Dexamethasone Efficacy in HELLP I Syndrome

NCT ID: NCT01138839

Last Updated: 2010-06-07

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

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-10-31

Study Completion Date

2012-12-31

Brief Summary

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The purpose of this study is to determine the efficacy of dexamethasone for treatment of HELLP I (hemolysis, elevated liver enzymes and low platelet count) syndrome.

Detailed Description

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Treatment of HELLP syndrome usually is restricted to measures of support and treatment of complications. In 2005, in a subgroup analysis we showed that, among patients with HELLP 1, there were a shorter average time to platelet recovery and less duration of hospitalization in women who received dexamethasone therapy, however the importance of this finding is diminished because this was an unplanned analysis and the severity of the disease was not taken into account at randomization.

Conditions

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HELLP Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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sterile water

Pregnant women will receive 2.5 cc of sterile water every 12 hours until delivery and 3 additional doses after delivery. Puerperal women will receive 3 doses after delivery.

Group Type PLACEBO_COMPARATOR

sterile water

Intervention Type DRUG

Pregnant women will receive 2.5 cc of sterile water every 12 hours until delivery and 3 additional doses after delivery. Puerperal women will receive 3 doses after delivery

Dexamethasone

Pregnant women in the experimental group will receive 10-mg doses (2.5 cc) of dexamethasone sodium phosphate intravenously every 12 hours until delivery and 3 additional doses after delivery. Puerperal women will receive 3 10-mg doses after delivery.

Group Type EXPERIMENTAL

Dexamethasone

Intervention Type DRUG

Pregnant women in the experimental group will receive 10-mg doses (2.5 cc) of dexamethasone sodium phosphate intravenously every 12 hours until delivery and 3 additional doses after delivery. Puerperal women will receive 3 10-mg doses after delivery.

Interventions

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Dexamethasone

Pregnant women in the experimental group will receive 10-mg doses (2.5 cc) of dexamethasone sodium phosphate intravenously every 12 hours until delivery and 3 additional doses after delivery. Puerperal women will receive 3 10-mg doses after delivery.

Intervention Type DRUG

sterile water

Pregnant women will receive 2.5 cc of sterile water every 12 hours until delivery and 3 additional doses after delivery. Puerperal women will receive 3 doses after delivery

Intervention Type DRUG

Other Intervention Names

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steroid ev

Eligibility Criteria

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Inclusion Criteria

* Women who were at \>20 weeks of gestation or during the first 3 days of puerperium if hypertension developed during the pregnancy or the puerperium with:
* platelet count, \< or = 50,000/mm3; aspartate aminotransferase (AST), \> or = 70 U/L; lactate dehydrogenase (LDH), \> or = 600 U/L.
* Women who consent to be included informed consent by signature

Exclusion Criteria

* diabetic ketoacidosis
* oral temperature \> 37.5 grade
* Contraindication for use steroids
Minimum Eligible Age

10 Years

Maximum Eligible Age

48 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Universidad del Valle, Colombia

OTHER

Sponsor Role lead

Responsible Party

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Universidad del Valle

Principal Investigators

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Javier Fonseca, Dr

Role: PRINCIPAL_INVESTIGATOR

Universidad del Valle

Locations

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Universidad del Valle

Cali, Valle del Cauca Department, Colombia

Site Status RECRUITING

Countries

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Colombia

Central Contacts

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Javier Fonseca, Dr

Role: CONTACT

5725583912

Facility Contacts

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Javier Fonseca, Dr

Role: primary

5725583912

Other Identifiers

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COLCIENCIAS RC No. 334-2008

Identifier Type: OTHER

Identifier Source: secondary_id

1625

Identifier Type: -

Identifier Source: org_study_id

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