Trial Outcomes & Findings for Postpartum Management of Gestational Hypertensive Disorders Using Furosemide (NCT NCT04343235)

NCT ID: NCT04343235

Last Updated: 2023-10-23

Results Overview

number of patients who require a change in the dose of labetalol to control BP

Recruitment status

TERMINATED

Study phase

PHASE4

Target enrollment

13 participants

Primary outcome timeframe

Change in dose of hypertensive therapy from randomization until hospital discharge (up to 7 days)

Results posted on

2023-10-23

Participant Flow

Participant milestones

Participant milestones
Measure
Labetalol + Furosemide
labetalol + furosemide furosemide: five day course of furosemide 20mg QD labetalol: 200mg labetalol BID
Labetalol Only
labetalol only labetalol: 200mg labetalol BID
Overall Study
STARTED
6
7
Overall Study
COMPLETED
3
5
Overall Study
NOT COMPLETED
3
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Labetalol + Furosemide
labetalol + furosemide furosemide: five day course of furosemide 20mg QD labetalol: 200mg labetalol BID
Labetalol Only
labetalol only labetalol: 200mg labetalol BID
Overall Study
Lost to Follow-up
3
2

Baseline Characteristics

Postpartum Management of Gestational Hypertensive Disorders Using Furosemide

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Labetalol + Furosemide
n=6 Participants
labetalol + furosemide furosemide: five day course of furosemide 20mg QD labetalol: 200mg labetalol BID
Labetalol Only
n=7 Participants
labetalol only labetalol: 200mg labetalol BID
Total
n=13 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
6 Participants
n=5 Participants
7 Participants
n=7 Participants
13 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
28.0 years
STANDARD_DEVIATION 2.7 • n=5 Participants
27.0 years
STANDARD_DEVIATION 5.4 • n=7 Participants
27.5 years
STANDARD_DEVIATION 4.3 • n=5 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
7 Participants
n=7 Participants
13 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants
n=5 Participants
6 Participants
n=7 Participants
12 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=5 Participants
3 Participants
n=7 Participants
6 Participants
n=5 Participants
Race (NIH/OMB)
White
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
6 participants
n=5 Participants
7 participants
n=7 Participants
13 participants
n=5 Participants

PRIMARY outcome

Timeframe: Change in dose of hypertensive therapy from randomization until hospital discharge (up to 7 days)

number of patients who require a change in the dose of labetalol to control BP

Outcome measures

Outcome measures
Measure
Labetalol + Furosemide
n=6 Participants
labetalol + furosemide furosemide: five day course of furosemide 20mg QD labetalol: 200mg labetalol BID
Labetalol Only
n=7 Participants
labetalol only labetalol: 200mg labetalol BID
Change of Dose for Antihypertensive Therapy
3 Participants
0 Participants

SECONDARY outcome

Timeframe: Average systolic blood pressure for Day 0, Day 1, and Day 2

average systolic blood pressure reading on Day 0, Day 1, and Day 2

Outcome measures

Outcome measures
Measure
Labetalol + Furosemide
n=4 Participants
labetalol + furosemide furosemide: five day course of furosemide 20mg QD labetalol: 200mg labetalol BID
Labetalol Only
n=7 Participants
labetalol only labetalol: 200mg labetalol BID
Change of Gestational Hypertensive Disorder Symptoms (Systolic BP)
Day 0
138.4 mm of mercury
Standard Deviation 11.2
138.1 mm of mercury
Standard Deviation 9.4
Change of Gestational Hypertensive Disorder Symptoms (Systolic BP)
Day 1
134.9 mm of mercury
Standard Deviation 5.4
138.2 mm of mercury
Standard Deviation 8.5
Change of Gestational Hypertensive Disorder Symptoms (Systolic BP)
Day 2
135.2 mm of mercury
Standard Deviation 13.7
136.7 mm of mercury
Standard Deviation 6.0

SECONDARY outcome

Timeframe: Average mean arterial pressure on Day 0, Day 1, and Day 2

average mean arterial pressure reading on Day 0, Day 1, and Day 2

Outcome measures

Outcome measures
Measure
Labetalol + Furosemide
n=4 Participants
labetalol + furosemide furosemide: five day course of furosemide 20mg QD labetalol: 200mg labetalol BID
Labetalol Only
n=7 Participants
labetalol only labetalol: 200mg labetalol BID
Change of Gestational Hypertensive Disorder Symptoms (Mean Arterial Pressure)
Day 0
102.4 mm of mercury
Standard Deviation 10.7
100.0 mm of mercury
Standard Deviation 9.2
Change of Gestational Hypertensive Disorder Symptoms (Mean Arterial Pressure)
Day 1
99.5 mm of mercury
Standard Deviation 4.7
100.1 mm of mercury
Standard Deviation 7.7
Change of Gestational Hypertensive Disorder Symptoms (Mean Arterial Pressure)
Day 2
98.0 mm of mercury
Standard Deviation 8.7
96.0 mm of mercury
Standard Deviation 6.3

SECONDARY outcome

Timeframe: Average diastolic blood pressure on Day 0, Day 1, and Day 2

average diastolic blood pressure reading on Day 0, Day 1, and Day 2

Outcome measures

Outcome measures
Measure
Labetalol + Furosemide
n=4 Participants
labetalol + furosemide furosemide: five day course of furosemide 20mg QD labetalol: 200mg labetalol BID
Labetalol Only
n=7 Participants
labetalol only labetalol: 200mg labetalol BID
Change of Gestational Hypertensive Disorder Symptoms (Diastolic BP)
Day 0
84.1 mm of mercury
Standard Deviation 11.8
80.1 mm of mercury
Standard Deviation 10.4
Change of Gestational Hypertensive Disorder Symptoms (Diastolic BP)
Day 1
81.8 mm of mercury
Standard Deviation 4.5
80.7 mm of mercury
Standard Deviation 8.4
Change of Gestational Hypertensive Disorder Symptoms (Diastolic BP)
Day 2
78.8 mm of mercury
Standard Deviation 7.1
75.5 mm of mercury
Standard Deviation 7.9

SECONDARY outcome

Timeframe: Number of days of hospital stay from randomization to discharge

days in hospital after delivery

Outcome measures

Outcome measures
Measure
Labetalol + Furosemide
n=6 Participants
labetalol + furosemide furosemide: five day course of furosemide 20mg QD labetalol: 200mg labetalol BID
Labetalol Only
n=7 Participants
labetalol only labetalol: 200mg labetalol BID
Hospital Length of Stay
3.5 days
Standard Deviation 1.3
4.3 days
Standard Deviation 1.8

SECONDARY outcome

Timeframe: at 1 week postpartum visit

breastfeeding continuation after discharge

Outcome measures

Outcome measures
Measure
Labetalol + Furosemide
n=4 Participants
labetalol + furosemide furosemide: five day course of furosemide 20mg QD labetalol: 200mg labetalol BID
Labetalol Only
n=6 Participants
labetalol only labetalol: 200mg labetalol BID
Breastfeeding Status
1 Participants
3 Participants

SECONDARY outcome

Timeframe: up to 14 days after discharge

readmission for hypertension management

Outcome measures

Outcome measures
Measure
Labetalol + Furosemide
n=6 Participants
labetalol + furosemide furosemide: five day course of furosemide 20mg QD labetalol: 200mg labetalol BID
Labetalol Only
n=7 Participants
labetalol only labetalol: 200mg labetalol BID
Hospital Readmission
1 Participants
2 Participants

Adverse Events

Labetalol + Furosemide

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Labetalol Only

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Sheela Barhan, MD

Wright State University

Phone: 937-208-2850

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place