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Age: 18Years +
All Genders
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ID07436195

Imprinting in Metabolic Diseases - Identifying Epigenetic Mechanisms in Human Gestational Diabetes Through Cell-free DNA

Led by University of Ulm · Updated on 2026-04-07

80

Participants Needed

1

Research Sites

17 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This research aims to explore how parental metabolism during pregnancy affects fetal epigenetic patterns, focusing on gestational diabetes. It investigates how inherited epigenetic changes influence gene activity and disease risk in children. The study addresses the challenge of studying these effects in humans due to ethical concerns and the risks of invasive fetal sampling. Pregnant women between 20 and 28 weeks of gestation and their partners will be recruited. Mothers will undergo an oral glucose tolerance test to evaluate metabolism and detect gestational diabetes. Blood samples will be taken from both parents to analyze their metabolic profiles and epigenetic signatures. Fetal epigenetic patterns will be examined through analysis of fetal cell-free DNA circulating in the mother's blood. Participants will provide blood samples and metabolic data during pregnancy. Researchers will analyze epigenetic profiles and their correlation with glucose metabolism, insulin sensitivity, and lipid levels. The primary outcome is the epigenetic profiles of parents and fetuses at baseline. The study will monitor safety and collect data until July 2028, with voluntary consent required for participation.

CONDITIONS

Brief Title

Imprinting in Metabolic Diseases - Identifying Epigenetic Mechanisms in Human Gestational Diabetes Through Cell-free DNA

Who Can Participate

Age: 18Years +
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Pregnant women between 20 and 28 weeks of gestation
  • The father of the child is known and willing to participate in the study
  • No known underlying medical conditions in either parent
  • No fetal abnormalities detected in first-trimester screening, detailed fetal anatomy ultrasound, non-invasive prenatal testing (NIPT), or any additional prenatal examinations performed, if applicable
  • Understanding and voluntary signing of a consent form before study-related examinations
Not Eligible

You will not qualify if you...

  • Age less than 18 years
  • Type 1 or type 2 diabetes mellitus
  • Pharmacological treatment affecting blood glucose levels (e.g., steroids, insulin)
  • Endocrine disorders (e.g., hyperthyroidism, polycystic ovary syndrome [PCOS])
  • Current depression or other psychiatric disorders
  • Eating disorders
  • Regular use of medication during pregnancy
  • Pre-existing cardiovascular disease
  • Drug and/or alcohol abuse
  • Estimated glomerular filtration rate (eGFR) less than 60 ml/min/1.73 m²
  • C-reactive protein greater than 10 mg/l
  • Transaminase elevation of 2 times the upper norm
  • No consent to be informed about incidentally discovered pathological findings
  • Any other (clinical) condition that would endanger participants safety or question scientific success according to the physician's opinion

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Diagnostic Evaluation

Duration - Single assessment between gestational weeks 24 and 28

Participants undergo metabolic and epigenetic characterization including oral glucose tolerance tests and blood sampling for methylation analyses.

1 visit (in-person)

Trial Site Locations

Total: 1 location

1

Ulm University Hospital

Ulm, Baden-Wurttemberg, Germany, 89081

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Research Team

M

Martin Heni, Prof, MD

S

Sabrina Wangler

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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