A Study Using Breath Tests to Identify Patients at Risk for Gestational Diabetes
A Pilot Study Evaluating the Use of a Novel Noninvasive Breath Test to Identify Patients at Risk for Developing Gestational Diabetes
1 other identifier
observational
20
1 country
1
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Dec 2020
Typical duration for all trials
1 active site
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
Study Start
First participant enrolled
December 18, 2020
CompletedFirst Submitted
Initial submission to the registry
September 21, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 20, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
June 20, 2024
CompletedFirst Posted
Study publicly available on registry
January 16, 2026
CompletedJanuary 16, 2026
January 1, 2026
3.5 years
September 21, 2023
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
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
- Kaplan Medical Centerlead
- University of Galwaycollaborator
Study Sites (1)
Kaplan Medical Center
Rehovot, Israel
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: 29370047BACKGROUNDO'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: 4718216BACKGROUNDCarpenter 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: 7148898BACKGROUNDRoeckner 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: 27133007BACKGROUNDvan 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: 22260369BACKGROUNDGoldberg 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: 24165056BACKGROUNDHAPO 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: 18463375BACKGROUNDHarlass 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: 1992702BACKGROUNDHeise 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: 27324560BACKGROUNDHuhn 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: 30538674BACKGROUNDAmerican 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: 27979889BACKGROUNDDillon 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: 19074994BACKGROUNDSchellekens 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: 21801197BACKGROUNDKoletzko 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: 9266209BACKGROUNDGregg 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: 4605121BACKGROUNDHsu 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: 9227457BACKGROUNDRanawana 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: 21745627BACKGROUNDMorey 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: 26551790BACKGROUNDThondre 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: 23742725BACKGROUNDClegg 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: 23872837BACKGROUNDSevket 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: 23617557BACKGROUNDOlagbuji 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: 28833075BACKGROUNDArbib 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
Breath samples
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
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