Trial Outcomes & Findings for CAPO: Continuous Glucose Monitoring in A2 Gestational Diabetes and Pregnancy Outcomes (NCT NCT04219085)

NCT ID: NCT04219085

Last Updated: 2025-08-28

Results Overview

The number of participants who have at least one of each of the following outcome measures occur: perinatal death, shoulder dystocia, birth weight less than 4,000 grams, NICU admission for treatment of hypoglycemia (blood glucose level \<40mg/dL) and birth trauma, including fracture or nerve palsy. Any one of these would make the composite primary outcome positive and will be recorded as a categorical variable.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

65 participants

Primary outcome timeframe

from enrollment up until delivery by 41 weeks gestation, up to 19 weeks total

Results posted on

2025-08-28

Participant Flow

Participant milestones

Participant milestones
Measure
Routine Care
Monitoring of control of gestational diabetes with routine care and use of a glucometer and fingersticks 4 times a day Routine Care: Use of a glucometer to monitor blood glucose levels in women with gestational diabetes
Continuous Glucose Monitor
Monitoring of control of gestational diabetes with use of a continuous glucose monitor Continuous Glucose Monitor: Wearing of a continuous glucose monitor to monitor blood glucose levels in women with gestational diabetes
Overall Study
STARTED
30
35
Overall Study
COMPLETED
30
35
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

CAPO: Continuous Glucose Monitoring in A2 Gestational Diabetes and Pregnancy Outcomes

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Routine Care
n=30 Participants
Monitoring of control of gestational diabetes with routine care and use of a glucometer and fingersticks 4 times a day Routine Care: Use of a glucometer to monitor blood glucose levels in women with gestational diabetes
Continuous Glucose Monitor
n=35 Participants
Monitoring of control of gestational diabetes with use of a continuous glucose monitor Continuous Glucose Monitor: Wearing of a continuous glucose monitor to monitor blood glucose levels in women with gestational diabetes
Total
n=65 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
30 Participants
n=99 Participants
35 Participants
n=107 Participants
65 Participants
n=206 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Sex: Female, Male
Female
30 Participants
n=99 Participants
35 Participants
n=107 Participants
65 Participants
n=206 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
7 Participants
n=99 Participants
4 Participants
n=107 Participants
11 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
23 Participants
n=99 Participants
31 Participants
n=107 Participants
54 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=99 Participants
5 Participants
n=107 Participants
9 Participants
n=206 Participants
Race (NIH/OMB)
White
20 Participants
n=99 Participants
22 Participants
n=107 Participants
42 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants
n=99 Participants
7 Participants
n=107 Participants
11 Participants
n=206 Participants
Region of Enrollment
United States
30 participants
n=99 Participants
35 participants
n=107 Participants
65 participants
n=206 Participants
Gravidity
1 pregnancy
9 Participants
n=99 Participants
6 Participants
n=107 Participants
15 Participants
n=206 Participants
Gravidity
2 pregnancies
11 Participants
n=99 Participants
10 Participants
n=107 Participants
21 Participants
n=206 Participants
Gravidity
≥3 pregnancies
10 Participants
n=99 Participants
19 Participants
n=107 Participants
29 Participants
n=206 Participants
Living Children
0 children
14 participants
n=99 Participants
12 participants
n=107 Participants
26 participants
n=206 Participants
Living Children
1child
9 participants
n=99 Participants
13 participants
n=107 Participants
22 participants
n=206 Participants
Living Children
≥2 children
7 participants
n=99 Participants
10 participants
n=107 Participants
26 participants
n=206 Participants
Participant Body Mass Index (BMI) at Delivery
<25 kg/m^2
0 Participants
n=99 Participants
2 Participants
n=107 Participants
2 Participants
n=206 Participants
Participant Body Mass Index (BMI) at Delivery
25-<30 kg/m^2
2 Participants
n=99 Participants
4 Participants
n=107 Participants
6 Participants
n=206 Participants
Participant Body Mass Index (BMI) at Delivery
30-<35 kg/m^2
5 Participants
n=99 Participants
10 Participants
n=107 Participants
15 Participants
n=206 Participants
Participant Body Mass Index (BMI) at Delivery
35-<40 kg/m^2
10 Participants
n=99 Participants
9 Participants
n=107 Participants
19 Participants
n=206 Participants
Participant Body Mass Index (BMI) at Delivery
≥40 kg/m^2
13 Participants
n=99 Participants
10 Participants
n=107 Participants
23 Participants
n=206 Participants
Insurance Type
Medicaid
5 Participants
n=99 Participants
9 Participants
n=107 Participants
14 Participants
n=206 Participants
Insurance Type
Private
25 Participants
n=99 Participants
26 Participants
n=107 Participants
51 Participants
n=206 Participants
Medication Type
Insulin
29 Participants
n=99 Participants
35 Participants
n=107 Participants
64 Participants
n=206 Participants
Medication Type
Metformin
2 Participants
n=99 Participants
0 Participants
n=107 Participants
2 Participants
n=206 Participants
History of Gestational Diabetes Mellitus (GDM)
9 Participants
n=99 Participants
5 Participants
n=107 Participants
14 Participants
n=206 Participants
Family History of GDM
13 Participants
n=99 Participants
13 Participants
n=107 Participants
26 Participants
n=206 Participants
Gestational Age at GDM diagnosis
24.5 weeks
STANDARD_DEVIATION 1.1 • n=99 Participants
26 weeks
STANDARD_DEVIATION 28.2 • n=107 Participants
25.3 weeks
STANDARD_DEVIATION 5.7 • n=206 Participants
Gestational Age Starting Medications for GDM
27.4 weeks
STANDARD_DEVIATION 4.6 • n=99 Participants
28.2 weeks
STANDARD_DEVIATION 5.5 • n=107 Participants
27.8 weeks
STANDARD_DEVIATION 5.0 • n=206 Participants
Gestational Age at Delivery
37.7 weeks
STANDARD_DEVIATION 1.4 • n=99 Participants
38 weeks
STANDARD_DEVIATION 1.3 • n=107 Participants
37.9 weeks
STANDARD_DEVIATION 1.3 • n=206 Participants

PRIMARY outcome

Timeframe: from enrollment up until delivery by 41 weeks gestation, up to 19 weeks total

The number of participants who have at least one of each of the following outcome measures occur: perinatal death, shoulder dystocia, birth weight less than 4,000 grams, NICU admission for treatment of hypoglycemia (blood glucose level \<40mg/dL) and birth trauma, including fracture or nerve palsy. Any one of these would make the composite primary outcome positive and will be recorded as a categorical variable.

Outcome measures

Outcome measures
Measure
Routine Care
n=30 Participants
Monitoring of control of gestational diabetes with routine care and use of a glucometer and fingersticks 4 times a day Routine Care: Use of a glucometer to monitor blood glucose levels in women with gestational diabetes
Continuous Glucose Monitor
n=35 Participants
Monitoring of control of gestational diabetes with use of a continuous glucose monitor Continuous Glucose Monitor: Wearing of a continuous glucose monitor to monitor blood glucose levels in women with gestational diabetes
Composite Primary Outcome
Perinatal Death
0 Participants
0 Participants
Composite Primary Outcome
Shoulder Dystocia
0 Participants
0 Participants
Composite Primary Outcome
Birthweight < 4,000 grams
4 Participants
6 Participants
Composite Primary Outcome
NICU Admission for Hypoglycemia
4 Participants
4 Participants
Composite Primary Outcome
Birth Trauma
0 Participants
0 Participants

SECONDARY outcome

Timeframe: during delivery by 40 weeks gestation

Population: Out of women who had c-sections

The number of women who undergo a cesarean delivery for arrest of dilation or descent during labor or induction of labor. This will be recorded as a categorical (yes/no) variable. Data presented below is for the participants that had c-section for arrest.

Outcome measures

Outcome measures
Measure
Routine Care
n=22 Participants
Monitoring of control of gestational diabetes with routine care and use of a glucometer and fingersticks 4 times a day Routine Care: Use of a glucometer to monitor blood glucose levels in women with gestational diabetes
Continuous Glucose Monitor
n=15 Participants
Monitoring of control of gestational diabetes with use of a continuous glucose monitor Continuous Glucose Monitor: Wearing of a continuous glucose monitor to monitor blood glucose levels in women with gestational diabetes
Cesarean Delivery for an Arrest of Labor Disorder
1 Participants
4 Participants

SECONDARY outcome

Timeframe: from enrollment, through delivery by 41 weeks gestation and the immediate postpartum hospitalization up to 7 days postpartum, up to 20 weeks total

The number of women who receive a diagnosis of a hypertensive disorder of pregnancy (gestational hypertension, preeclampsia, HELLP). This will be recorded as a categorical (yes/no) variable

Outcome measures

Outcome measures
Measure
Routine Care
n=30 Participants
Monitoring of control of gestational diabetes with routine care and use of a glucometer and fingersticks 4 times a day Routine Care: Use of a glucometer to monitor blood glucose levels in women with gestational diabetes
Continuous Glucose Monitor
n=35 Participants
Monitoring of control of gestational diabetes with use of a continuous glucose monitor Continuous Glucose Monitor: Wearing of a continuous glucose monitor to monitor blood glucose levels in women with gestational diabetes
Hypertensive Disorders of Pregnancy.
5 Participants
7 Participants

Adverse Events

Routine Care

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Continuous Glucose Monitor

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Audrey Merriam

Yale University

Phone: 203-785-7813

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place