Preconceptional Thromboprophylaxis in Recurrent PREGNANCY LOSSES Caused by Antiphospholipid Syndrome
The recruitment status of this study is unknown because the information has not been verified recently.
Verified March 2012 by Woman's Health University Hospital, Egypt.
Recruitment status was Recruiting
Information provided by (Responsible Party):
alaa eldeen mahmoud ismail, Woman's Health University Hospital, Egypt
First received: July 25, 2012
Last updated: June 20, 2014
Last verified: March 2012
Preconceptional use of low molecular weight heparin (enoxaparin) and aspirin in patient with recurrent miscarriages with positive anti phospholipid antibodies increase the implantation rate and the duration of pregnancy with low complications to the mother and the baby.
Recurrent Pregnancy Losses
Positive Anti Phospholipid Syndrome
Drug: low molecular weight heparin (enoxeparine)
||Observational Model: Cohort
Time Perspective: Prospective
||A Randomized Clinical Trial of Using Preconceptional Enoxaparin AND Low Dose Aspirin 81mg in Patient With Antiphospholipid Syndrome(APS)
Primary Outcome Measures:
- Pregnancy continuation beyond twelve weeks gestation [ Time Frame: ONE YEAR ] [ Designated as safety issue: Yes ]
giving low molecular weight heparin (enoxaparin) and 81 mg aspirin in patients with positive anti phospholipid antibodies with history of recurrent miscarriages or intrauterine fetal deaths in the preconceptional period one month before pregnancy with follow up as regarding the clinical pregnancy rate,the rate of continuation of pregnancy beyond 28 weeks gestation and the complications related to long term use of heparin and the severity of complication of APS in comparison to the traditional use of anticoagulant after documentation of the fetal heart rate
| Estimated Enrollment:
| Study Start Date:
| Estimated Study Completion Date:
| Estimated Primary Completion Date:
||June 2014 (Final data collection date for primary outcome measure)
Low molecular weight heparin
SC LMWH IN patients with recurrent pregnancy loss
Drug: low molecular weight heparin (enoxeparine)
1mg/kg enoxeparine SC daily from 1st day of the menstrual cycle and continue daily throughout the pregnancy after documentation of pregnancy,and stopped in absence of fetal cardiac activity.
Other Name: clexane,innohep
Preconceptional heparin during follicular or luteal phase,improves the implantation rate by increasing the blood flow and increasing the implantation factors,also decreasing the pregnancy complication resulting from Antiphospholipid Syndrome (APS).
|Ages Eligible for Study:
||18 Years to 40 Years
|Genders Eligible for Study:
|Accepts Healthy Volunteers:
patients with recurrent pregnancy losses either two or more recurrent miscarriages or intrauterine fetal deathes after 20 weeks of gestation with positive antiphospholipid antibodies in medium to high titer in two occasions 6 weeks apart.
- All women with recurrent first-trimester miscarriage and all women with one or more second-trimester miscarriage who screened before pregnancy for antiphospholipid antibodies.
- To diagnose antiphospholipid syndrome it is mandatory that the woman has two positive tests at least 12 weeks apart for either lupus anticoagulant or anticardiolipin antibodies of immunoglobulin G and/or immunoglobulin M class present in a medium or high titre over 40 g/l or ml/l,or above the 99th percentile).
In the detection of lupus anticoagulant, the dilute Russell's viper venom time test together with a platelet neutralisation procedure is more sensitive and specific than either the activated partial thromboplastin time test or the kaolin clotting time test. Anticardiolipin antibodies are detected using a standardised enzyme linked immunosorbent assay.
- Age above forty years old .
- Intrauterine abnormalities (as assessed by ultrasound, hysterosonography, hysterosalpingogram, or hysteroscopy).
- Fibroids distorting uterine cavity .
- Abnormal parental karyotype .
- Other identifiable causes of recurrent miscarriages (tests initiated only if clinically indicated) e.g., diabetes, thyroid disease and systemic lupus erythematosus (SLE).
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Please refer to this study by its ClinicalTrials.gov identifier: NCT01661439
|Women Health Hospital
|Assiut, Egypt |
|Contact: HASSAN S KAMEL, MD +2010066436 firstname.lastname@example.org |
|Principal Investigator: Alaa M Ismail, MD |
Woman's Health University Hospital, Egypt
No publications provided
||alaa eldeen mahmoud ismail, MD, Woman's Health University Hospital, Egypt
History of Changes
|Other Study ID Numbers:
||PCTRPL, preconceptional heparin in APS
|Study First Received:
||July 25, 2012
||June 20, 2014
||Egypt: Institutional Review Board
Keywords provided by Woman's Health University Hospital, Egypt:
recurrent pregnancy loss
anti coagulants in pregnancy
Additional relevant MeSH terms:
ClinicalTrials.gov processed this record on August 21, 2014
Immune System Diseases
Fibrin Modulating Agents
Molecular Mechanisms of Pharmacological Action