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Trial · NCT03380546

Registered outcomes18

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryComposite endpoint: birth weight ≥ 90th percentile for gestational age (large for gestational age: LGA) and/or neonatal hypoglycemia and/or shoulder dystocia and/or birth injury.At delivery
LGA defined as birth weight greater than the 90th percentile for a standard French population * Neonatal hypoglycemia defined as at least a blood glucose value less than a 2.0 mmol/l during the two first days of life; * Shoulder dystocia, defined as vaginal cephalic delivery that requires additional obstetric manoeuvres to deliver the fetus after the head has delivered and gentle traction has failed. We will only consider rotational maneuvers such as Rubin II or Woods corkscrew or Jaquemier maneuvers * Birth injury defined as plexus injury or clavicle fracture.
SecondaryGLUCOSE CONTROL: Capillary glucose levelsFrom two weeks after inclusion : 14 and 37 (+6 days) weeks of amenorrhea to deliveryThe women will be asked to perform 6 measures a day. Capillary glucose values will be retrieved from the glucose meter, and if not available, from the woman's diary.
SecondaryGLUCOSE CONTROL: HbA1cAt deliveryCentralized measurement
SecondaryGLUCOSE CONTROL: Need for and dose/day of basal and prandial insulin in both armsAt deliveryThis information will be retrieved from the glucose meter, and if not available, from the woman's diary.
SecondaryNeonatal complications : Birth weight and height,At deliveryBirth weight ≥ 4000g Birth weight ≥ 4500g
SecondaryNeonatal complications : Small for gestational age infantAt deliverySGA: birth weight lower than the 10th percentile for a standard French population
SecondaryMaternal complications : PreeclampsiaFrom two weeks after inclusion to delivery
Preeclampsia (blood pressure ≥ 140/90 mmHg on two measurements four hours apart and proteinuria of at least 300 mg/24 hours or 3+ or more on dipstick testing or proteinuria/creatininuria \>30 in a random urine sample).
SecondaryMaternal complications : Pregnancy-induced hypertensionFrom two weeks after inclusion : 14 and 37 (+6 days) weeks of amenorrhea to deliveryIn women with no known hypertension before pregnancy, blood pressure ≥ 140/90 mmHg on two measurements four hours apart without proteinuria and having needed to begin anti-hypertensive therapy
SecondaryNeonatal complications : Preterm deliveryAt delivery* Late preterm infant (between 32 and 37 completed weeks' gestation) * Very preterm infant (28-31 completed weeks' gestation) * Extreme preterm infant (less than 28 completed weeks' gestation)
SecondaryNeonatal complications : Low Apgar scoreAt delivery5-min Apgar score \< 7
SecondaryNeonatal complications : Neonatal respiratory distress syndromeAt deliverybased on the clinical course, chest X-ray finding, blood gas and acid-base values
SecondaryNeonatal complications : Intrauterine fetal or neonatal death;From two weeks after inclusion to deliveryThese endpoints will be extracted from the women' charts
SecondaryAcceptance/satisfaction of two strategies : -Quality of life -Satisfaction questionnairesAt deliveryMedical Outcomes Study 36-Item Short-Form General Health Survey (SF-36) \- use of analogic scales
SecondarySide effects of drugs : Maternal hypoglycemiaduring the 7 months of treatment
* Severe hypoglycemia: requiring assistance of another person to actively administer carbohydrates, glucagon, or take other corrective actions. Plasma glucose concentrations may not be available during an event, but neurological recovery following the return of plasma/capillary glucose to normal is considered sufficient evidence that the event was induced by a low plasma/capillary glucose concentration. * event during which typical symptoms of hypoglycemia are accompanied by a measured capillary glucose concentration \<70 mg/dL (\<3.9 mmol/L). * Asymptomatic hypoglycemia: event not accompanied by typical symptoms of hypoglycemia but with a measured capillary glucose concentration \<60 mg/dL (\<3.3 mmol/L).
SecondaryGastro-intestinal side effectsfrom two weeks after inclusion : 14 to 36 weeks of gestation to deliveryThe events occuring during the last 14 days of pregnancy or gastro-intestinal side effects leading to treatment withdrawl
SecondaryResults of oral glucose tolerance test and HbA1c measurement3 months after deliveryTest will be performed by the women before follow up visit
SecondaryInfant anthropometrics.At month 1, month 2 and month 3These data will be collected from children's health record
SecondaryConservation of serum and plasma; cord fluid. The samples may be used for further analyses ancillary studies and which could be beneficial for GDM care based on evolution in scientific knowledge.within 10 years after the end of the study* The blood samples will be collected at the same time as the sample routinely collected just before delivery for irregular agglutinin test measurement. * Cord fluid will be collected

Source ClinicalTrials.govtrials-2026-11-12-0.5.0

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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