Treatment of Severe Hypertension During Pre-Eclampsia: A Preliminary Equivalence Study Between Urapidil and Nicardipine

NCT ID: NCT00409253

Last Updated: 2009-02-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

72 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-06-30

Study Completion Date

2010-08-31

Brief Summary

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The aim of this study is to confirm that URAPIDIL is as efficient and as safe as NICARDIPINE to correct severe hypertension in pre-eclamptic patients.

* efficacy endpoint : mean arterial blood pressure corrected to 105-125 mmHg after 120 min of study drug administration.
* safety endpoints : clinical, biological and ultrasound observation for any side effect.All infants will be observed in the neonatology unit (during 48h).

Detailed Description

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Conditions

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Hypertension During Pre-Eclampsia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Urapidil

Group Type ACTIVE_COMPARATOR

URAPIDIL (EUPRESSYL*)

Intervention Type DRUG

Urapidil (Eupressyl\*) :IV (PSE) 1 microg/kg/min° until reduction PAM 15 %. Reduction ¼ of the posology to obtain PAM between 105 and 125 mmHg with adjustment 0.25 microg/kg/min/15 min. Maximal dose = 30mg/h.

Nicardipine

Group Type ACTIVE_COMPARATOR

NICARDIPINE

Intervention Type DRUG

Nicardipine : IV 6.25 mg bolus until PAD \>105 mm/Hg. Perfusion (PSE) 4 mg/h to obtain PAM between 105 and 125 mm/Hg with adjustment 2mg/h/5 min without overshoot 20 mg/h Maximal treatment duration : 7 days

Interventions

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URAPIDIL (EUPRESSYL*)

Urapidil (Eupressyl\*) :IV (PSE) 1 microg/kg/min° until reduction PAM 15 %. Reduction ¼ of the posology to obtain PAM between 105 and 125 mmHg with adjustment 0.25 microg/kg/min/15 min. Maximal dose = 30mg/h.

Intervention Type DRUG

NICARDIPINE

Nicardipine : IV 6.25 mg bolus until PAD \>105 mm/Hg. Perfusion (PSE) 4 mg/h to obtain PAM between 105 and 125 mm/Hg with adjustment 2mg/h/5 min without overshoot 20 mg/h Maximal treatment duration : 7 days

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* patients 'written informed consent dated and signed by investigator and patient
* affiliation to a social security system
* single pregnancy
* arterial hypertension (PAS ≥140 and/or PAD≥90) in the context of severe pre-eclampsia

Exclusion Criteria

* patient under 18 year old or unable to give informed consent
* protocol rejected by patient-impossibility to use non invasive blood pressure monitoring
* antihypertensive treatments within 24h before inclusion
* allergy to or contraindication for one of the study drugs-pre
* eclampsia that does not require an antihypertensive treatment
* acute eclampsia-requirement for other drugs with potential dangerous interactions with study drugs
* participation to a therapeutic protocol within 6 months prior to the start of study
Minimum Eligible Age

18 Years

Maximum Eligible Age

51 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Strasbourg, France

OTHER

Sponsor Role lead

Responsible Party

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Direction de la Recherche Clinique et de l'Innovation - Hôpitaux Universitaires de Strasbourg

Principal Investigators

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Pierre Auguste DIEMUNSCH, MD

Role: PRINCIPAL_INVESTIGATOR

Hôpitaux Universitaires de Strasbourg

Locations

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Hôpital Saint-Jacques, CHU de Besançon

Besançon, , France

Site Status RECRUITING

Maternité A. PINARD

Nancy, , France

Site Status RECRUITING

Sihcus-Cmco

Schiltigheim, , France

Site Status RECRUITING

Service d'Anesthésie et de Réanimation Médicale, Hôpital de Hautepierre, Hôpitaux Universitaires de Strasbourg

Strasbourg, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Pierre Auguste DIEMUNSCH, MD

Role: CONTACT

33.3.88.12.70.78

Facility Contacts

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Myriam KRAUSZ-GRIGNARD, MD

Role: primary

33381219014

HERVE BOUAZIZ, MD

Role: primary

33383344490

Rita VIZITIU, MD

Role: primary

33388628404

Pierre Auguste DIEMUNSCH, MD

Role: primary

33.3.88.12.70.78

References

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Diemunsch P, Garcia V, Lyons G, Pottecher J, Emmanuel S. Urapidil versus nicardipine in preeclamptic toxaemia: A randomised feasibility study. Eur J Anaesthesiol. 2015 Nov;32(11):822-3. doi: 10.1097/EJA.0000000000000303. No abstract available.

Reference Type DERIVED
PMID: 26148170 (View on PubMed)

Other Identifiers

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3738

Identifier Type: -

Identifier Source: org_study_id

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