LimPrOn: Limburg Pre-eclampsia Investigation (LimPrOn)
Background:
Multiple adaptations at the cardiovascular system occurs during pregnancy. In the pregnancy condition pre-eclampsia (PE), this adaptations are abnormal. Five to eight percent of all pregnant women worldwide will develop PE.
PE is a pregnancy condition which is characterized with a high blood pressure (>140/90 mm Hg) and the occurrence of proteinuria (>3g/dl/24h) after 20 weeks of gestation. When untreated, this condition can have severe complications for both mother and child. It's important to monitor women with a high risk for developing PE for an early detection and treatment of this condition.
For this reason, a multicenter study is set up with the following applications:
- NICCOMO and Maternal Venous Doppler Echography: impedance cardiograph and an echography of the heart and veins.
- Maltron: bio-electronic impedance analyze
- Remote monitoring of the high risk patients to become a more intensive follow-up
Number of inclusions: 2000 pregnant women from the prenatal consultations of eight different hospitals:
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Dorien Lanssens, drs.
- Email: dorien.lanssens@uhasselt.be
Study Locations
-
-
-
Bree, Belgium
- Recruiting
- Ziekenhuis Maas en Kempen
-
Contact:
- Dorien Lanssens, drs.
-
Genk, Belgium, 3600
- Recruiting
- Ziekenhuis Oost-Limburg
-
Contact:
- Dorien Lanssens, drs.
- Email: dorien.lanssens@uhasselt.be
-
Contact:
- Wilfried Gyselaers, prof.dr.
- Email: wilfried.gyselaers@zol.be
-
Sub-Investigator:
- Nele Geusens, dr.
-
Hasselt, Belgium, 3500
- Recruiting
- Jessa Ziekenhuis
-
Contact:
- Dorien Lanssens, drs.
-
Heusden-Zolder, Belgium
- Recruiting
- Sint-Fransiscus Ziekenhuis
-
Contact:
- Doriend Lanssens, drs.
-
MOL, Belgium
- Recruiting
- Heilig Hart Ziekenhuis
-
Contact:
- Dorien Lanssens, drs.
-
Overpelt, Belgium
- Recruiting
- Mariaziekenhuis Oost-Limburg
-
Contact:
- Dorien Lanssens, drs.
-
Sint-Truiden, Belgium
- Recruiting
- Sint-Trudo Ziekenhuis
-
Contact:
- Dorien Lanssens, drs.
-
Tongeren, Belgium
- Recruiting
- AZ-vesalius
-
Contact:
- Dorien Lanssens, drs.
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- > 10 weeks of pregnancy, primipara and multipara
Exclusion Criteria:
- < 10 weeks of pregnancy and congenital malformations of the fetus
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
No Intervention: Control Group
|
|
|
Experimental: remote monitoring group
|
Intervention Description: Patients can participate in the study when they're 10 weeks pregnant. At 10 weeks: a NICCOMO, Maternal Venous Doppler Echography and Maltron measurement will be taken. This measurement will be repeated at 20 weeks of pregnancy, and 30 weeks of pregnancy when they're aberrant. When the measurements are abnormal, the patients will be included in the remote monitoring study. The following protocol and devices will be applied: Device What When Withings Wireless Blood Pressure Monitor Blood Pressure 2x/day Withings Pulse O² Activity Day and night Withings Smart Body Analyzer Weight 1x/day |
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Niccomo measurement
Time Frame: 10 weeks of pregnancy
|
The NICOMMO can record can record multiple haemodynamic parameters uninterrupted and reliable in an objective manner by using Impedance Cardiography.
This technology is simple and non-invasive, and safe for pregnant women.
The aim of this course is to describe the course of these parameters through normal pregnancies, and to examine any abnormalities in pre-eclamptic pregnancies.
In view of the fact that in pre-eclampsia certain cardiovascular parameters are abnormal during several weeks before the disease becomes clinically manifest, this device might have a potential role in the prediction of pre-eclampsia in the future.
|
10 weeks of pregnancy
|
|
Niccomo measurement
Time Frame: 20 weeks of pregnancy
|
The NICOMMO can record can record multiple haemodynamic parameters uninterrupted and reliable in an objective manner by using Impedance Cardiography.
This technology is simple and non-invasive, and safe for pregnant women.
The aim of this course is to describe the course of these parameters through normal pregnancies, and to examine any abnormalities in pre-eclamptic pregnancies.
In view of the fact that in pre-eclampsia certain cardiovascular parameters are abnormal during several weeks before the disease becomes clinically manifest, this device might have a potential role in the prediction of pre-eclampsia in the future.
|
20 weeks of pregnancy
|
|
Systolic and Diastolic Blood pressure monitoring
Time Frame: 10 weeks of pregnancy
|
10 weeks of pregnancy
|
|
|
Systolic and Diastolic Blood pressure monitoring
Time Frame: 20 weeks of pregnancy
|
20 weeks of pregnancy
|
|
|
a maternal Venous Doppler Echochraphy
Time Frame: 10 weeks of pregnancy
|
In cardiology, a combined ultrasound ECG study provides important information about the functioning of the heart, especially with regard to the "stiffening" of the heart and blood vessel walls.
It is known that in pre-eclampsia the blood vessel walls stiffen.
Up to now it has never been investigated whether a combined Echo-ECG study can provide information about the degree of vascular wall stiffening.
This study component checks which reference values are in normal pregnancy and whether these differ from pre-eclamptic pregnancies.
|
10 weeks of pregnancy
|
|
Maltron measurement
Time Frame: 10 weeks of pregnancy
|
The aim of this course is to describe the course of body composition and fluid balance through a normal pregnancy, and to examine any abnormalities in pre-eclamptic pregnancies.
|
10 weeks of pregnancy
|
|
a maternal Venous Doppler Echochraphy
Time Frame: 20 weeks of pregnancy
|
In cardiology, a combined ultrasound ECG study provides important information about the functioning of the heart, especially with regard to the "stiffening" of the heart and blood vessel walls.
It is known that in pre-eclampsia the blood vessel walls stiffen.
Up to now it has never been investigated whether a combined Echo-ECG study can provide information about the degree of vascular wall stiffening.
This study component checks which reference values are in normal pregnancy and whether these differ from pre-eclamptic pregnancies.
|
20 weeks of pregnancy
|
|
Maltron measurement
Time Frame: 20 weeks of pregnancy
|
The aim of this course is to describe the course of body composition and fluid balance through a normal pregnancy, and to examine any abnormalities in pre-eclamptic pregnancies.
|
20 weeks of pregnancy
|
|
Activity tracker
Time Frame: 10 weeks of pregnancy
|
Activity (amount of steps) will be checked to see if there is any correlation between the total amount of steps per day and the development of gestational hypertensive disorders.
|
10 weeks of pregnancy
|
|
Weight
Time Frame: 10 weeks of pregnancy
|
10 weeks of pregnancy
|
|
|
Activity tracker
Time Frame: 20 weeks of pregnancy
|
Activity (amount of steps) will be checked to see if there is any correlation between the total amount of steps per day and the development of gestational hypertensive disorders.
|
20 weeks of pregnancy
|
|
Weight
Time Frame: 20 weeks of pregnancy
|
20 weeks of pregnancy
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
birth weight
Time Frame: up to six weeks after delivery
|
up to six weeks after delivery
|
|
|
gestational age
Time Frame: at the moment of delivery
|
These data will be measured at the moment of delivery
|
at the moment of delivery
|
|
mode of delivery
Time Frame: at the moment of delivery
|
at the moment of delivery
|
|
|
intentioned start of delivery
Time Frame: at the moment of delivery
|
at the moment of delivery
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Wilfried Gyselaers, prof. dr., Hasselt University
- Study Chair: Nele Geusens, dr., Ziekenhuis Oost-Limburg
Publications and helpful links
General Publications
- Ashworth DC, Maule SP, Stewart F, Nathan HL, Shennan AH, Chappell LC. Setting and techniques for monitoring blood pressure during pregnancy. Cochrane Database Syst Rev. 2020 Jul 23;8(8):CD012739. doi: 10.1002/14651858.CD012739.pub2.
- Vandenberk T, Lanssens D, Storms V, Thijs IM, Bamelis L, Grieten L, Gyselaers W, Tang E, Luyten P. Relationship Between Adherence to Remote Monitoring and Patient Characteristics: Observational Study in Women With Pregnancy-Induced Hypertension. JMIR Mhealth Uhealth. 2019 Aug 28;7(8):e12574. doi: 10.2196/12574.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- Limpron-001
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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