New Markers of Glycation to Predict Gestational Diabetes Mellitus and Macrosomia.

NCT ID: NCT06048510

Last Updated: 2023-12-22

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

Clinical Phase

NA

Total Enrollment

800 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-18

Study Completion Date

2025-04-30

Brief Summary

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Gestational diabetes mellitus (GDM) increases the risk of macrosomia and other adverse pregnancy outcomes. Screening strategies are debated: universal vs. selective, and macrosomia may begin before the time of screening, suggesting that glycation markers may have an interest. The objective of this trail is to compare novel markers: skin autofluorescence and glycated albumin, to HbA1c (reference) as predictors of GDM, macrosomia and other adverse outcomes, in pregnant women.

Detailed Description

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Conditions

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Macrosomia, Fetal Gestational Diabetes Mellitus in Pregnancy

Keywords

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skin autofluorescence glycated albumin, HbA1c glycation biomarkers macrosomia gestational diabetes mellitus

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Pregnant women

Pregnant women, with gestational age at inclusion \<28 weeks of amenorrhea, with or without risk factors for GDM will be included in the first consultation at the Maternity Hospital (Bordeaux University Hospital).

Determination of glycation markers (HbA1c, glycated albumin, and skin autofluorescence).

Group Type EXPERIMENTAL

Pregnant women

Intervention Type DIAGNOSTIC_TEST

Gestational Diabetes Mellitus increases the risk of adverse pregnancy outcomes (such as macrosomia).

The lack of early clinical symptoms leads to screen pregnant women for GDM, and the strategies of screening are a matter of debate.

Interventions to control glucose levels in women with GDM have demonstrated efficacy in terms of macrosomia. However, macrosomia may start before the time of screening, suggesting that markers of glycation may have interest : skin autofluorescence, glycated albumin.

Interventions

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Pregnant women

Gestational Diabetes Mellitus increases the risk of adverse pregnancy outcomes (such as macrosomia).

The lack of early clinical symptoms leads to screen pregnant women for GDM, and the strategies of screening are a matter of debate.

Interventions to control glucose levels in women with GDM have demonstrated efficacy in terms of macrosomia. However, macrosomia may start before the time of screening, suggesting that markers of glycation may have interest : skin autofluorescence, glycated albumin.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

1. Age ≥ 18 years
2. Singleton pregnancy (or twin pregnancy reduced spontaneously or medically before 14 weeks of amenorrhea)
3. Gestational age at inclusion \<28 weeks of amenorrhea
4. Participant affiliated with or beneficiary of a social security scheme
5. Collection of patient consent.

Exclusion Criteria

1. Gestational age at inclusion ≥ 28 weeks of amenorrhea
2. Multiple pregnancy
3. Known diabetes prior to pregnancy
4. History of bariatric surgery
5. Expected delivery in another maternity unit not participating in the study
6. Person deprived of liberty by judicial or administrative decision
7. Guardianship or curatorship
8. Participant not affiliated or not benefiting from a social security scheme.
Minimum Eligible Age

18 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Société Francophone du Diabète

OTHER

Sponsor Role collaborator

University Hospital, Bordeaux

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Hopital Pellegrin

Bordeaux, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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FOUSSARD NINON, Dr

Role: CONTACT

Phone: 5.57.65.60.78

Email: [email protected]

RIGALLEAU VINCENT, Pr

Role: CONTACT

Phone: 5.57.65.60.78

Email: [email protected]

Facility Contacts

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FOUSSARD NINON, Dr

Role: primary

MILAN LEA

Role: backup

Other Identifiers

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CHUBX 2022/26

Identifier Type: -

Identifier Source: org_study_id