participants
pregnant women before 14 weeks of pregnancy diagnosed with hyperemesis gravidarum will be assessed in terms of gallbladder functions and serum cholecystokinin levels after a fatty meal.
Healthy Pregnant Women
n=22 Participants
Healthy pregnant women before 14 weeks of pregnancy without hyperemesis gravidarum will be assessed in terms of gallbladder functions and serum cholecystokinin levels after a fatty meal.
Gallbladder (GB) Wall Thickness
fasting GB wall thickness
2.10 milimeters (mm)
Standard Deviation 0.57
2.11 milimeters (mm)
Standard Deviation 0.47
Gallbladder (GB) Wall Thickness
postprandial GB wall thickness
2.51 milimeters (mm)
Standard Deviation 0.51
2.74 milimeters (mm)
Standard Deviation 0.76

PRIMARY outcome

Timeframe: fasting and postprandial 45th minute

volume of GB measured with abdominal ultrasound at fasting and postprandial

Outcome measures

Outcome measures
Measure
Hyperemesis Gravidarum
n=24 Participants
pregnant women before 14 weeks of pregnancy diagnosed with hyperemesis gravidarum will be assessed in terms of gallbladder functions and serum cholecystokinin levels after a fatty meal.
Healthy Pregnant Women
n=22 Participants
Healthy pregnant women before 14 weeks of pregnancy without hyperemesis gravidarum will be assessed in terms of gallbladder functions and serum cholecystokinin levels after a fatty meal.
Gallbladder (GB) Volume
fasting GB volume
36.9 mililiter (ml)
Standard Deviation 13.8
33.69 mililiter (ml)
Standard Deviation 12.54
Gallbladder (GB) Volume
postprandial GB volume
17.29 mililiter (ml)
Standard Deviation 8.14
18.33 mililiter (ml)
Standard Deviation 6.98

PRIMARY outcome

Timeframe: The fasting and postprandial 45th minute

GB ejection fraction measures how much bile gallbladder releases at one time, expressed as percentage

Outcome measures

Outcome measures
Measure
Hyperemesis Gravidarum
n=24 Participants
pregnant women before 14 weeks of pregnancy diagnosed with hyperemesis gravidarum will be assessed in terms of gallbladder functions and serum cholecystokinin levels after a fatty meal.
Healthy Pregnant Women
n=22 Participants
Healthy pregnant women before 14 weeks of pregnancy without hyperemesis gravidarum will be assessed in terms of gallbladder functions and serum cholecystokinin levels after a fatty meal.
Gallbladder (GB) Ejection Fraction
52.06 Percantage (%)
Standard Deviation 19.45
45.46 Percantage (%)
Standard Deviation 16.59

Adverse Events

Hyperemesis Gravidarum

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Healthy Pregnant Women

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Hyperemesis Gravidarum
n=24 participants at risk
pregnant women before 14 weeks of pregnancy diagnosed with hyperemesis gravidarum will be assessed in terms of gallbladder functions and serum cholecystokinin levels after a fatty meal.
Healthy Pregnant Women
n=22 participants at risk
Healthy pregnant women before 14 weeks of pregnancy without hyperemesis gravidarum will be assessed in terms of gallbladder functions and serum cholecystokinin levels after a fatty meal.
Gastrointestinal disorders
Nausea and vomitting
0.00%
0/24 • 1 year 6 months
a fatty test meal (100 g milk chocolate) was given to all participants for the evaluation of postprandial cholecystokinin levels and gallbladder parameters including volume and gallbladder wall thickness. Nausea and vomiting are the possible adverse events that may have been observed.
0.00%
0/22 • 1 year 6 months
a fatty test meal (100 g milk chocolate) was given to all participants for the evaluation of postprandial cholecystokinin levels and gallbladder parameters including volume and gallbladder wall thickness. Nausea and vomiting are the possible adverse events that may have been observed.

Additional Information

DR MÜGE KESKİN

UFUK UNIVERSITY

Phone: +905333522090

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place