AzTrials
AzTrials

Intrauterine Growth RestrictionLOOPNCT06534307

Long-term Follow-up of Children Born in the PETN Studies

An observational study of Intrauterine Growth Restriction and Pentaerithrityl Teratnitrate in Pregnancy, run by Jena University Hospital at 13 sites in Germany.

Recruiting

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

Sites and contacts
Official record
Search all trials

Trial summary

In every 10th pregnancy, the child in the uterus is insufficiently nourished, a so-called growth retardation. This occurs when the child cannot reach its growth potential due to an undersupply in the uterus. Read more about this study

Who is it for?
Ages 6 to 18 years
What is being tested?
Questionnaire Child Behaviour Checklist, Questionnaire Young Self Report and physical examination
How many people
228 participants
Where
13 sitesGermany
Study dates
1 Jun 2024to 31 Mar 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 6 to 18 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Study population: all live born children from participants of the PETN-studies

Who may be able to join

  • mothers participation in one of the PETN studies
  • age above 5 years
  • completion of questionnaires for self reported data
  • written consent for physical examination

Who cannot join

  • physical and mental states preventing physical examination

Trial locations and contacts

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

13 sites in 1 country

Germany13 sites, 13 recruiting
  • Berlin Charité Campus Mitte

    Berlin, 10117

    Stefan Verlohren, PD Dr.

    Not yet recruiting
  • Berlin Vivantes Klinikum Neukölln

    Berlin, 12351

    Wolfgang Schlembach, PD Dr.

    Not yet recruiting
  • Universitätsklinikum Bonn

    Bonn, North Rhine-Westphalia, 53127

    Mateja Condic

    Julia Welz

    Not yet recruiting
  • Universitätsklinikum Dresden

    Dresden, Saxony, 01307

    Matej Komar, Dr.

    Jennifer L Winkler, Dr.

    Not yet recruiting
  • Krankenhaus St. Elisabeth und St. Barbara

    Halle, Saxony-Anhalt, 06110

    Sven Seeger, Dr.

    Yvonne Jäger, Dr.

    Not yet recruiting
  • Medizinische Hochschule Hannover

    Hanover, Lower Saxony, 30625

    Constantin von Kaisenberg, Pr. Dr.

    Matthias Jentschke, Dr.

    Not yet recruiting
  • Universitätsklinikum Jena

    Jena, Thuringia, 07747

    Tanja Groten, Prof. Dr., 0361 9 32 92 01, Loop@med.uni-jena.de

    Ekkehard Schleußner, Prof. Dr.

    Recruiting
  • Universitätsklinikum Schleswig Holstein

    Kiel, Schleswig-Holstein, 24105

    Ulrich Pecks, PD Dr.

    Christel Eckmann, Prof. Dr.

    Not yet recruiting
  • Uniklinikum Leipzig

    Leipzig, Saxony, 04103

    Anne Tauscher, Dr.

    Susanne Schrey-Petersen, Dr.

    Not yet recruiting
  • Klinikum der Universität München

    München, Bavaria, 81377

    Christoph Hübener, Dr.

    Not yet recruiting
  • Städtisches Klinikum München

    München, Bavaria, 81545

    Laura de Vries, Dr.

    Ninette Scharle

    Not yet recruiting
  • Universitäts-Frauenklinik Tübingen

    Tübingen, Baden-Wurttemberg, 72076

    Karl O Kagan, Dr.

    Harald Abele, Prof. Dr.

    Not yet recruiting
  • Universitätsklinikum Ulm

    Ulm, Baden-Wurttemberg, 89075

    Ulrike Friebe-Hoffmann, PD Dr.

    Not yet recruiting

Other trials in Germany

About this study

Official title: Langzeiteffekt Einer Pentaerithrityltetranitrat (PETN)-Behandlung in Der Schwangerschaft - Nachbeobachtung Der Kinder Der PETN-Studien

In every 10th pregnancy, the child in the uterus is insufficiently nourished, a so-called growth retardation. This occurs when the child cannot reach its growth potential due to an undersupply in the uterus. This inadequate supply is considered a developmental cause for the later development of physical diseases like cardiovascular diseases, sugar metabolism disorders and obesity as well as mental developmental problems (for example problems in cognitive skills, deficits in language development, concentration and attention).

From 2002 to 2008, 111 patients with impaired placental blood flow were included in a small study and treated with Pentalong or placebo. From 2017 to 2022, the positive effects of the study treatment were tested on a larger number of patients. A total of 317 pregnant women were included at 14 participating study centers in Germany.

In this follow-up study, the development of the children born in the two studies will be examined. The study consists of two independent parts: firstly, questionnaires are answered by the former participants and secondly, an on-site visit is carried out to check the physical and mental health of the child.

Read the detailed description

Pregnancies in which impaired uterine blood flow is detected by Doppler measurements during routine examinations in the second trimester are at high risk of developing fetal growth restriction (FGR). FGR affects 10% of pregnancies and is the leading cause of perinatal mortality and morbidity. In addition, intrauterine growth restriction places a lifelong burden on the physical and mental health of affected children. Epidemiological studies have shown that children with FGR have an increased risk of developing type 2 diabetes mellitus, hypertension, dyslipidemia and a high BMI. In addition, the affected children show disorders in hormonal balance and pubertal development as well as specific impairments of various cognitive and neurocognitive functions. There is also a link between FGR and lower cognitive ability in preschool children, school-age children and young adults, as well as lower communication, language and reading skills in school-age children. Neuronal development (e.g. EEG frequency spectra, resting-state networks) and executive functions are also impaired by FGR.

In the follow-up study, the children will be examined from the age of 6. Here, the effects of PETN on the development of children of women with high-risk pregnancies can be further investigated and a comparative study of growth-retarded and normal-growth children can also be carried out.

Being tested
Questionnaire Child Behaviour Checklist, Questionnaire Young Self Report, physical examination, metabolic examination, Questionnaire Reynolds Intellectual Assessment Scales and Screening
Medical subject headings
Fetal Growth Retardation

What participants receive

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

  • Questionnaire Child Behaviour ChecklistBehavioural

    Also called CBCL/6-18R

    The Child Behavior Checklist comprises items assigned to 8 subscales describing various behavioral areas. These subscales can be summed up to scores for internalizing and externalizing problems as well as a total score. Checklist scores are reported on a T-scale. Range of T-scale from scores 20 to 100 (average performance between scores 40 and 60). Higher scores mean higher amount of problems.

  • Questionnaire Young Self ReportBehavioural

    Also called YSR/11-18R

    The Questionnaire Young Self Report comprises items assigned to 8 subscales describing various behavioral areas. These subscales can be summed up to scores for internalizing and externalizing problems as well as a total score.

  • physical examinationDiagnostic test

    physical development examination including height (in cm), weight (in g) and tanner states

  • metabolic examinationDiagnostic test

    metabolic development using blood analysis including blood components, metabolic parameters (Glucose, HbA1c, cholestrol)

  • Questionnaire Reynolds Intellectual Assessment Scales and ScreeningBehavioural

    Also called RIAS

    The RIAS is standardized intelligence test. The RIAS provides an "Total Intelligence Index" (GIX, estimate of the general intelligence/g-factor), Verbal Intelligence Index (VIX) and the Nonverbal Intelligence Index (NIX). Test scores are reported on a T-scale. Range of T-scale from scores 20 to 100 (average performance between scores 40 and 60). Higher scores mean better cognitive performance.

  • electroencephalogramDiagnostic test

    Also called EEG

    neurocognitive development

  • Questionnaire Movement Assessment Battery for ChildrenOther

    Also called M-ABC-2

    The M-ABC-2 is an standardized test to assess the motoric development. Adding up subscores addressing manual dexterity, aiming and catching, and balance delivers a total score of the motoric performance.

    Test scores are reported on a T-scale. Range of T-scale from scores 20 to 100 (average performance between scores 40 and 60). Higher scores mean better performance.

  • Questionnaire Continuous Performance TestOther

    Also called CPT

    The CPT measures selective attention, sustained attention as well as impulsive behavior. Checklist scores are reported on a T-scale. Range of T-scale from scores 20 to 100 (average performance between scores 40 and 60). Higher scores mean worse performance.

  • Questionnaire Diagnostic System for Mental DisordersOther

    Also called FBB-ADHS

    The FBB-ADHS assesses a total score for ADHD-like behavior and subscores for the symptom trias of ADHD (attention deficit, motoric hyperactivity as well as impulsive behavior, Questionnaire scores are reported on a T-scale. Range of T-scale from scores 20 to 100 (average performance between scores 40 and 60). Higher scores mean higher amount of symptoms.

  • kidney function testsDiagnostic test

    urine examination (proteomics, cytokines, lipidomics)

  • Questionnaire Five to FifteenOther

    Also called FTF 5-15R

    The FTF 5-15R is a questionnaire to evaluate the child's developmental outcome in different areas of everyday life (cognition, language, and motor impairment as well as social, emotional, and behavioral problems). Individual item scores are added up per area and divided by the number of items. This results in a common scale value. Range of Percentile scores from 0 to 100 (0-90: no developmental problem; 90 and higher: hint for developmental problem). Higher scores mean worse developmental outcome.

  • cardiovacular examinationDiagnostic test

    Also called Arteriograph

    measurement of pulse wave velocity

Study groups in NCT06534307
Study groupRoleWhat they receive
Placebochildren of mothers that have been taken placebos during participation of PETN study
Receives: Behavioral: Questionnaire Child Behaviour Checklist; Behavioral: Questionnaire Young Self Report; Diagnostic Test: physical examination; Diagnostic Test: metabolic examination; Behavioral: Questionnaire Reynolds Intellectual Assessment Scales and Screening; Diagnostic Test: electroencephalogram; Other: Questionnaire Movement Assessment Battery for Children; Other: Questionnaire Continuous Performance Test; Other: Questionnaire Diagnostic System for Mental Disorders; Diagnostic Test: kidney function tests; Other: Questionnaire Five to Fifteen; Diagnostic Test: cardiovacular examination
PETNchildren of mothers that have been taken in PETN during participation of PETN study
Receives: Behavioral: Questionnaire Child Behaviour Checklist; Behavioral: Questionnaire Young Self Report; Diagnostic Test: physical examination; Diagnostic Test: metabolic examination; Behavioral: Questionnaire Reynolds Intellectual Assessment Scales and Screening; Diagnostic Test: electroencephalogram; Other: Questionnaire Movement Assessment Battery for Children; Other: Questionnaire Continuous Performance Test; Other: Questionnaire Diagnostic System for Mental Disorders; Diagnostic Test: kidney function tests; Other: Questionnaire Five to Fifteen; Diagnostic Test: cardiovacular examination

What is being measured

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

  1. childrens behaviour

    total score of either CBCL/16-18R or YSR/11-18R

    Measured: up to 2 years after study inclusion

Secondary outcomes (16)
  1. physical development height

    height of the child in cm

    Measured: up to 2 years after study inclusion

  2. physical development weight

    weight of the child in kg

    Measured: up to 2 years after study inclusion

  3. age appropriate development

    age appropriate development documented as "yes or no" question in german routine examination plan ("Kinderuntersuchungsheft") in the last 6 years at caregivers

    Measured: up to 2 years after study inclusion

  4. cognitive, motoric, and exectuve function

    scores of the eight domains of the FTF 5-15-R

    Measured: up to 2 years after study inclusion

  5. physical development

    self reported tanner states

    Measured: age above 10 years

  6. cardiovascular development

    pulse wave velosity

    Measured: age of 6 to 8 years

  7. IQ development

    scores of RIAS test

    Measured: age of 6 to 8 years

  8. motoric development

    total score of M-ABC-2

    Measured: age of 6 to 8 years

  9. attention behaviour

    scores of the four domains of the cpt

    Measured: age of 6 to 8 years

  10. symptoms of attention and activity disorders

    total scores of DISYPS-III

    Measured: age of 6 to 8 years

  11. neurocognitive development

    results of EEG power measurement in alpha band

    Measured: age of 6 to 8 years

  12. neurocognitive development

    results of EEG power measurement in beta band

    Measured: age of 6 to 8 years

  13. neurocognitive development

    results of EEG power measurement in gamma band

    Measured: age of 6 to 8 years

  14. neurocognitive development

    results of EEG power measurement in delta band

    Measured: age of 6 to 8 years

  15. neurocognitive development

    results of EEG power measurement in theta band

    Measured: age of 6 to 8 years

  16. epigenetic analysis

    DNA-methylation

    Measured: age of 6 to 8 years

Timeline

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

  1. First posted2 Aug 2024
  2. Study start1 Jun 2024
  3. Primary completion31 Mar 2027 (estimated)
  4. Study completion31 Mar 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
Cohort
Time perspective
Prospective
Enrolment
228 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06534307
Sponsor's protocol ID
ZKSJ0133
Acronym
LOOP
Status last verified
Aug 2024
First submitted
14 May 2024
Last updated
2 Aug 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Intrauterine Growth Restriction and Pentaerithrityl Teratnitrate in Pregnancy, run by Jena University Hospital at 13 sites in Germany.

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 4 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 2 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 13 sites in Germany. 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?

Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

childrens behaviour (time frame: up to 2 years after study inclusion). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 2 Aug 2024.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in