Magnetic Resonance Imaging and Thermal Imaging of Adiposity in Neonates of Women With Metabolic Diseases

NCT ID: NCT04890886

Last Updated: 2021-05-18

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

80 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-06-01

Study Completion Date

2023-12-01

Brief Summary

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There is limited knowledge about the extent of the impact of maternal metabolic diseases (MD) and/or alterations in maternal serum lipid content upon neonatal lipid distribution and phenotypes. This observational feasibility study aims to investigate the effect of maternal MD on fat distribution, lipid content and metabolic phenotype of different neonatal tissues. We will explore whether differences in tissue fat distribution and lipid content are observed in the neonates of women with MD during pregnancy, compared to those who have a healthy, uncomplicated pregnancy and if there are changes in how the different tissues work (e.g. cardiac function). If there is evidence to show that there are alterations during pregnancy in children of women with MD, this will help inform potential interventions to ensure optimal child health.

Detailed Description

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Conditions

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Diabetes Mellitus Intrahepatic Cholestasis of Pregnancy Metabolic Disease

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Pre-existing Type 1 Diabetes and Type 2 Diabetes

Women with type 1 diabetes and type 2 diabetes diagnosed prior to pregnancy

Thermal imaging

Intervention Type DIAGNOSTIC_TEST

Use of a thermal imaging cameral to measure brown and white adipose tissue function

Echocardiogram

Intervention Type DIAGNOSTIC_TEST

Echocardiographic imaging of the fetal heart to assess ventricular function

ECG

Intervention Type DIAGNOSTIC_TEST

ECG of the fetus and the neonate to look at the cardiac electrical activity

MRI scan

Intervention Type DIAGNOSTIC_TEST

MRI scan of the neonate to assess adipose tissue, liver architecture and cardiac structure and function

Serum blood markers

Intervention Type DIAGNOSTIC_TEST

Serum sample taken from mother before birth and umbilical cord or neonatal blood spot at birth to assess glucose levels / lipid levels and lipidomics and cardiac function (using NTproBNP) as a marker

Gestational Diabetes

Women with gestational diabetes diagnosed in pregnancy by the oral glucose tolerance test

Thermal imaging

Intervention Type DIAGNOSTIC_TEST

Use of a thermal imaging cameral to measure brown and white adipose tissue function

Echocardiogram

Intervention Type DIAGNOSTIC_TEST

Echocardiographic imaging of the fetal heart to assess ventricular function

ECG

Intervention Type DIAGNOSTIC_TEST

ECG of the fetus and the neonate to look at the cardiac electrical activity

MRI scan

Intervention Type DIAGNOSTIC_TEST

MRI scan of the neonate to assess adipose tissue, liver architecture and cardiac structure and function

Serum blood markers

Intervention Type DIAGNOSTIC_TEST

Serum sample taken from mother before birth and umbilical cord or neonatal blood spot at birth to assess glucose levels / lipid levels and lipidomics and cardiac function (using NTproBNP) as a marker

Intrahepatic cholestasis of pregnancy

Women with intrahepatic cholestasis of pregnancy

Thermal imaging

Intervention Type DIAGNOSTIC_TEST

Use of a thermal imaging cameral to measure brown and white adipose tissue function

Echocardiogram

Intervention Type DIAGNOSTIC_TEST

Echocardiographic imaging of the fetal heart to assess ventricular function

ECG

Intervention Type DIAGNOSTIC_TEST

ECG of the fetus and the neonate to look at the cardiac electrical activity

MRI scan

Intervention Type DIAGNOSTIC_TEST

MRI scan of the neonate to assess adipose tissue, liver architecture and cardiac structure and function

Serum blood markers

Intervention Type DIAGNOSTIC_TEST

Serum sample taken from mother before birth and umbilical cord or neonatal blood spot at birth to assess glucose levels / lipid levels and lipidomics and cardiac function (using NTproBNP) as a marker

Control

Women without metabolic disease in pregnancy

Thermal imaging

Intervention Type DIAGNOSTIC_TEST

Use of a thermal imaging cameral to measure brown and white adipose tissue function

Echocardiogram

Intervention Type DIAGNOSTIC_TEST

Echocardiographic imaging of the fetal heart to assess ventricular function

ECG

Intervention Type DIAGNOSTIC_TEST

ECG of the fetus and the neonate to look at the cardiac electrical activity

MRI scan

Intervention Type DIAGNOSTIC_TEST

MRI scan of the neonate to assess adipose tissue, liver architecture and cardiac structure and function

Serum blood markers

Intervention Type DIAGNOSTIC_TEST

Serum sample taken from mother before birth and umbilical cord or neonatal blood spot at birth to assess glucose levels / lipid levels and lipidomics and cardiac function (using NTproBNP) as a marker

Interventions

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Thermal imaging

Use of a thermal imaging cameral to measure brown and white adipose tissue function

Intervention Type DIAGNOSTIC_TEST

Echocardiogram

Echocardiographic imaging of the fetal heart to assess ventricular function

Intervention Type DIAGNOSTIC_TEST

ECG

ECG of the fetus and the neonate to look at the cardiac electrical activity

Intervention Type DIAGNOSTIC_TEST

MRI scan

MRI scan of the neonate to assess adipose tissue, liver architecture and cardiac structure and function

Intervention Type DIAGNOSTIC_TEST

Serum blood markers

Serum sample taken from mother before birth and umbilical cord or neonatal blood spot at birth to assess glucose levels / lipid levels and lipidomics and cardiac function (using NTproBNP) as a marker

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

1. Pregnant women aged between 16 and 45 years old.
2. Women with GDM diagnosed at 26+0 to 30+6 weeks' gestation in accordance with the NICE guidelines Or
3. Pregnant women with pre-existing type 1 or type 2 diabetes mellitus Or
4. Women diagnosed with ICP at any stage of pregnancy
5. Fluent in English or presence of an interpreter or translation service (i.e. telephone translation services) at all visits.
6. Singleton pregnancy.
7. Willing and able to give written informed consent and comply with requirements of the study protocol
8. Planned antenatal, intrapartum and postpartum care at the participating centre (i.e. not planning to move before delivery)

Exclusion Criteria

1\. Known fetal congenital abnormality on ultrasound requiring fetal medicine input (excluding congenital heart disease).

1. Known fetal congenital abnormality on ultrasound requiring fetal medicine input (excluding congenital heart disease).
2. Significant pre-pregnancy co-morbidities that increase risk in pregnancy, for example renal failure, severe liver disease, transplantation, cardiac failure, psychiatric conditions requiring in-patient admission (within previous year) in the opinion of the responsible clinician or the CI.
3. Significant co-morbidity in the current pregnancy, nephropathy (estimated GFR \<60ml/min), other physical or psychological conditions likely to interfere with the conduct of the study and/or interpretation of the study results in the opinion of the responsible clinician or the CI. (This does not include diabetes mellitus).
4. History of bariatric surgery.
5. Hypertension requiring treatment pre-pregnancy / in pregnancy.
6. Prescribed other medications that affect insulin sensitivity prior to OGTT for women diagnosed with GDM (oral antihyperglycemic agents, antipsychotic drugs, supraphysiological doses of steroids).
7. For the baby after birth: Not meeting the safety criteria to undergo MRI scan (e.g. metal implants, non MRI compatible devices, metal fragments in the body). \[ The mother will not have an MRI scan\].
Minimum Eligible Age

16 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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King's College London

OTHER

Sponsor Role collaborator

Guy's and St Thomas' NHS Foundation Trust

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Other Identifiers

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287911

Identifier Type: -

Identifier Source: org_study_id

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