NCT07347262

Brief Summary

The aim of our study is to evaluate the feasibility, and diagnostic value of oral 13C labelled glucose breath test compared to the GCT and OGTT tests.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
20

participants targeted

Target at below P25 for all trials

Timeline
Completed

Started Dec 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

Study Start

First participant enrolled

December 18, 2020

Completed
2.8 years until next milestone

First Submitted

Initial submission to the registry

September 21, 2023

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 20, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 20, 2024

Completed
1.6 years until next milestone

First Posted

Study publicly available on registry

January 16, 2026

Completed
Last Updated

January 16, 2026

Status Verified

January 1, 2026

Enrollment Period

3.5 years

First QC Date

September 21, 2023

Last Update Submit

January 8, 2026

Conditions

Outcome Measures

Primary Outcomes (2)

  • The aim of our study is to evaluate the feasibility of oral 13C labelled glucose breath test compared to the GCT and OGTT tests.

    We will assess feasibility via recruitment and test completion.

    At the time of the glucose tolerance test (GCT/ OGTT)

  • To evaluate the diagnostic value of oral 13C labelled glucose breath test compared to the GCT and OGTT tests.

    We will assess agreement between exogenous glucose oxidation (breath test) and blood glucose (OGTT).

    At the time of the glucose tolerance test (GCT/ OGTT)

Interventions

After a short explanation on how to use the kit participants will be asked to sample their breath every 15 minutes starting 30 minutes before the ingestion of glucose and ending six hours after the ingestion.

Eligibility Criteria

Age18 Years - 45 Years
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64)
Sampling MethodNon-Probability Sample
Study Population

This prospective observational pilot study will include pregnant patients with a singleton fetus up to 33 weeks gestation.

You may qualify if:

  • Pregnant women
  • ages 18 to 45 years old
  • A singleton pregnancy
  • Confirmed gestational age by a documented first-trimester ultrasound.

You may not qualify if:

  • Patients below the age of 18 or above 45 years-old
  • Patients diagnosed with gestational or pre-gestational diabetes
  • Patients with multiple pregnancies or fetuses with congenital and/or chromosomal anomalies
  • Patients after a multifetal pregnancy reduction (spontaneous or iatrogenic)
  • Patients not having a sonographic dating during the first trimester of pregnancy
  • Patients with conditions or medications that affect glucose metabolism
  • Patients who will refuse to consent, or are not fit or able to read, understand, or sign an informed consent.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Kaplan Medical Center

Rehovot, Israel

Location

Related Publications (23)

  • ACOG Practice Bulletin No. 190: Gestational Diabetes Mellitus. Obstet Gynecol. 2018 Feb;131(2):e49-e64. doi: 10.1097/AOG.0000000000002501.

    PMID: 29370047BACKGROUND
  • O'Sullivan JB, Mahan CM, Charles D, Dandrow RV. Screening criteria for high-risk gestational diabetic patients. Am J Obstet Gynecol. 1973 Aug 1;116(7):895-900. doi: 10.1016/s0002-9378(16)33833-9. No abstract available.

    PMID: 4718216BACKGROUND
  • Carpenter MW, Coustan DR. Criteria for screening tests for gestational diabetes. Am J Obstet Gynecol. 1982 Dec 1;144(7):768-73. doi: 10.1016/0002-9378(82)90349-0.

    PMID: 7148898BACKGROUND
  • Roeckner JT, Sanchez-Ramos L, Jijon-Knupp R, Kaunitz AM. Single abnormal value on 3-hour oral glucose tolerance test during pregnancy is associated with adverse maternal and neonatal outcomes: a systematic review and metaanalysis. Am J Obstet Gynecol. 2016 Sep;215(3):287-97. doi: 10.1016/j.ajog.2016.04.040. Epub 2016 Apr 29.

    PMID: 27133007BACKGROUND
  • van Leeuwen M, Louwerse MD, Opmeer BC, Limpens J, Serlie MJ, Reitsma JB, Mol BW. Glucose challenge test for detecting gestational diabetes mellitus: a systematic review. BJOG. 2012 Mar;119(4):393-401. doi: 10.1111/j.1471-0528.2011.03254.x. Epub 2012 Jan 20.

    PMID: 22260369BACKGROUND
  • Goldberg RJ, Ye C, Sermer M, Connelly PW, Hanley AJ, Zinman B, Retnakaran R. Predictors and clinical implications of a false negative glucose challenge test in pregnancy. J Obstet Gynaecol Can. 2013 Oct;35(10):889-898. doi: 10.1016/S1701-2163(15)30810-0.

    PMID: 24165056BACKGROUND
  • HAPO Study Cooperative Research Group; Metzger BE, Lowe LP, Dyer AR, Trimble ER, Chaovarindr U, Coustan DR, Hadden DR, McCance DR, Hod M, McIntyre HD, Oats JJ, Persson B, Rogers MS, Sacks DA. Hyperglycemia and adverse pregnancy outcomes. N Engl J Med. 2008 May 8;358(19):1991-2002. doi: 10.1056/NEJMoa0707943.

    PMID: 18463375BACKGROUND
  • Harlass FE, Brady K, Read JA. Reproducibility of the oral glucose tolerance test in pregnancy. Am J Obstet Gynecol. 1991 Feb;164(2):564-8. doi: 10.1016/s0002-9378(11)80021-9.

    PMID: 1992702BACKGROUND
  • Heise T, Zijlstra E, Nosek L, Heckermann S, Plum-Morschel L, Forst T. Euglycaemic glucose clamp: what it can and cannot do, and how to do it. Diabetes Obes Metab. 2016 Oct;18(10):962-72. doi: 10.1111/dom.12703. Epub 2016 Jul 13.

    PMID: 27324560BACKGROUND
  • Huhn EA, Rossi SW, Hoesli I, Gobl CS. Controversies in Screening and Diagnostic Criteria for Gestational Diabetes in Early and Late Pregnancy. Front Endocrinol (Lausanne). 2018 Nov 27;9:696. doi: 10.3389/fendo.2018.00696. eCollection 2018.

    PMID: 30538674BACKGROUND
  • American Diabetes Association. 2. Classification and Diagnosis of Diabetes. Diabetes Care. 2017 Jan;40(Suppl 1):S11-S24. doi: 10.2337/dc17-S005. No abstract available.

    PMID: 27979889BACKGROUND
  • Dillon EL, Janghorbani M, Angel JA, Casperson SL, Grady JJ, Urban RJ, Volpi E, Sheffield-Moore M. Novel noninvasive breath test method for screening individuals at risk for diabetes. Diabetes Care. 2009 Mar;32(3):430-5. doi: 10.2337/dc08-1578. Epub 2008 Dec 15.

    PMID: 19074994BACKGROUND
  • Schellekens RC, Stellaard F, Woerdenbag HJ, Frijlink HW, Kosterink JG. Applications of stable isotopes in clinical pharmacology. Br J Clin Pharmacol. 2011 Dec;72(6):879-97. doi: 10.1111/j.1365-2125.2011.04071.x.

    PMID: 21801197BACKGROUND
  • Koletzko B, Sauerwald T, Demmelmair H. Safety of stable isotope use. Eur J Pediatr. 1997 Aug;156 Suppl 1:S12-7. doi: 10.1007/pl00014267.

    PMID: 9266209BACKGROUND
  • Gregg CT. Some application of stable isotopes in clinical pharmacology. Eur J Clin Pharmacol. 1974 Jul 26;7(4):315-9. doi: 10.1007/BF00560350. No abstract available.

    PMID: 4605121BACKGROUND
  • Hsu HW, Butte NF, Wong WW, Moon JK, Ellis KJ, Klein PD, Moise KJ. Oxidative metabolism in insulin-treated gestational diabetes mellitus. Am J Physiol. 1997 Jun;272(6 Pt 1):E1099-107. doi: 10.1152/ajpendo.1997.272.6.E1099.

    PMID: 9227457BACKGROUND
  • Ranawana V, Clegg ME, Shafat A, Henry CJ. Postmastication digestion factors influence glycemic variability in humans. Nutr Res. 2011 Jun;31(6):452-9. doi: 10.1016/j.nutres.2011.05.006. Epub 2011 Jun 17.

    PMID: 21745627BACKGROUND
  • Morey S, Shafat A, Clegg ME. Oral versus intubated feeding and the effect on glycaemic and insulinaemic responses, gastric emptying and satiety. Appetite. 2016 Jan 1;96:598-603. doi: 10.1016/j.appet.2015.11.002. Epub 2015 Nov 10.

    PMID: 26551790BACKGROUND
  • Thondre PS, Shafat A, Clegg ME. Molecular weight of barley beta-glucan influences energy expenditure, gastric emptying and glycaemic response in human subjects. Br J Nutr. 2013 Dec;110(12):2173-9. doi: 10.1017/S0007114513001682. Epub 2013 Jun 7.

    PMID: 23742725BACKGROUND
  • Clegg ME, Shafat A. The effect of agar jelly on energy expenditure, appetite, gastric emptying and glycaemic response. Eur J Nutr. 2014;53(2):533-9. doi: 10.1007/s00394-013-0559-x. Epub 2013 Jul 20.

    PMID: 23872837BACKGROUND
  • Sevket O, Ates S, Uysal O, Molla T, Dansuk R, Kelekci S. To evaluate the prevalence and clinical outcomes using a one-step method versus a two-step method to screen gestational diabetes mellitus. J Matern Fetal Neonatal Med. 2014 Jan;27(1):36-41. doi: 10.3109/14767058.2013.799656. Epub 2013 May 30.

    PMID: 23617557BACKGROUND
  • Olagbuji BN, Aderoba AK, Kayode OO, Awe CO, Akintan AL, Olagbuji YW; Gestational Diabetes Study Group-Nigeria. Accuracy of 50-g glucose challenge test to detect International Association of Diabetes and Pregnancy Study Groups criteria-defined hyperglycemia. Int J Gynaecol Obstet. 2017 Dec;139(3):312-317. doi: 10.1002/ijgo.12304. Epub 2017 Sep 14.

    PMID: 28833075BACKGROUND
  • Arbib N, Gabbay-Benziv R, Aviram A, Sneh-Arbib O, Wiznitzer A, Hod M, Chen R, Hadar E. Third trimester abnormal oral glucose tolerance test and adverse perinatal outcome. J Matern Fetal Neonatal Med. 2017 Apr;30(8):917-921. doi: 10.1080/14767058.2016.1190825. Epub 2016 Jun 8.

    PMID: 27186963BACKGROUND

Biospecimen

Retention: SAMPLES WITHOUT DNA

Breath samples

MeSH Terms

Conditions

Diabetes, Gestational

Condition Hierarchy (Ancestors)

Pregnancy ComplicationsFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesDiabetes MellitusGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Attending physician

Study Record Dates

First Submitted

September 21, 2023

First Posted

January 16, 2026

Study Start

December 18, 2020

Primary Completion

June 20, 2024

Study Completion

June 20, 2024

Last Updated

January 16, 2026

Record last verified: 2026-01

Locations