Prediabetic StateHHNCT05379296
Healthy Hearts: Leveraging the Diabetes Prevention Program to Decrease Health Disparities in Women of Reproductive Age
A study testing Diabetes Prevention Program Plus (DPP+) and Diabetes Prevention Program (DPP) in people with Prediabetic State and Gestational Weight Gain, run by The University of Texas Medical Branch, Galveston.
Trial summary
Nearly half of women have obesity and/or hypertension (HTN). Specific to women, pregnancy creates a vulnerable window for excess gestational weight gain (GWG), exacerbating intergenerational risks for obesity, HTN, type 2 diabetes (T2D), and cardiovascular disease (CVD) across the lifespan. Read more about this study
- Who is it for?
- Ages 18 to 45 years, women only
- Conditions the study is for
- Prediabetic State, Gestational Weight Gain, Hypertension
- What is being tested?
- Diabetes Prevention Program Plus (DPP+) and Diabetes Prevention Program (DPP)
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 0 participants
- Where
- No sites listed yet
- Study dates
- 1 Jan 2022to 20 Jan 2023
- 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 with prediabetes and eligible for the DPP, overweight/obesity, HTN (diagnosed or 3 successive high blood pressure readings), and history of excess gestational weight gain during most recent pregnancy
Who cannot join
- Pregnant and lactating women, participants planning to move out of Galveston County within the next year
About this study
Nearly half of women have obesity and/or hypertension (HTN). Specific to women, pregnancy creates a vulnerable window for excess gestational weight gain (GWG), exacerbating intergenerational risks for obesity, HTN, type 2 diabetes (T2D), and cardiovascular disease (CVD) across the lifespan. Healthy lifestyles are the first-line recommendations for prevention and treatment of overweight/obesity, HTN, T2D, and CVD. The Diabetes Prevention Program (DPP) is a well-established, Centers for Disease Control and Prevention (CDC)-led public health program focusing on healthy lifestyle changes and is effective at reducing 5-7% of body weight, lowering risks for T2D. Interestingly, research investigating the DPP as a lifestyle intervention for other chronic conditions (i.e., overweight/obesity and HTN) is lacking, demonstrating a missed opportunity. The aim of this study is to determine the initial effects of the first 6-months and after receiving the full 12-months of the virtual DPP compared to the DPP expanded with a CDC-approved HTN prevention component (DPP+) on physical activity, diet, weight, and CVD risk factors in 30 prediabetic women (18-45 years old) with a history of excess GWG, overweight/obesity, and HTN. Participants will be recruited through University of Texas Medical Branch (UTMB) community-based clinics using Epic. The Participants will be randomized into 2 groups (DPP and DPP+) and guided through the 12-month virtual DPP or DPP+ program using UTMB DPP personnel.
- Being tested
- Diabetes Prevention Program Plus (DPP+), Diabetes Prevention Program (DPP)
- Keywords
- Prediabetic State, Gestational Weight Gain, Hypertension, Overweight or Obesity, Women's Health, Cardiovascular disease
- Medical subject headings
- Prediabetic State, Gestational Weight Gain, Hypertension, Overweight, Obesity, Cardiovascular Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Diabetes Prevention Program Plus (DPP+)Behavioural
The DPP+ includes the CDC-approved DPP lifestyle program expanded to include a CDC-approved module on hypertension prevention and treatment
Diabetes Prevention Program (DPP)Behavioural
CDC-approved DPP lifestyle program
| Study group | Role | What they receive |
|---|---|---|
| Diabetes Prevention Program (DPP) | Active comparator | CDC-approved 12-month DPP virtual lifestyle program Receives: Behavioral: Diabetes Prevention Program (DPP) |
| Diabetes Prevention Program Plus (DPP+) | Experimental | CDC-approved 12-month DPP virtual lifestyle program expanded to include a CDC-approved module on hypertension prevention and treatment Receives: Behavioral: Diabetes Prevention Program Plus (DPP+) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from Baseline Systolic Blood Pressure at 6 months
Measured: Baseline, 6-months
Change from Baseline Systolic Blood Pressure at 12 months
Measured: Baseline, 12-months
Change from Baseline Diastolic Blood Pressure at 6 months
Measured: Baseline, 6-months
Change from Baseline Diastolic Blood Pressure at 12 months
Measured: Baseline, 12-months
Change from Baseline High-density lipoproteins at 6 months
Measured: Baseline, 6-months
Change from Baseline High-density lipoproteins at 12 months
Measured: Baseline, 12-months
Change from Baseline Low-density lipoproteins at 6 months
Measured: Baseline, 6-months
Change from Baseline Low-density lipoproteins at 12 months
Measured: Baseline, 12-months
Change from Baseline Triglycerides at 6 months
Measured: Baseline, 6-months
Change from Baseline Triglycerides at 12 months
Measured: Baseline, 12-months
Change from Baseline Total cholesterol at 6 months
Measured: Baseline, 6-months
Change from Baseline Total cholesterol at 12 months
Measured: Baseline, 12-months
Change from Baseline Hemoglobin a1c at 6 months
Measured: Baseline, 6-months
Change from Baseline Hemoglobin a1c at 12 months
Measured: Baseline, 12-months
Change from Baseline Weight at 6 months
Measured: Baseline, 6-months
Change from Baseline Weight at 12 months
Measured: Baseline, 12-months
Change from Baseline Body mass index at 6 months
Measured: Baseline, 6-months
Change from Baseline Body mass index at 12 months
Measured: Baseline, 12-months
Change from Baseline Fasting blood glucose at 6 months
Measured: Baseline, 6-months
Change from Baseline Fasting blood glucose at 12 months
Measured: Baseline, 12-months
Change from Baseline Serum insulin at 6 months
Measured: Baseline, 6-months
Change from Baseline Serum insulin at 12 months
Measured: Baseline, 12-months
Secondary outcomes (12)
Change from Baseline Total portions of Combined Weekly Fruit and Vegetable Consumption at 6 months
Measured using the PreventT2 Diabetes Prevention Program questionnaire
Measured: Baseline, 6-months
Change from Baseline Total portions of Combined Weekly Fruit and Vegetable Consumption at 12 months
Measured using the PreventT2 Diabetes Prevention Program questionnaire
Measured: Baseline, 12-months
Change from Baseline Total portions of Fried Food Consumption at 6 months
Measured using the PreventT2 Diabetes Prevention Program questionnaire
Measured: Baseline, 6-months
Change from Baseline Total portions of Fried Food Consumption at 12 months
Measured using the PreventT2 Diabetes Prevention Program questionnaire
Measured: Baseline, 12-months
Change from Baseline Objective Total Weekly Physical activity minutes at 6 months
Measured using Fitbit Inspire 2
Measured: Baseline, 6-months
Change from Baseline Objective Total Weekly Physical activity minutes at 12 months
Measured using Fitbit Inspire 2
Measured: Baseline, 12-months
Change from Baseline Subjective Weekly Physical activity at 6 months
Stanford Brief Leisure-Time Activity Categorical Item (L-CAT 2.2)
Measured: Baseline, 6-months
Change from Baseline Subjective Weekly Physical activity at 12 months
Stanford Brief Leisure-Time Activity Categorical Item (L-CAT 2.2)
Measured: Baseline, 12-months
Change from Baseline Visceral adiposity tissue at 6 months
Measured using Dual energy X-ray absorptiometry
Measured: Baseline, 6-months
Change from Baseline Visceral adiposity tissue at 12 months
Measured using Dual energy X-ray absorptiometry
Measured: Baseline, 12-months
Change from Baseline C-reactive protein at 6 months
Measured: Baseline, 6-months
Change from Baseline C-reactive protein at 12 months
Measured: Baseline, 12-months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 May 2022
- Study start1 Jan 2022
- Primary completion20 Jan 2023 (estimated)
- Study completion20 Jan 2023
Why it stopped: Inadequate resources to complete within the required timeline.
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Prediabetic StateStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 0 participants (actual)
Sponsor and investigators
- Lead sponsor
- The University of Texas Medical Branch, Galveston
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Crystal Clark Douglas, PhD, Principal investigator, University of Texas
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05379296
- Sponsor's protocol ID
- 21-0325
- Acronym
- HH
- Status last verified
- Jan 2023
- First submitted
- 2 May 2022
- Last updated
- 27 Jan 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 27 Jan 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Healthy Hearts: Leveraging the Diabetes Prevention Program to Decrease Health Disparities in Women of Reproductive Age
- ClinicalTrials.gov ID
- NCT05379296
- Acronym / sponsor ID
- HH / 21-0325
- Keywords
- Prediabetic State, Gestational Weight Gain, Hypertension, Overweight or Obesity, Women's Health, Cardiovascular disease
- Study type
- Interventional
- Recruitment status
- WithdrawnReason stopped: Inadequate resources to complete within the required timeline.
- Enrolment
- 0 participants (actual)
- Lead sponsor
- The University of Texas Medical Branch, GalvestonUniversity, hospital or other
- Study start
- 1 Jan 2022 (actual)
- Primary completion
- 20 Jan 2023 (estimated)
- Study completion
- 20 Jan 2023 (actual)
- First posted
- 18 May 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Nearly half of women have obesity and/or hypertension (HTN). Specific to women, pregnancy creates a vulnerable window for excess gestational weight gain (GWG), exacerbating intergenerational risks for obesity, HTN, type 2 diabetes (T2D), and cardiovascular disease (CVD) across the lifespan. Healthy lifestyles are the first-line recommendations for prevention and treatment of overweight/obesity, HTN, T2D, and CVD. The Diabetes Prevention Program (DPP) is a well-established, Centers for Disease Control and Prevention (CDC)-led public health program focusing on healthy lifestyle changes and is effective at reducing 5-7% of body weight, lowering risks for T2D. Interestingly, research investigating the DPP as a lifestyle intervention for other chronic conditions (i.e., overweight/obesity and HTN) is lacking, demonstrating a missed opportunity. The aim of this study is to determine the initial effects of the first 6-months and after receiving the full 12-months of the virtual DPP compared to the DPP expanded with a CDC-approved HTN prevention component (DPP+) on physical activity, diet, weight, and CVD risk factors in 30 prediabetic women (18-45 years old) with a history of excess GWG, overweight/obesity, and HTN. Participants will be recruited through University of Texas Medical Branch (UTMB) community-based clinics using Epic. The Participants will be randomized into 2 groups (DPP and DPP+) and guided through the 12-month virtual DPP or DPP+ program using UTMB DPP personnel.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Diabetes Prevention Program (DPP) | Active comparator | Behavioral: Diabetes Prevention Program (DPP)CDC-approved 12-month DPP virtual lifestyle program |
| Diabetes Prevention Program Plus (DPP+) | Experimental | Behavioral: Diabetes Prevention Program Plus (DPP+)CDC-approved 12-month DPP virtual lifestyle program expanded to include a CDC-approved module on hypertension prevention and treatment |
Who may qualify
- Ages
- 18 to 45 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (1 listed)
- Women with prediabetes and eligible for the DPP, overweight/obesity, HTN (diagnosed or 3 successive high blood pressure readings), and history of excess gestational weight gain during most recent pregnancy
Key exclusion criteria (1 listed)
- Pregnant and lactating women, participants planning to move out of Galveston County within the next year
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Diabetes Prevention Program Plus (DPP+)The DPP+ includes the CDC-approved DPP lifestyle program expanded to include a CDC-approved module on hypertension prevention and treatment | Behavioural | Diabetes Prevention Program Plus (DPP+) |
| Diabetes Prevention Program (DPP)CDC-approved DPP lifestyle program | Behavioural | Diabetes Prevention Program (DPP) |
Primary outcome
Change from Baseline Systolic Blood Pressure at 6 months
Time frame: Baseline, 6-months
Change from Baseline Systolic Blood Pressure at 12 months
Time frame: Baseline, 12-months
Change from Baseline Diastolic Blood Pressure at 6 months
Time frame: Baseline, 6-months
Change from Baseline Diastolic Blood Pressure at 12 months
Time frame: Baseline, 12-months
Change from Baseline High-density lipoproteins at 6 months
Time frame: Baseline, 6-months
Change from Baseline High-density lipoproteins at 12 months
Time frame: Baseline, 12-months
Change from Baseline Low-density lipoproteins at 6 months
Time frame: Baseline, 6-months
Change from Baseline Low-density lipoproteins at 12 months
Time frame: Baseline, 12-months
Change from Baseline Triglycerides at 6 months
Time frame: Baseline, 6-months
Change from Baseline Triglycerides at 12 months
Time frame: Baseline, 12-months
Change from Baseline Total cholesterol at 6 months
Time frame: Baseline, 6-months
Change from Baseline Total cholesterol at 12 months
Time frame: Baseline, 12-months
Change from Baseline Hemoglobin a1c at 6 months
Time frame: Baseline, 6-months
Change from Baseline Hemoglobin a1c at 12 months
Time frame: Baseline, 12-months
Change from Baseline Weight at 6 months
Time frame: Baseline, 6-months
Change from Baseline Weight at 12 months
Time frame: Baseline, 12-months
Change from Baseline Body mass index at 6 months
Time frame: Baseline, 6-months
Change from Baseline Body mass index at 12 months
Time frame: Baseline, 12-months
Change from Baseline Fasting blood glucose at 6 months
Time frame: Baseline, 6-months
Change from Baseline Fasting blood glucose at 12 months
Time frame: Baseline, 12-months
Change from Baseline Serum insulin at 6 months
Time frame: Baseline, 6-months
Change from Baseline Serum insulin at 12 months
Time frame: Baseline, 12-months
12 secondary outcomes
Change from Baseline Total portions of Combined Weekly Fruit and Vegetable Consumption at 6 months
Time frame: Baseline, 6-months
Change from Baseline Total portions of Combined Weekly Fruit and Vegetable Consumption at 12 months
Time frame: Baseline, 12-months
Change from Baseline Total portions of Fried Food Consumption at 6 months
Time frame: Baseline, 6-months
Change from Baseline Total portions of Fried Food Consumption at 12 months
Time frame: Baseline, 12-months
Change from Baseline Objective Total Weekly Physical activity minutes at 6 months
Time frame: Baseline, 6-months
Change from Baseline Objective Total Weekly Physical activity minutes at 12 months
Time frame: Baseline, 12-months
Change from Baseline Subjective Weekly Physical activity at 6 months
Time frame: Baseline, 6-months
Change from Baseline Subjective Weekly Physical activity at 12 months
Time frame: Baseline, 12-months
Change from Baseline Visceral adiposity tissue at 6 months
Time frame: Baseline, 6-months
Change from Baseline Visceral adiposity tissue at 12 months
Time frame: Baseline, 12-months
Change from Baseline C-reactive protein at 6 months
Time frame: Baseline, 6-months
Change from Baseline C-reactive protein at 12 months
Time frame: Baseline, 12-months
Results and safety
The study was withdrawn before enrolling participants, so there are no results.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Jan 2023.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Crystal Clark Douglas, PhD principal investigator
University of Texas
Questions about this trial
What is this clinical trial studying?
A study testing Diabetes Prevention Program Plus (DPP+) and Diabetes Prevention Program (DPP) in people with Prediabetic State and Gestational Weight Gain, run by The University of Texas Medical Branch, Galveston.
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: withdrawn, as of the sponsor's last update on 27 Jan 2023. Status can change between updates, so confirm with the study contact before making plans.
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?
The study was withdrawn before enrolling participants, so there are no results.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change from Baseline Systolic Blood Pressure at 6 months (time frame: Baseline, 6-months). The study lists 22 primary outcomes in all. 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 27 Jan 2023.