LimPrOn: Limburg Pre-eclampsia Investigation (LimPrOn)

April 8, 2024 updated by: Wilfried Gyselaers, Hasselt University

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:

  1. NICCOMO and Maternal Venous Doppler Echography: impedance cardiograph and an echography of the heart and veins.
  2. Maltron: bio-electronic impedance analyze
  3. 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

Recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

2000

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

      • Bree, Belgium
        • Recruiting
        • Ziekenhuis Maas en Kempen
        • Contact:
          • Dorien Lanssens, drs.
      • Genk, Belgium, 3600
      • 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

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 50 years (Adult)

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • > 10 weeks of pregnancy, primipara and multipara

Exclusion Criteria:

  • < 10 weeks of pregnancy and congenital malformations of the fetus

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / 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

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

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

This is where you will find people and organizations involved with this study.

Sponsor

Collaborators

Investigators

  • Principal Investigator: Wilfried Gyselaers, prof. dr., Hasselt University
  • Study Chair: Nele Geusens, dr., Ziekenhuis Oost-Limburg

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

May 1, 2016

Primary Completion (Estimated)

December 1, 2030

Study Completion (Estimated)

December 1, 2030

Study Registration Dates

First Submitted

August 24, 2016

First Submitted That Met QC Criteria

April 16, 2018

First Posted (Actual)

April 26, 2018

Study Record Updates

Last Update Posted (Actual)

April 9, 2024

Last Update Submitted That Met QC Criteria

April 8, 2024

Last Verified

April 1, 2024

More Information

Terms related to this study

Other Study ID Numbers

  • Limpron-001

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

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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