Clinical trial Recruiting at 4 sites Interventional Ages 18 and up Women only

Lifestyle program to improve outcomes in dichorionic twin pregnancies

Official title: Lifestyle Intervention to Improve Twin Pregnancy Outcomes: an Integrated Pilot Study for a Multicentric Randomized Controlled Trial

Run by Universitaire Ziekenhuizen KU Leuven · NCT07270640 · Data updated 2026-11-12

This program will test whether a combined nutrition, exercise, and mindfulness plan for people pregnant with dichorionic twins can extend pregnancy and reduce preterm birth.

Quick facts

Study typeInterventional
Ages18 Years and up
SexWomen only
Enrollment81 (estimated)
SponsorUniversitaire Ziekenhuizen KU Leuven
Academic / other
Locations4 sites (Brussels and 3 other locations)
StatusRecruiting
StartedDecember 5, 2025
Main results expectedJune 2027
Study endsJune 2027
Registry record updatedAugust 17, 2026
Trial IDNCT07270640 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

People pregnant with dichorionic twins enrolled before 14 weeks who speak Dutch, English, or French and do not have listed medical exclusions are the intended participants.

Probably not a fit

Those with pre-existing conditions that affect diet or physical activity (for example pre-gestational diabetes, severe heart or renal disease, celiac disease, COPD, severe asthma, neurological or musculoskeletal disorders) or those recruited after 14 weeks are unlikely to benefit from this intervention.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This interventional project delivers a multi-component lifestyle program—nutrition guidance, tailored physical activity, and mindfulness—to people with dichorionic twin pregnancies recruited before 14 weeks' gestation. An initial integrated pilot phase will test feasibility and, if feasible, pilot participants will be rolled into the full study. The primary goal of the full study is to see if the intervention can extend gestational age at delivery by about one week, with secondary outcomes including pregnancy complications, maternal quality of life, and neonatal outcomes. Participants must be able to communicate in Dutch, English, or French and those with pre-existing conditions that limit diet or physical activity are excluded.

Why it matters

Potential benefit: If successful, the intervention could prolong pregnancy by roughly one week and lower preterm birth rates, potentially improving neonatal health for twins.

How similar studies have gone: Lifestyle interventions have shown modest benefits in singleton pregnancies, but strong, replicated evidence in dichorionic twin pregnancies is limited, so this application is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Prior to any randomization or intervention, participants must have provided voluntary written informed consent.
* Diagnosis of dichorionic twin pregnancies must align with the acceptance criteria.
* Participants must be recruited before the 14th week of gestation.
* Proficiency in Dutch, English, or French is required.-

Exclusion Criteria:

* Participant has a history of pre-existing diseases or condition impacting their diet:

  1. pre-gestational diabetes
  2. severe heart disease,
  3. chronic renal disease,
  4. celiac disease,
  5. inflammatory bowel disease,
  6. post-bariatric surgery
* Participant has a history of pre-existing diseases or conditions impacting their physical activity ability:

  1. Chronic Obstructive Pulmonary Disease (COPD)
  2. Severe Asthma.
  3. Fibromyalgia
  4. Osteoarthritis
  5. Chronic Pain Syndromes
  6. Spinal Cord Injuries.
  7. Multiple Sclerosis (MS)
  8. Parkinson's Disease
  9. History of a Stroke
  10. Drug resistance Epilepsy
* Participants identified with mental vulnerabilities requiring specific care pathways by Born in Belgium (BIB) or local screening tool.
* Participants with a History of Mental Health Disorders

  1. Post-Traumatic Stress Disorder (PTSD)
  2. Anxiety Disorders
  3. Depressive Disorders
  4. Bipolar Disorder
  5. Obsessive-Compulsive Disorder (OCD)
  6. Schizophrenia or schizoaffective disorder
* Inability to give informed consent
* No knowledge of Dutch, English or French
* First trimester diagnosis of severe congenital anomaly in one or both twins
* First trimester foetal demise of one or both twins
* Rupture of membranes prior to recruitment
* Participation in any other interventional Study

Where it's running

  • CHU Brugmann
    Brussels, Belgium
    Recruiting
  • Ziekenhuis Oost-Limburg
    Genk, Belgium
    Recruiting
  • UZ Leuven
    Leuven, Belgium
    Recruiting
  • Hôpital de la Citadelle
    Liège, Belgium
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • Outdoor resistance training for older adults

    This trial tests a 6-week outdoor strength program using benches and a smartphone app to see if it’s safe, usable, and appealing for community-dwelling adults aged 65 and older.

    Recruiting Universitaire Ziekenhuizen KU Leuven · Leuven, Vlaams-Brabant · NCT07928687

  • Sarcopenia in Patients After Cardiac Surgery

    This observational study tests how common sarcopenia is after cardiac surgery and whether current care helps improve muscle mass and function.

    Recruiting Universitaire Ziekenhuizen KU Leuven · Leuven · NCT07908472

  • Imaging endometriosis with a special PET tracer in adult women

    This study tests whether a PET/CT scan using [18F]AlF-FAPI-74 can help detect endometriosis lesions in women who are planning laparoscopy.

    Recruiting Universitaire Ziekenhuizen KU Leuven · Leuven · NCT07876648

  • GLP-1 weight‑loss medicine: finding who will benefit most

    This study tests whether a GLP-1 drug called semaglutide helps with weight loss by changing eating behavior, to see which people it helps the most.

    Recruiting Phase 4 Universitaire Ziekenhuizen KU Leuven · Leuven · NCT07870538

  • AI-guided treatment choices for advanced liver cancer

    Researchers are testing an AI tool to help predict which patients with advanced hepatocellular carcinoma will respond to modern systemic therapies.

    Recruiting at 5 sites Universitaire Ziekenhuizen KU Leuven · Anderlecht and 4 other locations · NCT07863258

  • Quality of Life and Functional Status in Adults with Spinal Deformity

    This study tests how imaging, pain, daily functioning, and psychosocial factors relate to quality of life in adults with spinal deformity across three care paths (conservative care, first corrective surgery, or reoperation).

    Recruiting Universitaire Ziekenhuizen KU Leuven · Leuven · NCT07749534

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.