Hormonal and Inflammatory Changes During Pregnancy in Women With Glucose Metabolic Disorders.

NCT ID: NCT04617405

Last Updated: 2022-11-23

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

UNKNOWN

Total Enrollment

300 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-01-11

Study Completion Date

2023-12-31

Brief Summary

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The first aim of this study is to describe maternal hormonal and inflammatory changes during pregnancy in women that differ metabolically (limited to women with type 2 diabetes, gestational diabetes and/or overweight). The second aim of this study is to examine maternal hormonal, inflammatory and metabolic factors associated with insulin sensitivity in human pregnancy.

Detailed Description

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This is a prospective observational study including app. 300 pregnant women from the outpatient clinics at Department of Obstetrics and Gynecology at Aalborg, Odense and Aarhus University Hospital.

The study includes 50 healthy normal-weight women, 150 healthy overweight women, 50 women with gestational diabetes and 50 women with type 2 diabetes.

Hormonal profiles and inflammatory markers will be measured at gestational week 8-10, 10-14, 18-22, 24-28 and 34-38. The blood samples will include HbA1c, glukose, insulin, C-peptid, lipid profile, liver enzymes, creatinine, FGF-21, TSH, Cortisol, human chorionic gonadotropin, estradiol, progesterone, prolactin, human placental lactogen, placental growth hormone, IGF-1, IGF-BP's, Leptin, Adiponectin, GLP-1, GIP, hs-CRP, IL-6, IL-10, IL-1α, IFN-ɣ, TNF-α, ICAM1, VCAM and CD163. In addition to this, exosomes will be isolated precisely and profiling of the content of exosomes will be performed using in vitro assays. Proteomics and miRNAs sequencing will be employed.

Height, weight, and blood pressure will be measured at every visit and a urine sample will be collected.

Insulin sensitivity will be estimated using the homeostasis model assessment, IS-HOMA, based on fasting insulin and glucose concentrations.

Conditions

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Diabetes Mellitus, Type 2 Gestational Diabetes Overweight and Obesity Pregnancy in Diabetic Insulin Resistance Insulin Sensitivity Pregnancy, High Risk

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Type A

Healthy normal-weight pregnant women

No interventions

Intervention Type OTHER

No interventions

Type B

Pregnant women with gestational diabetes diagnosed at early screening (before gestational week 20)

No interventions

Intervention Type OTHER

No interventions

Type C

Pregnant women with type 2 diabetes

No interventions

Intervention Type OTHER

No interventions

Type D

Healthy overweight pregnant women

No interventions

Intervention Type OTHER

No interventions

Interventions

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No interventions

No interventions

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Pregnant women at The Department of Gynaecology and Obstetrics at Aarhus University Hospital, Aalborg University Hospital or Odense University Hospital.
* Women have to be in 1 of 4 categories: Healthy with a BMI \< 25, healthy with a BMI \>= 25, diagnosed with gestational diabetes before gestational week 20 or diagnosed with pregestational type 2 diabetes

Exclusion Criteria

* Age \< 18 years
* Not able to read and understand danish
* Previous bariatric surgery
* Treatment with systemic corticosteroids
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Aarhus University Hospital

OTHER

Sponsor Role collaborator

Aalborg University Hospital

OTHER

Sponsor Role collaborator

Odense University Hospital

OTHER

Sponsor Role collaborator

The University of Queensland

OTHER

Sponsor Role collaborator

University of Aarhus

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Anna S Koefoed, M.D.

Role: PRINCIPAL_INVESTIGATOR

Aarhus University, Aarhus University Hospital

Locations

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Aarhus University Hospital

Aarhus, Aarhus N, Denmark

Site Status RECRUITING

Aalborg University Hospital

Aalborg, , Denmark

Site Status RECRUITING

Odense University Hospital

Odense, , Denmark

Site Status RECRUITING

Countries

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Denmark

Central Contacts

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Anna S Koefoed, M.D.

Role: CONTACT

+45 93 50 80 69

Per G Ovesen, Prof., M.D.

Role: CONTACT

Facility Contacts

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Anna S Koefoed, M.D.

Role: primary

+45 93 50 80 69

Per G Ovesen, Prof., M.D.

Role: backup

Anne W Sørensen, M.D.

Role: primary

+45 93 50 80 69

Lise Lotte T Andersen, MD

Role: primary

+45 93 50 80 69

Other Identifiers

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PADME1

Identifier Type: -

Identifier Source: org_study_id

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