Exposures to Perinatal Adverse Experiences: Multimodal Omics Signature of Stress Vulnerability and Resilience and Preventive Strategies
PRESeNT
Exposures to PRenatal and Postnatal Adverse Stressful Experiences: Multimodal Omics Signatures Underlying Stress Vulnerability and Resilience and as Novel Targets for Preventive Strategies.
2 other identifiers
interventional
240
1 country
4
Brief Summary
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;
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Feb 2022
Longer than P75 for not_applicable
4 active sites
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
Study Start
First participant enrolled
February 11, 2022
CompletedFirst Submitted
Initial submission to the registry
July 3, 2023
CompletedFirst Posted
Study publicly available on registry
July 19, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2025
CompletedJuly 19, 2023
July 1, 2023
3.4 years
July 3, 2023
July 10, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Differentially expressed genes and biological pathways modulation
25th and 32nd weeks of gestation for pregnant women; 8 weeks and 12 months postpartum for babies.
Secondary Outcomes (4)
Rate and profile of DNA methylation
25th and 32nd weeks of gestation for pregnant women; 8 weeks and 12 months postpartum for babies.
Cortisol levels
25th and 32nd weeks of gestation for pregnant women; 8 weeks and 12 months postpartum for babies.
Immune-related factors levels
25th and 32nd weeks of gestation for pregnant women; 8 weeks and 12 months postpartum for babies.
Smartphone app utility
From 25th of gestation to 12 months postpartum
Study Arms (3)
Depressed
OTHERAt high risk
OTHERControl
OTHERInterventions
Blood and saliva samples from pregnant women; saliva samples from babies.
A battery of psychometric scales and questionnaires.
A smartphone application has been developed in the context of the study as a potential preventive and screening strategy.
Eligibility Criteria
You may qualify if:
- Pregnant women of a singleton pregnancy
- Age ≥ 18 years
You may not qualify if:
- Uterine anomalies and obstetric complications
- Comorbidity with severe or chronic diseases
- Substance abuse
- Language barrier
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (4)
IRCCS Centro San Giovanni di Dio Fatebenefratelli
Brescia, 25125, Italy
Centro Psiche Donna - Ospedale Macedonio Melloni - ASST Fatebenefratelli Sacco
Milan, Italy
Ospedale San Raffaele
Milan, Italy
ASST Bergamo ovest
Treviglio, Italy
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- SCREENING
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Head of the Biological Psichiatry unit
Study Record Dates
First Submitted
July 3, 2023
First Posted
July 19, 2023
Study Start
February 11, 2022
Primary Completion
July 1, 2025
Study Completion
July 1, 2025
Last Updated
July 19, 2023
Record last verified: 2023-07