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IUGRNCT02382601

Longitudinal Study of Intra-Uterine Growth Restriction

An observational study of IUGR and Pregnancy, run by University of Colorado, Denver at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The investigation will employ a longitudinal approach in which every fetus diagnosed to be SGA (Small for Gestational Age ) will be studied at frequent intervals with sophisticated imaging techniques to assess subtle physiologic changes in the brain, heart, and placenta over time. Read more about this study

Who is it for?
Ages 18 to 45 years, women only
Conditions the study is for
IUGR, Pregnancy
What is being tested?
Ultrasound, MRI and Blood collection
How many people
200 participants
Where
1 siteUnited States
Study dates
Apr 2015to Dec 2028
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 45 years
  • Women only
  • No healthy volunteers
  • Adult

Study population: University of Colorado School of Medicine is a referral center for women carrying fetuses with IUGR. Care providers routinely evaluate more than 300 patients per year at our outreach sites alone whose fetuses have estimated fetal weights below the 10th percentile. Of these, the investigators will initially enroll 200 patients per year between 24 and 36 weeks over a two-year period.

Who may be able to join

  • Patients with diagnosed SGA by an ultrasound estimated fetal weight (EFW) of less than the 10th percentile or a fetal abdominal circumference of less than the 5th percentile will be included in the study at the time of their first examination.

Who cannot join

  • Patients < 18 years of age, and chromosomal anomalies as identified by regular aneuploidy screening.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Emma Peek, BS contact

emma.peek@cuanschutz.edu

United States1 site, 1 recruiting
  • University of Colorado Denver Anschutz Medical Campus

    Aurora, Colorado, 80045

    Emma Peek, BS, emma.peek@cuanschutz.edu

    John Hobbins, MD

    Recruiting

Other trials in United States

About this study

Official title: Longitudinal Study of Intra-Uterine Growth Restriction (IUGR)

The investigation will employ a longitudinal approach in which every fetus diagnosed to be SGA (Small for Gestational Age ) will be studied at frequent intervals with sophisticated imaging techniques to assess subtle physiologic changes in the brain, heart, and placenta over time. These findings will be correlated with neurological and cardiovascular function in the newborn and early childhood. This research initiative should yield diagnostic and therapeutic templates that will improve the quality of life of IUGR babies in addition to providing important information that will better inform current diagnostic practices.

Read the detailed description

The overarching objective is to serially assess changes in the fetal circulation, heart, and brain with sophisticated ultrasound, MRI (Magnetic Resonance Imaging), and body composition techniques that will provide clues as to how growth restricted babies will tolerate life outside the uterus. Employing a longitudinal study will allow the investigators to correlate perinatal and postnatal outcomes more comprehensively than previous studies.

Conditions
IUGR, Pregnancy
Being tested
Ultrasound, MRI, Blood collection, Neurological Function Assessment, Placental Analysis
Keywords
Pregnancy, IUGR, Small for gestational age

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • UltrasoundRadiation

    With 3-D and 4-D high-resolution color Doppler methods it is possible to map out the placental circulation, fetal circulation, fetal brain, and fetal cardiac function. Investigators will collect these data points prenatally.

  • MRIRadiation

    Similar to the Ultrasound data, investigators will collect MRI images of the fetal brain and the placenta. MRI will allow investigators to collect more detailed images of both the fetal brain and placenta, and investigators will be utilizing this technique both prenatally and postnatally.

  • Blood collectionProcedure or surgery

    The maternal and cord blood will be collected for the processing of plasma and serum. There may be early biomarkers of IUGR in the maternal circulation that investigators can use to better determine the appropriate strategy for clinical management of care. Collection and subsequent analysis of molecular markers in the umbilical cord blood will be used to further confirm physiological dysfunction as detected by ultrasound and MRI techniques.

  • Neurological Function AssessmentBehavioural

    Neurological development tests including a Bayley exam, Mullen exam, Developmental Profile-3, Child Behavior Checklist, and Pediatric Stroke Outcome Measure (PSOM) will be performed.

  • Placental AnalysisProcedure or surgery

    Placentas will undergo pathological evaluation for placental function.

  • Measurement of body fatProcedure or surgery

    Also called Peapod, Bodpod

    The baby's body fat will be measured in a special incubator called a PEAPOD or BODPOD when an infant.

  • Pediatric heart ultrasoundRadiation

    Children will have ultrasounds of their hearts during follow-up visits.

Study groups in NCT02382601
Study groupRoleWhat they receive
Small for Gestational Age Pregancies (controls)Small for gestational age (SGA) pregnancies that do not develop IUGR will be considered controls. Each subject will have an ultrasound, MRI, maternal blood and cord blood collection, placental analysis, neurological function assessments (infant), and body fat measurements (infant).
Receives: Radiation: Ultrasound; Radiation: MRI; Procedure: Blood collection; Behavioral: Neurological Function Assessment; Procedure: Placental Analysis; Procedure: Measurement of body fat; Radiation: Pediatric heart ultrasound
IUGR Pregnancies (cases)Small for gestational age (SGA) pregnancies that do develop IUGR will be considered cases. Each subject will have an ultrasound, MRI, maternal blood and cord blood collection, placental analysis, neurological function assessments (infant), and body fat measurements (infant).
Receives: Radiation: Ultrasound; Radiation: MRI; Procedure: Blood collection; Behavioral: Neurological Function Assessment; Procedure: Placental Analysis; Procedure: Measurement of body fat; Radiation: Pediatric heart ultrasound

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Characterize the sequence of neurological and cardiovascular events defining early and late IUGR pathogenesis, respectively

    Using ultrasound and MRI to identify changes in the fetal vasculature, and fetal brain as early and late IUGR progress.

    Measured: Every two weeks from the time of IUGR diagnosis or first visit

Secondary outcomes (4)
  1. Correlate in utero adaptations in early and late IUGR, to infant and early childhood neurodevelopment

    Assess neurodevelopment with a series of tests (PSOM, Bayleys III, Mullen's Scale of Early Learning, Developmental Profile-3, Child Behavior Checklist) and correlate neurological in utero findings to neurodevelopment outcomes after birth.

    Measured: Baseline (Day 0), 40-44 weeks gestational age (post-birth), 6 months, 1-7 years

  2. Correlate in utero adaptations in early and late IUGR, to infant and early childhood cardiovascular outcomes

    Assess cardiovascular health via heart ultrasound after birth

    Measured: Baseline (Day 0), 40-44 weeks gestational age (post-birth), 6 months, 1-7 years

  3. Correlate in utero adaptations in early and late IUGR, to infant and early childhood metabolic outcomes

    Correlate IUGR severity to metabolic outcomes as assessed by body composition (pea pod and bod pod with a pediatric attachment), anthropometrics, and a diet questionnaire after birth.

    Measured: Baseline (Day 0), 40-44 weeks gestational age (post-birth), 6 months, 1-7 years

  4. Compare early IUGR, late IUGR and SGA infant and early childhood outcomes

    Using the tests describe above compare the outcomes of each group after birth.

    Measured: Baseline (Day 0), 40-44 weeks gestational age (post-birth), 6 months, 1-7 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Mar 2015 (estimated)
  2. Study startApr 2015
  3. Primary completionDec 2028 (estimated)
  4. Study completionDec 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case-control
Time perspective
Prospective
Enrolment
200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02382601
Sponsor's protocol ID
14-1360
Status last verified
Jun 2026
First submitted
2 Mar 2015
Last updated
11 Jun 2026
Results posted
No
Data monitoring committee
No

Publications

  • Barker ED, McAuliffe FM, Alderdice F, Unterscheider J, Daly S, Geary MP, Kennelly MM, O'Donoghue K, Hunter A, Morrison JJ, Burke G, Dicker P, Tully EC, Malone FD. The role of growth trajectories in classifying fetal growth restriction. Obstet Gynecol. 2013 Aug;122(2 Pt 1):248-254. doi: 10.1097/AOG.0b013e31829ca9a7.

    PubMed 23969791
  • Mongelli M, Gardosi J. Reduction of false-positive diagnosis of fetal growth restriction by application of customized fetal growth standards. Obstet Gynecol. 1996 Nov;88(5):844-8. doi: 10.1016/0029-7844(96)00285-2.

    PubMed 8885925
  • Cruz-Martinez R, Figueras F, Hernandez-Andrade E, Puerto B, Gratacos E. Longitudinal brain perfusion changes in near-term small-for-gestational-age fetuses as measured by spectral Doppler indices or by fractional moving blood volume. Am J Obstet Gynecol. 2010 Jul;203(1):42.e1-6. doi: 10.1016/j.ajog.2010.02.049. Epub 2010 May 1.

    PubMed 20435282
  • Hecher K, Bilardo CM, Stigter RH, Ville Y, Hackeloer BJ, Kok HJ, Senat MV, Visser GH. Monitoring of fetuses with intrauterine growth restriction: a longitudinal study. Ultrasound Obstet Gynecol. 2001 Dec;18(6):564-70. doi: 10.1046/j.0960-7692.2001.00590.x.

    PubMed 11844190
  • Ferrazzi E, Bozzo M, Rigano S, Bellotti M, Morabito A, Pardi G, Battaglia FC, Galan HL. Temporal sequence of abnormal Doppler changes in the peripheral and central circulatory systems of the severely growth-restricted fetus. Ultrasound Obstet Gynecol. 2002 Feb;19(2):140-6. doi: 10.1046/j.0960-7692.2002.00627.x.

    PubMed 11876805
  • Turan OM, Turan S, Berg C, Gembruch U, Nicolaides KH, Harman CR, Baschat AA. Duration of persistent abnormal ductus venosus flow and its impact on perinatal outcome in fetal growth restriction. Ultrasound Obstet Gynecol. 2011 Sep;38(3):295-302. doi: 10.1002/uog.9011.

    PubMed 21465604
  • Acharya G. Measurement of atrioventricular annular plane displacement has been revived: will it prove to be useful in assessing fetal cardiac function? Ultrasound Obstet Gynecol. 2013 Aug;42(2):125-9. doi: 10.1002/uog.12542. No abstract available.

    PubMed 23775904
  • Kiserud T. Re: umbilical vein flow and perinatal outcome in term small-for-gestational-age fetuses. M. Parra-Saavedra, F. Crovetto, S. Triunfo, S. Savchev, G. Parra, M. Sanz, E. Gratacos and F. Figueras. Ultrasound Obstet Gynecol 2013; 42: 189-195. Ultrasound Obstet Gynecol. 2013 Aug;42(2):130. doi: 10.1002/uog.12553. No abstract available.

    PubMed 23893598
  • Odibo AO, Zhong Y, Longtine M, Tuuli M, Odibo L, Cahill AG, Macones GA, Nelson DM. First-trimester serum analytes, biophysical tests and the association with pathological morphometry in the placenta of pregnancies with preeclampsia and fetal growth restriction. Placenta. 2011 Apr;32(4):333-8. doi: 10.1016/j.placenta.2011.01.016. Epub 2011 Feb 13.

    PubMed 21324404
  • Hafner E, Metzenbauer M, Stumpflen I, Waldhor T. Measurement of placental bed vascularization in the first trimester, using 3D-power-Doppler, for the detection of pregnancies at-risk for fetal and maternal complications. Placenta. 2013 Oct;34(10):892-8. doi: 10.1016/j.placenta.2013.06.303. Epub 2013 Jul 24.

    PubMed 23890468
  • Egana-Ugrinovic G, Sanz-Cortes M, Figueras F, Bargallo N, Gratacos E. Differences in cortical development assessed by fetal MRI in late-onset intrauterine growth restriction. Am J Obstet Gynecol. 2013 Aug;209(2):126.e1-8. doi: 10.1016/j.ajog.2013.04.008. Epub 2013 Apr 9.

    PubMed 23583839
  • Figueras F, Cruz-Martinez R, Sanz-Cortes M, Arranz A, Illa M, Botet F, Costas-Moragas C, Gratacos E. Neurobehavioral outcomes in preterm, growth-restricted infants with and without prenatal advanced signs of brain-sparing. Ultrasound Obstet Gynecol. 2011 Sep;38(3):288-94. doi: 10.1002/uog.9041. Epub 2011 Aug 10.

    PubMed 21557369
  • Eixarch E, Meler E, Iraola A, Illa M, Crispi F, Hernandez-Andrade E, Gratacos E, Figueras F. Neurodevelopmental outcome in 2-year-old infants who were small-for-gestational age term fetuses with cerebral blood flow redistribution. Ultrasound Obstet Gynecol. 2008 Dec;32(7):894-9. doi: 10.1002/uog.6249.

    PubMed 19035538
  • Fowlkes JB, Holland CK. Mechanical bioeffects from diagnostic ultrasound: AIUM consensus statements. American Institute of Ultrasound in Medicine. J Ultrasound Med. 2000 Feb;19(2):69-72. doi: 10.7863/jum.2000.19.2.69. No abstract available.

    PubMed 10680613
  • Torloni MR, Vedmedovska N, Merialdi M, Betran AP, Allen T, Gonzalez R, Platt LD; ISUOG-WHO Fetal Growth Study Group. Safety of ultrasonography in pregnancy: WHO systematic review of the literature and meta-analysis. Ultrasound Obstet Gynecol. 2009 May;33(5):599-608. doi: 10.1002/uog.6328.

    PubMed 19291813

Questions about this trial

What is this clinical trial studying?

An observational study of IUGR and Pregnancy, run by University of Colorado, Denver at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 11 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Emma Peek, BS (emma.peek@cuanschutz.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Characterize the sequence of neurological and cardiovascular events defining early and late IUGR pathogenesis, respectively (time frame: Every two weeks from the time of IUGR diagnosis or first visit). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02382601, which also lists 27 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Jun 2026.

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