NCT04298944

Brief Summary

The investigators will aim to determine the association of mood disorders (MDO) with preclinical and clinical cardiovascular (CVD) risk factors among children. The investigators will also aim to identify traditional and non traditional predictors of CVD risk among children with MDO.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
37

participants targeted

Target at P25-P50 for all trials

Timeline
Completed

Started Mar 2020

Typical duration for all trials

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

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 4, 2020

Completed
2 days until next milestone

First Posted

Study publicly available on registry

March 6, 2020

Completed
5 days until next milestone

Study Start

First participant enrolled

March 11, 2020

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 31, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 31, 2022

Completed
Last Updated

August 23, 2022

Status Verified

August 1, 2022

Enrollment Period

2.2 years

First QC Date

March 4, 2020

Last Update Submit

August 22, 2022

Conditions

Outcome Measures

Primary Outcomes (5)

  • Arterial stiffness as assessed by Pulse wave velocity

    This will be determined from Pulse wave velocity (m/sec) done at the study visit

    1 day

  • Arterial stiffness as assessed by Ambulatory Arterial Stiffness Index (AASI)

    The Ambulatory Arterial Stiffness Index will be determined from data obtained from vascular measures and during 24-hour ambulatory blood pressure monitoring. Arterial stiffness increases as the regression slope approaches 0 and the AASI approaches 1.

    1 day

  • Arterial stiffness as assessed by Augmentation Index

    The Augmentation Index (measured as a percentage) will be determined from a vascular assessment and data obtained during 24-hour ambulatory blood pressure monitoring. A greater Augmentation Index represents a stiffer, less compliant vessel.

    1 day

  • Endothelial function as assessed by Laser Doppler flow perfusion

    The percent change in mean blood flow will be determined from Laser Doppler flow perfusion measurements obtained using a heating protocol.

    1 day

  • Mean Blood pressure (mmHg)

    Mean daytime systolic blood pressure in millimeters of mercury (mmHg) will be determined from 24-hour blood pressure monitoring.

    1 day

Secondary Outcomes (3)

  • Pediatric Adverse Childhood Events (ACEs) score

    1 day

  • Children's Emotion Management Scale (CEMS) score

    1 day

  • Behavior Assessment for Children (BASC) score

    1 day

Study Arms (3)

BeHealthY Cohort

Children from BeHealthY cohort who are obese/overweight but do not have mood disorders are eligible for this study. The children will be given additional questionnaires to assess emotional/behavioral well being.

Diagnostic Test: Cardiovascular AssessmentsDiagnostic Test: ActigraphyDiagnostic Test: Laboratory assessmentsBehavioral: Emotional/ Behavioural assessments

CHAMPION trial Cohort

Children who are overweight/obese and have severe mental illness, and who have agreed to be contacted for future research. Tests will be done on all participants which includes cardiovascular assessments, actigraphy, laboratory assessments and emotional/behavioral assessments.

Diagnostic Test: Cardiovascular AssessmentsDiagnostic Test: ActigraphyDiagnostic Test: Laboratory assessmentsBehavioral: Emotional/ Behavioural assessments

Pediatric Medical Psychiatric (PMP) Clinic Cohort

Children from the PMP Clinic who have severe mental illness but healthy weight. Tests will be done on all participants which includes cardiovascular assessments, actigraphy, laboratory assessments and emotional/behavioral assessments.

Diagnostic Test: Cardiovascular AssessmentsDiagnostic Test: ActigraphyDiagnostic Test: Laboratory assessmentsBehavioral: Emotional/ Behavioural assessments

Interventions

Participants will undergo the following cardiovascular assessments: 24-hour blood pressure monitoring, arterial stiffness measurements, endothelial function measurements.

BeHealthY CohortCHAMPION trial CohortPediatric Medical Psychiatric (PMP) Clinic Cohort
ActigraphyDIAGNOSTIC_TEST

Participants will wear an actigraph device for 7 days to measure participant's activity and sleep

BeHealthY CohortCHAMPION trial CohortPediatric Medical Psychiatric (PMP) Clinic Cohort
Laboratory assessmentsDIAGNOSTIC_TEST

Participants will provide blood and urine samples for laboratory assessments.

BeHealthY CohortCHAMPION trial CohortPediatric Medical Psychiatric (PMP) Clinic Cohort

Emotional /Behavioral well being will be determined by questionnaires: Pediatrics Adverse Childhood Experiences Questionnaire (ACEs Q), Childrens Emotion Management Scale Questionnaire (CEMS) and Behavior Assessment System for Children (BASC)

BeHealthY CohortCHAMPION trial CohortPediatric Medical Psychiatric (PMP) Clinic Cohort

Eligibility Criteria

AgeUp to 22 Years
Sexall
Age GroupsChild (0-17), Adult (18-64)
Sampling MethodNon-Probability Sample
Study Population

Children and young adults up to 22 years of age who belong to either of the following groups: 1. overweight/obese and no history of mood disorders 2. overweight/obese with a mood disorder 3. not overweight/obese with a mood disorder

You may qualify if:

  • Children Ages ≤ 22 years old
  • Enrolled in the CHAMPION Trial and have agreed to be contacted for future studies or children who visit PMP clinic and have MDO and a healthy weight or participants in the Be-HealthY Cohort whose data indicate no history of MDO.

You may not qualify if:

  • Not able to speak English
  • Unable to lie supine
  • Significant Arrhythmia
  • If participant has used vaso-active drugs the morning of the test (tobacco, caffeine decongestants, or asthma medications).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Johns Hopkins School of Medicine Division of Pediatric Nephrology

Baltimore, Maryland, 21287, United States

Location

MeSH Terms

Conditions

Mood DisordersHypertensionOverweightObesity

Interventions

Actigraphy

Condition Hierarchy (Ancestors)

Mental DisordersVascular DiseasesCardiovascular DiseasesOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Monitoring, PhysiologicDiagnostic Techniques and ProceduresDiagnosisAccelerometryInvestigative Techniques

Study Officials

  • Tammy M Brady, M.D, PhD

    Johns Hopkins University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
OTHER
Time Perspective
CROSS SECTIONAL
Target Duration
7 Days
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 4, 2020

First Posted

March 6, 2020

Study Start

March 11, 2020

Primary Completion

May 31, 2022

Study Completion

May 31, 2022

Last Updated

August 23, 2022

Record last verified: 2022-08

Locations