Exposures to Perinatal Adverse Experiences: Multimodal Omics Signature of Stress Vulnerability and Resilience and Preventive Strategies

NCT ID: NCT05951738

Last Updated: 2023-07-19

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

Clinical Phase

NA

Total Enrollment

240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-02-11

Study Completion Date

2025-07-31

Brief Summary

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The study aims at identifying:

1. specific biological and molecular alterations associated with development of depression in pregnancy or risk of it.
2. specific biological and molecular alterations due to exposure to maternal depression in utero that are still present in the offspring, that could possibly mediate the development of negative outcomes, and which are the possible clinical moderators of the associated risk;
3. whether antidepressant therapies prescribed by personal physician and the use of digital tools can have a preventive effect in the transmission of the risk from mothers to babies and in the development of depressive symptoms in high-risk pregnant women;

In order to achieve these, 80 pregnant women with depression, 80 at high-risk and 80 controls will be recruited and clinically monitored over pregnancy and postpartum along with their babies, specifically at these timepoints: 25th and 32nd weeks of gestation, 1 week postpartum, 4 weeks postpartum, 8 weeks postpartum, 12 months postpartum.

Women, based on their clinician choice, will receive antidepressants and will be provided with a smartphone app to monitor them, using a combination of personalised, daily self-reported assessments and sensors for passive data collection to cover mental and physical health.

Blood and saliva samples from pregnant women will be collected at the 25th and 32nd week of gestation to perform biological analyses.

Saliva samples from babies will be collected at 8 weeks and 12 months postpartum to perform biological analyses.

Clinical and psychological data will be collected from women at all timepoints.

Detailed Description

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Conditions

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Perinatal Depression

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SCREENING

Blinding Strategy

NONE

Study Groups

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Depressed

Group Type OTHER

Blood and saliva collection

Intervention Type PROCEDURE

Blood and saliva samples from pregnant women; saliva samples from babies.

Psychometric scales

Intervention Type BEHAVIORAL

A battery of psychometric scales and questionnaires.

Smartphone app

Intervention Type OTHER

A smartphone application has been developed in the context of the study as a potential preventive and screening strategy.

At high risk

Group Type OTHER

Blood and saliva collection

Intervention Type PROCEDURE

Blood and saliva samples from pregnant women; saliva samples from babies.

Psychometric scales

Intervention Type BEHAVIORAL

A battery of psychometric scales and questionnaires.

Smartphone app

Intervention Type OTHER

A smartphone application has been developed in the context of the study as a potential preventive and screening strategy.

Control

Group Type OTHER

Blood and saliva collection

Intervention Type PROCEDURE

Blood and saliva samples from pregnant women; saliva samples from babies.

Psychometric scales

Intervention Type BEHAVIORAL

A battery of psychometric scales and questionnaires.

Smartphone app

Intervention Type OTHER

A smartphone application has been developed in the context of the study as a potential preventive and screening strategy.

Interventions

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Blood and saliva collection

Blood and saliva samples from pregnant women; saliva samples from babies.

Intervention Type PROCEDURE

Psychometric scales

A battery of psychometric scales and questionnaires.

Intervention Type BEHAVIORAL

Smartphone app

A smartphone application has been developed in the context of the study as a potential preventive and screening strategy.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Pregnant women of a singleton pregnancy
* Age ≥ 18 years

Exclusion Criteria

* Uterine anomalies and obstetric complications
* Comorbidity with severe or chronic diseases
* Substance abuse
* Language barrier
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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IRCCS Centro San Giovanni di Dio Fatebenefratelli

OTHER

Sponsor Role lead

Responsible Party

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Annamaria Cattaneo

Head of the Biological Psichiatry unit

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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IRCCS Centro San Giovanni di Dio Fatebenefratelli

Brescia, , Italy

Site Status ACTIVE_NOT_RECRUITING

Centro Psiche Donna - Ospedale Macedonio Melloni - ASST Fatebenefratelli Sacco

Milan, , Italy

Site Status NOT_YET_RECRUITING

Ospedale San Raffaele

Milan, , Italy

Site Status NOT_YET_RECRUITING

ASST Bergamo ovest

Treviglio, , Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Annamaria Cattaneo

Role: CONTACT

+390303501361

Facility Contacts

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Roberta Anniverno

Role: primary

Francesco Benedetti

Role: primary

Marina Cattaneo

Role: primary

Other Identifiers

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1749118

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

PRESeNT

Identifier Type: -

Identifier Source: org_study_id

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