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Metabolic Syndrome and Non-alcoholic Fatty Liver During Pregnancy

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT02276144
Recruitment Status : Recruiting
First Posted : October 28, 2014
Last Update Posted : March 20, 2020
Sponsor:
Information provided by (Responsible Party):
Seoul National University Hospital

Brief Summary:
The aim of this study is to evaluate the prevalence of metabolic syndrome, liver function abnormality and non-alcoholic fatty liver disease in early pregnancy patients, and the risk of pregnancy complications.

Condition or disease Intervention/treatment
Fatty Liver Gestational Diabetes Other: Liver ultrasound

Detailed Description:

In cases in which metabolic syndrome and non-alcoholic fatty liver are risk factors of obstetric complications, such as gestational diabetes (GDM) or preeclampsia (PE), we are able to offer systematic clinical results from determining the independent risk factor and developing a predictable model. Recently, obstetric complications, especially GDM and PE, have increased due to the growth of elder pregnancy. In addition, as liver dysfunction has been known to be an independent risk factor of diabetes, cardiovascular disease, high blood pressure and renal dysfunction, its clinical importance has risen. Metabolic syndromes, such as obesity, hypertension, type II diabetes and abnormal lipid profile, have been known for its importance in development of non-alcoholic fatty liver disease. Considering abnormal liver function being an independent risk factor of diabetes, cardiovascular disease, high blood pressure and renal dysfunction in normal adult patients, we are able to predict that liver dysfunction might be a high risk factor of obstetric complications in pregnant women. In previous studies, the frequency of liver dysfunction in normal pregnant women was obtained.

The purpose of this current study was to investigate the prevalence of metabolic syndrome, abnormal liver function and non-alcoholic fatty liver in early pregnancy and the related risks of obstetric complications.

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Study Type : Observational
Estimated Enrollment : 2400 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Investigation on the Frequency and Obstetric Significance of Metabolic Syndrome and Non-alcoholic Fatty Liver During Pregnancy
Study Start Date : November 2014
Estimated Primary Completion Date : December 2021
Estimated Study Completion Date : December 2021



Intervention Details:
  • Other: Liver ultrasound
    For evaluate whether fatty liver is exist or not


Primary Outcome Measures :
  1. Compare prevalence of obstetric complications between non-alcoholic fatty liver and normal pregnant women [ Time Frame: From date of enrollment until the date of delivery, assessed up to 35wks ]
    Obstetrical complications include gestational diabetes, preeclampsia, etc Non-alcoholic fatty liver diagnosed by using liver ultrasound result of 1st trimester and blood test (AST, APT)


Biospecimen Retention:   Samples With DNA
serum for lab tests


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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population
1st trimester pregnancy women with singleton
Criteria

Inclusion Criteria:

  • Outpatient clinic patients of Seoul National University Hospital, Seoul Metropolitan Government Boramae Medical Center, Incheon Seoul Woman Hospital
  • Agree with this study
  • Do not drink excess amount of alcohol for recent 2 years

Exclusion Criteria:

  • Do not agree with this study
  • Do not perform blood tests
  • Have underlying hepatobiliary diseases
  • Take medications which can cause liver abnormalities

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02276144


Contacts
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Contact: JEONGEUN Kwon, MD 82-02-2072-3085 ccoolicoola@gmail.com

Locations
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Korea, Republic of
Seoul Women's Hospital Recruiting
Incheon, Korea, Republic of, 402859
Contact: Ja Nam Koo, M.D    010-8355-2180      
Seoul National University Hospital Recruiting
Seoul, Korea, Republic of, 110744
Contact: Joong Shin Park, MD PhD         
Contact: Sun Min Kim, MD         
Seoul Metropolitan Goverment Seoul National University Boramae Medical Center Recruiting
Seoul, Korea, Republic of, 156707
Contact: Seung Mi Lee, M.D, Ph.D.         
Sponsors and Collaborators
Seoul National University Hospital
Investigators
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Principal Investigator: Joong Shin Park, MD PhD Seoul National University Hospital
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Responsible Party: Seoul National University Hospital
ClinicalTrials.gov Identifier: NCT02276144    
Other Study ID Numbers: Fatty liver in pregnancy
First Posted: October 28, 2014    Key Record Dates
Last Update Posted: March 20, 2020
Last Verified: April 2019
Additional relevant MeSH terms:
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Fatty Liver
Non-alcoholic Fatty Liver Disease
Diabetes, Gestational
Metabolic Syndrome
Insulin Resistance
Hyperinsulinism
Glucose Metabolism Disorders
Metabolic Diseases
Liver Diseases
Digestive System Diseases
Pregnancy Complications
Diabetes Mellitus
Endocrine System Diseases