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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01545492
Registration number
NCT01545492
Ethics application status
Date submitted
24/02/2012
Date registered
6/03/2012
Date last updated
6/03/2012
Titles & IDs
Public title
Testing the Developmental Origins Hypothesis
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Scientific title
CHIPS-Child:Testing the Developmental Origins Hypothesis
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Secondary ID [1]
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H08-00882CHIPS-Child
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Universal Trial Number (UTN)
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Trial acronym
CHIPS-Child
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Diabetes
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Stroke
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Obesity
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Condition category
Condition code
Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Tight - Children born to women in the CHIPS RCT randomized to "Tight" blood pressure control \[target diastolic BP 85mmHg\]
Less Tight - Children born to women in the CHIPS RCT randomized to "Less Tight" \[target diastolic BP 100mmHg\].
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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difference in 'change in z score for weight' at 12 m(+/- 2m)
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Assessment method [1]
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Between-group difference in early postnatal weight gain ('change in z score for weight') between birth and 12 m (p\<0.05), 24m, 36m, 48m \& 60m.
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Timepoint [1]
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birth to 12m (+/-2m) of age, 24m, 36m, 48m, 60m
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Secondary outcome [1]
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hypothalamic pituitary adrenal axis function
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Assessment method [1]
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Hair collected at 12m (+/-2m) of age will be analysed for hypothalamic pituitary adrenal axis function (hair cortisol for overall cortisol production).
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Timepoint [1]
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average of 12m (+/-2m) of age
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Secondary outcome [2]
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differences in DNA methylation
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Assessment method [2]
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Buccal swab samples collected at 12m (+/-2m) of age will be assessed for between-groups differences in DNA methylation, using targeted (genes associated with growth, obesity, cardiovascular disease, and/or a developmental programming effect) and global (genome-wide microarray) methods.
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Timepoint [2]
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average of 12 m (+/- 2m) of age
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Eligibility
Key inclusion criteria
* All women participating in CHIPS and their children born after recruitment.
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Minimum age
No limit
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Women who have experienced the loss of their pregnancy or child after recruitment into CHIPS.
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Study design
Purpose
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Duration
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Selection
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
UNKNOWN
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/01/2012
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/01/2019
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Actual
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Sample size
Target
626
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Ipswich Hospital - Ipswich
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Recruitment hospital [2]
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King Edward Memorial Hospital - Subiaco
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Recruitment postcode(s) [1]
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- Ipswich
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Recruitment postcode(s) [2]
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- Subiaco
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Recruitment outside Australia
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United States of America
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Connecticut
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Kentucky
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Chile
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Osorno
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Chile
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Puente Alto
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Christchurch
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Newcastle Upon Tyne
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Nottingham
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Wolverhampton
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York
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Funding & Sponsors
Primary sponsor type
Other
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Name
Children's & Women's Health Centre of British Columbia
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Ethics approval
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Summary
Brief summary
INTRODUCTION: CHIPS-Child is a parallel, ancillary study to the CHIPS randomized controlled trial (RCT). CHIPS is designed to determine whether 'less tight' control \[target diastolic BP (dBP) 100mmHg\] or 'tight' control \[target dBP 85mmHg\] of non-proteinuric hypertension in pregnancy is better for the baby without increasing maternal risk. CHIPS-Child is a follow up study at 12 m corrected post-gestational age (± 2 m) limited to non-invasive examination \[anthropometry, hair cortisol, buccal swabs for epigenetic testing and a maternal questionnaire about infant feeding practices and background\]. Annual contact will be maintained in years 2-5 and contact will include annual parental measurement of the child's height, weight and waist circumference. OBJECTIVE: To directly test, for the first time in humans, whether differential blood pressure (BP) control in pregnancy has developmental programming effects, independent of birthweight. We predict that, like famine or protein malnutrition, 'tight' (vs. 'less tight') control of maternal BP will be associated with fetal under-nutrition and effects will be consistent with developmental programming.
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Trial website
https://clinicaltrials.gov/study/NCT01545492
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Trial related presentations / publications
Wadhwa PD, Buss C, Entringer S, Swanson JM. Developmental origins of health and disease: brief history of the approach and current focus on epigenetic mechanisms. Semin Reprod Med. 2009 Sep;27(5):358-68. doi: 10.1055/s-0029-1237424. Epub 2009 Aug 26. Waterland RA, Michels KB. Epigenetic epidemiology of the developmental origins hypothesis. Annu Rev Nutr. 2007;27:363-88. doi: 10.1146/annurev.nutr.27.061406.093705. Gilbert EF, Varakis J, Opitz JM, ZuRhein GM, Ware R, Viseskul C, Kaveggia EG, Hartmann HA. Generalized gangliosidosis type II (juvenile GM1 gangliosidosis). A pathological, histochemical and ultrastructural study. Z Kinderheilkd. 1975 Sep 11;120(3):151-80. doi: 10.1007/BF00439006. Painter RC, Roseboom TJ, Bleker OP. Prenatal exposure to the Dutch famine and disease in later life: an overview. Reprod Toxicol. 2005 Sep-Oct;20(3):345-52. doi: 10.1016/j.reprotox.2005.04.005. Tobi EW, Lumey LH, Talens RP, Kremer D, Putter H, Stein AD, Slagboom PE, Heijmans BT. DNA methylation differences after exposure to prenatal famine are common and timing- and sex-specific. Hum Mol Genet. 2009 Nov 1;18(21):4046-53. doi: 10.1093/hmg/ddp353. Epub 2009 Aug 4. Silveira PP, Portella AK, Goldani MZ, Barbieri MA. Developmental origins of health and disease (DOHaD). J Pediatr (Rio J). 2007 Nov-Dec;83(6):494-504. doi: 10.2223/JPED.1728. Cameron N, Demerath EW. Critical periods in human growth and their relationship to diseases of aging. Am J Phys Anthropol. 2002;Suppl 35:159-84. doi: 10.1002/ajpa.10183.
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Public notes
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Contacts
Principal investigator
Name
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Laura A Magee, MD
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Address
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BC Children & Women's Health Centre
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Kristal T Louie, MS
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Address
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Phone
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604.875.2424
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Fax
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Email
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[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01545492
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