The Effect of Blood on the PC Ratio During Pregnancy

NCT ID: NCT05434845

Last Updated: 2022-09-08

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

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-19

Study Completion Date

2022-12-19

Brief Summary

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This study will examine the effect if blood on the the protein to creatine (PC) ratio in pregnant patients by adding blood to urine samples.

Detailed Description

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The Purpose of the Research:

The purpose of this study is to examine the effect of blood on the protein to creatine (PC) ratio in pregnant patients.

The Scientific or Scholarly Rationale:

The PC ratio is used to diagnosis proteinuria in pregnancy. It is thought that blood in the urine will cause the PC ratio to be elevated but there are no current studies to prove this hypothesis.

The Procedures to be Performed:

Upon presentation to the Labor and Delivery Triage or the Antepartum Unit, patients will be enrolled in the study. Urine collection that is not needed for medical workup will be collected and saved, and an extra 8 mLs of blood will be drawn during routine lab collection by phlebotomy team. Additional lab costs will be covered by Marshall Obstetrics \& Gynecology.

Lab protocol: Divide urine into 4 different specimen cups with 20 mLs of urine each to measure urinalysis (UA) and PC ratio:

1. UA and PC ratio on original sample
2. UA and PC ratio with 1 mL of whole blood added
3. UA and PC ratio with 2 mL of whole blood added
4. UA and PC ratio with 5 mL of whole blood added

Subjects medical records will be reviewed for past obstetrical history after consent to be in the study.

The Risks and Potential Benefits of the Research:

Risks: 8 mLs of additional maternal blood will be drawn for study purposes. Possible risks could include pain, bleeding, fainting, bruising, infection, or hematoma (blood clot under the skin) at the injection site. Please note that routine blood would be drawn regardless of study enrollment.

Benefits: Our hypothesis is that the PC ratio will be elevated by contamination with blood. It is unknown if this hypothesis is correct.

Complete Inclusion/Exclusion Criteria (may be submitted separately if extensive):

Inclusion criteria includes patients presenting to Labor and Delivery Triage or Antepartum Unit at Cabell Huntington Hospital between the ages of 18 and approximately 45 years and gestational age of \>20 weeks.

Exclusion criteria includes pre-existing proteinuria (excess protein in the urine) or hematuria (blood in the urine).

Conditions

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Proteinuria in Pregnancy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Divide urine into 4 different specimen cups with 20 mLs of urine each to measure urinalysis (UA) and PC ratio:

1. UA and PC ratio on original sample
2. UA and PC ratio with 1 mL of whole blood added
3. UA and PC ratio with 2 mL of whole blood added
4. UA and PC ratio with 5 mL of whole blood added
Primary Study Purpose

SCREENING

Blinding Strategy

NONE

Study Groups

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UA and PC ratio on original sample

Original urine sample

Group Type NO_INTERVENTION

No interventions assigned to this group

UA and PC ratio with 1 mL of whole blood added

1 mL of whole blood added to 20 mLs of urine

Group Type ACTIVE_COMPARATOR

Blood draw

Intervention Type OTHER

An additional 8 mL of blood will be drawn during routine lab collection

UA and PC ratio with 2 mL of whole blood added

2 mL of whole blood added to 20 mLs of urine

Group Type ACTIVE_COMPARATOR

Blood draw

Intervention Type OTHER

An additional 8 mL of blood will be drawn during routine lab collection

UA and PC ratio with 5 mL of whole blood added

5 mL of whole blood added to 20 mLs of urine

Group Type ACTIVE_COMPARATOR

Blood draw

Intervention Type OTHER

An additional 8 mL of blood will be drawn during routine lab collection

Interventions

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Blood draw

An additional 8 mL of blood will be drawn during routine lab collection

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Labor and Delivery Triage or Antepartum Unit at Cabell Huntington Hospital between the ages of 18 and approximately 45 years and gestational age of \>20 weeks

Exclusion Criteria

* pre-existing proteinuria (excess protein in the urine) or hematuria (blood in the urine)
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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University at Buffalo

OTHER

Sponsor Role collaborator

Marshall University

OTHER

Sponsor Role lead

Responsible Party

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Jesse Cottrell

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Marshall University School of Medicine

Huntington, West Virginia, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Jesse Cottrell, MD

Role: CONTACT

304-691-1400

Morgan Ruley, MS

Role: CONTACT

304-691-1458

Facility Contacts

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Jesse Cottrell, MD

Role: primary

304-691-1460

Other Identifiers

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1912480

Identifier Type: -

Identifier Source: org_study_id

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