Dexamethasone and Pregnancy: Maternal Effects

NCT ID: NCT06259994

Last Updated: 2024-12-17

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

Total Enrollment

35 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-09-30

Study Completion Date

2028-12-30

Brief Summary

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This study will analyze obstetric, endocrine and metabolic follow-up data in women treated with DEX. It will reveal the prevalence and importance of weight gain, insomnia, edema, stretch marks, arterial hypertension and gestational diabetes, describe pregnancy outcome, and analyze the corticotropic axis during and up to 3 months after pregnancy, with the aim of improving the management of these women and preventing comorbidities.

A few studies suggest problems in women treated with DEX during pregnancy. However, all these studies are retrospective, based on self-questionnaires, and have not evaluated all pregnancy outcomes. Moreover, it would appear that a third of women treated with DEX no longer wish to resume the treatment (8). Compliance with treatment is strongly linked to its efficacy. It is therefore important to start investigating the pregnancy outcomes of women treated with DEX. This project is relevant because it has the potential to improve current clinical practice and recommendations related to this treatment, and thus have a direct impact on future patient care. The results of this study will guide us in the management of women presenting an indication for prenatal DEX treatment, and will help to inform the Order of November 15, 2022.

Detailed Description

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Main objective:

The main aim of this study was to assess the incidence of metabolic complications (hypertension and diabetes) in mothers treated with DEX during pregnancy.

Secondary objectives:

1. To assess the prevalence and importance of adverse effects of DEX: weight gain, stretch marks, insomnia in mothers treated with DEX.
2. Describe pregnancy outcomes and compare them with a reference population (data from the 2010 French perinatal survey (15)).
3. Analyze the corticotropic axis of DEX-treated mothers during and after pregnancy.

Conditions

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Dexamethasone During Pregnancy

Keywords

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Congenital Adrenal Hyperplasia 21 hydroxylase pregnancy

Study Design

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Observational Model Type

COHORT

Study Time Perspective

OTHER

Study Groups

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women treated with dexamethasone during pregnancy at risk of Congenital Adrenal Hyperplasia

All women treated with DEX during pregnancy at risk of Congenital Adrenal Hyperplasia over the defined period (retrospective and prospective).

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

1. Femme majeure (âge ≥ 18 ans)
2. Grossesse avec indication de traitement anténatal par dexaméthasone (DEX) en accord avec le PNDS :

* Mutation sévère du gène CYP21A2 chez chacun des parents
* Fœtus féminin
3. Grossesse unique
4. Ayant commencé un traitement anténatal par DEX depuis au moins 24h

Exclusion Criteria

1. Contraindication to dexamethasone treatment
2. Objection to use of data
3. Persons under legal protection (curatorship, guardianship), court-appointed guardians
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Assistance Publique - Hôpitaux de Paris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Anne BACHELOT, Pr

Role: PRINCIPAL_INVESTIGATOR

Assistance Publique - Hôpitaux de Paris

Locations

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Hopital Haut Leveque - Endocrinologie

Bordeaux, , France

Site Status RECRUITING

Endocrinologie - Hospices civils de Lyon

Bron, , France

Site Status RECRUITING

Hospices civils de Lyon Biochimie et Biologie moléculaire UM Pathologies endocriniennes

Bron, , France

Site Status RECRUITING

Hospices civils de Lyon Laboratoire de Biologie Médicale Multi Sites

Bron, , France

Site Status RECRUITING

Hospices civils de Lyon Service de médecine de la reproduction

Bron, , France

Site Status RECRUITING

Endocrinologie - CHU Grenoble - Hôpital Michallon

Grenoble, , France

Site Status RECRUITING

Endocrinologie et médecine de la reproduction - Hôpital Bicêtre APHP

Le Kremlin-Bicêtre, , France

Site Status RECRUITING

Endocrinologie pédiatrique - Hôpital Bicêtre APHP

Le Kremlin-Bicêtre, , France

Site Status RECRUITING

Hopital Bicêtre

Le Kremlin-Bicêtre, , France

Site Status RECRUITING

CHRU Lille - Hôpital Claude Huriez Endocrinologie, diabétologie et métabolisme

Lille, , France

Site Status RECRUITING

Biologie et médecine de la reproduction, centre d'Assistance Médicale à la Procréation - CHU Nantes - Hôpital Mère et Enfant

Nantes, , France

Site Status RECRUITING

Hospital Saint-Antoine, Endocrinology service

Paris, , France

Site Status RECRUITING

Endocrinologie et médecine de la reproduction-Pitié Salpetriere Hospital

Paris, , France

Site Status RECRUITING

Endocrinologie Pédiatrique-Hôpital Robert Debré

Paris, , France

Site Status RECRUITING

Endocrinologie Pédiatrique-Hôpital Universitaire Necker Enfants Malades

Paris, , France

Site Status RECRUITING

CHU de Toulouse - Hôpita Larrey

Toulouse, , France

Site Status RECRUITING

Pédiatrie - Endocrinologie, génétique et gynécologie médicale - CHU Toulouse - Hôpital des enfants

Toulouse, , France

Site Status NOT_YET_RECRUITING

Countries

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France

Central Contacts

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Anne BACHELOT, Pr

Role: CONTACT

Phone: 01 42 16 02 46

Email: [email protected]

Imene HADDADOU, CP

Role: CONTACT

Phone: 01.42.16.24.98

Email: [email protected]

Facility Contacts

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GROUTHIER Virginie

Role: primary

Aude Brac de la Perrière

Role: primary

Florence Rouger

Role: primary

Véronique Tardy

Role: primary

Ingrid Plotton

Role: primary

Justine Critante, Dr

Role: primary

Jacques Pr Young

Role: primary

Claire Bouvattier, Dr

Role: primary

Stéphanie Espiard

Role: primary

Agnes Colombel, Dr

Role: primary

Sophie Christin-Maitre, MD, PhD

Role: primary

Anne Bachelot, MD, PhD

Role: primary

MARTINERIE Laetitia, PHD

Role: primary

Michel Polak, MD, PhD

Role: primary

Laurence Lecomte, PhD

Role: backup

Solange GRUNENWALD

Role: primary

Catherine Pienkowski, Dr

Role: primary

Other Identifiers

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APHP231275

Identifier Type: -

Identifier Source: org_study_id