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Gestational Diabetes Mellitus (GDM)NCT05179798

The Study of Recommendation System DiaCompanion for Women With Gestational Diabetes Mellitus

A study testing mobile app in people with Gestational Diabetes Mellitus (GDM), run by Federal State Budgetary Institution, V. A. Almazov Federal North-West Medical Research Centre, of the Ministry of Health at 1 site in Russia.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This is a randomized controlled trial of a recommendation system implementation in the treatment of women with gestational diabetes mellitus (GDM). The trial assesses the aspects of system effects on maternal glucose control, the fetus and pregnancy outcomes. Read more about this study

Who is it for?
Ages 18 to 45 years, women only
Conditions the study is for
Gestational Diabetes Mellitus (GDM)
What is being tested?
mobile app
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
216 participants
Where
1 siteRussia
Study dates
12 Jan 2022to Aug 2025
Phase
Interventional
Are there results?
None posted in the registry

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

Who may be able to join

  • Women diagnosed with GDM according to IADPSG (International Association of the Diabetes and Pregnancy Study Groups) criteria, i.e. fasting plasma glucose between 5.1 mmol/L and 6.9 mmol/L after the 6th week of gestation and/or 1-hour plasma glucose value after 75 g oral glucose tolerance test (OGTT) ≥ 10.0 mmol/L and/or 2-hour plasma glucose value between 8.5 mmol/L and 11.0 mmol/L at the 24-31st week of gestation
  • Age >18 years
  • Gestational age >= 12 and < 32 weeks
  • No more than 4 weeks after confirmation of GDM diagnosis
  • Singleton pregnancy
  • The ability to navigate an app
  • Provided informed consent

Who cannot join

  • Preexisting diabetes of any type before the current pregnancy
  • Need for insulin therapy at the time of screening
  • Heart failure
  • Chronic kidney disease
  • History of bariatric surgery
  • Use of long-term systemic corticosteroids
Show all 9Show fewer
  • Impaired mobility
  • Known fetal malformations
  • Concomitant participation in other clinical trials

Trial locations and contacts

1 site in 1 country.

Polina Popova, Ph. D. contact

+79217424404

popova_pv@almazovcentre.ru

Evgenii Pustozerov, Ph. D. contact

+79213684589

pustozerov.e@gmail.com

Russia1 site, 1 recruiting
  • Almazov National Medical Research Centre

    Saint Petersburg, 197341

    Polina Popova, Ph. D., +79217424404, popova_pv@almazovcentre.ru

    Recruiting

Other trials in Russia

About this study

Official title: The Study of Recommendation System DiaCompanion With Personalized Dietary Recommendations for Women With Gestational Diabetes Mellitus (DiaCompanion I)

This is a randomized controlled trial of a recommendation system implementation in the treatment of women with gestational diabetes mellitus (GDM). The trial assesses the aspects of system effects on maternal glucose control, the fetus and pregnancy outcomes. This study is an interventional, randomized controlled trial, open-labeled.

Read the detailed description

The study aims to clarify the effect of using DiaCompanion I (a mobile-based personalized recommendations system) on glycemic levels and pregnancy outcomes in women with GDM. Women with GDM are randomized to 2 treatment groups (utilizing and not utilizing the developed mobile-based system with data-driven personal recommendations focused primarily on postprandial glycemic response prediction). Data on glycemic levels during the study and consumption of major macro- and micronutrients will be collected using the mobile app with electronic report forms. The app provides women in the intervention group with the resulting data-driven prognosis of a 1-hour postprandial glucose level every time they input their meal data. The app also provides participants of the intervention group with a set of reminders and recommendations on the diet and lifestyle.

Apart from the assessment of the outcomes described below, biobanking of serum, plasma; cord fluid, HUVECs, faeces, and meconium will be performed. The samples may be used for further analyses in ancillary studies, which could be beneficial for GDM care based on evolution in scientific knowledge.

This biological collection is optional [Time Frame: within 15 years after the end of the study]:

  • The blood samples will be collected at the same time as the sample routinely collected
  • Maternal faeces will be collected within 5 days after inclusion and at gestational weeks 35-36
  • Cord fluid will be collected
  • HUVECs will be isolated from the cord after delivery
  • Meconium will be collected within 24 hours after birth.
Being tested
mobile app
Keywords
gestational diabetes mellitus, glycemic targets, mHealth, personalized medicine, recommendation system, personalized nutrition, postprandial glycemic response
Medical subject headings
Diabetes, Gestational

What participants receive

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

  • mobile appDevice

    Also called recommendation system

    Lifestyle modification, insulin therapy if needed, utilization of a mobile app with personalized recommendations.

Study groups in NCT05179798
Study groupRoleWhat they receive
Mobile appExperimentalLifestyle modification, insulin therapy if needed, utilization of a mobile app with personalized recommendations.
Receives: Device: mobile app
Standard of careNo interventionLifestyle modification, insulin therapy if needed; conventional care without a mobile app.

What is being measured

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

  1. Percentage of postprandial capillary glucose values above target (>7.0 mmol/L)

    The 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.

    Measured: from randomization up to delivery

Secondary outcomes (34)
  1. Rate of patients requiring insulin therapy during pregnancy

    • Rate of patients requiring insulin therapy (either basal or prandial)
    • Rate of patients requiring prandial insulin therapy

    Measured: At any time during pregnancy up to delivery

  2. Capillary glucose values

    The women will be asked to perform 6 measures a day. Capillary glucose values will be retrieved from the glucose meter and from the woman's diary.

    • Capillary fasting glucose values, mmol/L
    • Capillary pre-prandial glucose values, mmol/L
    • Capillary postprandial glucose values, mmol/L

    Measured: within 2 weeks after randomization, at gestational weeks 35-37 and in the period from randomization up to delivery

  3. Proportion of women with glucose values within target

    • The proportion of women with fasting glucose values within the target
    • The proportion of women with postprandial glucose values within the target

    Measured: within 2 weeks after randomization, at gestational weeks 35-37 and in the period from randomization up to delivery

  4. Mean incremental area under the blood glucose curve 2 hours after meals (iAUC120) according to continuous glucose monitoring (time period: 7 days)

    Measured: 1-2 weeks after randomization and 35-37th gestational week

  5. Hypoglycemia

    • Severe hypoglycemia: requiring assistance of another person to actively correct the level of glycemia and neurological symptoms
    • Documented symptomatic hypoglycemia: event during which typical symptoms of hypoglycemia are accompanied by a measured capillary glucose concentration <3.9 mmol/L
    • Asymptomatic hypoglycemia: event not accompanied by typical symptoms of hypoglycemia but with a measured capillary glucose concentration <3.3 mmol/L

    Measured: from randomization to delivery

  6. The level of HbA1c, %

    Maternal metabolic parameter: The level of HbA1c, %

    Measured: at gestational weeks 35-37

  7. Fasting insulin, mIU/mL

    Maternal metabolic parameter: Fasting insulin, mIU/mL

    Measured: at gestational weeks 35-37

  8. Fasting glucose, mmol/L

    Maternal metabolic parameter: Fasting glucose, mmol/L

    Measured: at gestational weeks 35-37

  9. HOMA-IR index

    Maternal metabolic parameter: HOMA-IR index

    Measured: at gestational weeks 35-37

  10. Serum triglyceride levels, mmol/L

    Maternal metabolic parameter: Serum triglyceride levels, mmol/L

    Measured: at gestational weeks 35-37

  11. Gestational weight change

    • Gestational weight change during pregnancy, kg
    • Gestational weight change between inclusion and delivery, kg

    Measured: by the time of delivery

  12. Large (>90th percentile) for gestational age infant

    Neonatal outcome: Large (>90th percentile) for gestational age infant

    Measured: At delivery

  13. Small for gestational age (< 10th percentile) infant

    Neonatal outcome: Small for gestational age (< 10th percentile) infant

    Measured: At delivery

  14. Birth weight, kg

    Neonatal outcome: Birth weight, kg

    Measured: At delivery

  15. Birth weight ≥ 4000 g; ≥ 4500 g

    Neonatal outcome: Birth weight ≥ 4000 g; ≥ 4500 g (yes/no)

    Measured: At delivery

  16. Neonatal hypoglycemia

    Neonatal outcome: Neonatal hypoglycemia (yes/no)

    Measured: At delivery

  17. Shoulder dystocia

    Neonatal outcome: Shoulder dystocia (yes/no)

    Measured: At delivery

  18. Birth injury, any of the following: plexus injury, clavicle, humeral, or skull fracture

    Neonatal outcome: Birth injury, any of the following: plexus injury, clavicle, humeral, or skull fracture (yes/no)

    Measured: At delivery

  19. Preterm delivery

    Neonatal outcome: Preterm delivery (yes/no)

    Measured: At delivery

  20. Apgar score at 1 and 5 minutes from birth

    Neonatal outcome: Apgar score at 1 and 5 minutes from birth

    Measured: At delivery

  21. Low Apgar score: 5-min Apgar score < 7

    Neonatal outcome: Low Apgar score: 5-min Apgar score < 7

    Measured: At delivery

  22. Jaundice requiring phototherapy

    Neonatal outcome: Jaundice requiring phototherapy (yes/no)

    Measured: At delivery

  23. Neonatal respiratory distress syndrome

    Neonatal outcome: Neonatal respiratory distress syndrome (yes/no)

    Measured: At delivery

  24. Admission to neonatal intensive care unit during the three days following birth

    Neonatal outcome: Admission to neonatal intensive care unit during the three days following birth (yes/no)

    Measured: At delivery

  25. Umbilical cord blood C-peptide, ng/mL

    Neonatal outcome: Umbilical cord blood C-peptide, ng/mL

    Measured: At delivery

  26. Cesarean delivery rate

    Maternal outcome: Cesarean delivery rate

    Measured: At any time during pregnancy up to delivery

  27. Induction of labor rate

    Maternal outcome: Induction of labor rate

    Measured: At any time during pregnancy up to delivery

  28. Need for operative vaginal delivery rate

    Maternal outcome: Need for operative vaginal delivery rate (forceps or vacuum-assisted vaginal delivery)

    Measured: At any time during pregnancy up to delivery

  29. Preeclampsia

    Maternal outcome: 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/creatinuria >30 in a random urine sample)

    Measured: At any time during pregnancy up to delivery

  30. Pregnancy-induced hypertension in women with no known hypertension before pregnancy

    Maternal outcome: Pregnancy-induced hypertension in 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

    Measured: At any time during pregnancy up to delivery

  31. The number of in-patient visits to endocrinologists

    Measured: from randomization to delivery

  32. Results of oral glucose tolerance test

    The test will be performed by the women 3 months postpartum

    Measured: 3 months after delivery

  33. Acceptance/satisfaction of 2 strategies: score

    Evaluation of the patient's satisfaction about their treatment for GDM with a scale: give a score of 0 to 100: 0 not satisfied; 100 totally satisfied

    Measured: at gestational weeks 35-36

  34. Patient satisfaction evaluated through a questionnaire

    10-question questionnaire with multiple-choice questions, questions with numeric answers on the scale from 0 (fully unsatisfied) to 10 (fully satisfied) and open-ended questions

    Measured: at gestational weeks 35-36

Timeline

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

  1. First posted5 Jan 2022
  2. Study start12 Jan 2022
  3. Primary completionJan 2025 (estimated)
  4. Study completionAug 2025 (estimated)

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
216 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05179798
Sponsor's protocol ID
DiaCompanion I
Status last verified
Jan 2022
First submitted
30 Oct 2021
Last updated
8 Feb 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Pustozerov E, Tkachuk A, Vasukova E, Dronova A, Shilova E, Anopova A, Piven F, Pervunina T, Vasilieva E, Grineva E, Popova P. The Role of Glycemic Index and Glycemic Load in the Development of Real-Time Postprandial Glycemic Response Prediction Models for Patients With Gestational Diabetes. Nutrients. 2020 Jan 23;12(2):302. doi: 10.3390/nu12020302.

    PubMed 31979294
  • Pustozerov E.A., Tkachuck A.S., Vasukova E.A., Anopova A.D., Kokina M.A., Gorelova I.V., Pervunina T.M., Grineva E.N., Popova P.V. Machine Learning Approach for Postprandial Blood Glucose Prediction in Gestational Diabetes Mellitus. IEEE Access, vol. 8, pp. 219308-219321, 2020, doi: 10.1109/ACCESS.2020.3042483.

  • Pustozerov E, Popova P, Tkachuk A, Bolotko Y, Yuldashev Z, Grineva E. Development and Evaluation of a Mobile Personalized Blood Glucose Prediction System for Patients With Gestational Diabetes Mellitus. JMIR Mhealth Uhealth. 2018 Jan 9;6(1):e6. doi: 10.2196/mhealth.9236.

    PubMed 29317385
  • Popova P, Anopova A, Vasukova E, Isakov A, Eriskovskaya A, Degilevich A, Pustozerov E, Tkachuk A, Pashkova K, Krasnova N, Kokina M, Nemykina I, Pervunina T, Li O, Grineva E, Shlyakhto E. Trial protocol for the study of recommendation system DiaCompanion with personalized dietary recommendations for women with gestational diabetes mellitus (DiaCompanion I). Front Endocrinol (Lausanne). 2023 Jun 7;14:1168688. doi: 10.3389/fendo.2023.1168688. eCollection 2023.

    PubMed 37361536

Questions about this trial

What is this clinical trial studying?

A study testing mobile app in people with Gestational Diabetes Mellitus (GDM), run by Federal State Budgetary Institution, V. A. Almazov Federal North-West Medical Research Centre, of the Ministry of Health at 1 site in Russia.

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 7 inclusion and 9 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: status not confirmed, as of the sponsor's last update on 8 Feb 2022. 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 Russia. 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?

Results are not available in the source record.

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

Contact Polina Popova, Ph. D. (+79217424404, popova_pv@almazovcentre.ru), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of postprandial capillary glucose values above target (>7.0 mmol/L) (time frame: from randomization up to delivery). 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 NCT05179798, which also lists 4 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 8 Feb 2022.

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