Full Text View
Tabular View
No Study Results Posted
Related Studies
Oral Progesterone and Low Dose Aspirin in the Prevention of Preeclampsia
This study is currently recruiting participants.
Study NCT00719537   Information provided by William Beaumont Hospitals
First Received: July 17, 2008   Last Updated: December 28, 2008   History of Changes

July 17, 2008
December 28, 2008
July 2008
June 2010   (final data collection date for primary outcome measure)
reduction in the incidence of preeclampsia [ Time Frame: second and third trimester of pregnancy ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00719537 on ClinicalTrials.gov Archive Site
Delay in onset of preeclampsia [ Time Frame: second and third trimester of pregnancy ] [ Designated as safety issue: No ]
Same as current
 
Oral Progesterone and Low Dose Aspirin in the Prevention of Preeclampsia
Oral Progesterone and Low Dose Aspirin in the Prevention of Preeclampsia in Patients With a Prior History of Preeclampsia: A Prospective, Randomized Clinical Trial

Recent advances have shown that certain proteins may be present in a pregnant woman's blood very early in pregnancy which can predict who is at the highest risk for developing preeclampsia. These proteins can be measured and may be used to predict a woman's risk of developing preeclampsia.

Special placental cells called endovascular cytotrophoblasts are needed in the early formation of the placenta. These placental cells invade the maternal blood vessels in the formation of the maternal-placental blood interface. HLA-G is a protein produced by the placental cells and prevents these special cells from being rejected by the mother's immune system. Recent studies have indicated that the level of HLA-G is decreased in placentas from mothers with preeclampsia. Progesterone, a naturally occurring hormone produced in pregnancy, has been shown to increase the production of HLA-G in the placental cytotrophoblast cells.

In regards to the treatment of preeclampsia, studies have shown that low dose aspirin if given to mothers who have had severe early preeclampsia, lowers the risk for having preeclampsia again. This study aims to show that low dose aspirin combined with progesterone will decrease the risk of preeclampsia in pregnant women with a history of preeclampsia in a previous pregnancy. Data generated will determine levels and ratios of blood proteins that are predictive of preeclampsia at specific gestational ages.

 
 
Interventional
Prevention, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Active Control, Parallel Assignment, Efficacy Study
Preeclampsia
  • Drug: Aspirin and progesterone
  • Drug: Aspirin and placebo
  • Active Comparator: Aspirin and placebo
  • Experimental: Aspirin and progesterone
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Recruiting
100
June 2012
June 2010   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • pregnant patients with a previous history of preeclampsia in the immediate preceding pregnancy.
  • 18 to 45 years of age will be included.

Exclusion Criteria:

  • Patients with chronic hypertension
  • children (age < 17 years)
  • Patients that are currently taking anti-psychotics or Selective Serotonin Re-uptake Inhibitors
  • patients on medications which may be detrimental to the study interpretation will also be excluded at the principal investigator's discretion.
Female
18 Years to 50 Years
Yes
Contact: John E Uckele, MD 248-551-0610 John.Uckele@beaumont.edu
Contact: Evie Russell, RN 248-898-2068 Evie.Russell@beaumont.edu
United States
 
NCT00719537
John E. Uckele, MD, William Beaumont Hospital
2008-054
William Beaumont Hospitals
 
Principal Investigator: John E Uckele, MD William Beaumont Hospitals
William Beaumont Hospitals
December 2008

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP