Postpartum Management of Hypertension in Pregnancy With Hydrochlorothiazide

NCT ID: NCT03298802

Last Updated: 2023-12-05

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

612 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-11-21

Study Completion Date

2024-08-30

Brief Summary

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Postpartum prophylactic HCTZ administration for prevention and relapse of preeclampsia or gestational hypertension.

Detailed Description

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To evaluate effectiveness of hydrochlorothiazide prophylaxis on prophylaxis, prevention and relapse of preeclampsia or gestational hypertension on readmission rates, need for additional antihypertensive therapy and number of triage visits.

Conditions

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Pre-Eclampsia Gestational Hypertension Superimposed Pre-Eclampsia Hypertension, Pregnancy-Induced Postpartum Pregnancy-Induced Hypertension Postpartum Preeclampsia

Keywords

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readmission triage visit for pregnancy related hypertension hydrochlorothiazide

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

double-blind randomized placebo controlled clinical trial
Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Investigators
Randomization will be performed by a person not involved in the clinical trial using a computer random list of numbers generated using STATA (StataCorp 14.0, Dallas, TX). This list of random number assignments will be kept secure and sent directly to the investigational drug service (IDS), who will be responsible for the allocation and dispensing of the medications

Study Groups

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Hydrochlorothiazide 50mg Tablet

Hydrochlorothiazide 50 mg per os once daily as soon as the subjects can tolerate sips of water after delivery and for a total of fourteen days postpartum.

Group Type ACTIVE_COMPARATOR

Hydrochlorothiazide 50mg Tablet

Intervention Type DRUG

Hydrochlorothiazide 50 mg per os once daily as soon as the subjects can tolerate sips of water after delivery and for a total of fourteen days postpartum.

Placebo Tablet

Placebo per os once daily as soon as the subjects can tolerate sips of water after delivery and for fourteen days postpartum

Group Type PLACEBO_COMPARATOR

Placebo Tablet

Intervention Type DRUG

Placebo per os once daily as soon as the subjects can tolerate sips of water after delivery and for a total of fourteen days postpartum

Interventions

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Hydrochlorothiazide 50mg Tablet

Hydrochlorothiazide 50 mg per os once daily as soon as the subjects can tolerate sips of water after delivery and for a total of fourteen days postpartum.

Intervention Type DRUG

Placebo Tablet

Placebo per os once daily as soon as the subjects can tolerate sips of water after delivery and for a total of fourteen days postpartum

Intervention Type DRUG

Other Intervention Names

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HydroDIURIL, Microzide, Esidrix, Oretic sugar pill

Eligibility Criteria

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Inclusion Criteria

* Maternal age ≥ 18 years and \<50 years.
* Diagnosis of gestational hypertension\* or preeclampsia\^ at any time during pregnancy, labor or postpartum.

* defined as isolated systolic BP of 140 mm Hg or greater, a diastolic BP of 90 mm Hg or greater, or both) or \^ defines as new-onset hypertension plus new-onset proteinuria, or in the absence of proteinuria, preeclampsia is diagnosed as hypertension in association with thrombocytopenia (platelet count less than 100,000/microliter), impaired liver function (elevated blood levels of liver transaminases to twice the normal concentration), the new development of renal insufficiency (elevated serum creatinine greater than 1.1 mg/dL or a doubling of serum creatinine in the absence of other renal disease), pulmonary edema, or new-onset cerebral or visual disturbances.)

Exclusion Criteria

* Subject requiring antihypertensive therapy at time of screening.
* Planned discharge with oral anti-hypertensive medication.
* Contraindication to hydrochlorothiazide (advanced renal failure or anuria, hypersensitivity to sulfonamides).
* Subject not able to follow up postpartum.
* Lactose intolerance.
* Pre-gestational diabetes.
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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The University of Texas Medical Branch, Galveston

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Benjamin Bush, M.D.

Role: PRINCIPAL_INVESTIGATOR

UTMB

Locations

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St. David's North Austin Medical Center

Austin, Texas, United States

Site Status RECRUITING

University of Texas Medical Branch

Galveston, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Megan C Shepherd, M.D.

Role: CONTACT

Phone: 409-772-0312

Email: [email protected]

Ashley Salazar, RN

Role: CONTACT

Phone: 409-772-0312

Email: [email protected]

Facility Contacts

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Caroline Gleason, RN

Role: primary

Benjamin Bush, MD

Role: primary

Other Identifiers

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16-0280

Identifier Type: -

Identifier Source: org_study_id