PP13 and Doppler Study to Predict Preeclampsia

NCT ID: NCT00928213

Last Updated: 2009-06-25

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

PHASE2/PHASE3

Total Enrollment

1000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-08-31

Study Completion Date

2010-12-31

Brief Summary

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Assessment of biochemical and sonographic marker to predict the risk for developing preeclampsia Among biochemical markers are serum level of Placental Protein 13 (PP13) and Placenta Growth factor (PIGF). For sonographic marker Doppler pulsatility Index of the blood flow through the uterine maternal arteries is assessed.

PP13 is produced by the placenta and released to the maternal blood circulation. It has been shown to be an effective serum marker for early onset preeclampsia (Nicolaides KH et al., 2005). The purpose of this study is to combined the assessment of the biochemical markers with Doppler in the first and the second trimester to provide a comprehensive evaluation of various methods for sequential and combined analysis to assess the risk for developing preeclampsia.

Detailed Description

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This is a prospective observational study enrolling all comers who attend the prenatal clinic for first trimester assessment of the risk for Down syndrome. All women are providing medical and obstetric history, demography and blood samples along with Doppler pulsatility Index during the first and the second trimester at GA 10-13 weeks and 21-23 weeks. When possible - blood will be drawn at hospital admission for delivery. Measurements of sonography and serum markers are done blinded to pregnancy outcome.

Patients will be assigned to three groups:

1. All comers attending the prenatal testing at GA 10-13.
2. Patients with a history of at least 2 pregnancy loss or preterm delivery and treated with low molecular weight heparin at 40-80 mg/day from admission to until 12 weeks after delivery.
3. Patients who admitted the emergency ObGyn clinic for bleeding during the first trimester and are treated with progesterone.

Conditions

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Preeclampsia

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

SCREENING

Blinding Strategy

NONE

Study Groups

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1

Control not treated, no placebo

Group Type EXPERIMENTAL

No Drug

Intervention Type DRUG

no treatment

2

Patient treated with low molecular weight heparin after repeated pregnancy loss

Group Type EXPERIMENTAL

Low molecular weight Heparin

Intervention Type DRUG

40-80 mg/day

3

Patient super from first trimester bleeding treated with progesterone

Group Type EXPERIMENTAL

Progesterone

Intervention Type DRUG

40 units daily admission

Interventions

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Progesterone

40 units daily admission

Intervention Type DRUG

Low molecular weight Heparin

40-80 mg/day

Intervention Type DRUG

No Drug

no treatment

Intervention Type DRUG

Other Intervention Names

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C-21 steroid hormone Prometrium clexan No treatment

Eligibility Criteria

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Inclusion Criteria

* Women age 16-45 with viable pregnancy as defined by CRL and after signing on an informed consent
* In group 1 all patients meeting the above are eligible when GA is below 14 weeks
* In grop 2 all patients

Exclusion Criteria

* Gestation age at enrolment \> 13 weeks and 6 days by LMP verified by ultrasound at blood taking
* Mental retardation or other mental disorders that impose doubts regarding the patient's true willingness to participate in the Study
Minimum Eligible Age

16 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Diagnostic Technologies Ltd.

INDUSTRY

Sponsor Role collaborator

Perkin Elmer Inc.

INDUSTRY

Sponsor Role collaborator

Medical University of Graz

OTHER

Sponsor Role collaborator

Ben-Gurion University of the Negev

OTHER

Sponsor Role lead

Responsible Party

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Soroka Medical Center Ben Gurion University

Principal Investigators

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Reli Hershkovitz, MD

Role: PRINCIPAL_INVESTIGATOR

Ben-Gurion University of the Negev

Locations

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Soroka Medical Center, Ben Gurion University

Beersheba, , Israel

Site Status

Countries

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Israel

Central Contacts

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Reli Hershkovitz, MD

Role: CONTACT

972-8-6403070

Vered Kivity, PhD, MBA

Role: CONTACT

972-4-9937722 ext. 0

Facility Contacts

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Reli Hershkovitz, MD

Role: primary

972-8-86403070

Vered Kivity, PhD, MBA

Role: backup

972-4-9937722

Related Links

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http://www.bgu.ac.il

The website of Ben Gurion University

Other Identifiers

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972-07-024

Identifier Type: -

Identifier Source: org_study_id

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