Fetal Alcohol Syndrome
Conditions
Keywords
Fetal Alcohol Syndrome, Pregnancy, Biomarker, PlGF, Cognitive development, Behavior troubles
Brief summary
This study aims to validate that PLGF is a biomarker of cerebral lesions and therefore of secondary developmental disorders and disabilities that will be best diagnosed at 2 and 6 years of age.
Interventions
BEHAVIORALASQ parental questionnaire
ASQ parental questionnaire
BEHAVIORALDevelopment scales
WPPSI - IV and NEPSY development scales
BEHAVIORALScale of Conners
Scale of Conners
BEHAVIORALSCQ Questionnaire
SCQ questionnaire
PROCEDUREBlood sample (mother)
Blood sample (mother) before delivery
PROCEDURECord blood sample
Cord blood sample after delivery
PROCEDUREPlacenta sample
Placenta sample
Sponsors
University Hospital, Rouen
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Mother: * Pregnant woman (monofetal or twin pregnancy, whatever the parity) * Age\> or = to 18 years * Person affiliated to a social security system * Person who read and understood the information form and signed the consent form * Alcohol exposure group Chronic consumption of at least 30 g of alcohol per week or acute consumption of "binge drinking" type during pregnancy (knowing that a unit of 10 g of pure alcohol corresponds to 25 cl of beer 4 ° 5, 10 cl of wine at 12 °, 3 cl of whiskey, 7 cl of Porto ...) * Control group No alcohol consumption during pregnancy * Child Informed parents and written consent signed by the father and mother for the child's participation in this research (unless one of the parents does not have parental authority)
Exclusion criteria
* Female under 18 * Pregnant woman with clinical suspicion of pre-eclampsia and / or HELLP syndrome * Person deprived of liberty by an administrative or judicial decision or protected major subject (under tutorship or curatorship) * Patient participating in another interventional trial or who participated in another interventional trial during pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| PLGF concentrations in the umbilical cord | Through inclusion completion and samples analyses, an average of 4 months after the end of inclusions | Compare concentrations between 2 groups of mother / child pairs: in utero exposure to alcohol versus control. |
| PLGF concentrations in placenta | Through inclusion completion and samples analyses, an average of 4 months after the end of inclusions | Compare concentrations between 2 groups of mother / child pairs: in utero exposure to alcohol versus control. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of the concentration of PLGF in maternal blood | Through inclusion completion and samples analyses, an average of 4 months after the end of inclusions | Blood sample |
| Studies of metabolomic profile on blood sample | Through inclusion completion and samples analyses, an average of 4 months after the end of inclusions | blood sample metabolomic profile |
| Studies of metabolomic profile on placenta | Through inclusion completion and samples analyses, an average of 4 months after the end of inclusions | placenta metabolomic profile |
| Neurological clinical evaluation | The day of birth | Clinical exam |
| Follow-up at 2 years in pediatric consultation for evaluation of neuro-development | 2 years | ASQ: Ages \& Stages Questionnaires. This questionnaire screens and assesses the developmental performance of children in the areas of communication, gross motor skills, fine motor skills, problem solving, and personal-social skills. It is used to identify children that would benefit from in-depth evaluation for developmental delays. |
| Follow-up at 6 years in consultation for assessment of neurodevelopment with | 6 years | parental ASQ: Ages \& Stages Questionnaire screens and assesses the developmental performance of children in the areas of communication, gross motor skills, fine motor skills, problem solving, and personal-social skills. It is used to identify children that would benefit from in-depth evaluation for developmental delays. |
| Follow-up at 6 years in consultation for assessment of neuropsychological assessment: Wechsler Preschool and Primary Scale of Intelligence: WPPSI IV | 6 years | WPPSI - IV: The Wechsler Preschool and Primary Scale of Intelligence consist of 14 subtests. They are designated as one of three types: core, supplemental, or optional. The core subtests are required for the computation of the Verbal, Performance, and Full Scale IQ. The supplemental subtests provide additional information about cognitive abilities or can be used as replacement for inappropriate subtests. The optional subtests provide additional information about cognitive functioning but cannot be used as replacements for core subtests. Quotient and Composite scores have a mean of 100 and a standard deviation of 15. Subtest scaled scores have a mean of 10 and a standard deviation of 3.elow 70 is Extremely Low, 70-79 is Borderline, 80-89 is Low Average, 90-109 is Average, 110-119 is High Average, 120-129 is Superior, 130+ is Very Superior. |
| Follow-up at 6 years in consultation for assessment of neuropsychological assessment: Developmental NEuroPSYchological Assessment | 6 years | NEPSY -NEuroPSYchological Assessment. The six functional domains are made up of 32 subtests and four delayed tasks. These domains are theoretically, not statistically, derived. The subtests were designed to assess cognitive abilities related to disorders that are typically diagnosed in childhood and that are required for success in an academic environment. These tests supposedly help detect any underlying deficiencies that may impede a child's learning |
| Follow-up at 6 years in consultation for assessment of neuropsychological assessment: Conners' scale | 6 years | Conners scale is assessing for attention deficit hyperactivity disorder (ADHD) |
| Follow-up at 6 years in consultation for assessment of neuropsychological assessment: SCQ Social Communication Questionnaire | 6 years | SCQ: The Social Communication is a 40 item, parent report screening measure that taps the symptomatology associaed with autism Spectrum disorder (ASD). The items are administered in a yes/non response format. |
Countries
France
Contacts
CONTACTPOURCHER
CONTACTBLOT
Outcome results
None listed