- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05016440
Lisinopril for Renal Protection in Postpartum Preeclamptic Women
August 16, 2021 updated by: Eastern Virginia Medical School
Lisinopril To Reduce Microalbuminuria In Postpartum Preeclamptic Women. A Role For Renal Protection?
There may be a role for Lisinopril in improving renal protection in post-partum women who had preeclampsia during pregnancy.
The aim of this study is to determine whether routine initiation of Lisinopril after delivery, in women who had preeclampsia while they were pregnant, can control high blood pressure and improve kidney function.
Study Overview
Detailed Description
This study is being done to determine the effects (good or bad) of Lisinopril (high blood pressure medication) in controlling high blood pressure and improving kidney function for women after delivery who had preeclampsia while they were pregnant .Preeclampsia is a condition that can occur during pregnancy, up to 6 weeks post partum, where the mother's blood pressure is high and protein is present in the urine.
This can be dangerous for both the mother and fetus.
Although the blood pressure usually returns to normal after delivery, elevated pressures may continue.
Normally medication is given when you continue to have high blood pressure after delivery.
High blood pressure can cause damage to the kidneys.
Lisinopril is a medication that can be used to treat high blood pressure after delivery.
Lisinopril offers kidney protection in patients diagnosed with diabetes.
We currently do not know if lisinopril can offer the same kidney protection in women diagnosed with preeclampsia.
Considering that 10% of all pregnant women develop preeclampsia, the number of women who may eventually develop end stage kidney disease is relatively large and any relatively safe and easy means to prevent this disease would be beneficial.
Study Type
Interventional
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 Locations
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Virginia
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Norfolk, Virginia, United States, 23507
- Eastern Virginia Medical School
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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
No
Genders Eligible for Study
Female
Description
Inclusion Criteria:
Women 18 to 50 yrs of age with mild or severe preeclampsia diagnosed using criteria (listed below) set forth by the American College of Obstetrics and Gynecology (ACOG) Criteria. (Note; women who become eclamptic will be included in the study.)
- Blood Pressure of 140 mmHg systolic or greater or 90 mmHg diastolic or higher that occurs after 20 weeks' gestational age in a woman with previously normal blood pressure
- Proteinuria defined as 0.3 g protein or higher in a 24 hour urine specimen.
Preeclampsia was considered severe when any of the following were present:
- Blood pressure of 160 mmHg systolic of higher or 110 mg Hg diastolic or higher on two occasions at least 6 hours apart while the patient is on bed rest
- Proteinuria of 5 grams of higher in a 24-hour urine specimen of 3+ or greater on two random urine samples collected at least 4 hours apart
- Oliguria of less than 500cc in 24 hours
- Cerebral of visual disturbances
- Pulmonary edema or cyanosis
- Epigastric or right upper quadrant pain
- Impaired liver function, thrombocytopenia
- Fetal growth restriction.
Exclusion Criteria:
Women with:
- Prior hypersensitivity (allergic reaction) to Lisinopril or ACE Inhibitors
- Pre-gestational chronic hypertension
- Pre-gestational diabetes
- Rheumatologic disorders (i.e., systemic lupus erythematosus, scleroderma)
- Multiple gestations for present pregnancy
- Patients who declined birth control postpartum
- Patient who has been on an Ace-inhibitor within 6 months prior to pregnancy
- Cardiac problems like; Aortic stenosis or Hypertrophic cardiomyopathy
- Severe kidney disease
- Myocardial infarction within the past 6 months
- Taking any of the prohibited medications listed in section VI
- Breast feeding
- Prisoners will not be included in the study due to difficulty in tracking their pregnancy care being provided at the prison centers
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: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Active Comparator: Lisinopril
10mg Lisinopril tablets
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10mg Lisinopril daily for 6-8 weeks postpartum
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Placebo Comparator: Sugar pill
sugar pill
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10mg Lisinopril daily for 6-8 weeks postpartum
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Albumin Excretion Rate in mg/mmol
Time Frame: Change is being assessed within 24 hours of delivery and 6-8 weeks postpartum
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Prior to discharge from the hospital, either during the woman's labor progress or immediately post delivery, a catheterized urine specimen will be obtained and sent to the lab for an Albumin-Creatinine Ratio (ACR) by a nurse.
Following discharge, the woman will be seen 6-8 weeks postpartum for her routine postpartum visit.
If the woman reports vaginal spotting or bleeding a straight catheter urine specimen will be obtained, otherwise a clean catch specimen may be obtained, and sent for lab assessment of Albumin-Creatinine Ratio (ACR).
This collection of a urine specimen is standard of care for our pregnant and postpartum patients.
Prior to hospital discharge, she will also be instructed to collect a 24 hour urine specimen collection, the day before her 6-8 week postpartum visit and bring it with her to this visit.
When analyzed, this second 24 hour urine specimen will be assessed for both albumin concentration and albumin/creatinine ratio (Albumin Excretion Rate).
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Change is being assessed within 24 hours of delivery and 6-8 weeks postpartum
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: James Hill, MD, Eastern Virginia Medical School
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 (Anticipated)
September 1, 2015
Primary Completion (Actual)
September 1, 2015
Study Completion (Actual)
September 1, 2015
Study Registration Dates
First Submitted
August 20, 2014
First Submitted That Met QC Criteria
August 16, 2021
First Posted (Actual)
August 23, 2021
Study Record Updates
Last Update Posted (Actual)
August 23, 2021
Last Update Submitted That Met QC Criteria
August 16, 2021
Last Verified
August 1, 2021
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Lisinopril-Renal Protection
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.
Clinical Trials on Preeclampsia
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MemorialCare Health SystemNot yet recruitingPreeclampsia | Preeclampsia Postpartum | Preeclampsia Severe | Preeclampsia Mild
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Christiana Care Health ServicesActive, not recruitingPre-Eclampsia | Preeclampsia | Preterm | Preeclampsia Severe | Preeclampsia Second Trimester | Preeclampsia Complicating Childbirth | Preeclampsia PuerperiumUnited States
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University Medical Centre LjubljanaCompletedPreeclampsia Postpartum | Preeclampsia SevereSlovenia
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Cedars-Sinai Medical CenterThermoFisher Scientific Brahms Biomarkers FranceCompletedGestational Hypertension | Preeclampsia Severe | Preeclampsia and Eclampsia | Chronic Hypertension in Obstetric Context | Superimposed Pre-Eclampsia | Preeclampsia MildUnited States
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Washington University School of MedicineRecruitingPreeclampsia Postpartum | Preeclampsia SevereUnited States
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Brigham and Women's HospitalCompletedHypertension in Pregnancy | Postpartum | Postpartum Preeclampsia | Gestational Hypertension | Preeclampsia SevereUnited States
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Christiana Care Health ServicesNot yet recruitingPreterm Birth Complication | Preeclampsia Severe | Preeclampsia Second TrimesterUnited States
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AMAG Pharmaceuticals, Inc.TerminatedSevere PreeclampsiaUnited States, Poland, South Africa
-
Mpilo Central HospitalCompletedSevere PreeclampsiaZimbabwe
Clinical Trials on Lisinopril
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SandozCompleted
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IPCA Laboratories Ltd.Completed
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IPCA Laboratories Ltd.Completed
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The Affiliated Hospital of Qingdao UniversityCompleted
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SandozCompleted
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IPCA Laboratories Ltd.Completed
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IPCA Laboratories Ltd.Completed
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Dexa Medica GroupCompleted
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Par Pharmaceutical, Inc.PharmaKinetics Laboratories Inc.Completed
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NovartisTerminatedHypertension | Early Diabetic NephropathySwitzerland