NCT03764878

Brief Summary

The objective of this study is to evaluate functional MRI as a tool to study placental transfer of oxygen and nutrients during the third trimester of pregnancy in obese women, women with pregestational diabetes and healthy low risk women without these conditions (controls). The investigators hypothesize that altered placental function, including diminished placental oxygenation and enhanced placental transport of lipids and metabolites will be seen in obese and pregestational diabetics as compared to controls.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
15

participants targeted

Target at below P25 for all trials

Timeline
Completed

Started Nov 2018

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 29, 2018

Completed
Same day until next milestone

Study Start

First participant enrolled

November 29, 2018

Completed
6 days until next milestone

First Posted

Study publicly available on registry

December 5, 2018

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 20, 2020

Completed
12 days until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2020

Completed
Last Updated

May 18, 2023

Status Verified

May 1, 2023

Enrollment Period

1.5 years

First QC Date

November 29, 2018

Last Update Submit

May 17, 2023

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change in BOLD response level in the placenta

    As measured by the change in MRI from baseline (room air) compared to hyperoxygenation (O2 facemask) in the central area of the placenta

    1 day

Secondary Outcomes (2)

  • Placenta ratio of oxygenated hemoglobin to deoxygenated hemoglobin

    1 day

  • Placenta ratio of choline to lipid

    1 day

Study Arms (3)

Normal weight

BMI 18.5-24.9 kg/m\^2 low risk pregnancy

Diagnostic Test: functional MRI

Pregestational diabetes mellitus

Type 1 or Type 2 diabetes mellitus diagnosed prior to the pregnancy or in the first trimester

Diagnostic Test: functional MRI

Obese

Pre-pregnancy BMI ≥ 30.0 kg/m\^2

Diagnostic Test: functional MRI

Interventions

functional MRIDIAGNOSTIC_TEST

Participants will undergo a functional MRI using multiple imaging modalities.

Normal weightObesePregestational diabetes mellitus

Eligibility Criteria

Age18 Years+
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Pregnant women at 30-34 weeks gestation who are scheduled for a cesarean delivery. For this pilot project, 10 obese (OB) women, 10 women with pregestational diabetes (PGD) and 10 women without OB or PGD will be recruited. OB is defined as prepregnancy or first trimester BMI greater than or equal to 30 kg/ m2. PGD will be defined as Type 1 or Type 2 diabetes diagnosed prior to the pregnancy or in the first trimester.

You may qualify if:

  • singleton pregnancy
  • planned cesarean section

You may not qualify if:

  • non-English speaking
  • fetal anomalies
  • gestational diabetes mellitus

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

NorthShore University HealthSystem

Evanston, Illinois, 60201, United States

Location

Biospecimen

Retention: SAMPLES WITHOUT DNA

Maternal and fetal cord plasma. Placental extracts. Formalin-fixed placental specimens.

MeSH Terms

Conditions

Placenta Diseases

Interventions

Magnetic Resonance Imaging

Condition Hierarchy (Ancestors)

Pregnancy ComplicationsFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital Diseases

Intervention Hierarchy (Ancestors)

TomographyDiagnostic ImagingDiagnostic Techniques and ProceduresDiagnosis

Study Officials

  • Beth Plunkett, MD, MPH

    Endeavor Health

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Clinical associate professor

Study Record Dates

First Submitted

November 29, 2018

First Posted

December 5, 2018

Study Start

November 29, 2018

Primary Completion

May 20, 2020

Study Completion

June 1, 2020

Last Updated

May 18, 2023

Record last verified: 2023-05

Locations