- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05003154
Digitalized Management Exploration for Gestational Diabetes Mellitus in China
Comparison of Conventional Mode and Combined Digitalized Mode of Management for Gestational Diabetes Mellitus in China
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Danqing Chen, PhD
- Phone Number: +860571-87061501
- Email: chendq@zju.edu.cn
Study Contact Backup
- Name: Menglin Zhou, MD
- Phone Number: +8613738008135
- Email: marlin_zhou@zju.edu.cn
Study Locations
-
-
Zhejiang
-
HangZhou, Zhejiang, China, 310006
- Danqing Chen
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- The age of 18-45 years, single pregnancy, Han nationality;
- GDM diagnosed between 24 to 28 weeks of gestation, either of the following: fasting plasma glucose ≥5.1 mmol/L, 60-minute plasma glucose ≥10.0 mmol/L, 120-minute plasma glucose ≥8.5 mmol/L, during a 75g oral glucose tolerance test (OGTT).
- Plan to deliver the baby in Women's Hospital School Of Medicine Zhejiang University;
- Can operate mobile phones and related software;
- Voluntary participation in this study;
- Education background: junior high school or above.
Exclusion Criteria:
- Type I or II or other non GDM diabetes mellitus;
- Severe pregnancy complications or complications: such as malignant tumor, preeclampsia, severe intrahepatic cholestasis of pregnancy syndrome, pregnancy with antiphospholipid antibody syndrome, severe anemia (hemoglobin<90g/L, etc.), cardiac insufficiency cardiovascular disease (such as myocardial infarction, heart failure, pulmonary hypertension, stroke history, coronary heart disease, valvular heart disease, etc.), stroke (moderate), liver disease (such as hepatic insufficiency, acute viral hepatitis, etc.), lung disease (such as restrictive lung disease, emphysema, liver cirrhosis, pulmonary heart disease, etc.), kidney disease (such as nephrotic syndrome, chronic nephritis, renal insufficiency, etc.), chronic hypertension, thyroid disease (such as hyperthyroidism, hypothyroidism, thyroiditis, etc.), other endocrine diseases (such as Cushing's syndrome Acromegaly, venous or arterial thromboembolic diseases, rheumatic immune diseases, etc;
- The combined conditions that may affect the diet exercise therapy include severe food allergy, dyskinesia (physical disability), history of bariatric surgery, major gastrointestinal diseases (such as gastrointestinal bleeding, inflammatory bowel disease, gastrointestinal tumor, active stage of peptic ulcer, chronic intestinal obstruction, etc.), restrictive lung disease, history of two or more adverse abortions, placenta previa, repeated and persistent bleeding threatened abortion, threatened premature birth, hyperemesis gravidarum, vegetarians, etc;
- Other conditions: such as mental disorders, cervical incompetence, genital tract deformity, etc;
- Patients who are taking medicine that may affect glucose metabolism, such as ritodrine, prednisone, etc;
- Patients who are participating in other clinical studies;
- The researchers believe patients who are not suitable for this study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: Conventional management group
Received conventional management based on Guidelines for GDM in China
|
|
Experimental: Digitalized management group
Reveived conventional management and digitalized management
|
In addition to conventional management, Patients also receive digitalized management, which provides personalized guidance in diet, excercise, prenatal visit, blood glucose monitoring,etc., from artificail intelliegence (AI) supevised by obstetricians, through a smartphone application and some werable devices (like sports bracelet). The pivotal AI are based on clinical experience from obstetricians, therapeutic principle from official Guidelines and abundant data in previous work, and it will works under strict supervision. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Concentration of glycosylated hemoglobin A1c
Time Frame: 37-42 weeks of gestation
|
Reflecting the average glucose level in the last 8-12 weeks
|
37-42 weeks of gestation
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Rate of neonate large for gestational age
Time Frame: At the 1 day of delivery
|
May reflecting maternal glucose level in pregnancy
|
At the 1 day of delivery
|
rate of caesarean as the delivery mode
Time Frame: At the 1 day of delivery
|
An indicator associated with fetal weight or perinatal condition
|
At the 1 day of delivery
|
Hospitalization cost of neonate and puerperae for delivery
Time Frame: At the 1 day discharging from hospital
|
A health economic indicator
|
At the 1 day discharging from hospital
|
Proportion of patients with abnormal resulets of postnatal oral glucose tolerance test
Time Frame: 42 days postpartum
|
Reflecting postpartum glucose metabolism
|
42 days postpartum
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- GDMDM2021
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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