- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05221164
162 mg of Aspirin for Prevention of Preeclampsia
Study Overview
Detailed Description
After screening to meet inclusion criteria, pregnant patients at the Family Medicine Clinic will be asked to take 162 mg aspirin daily for 6 months, starting at about 12 weeks gestation and continued until the end of pregnancy. They will be monitored every 4 weeks until week 28, then every 2 weeks until week 36, and then weekly from week 36 on. Participants will be screened at these visits for medication compliance (taking, missed doses, side effects, etc). Patients will be subject to lab work as is routinely indicated for preeclampsia.
At the end of the study period, accumulated study data will be compared with historical data from the Family Medicine Clinic on rates of preeclampsia and outcomes in patients taking 81 mg for preeclampsia prevention.
Study Type
Enrollment (Anticipated)
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
Illinois
-
Peoria, Illinois, United States, 61602
- Recruiting
- UnityPoint Clinic Family Medicine
-
Contact:
- Paul Goldsmith, MD
- Phone Number: 816-838-8335
- Email: paul.goldsmith@unitypoint.org
-
Contact:
- Andras Eder, MD
- Phone Number: 619-995-2529
- Email: andras.eder@unitypoint.org
-
Principal Investigator:
- Paul Goldsmith, MD
-
Sub-Investigator:
- Andras Eder, MD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Any pregnant patient at Peoria FMC
- Hx of pre-eclampsia
- Multifetal gestation
- Chronic hypertension
- Type 1 or 2 diabetes
- Autoimmune disease
- Renal disease
- Nulliparity
- Obesity
- Family Hx of pre-eclampsia
- Sociodemographic characteristics
- Age >= 35 years of age
- Personal history factors (LBW, SGA, > 10-year pregnancy interval, adverse pregnancy outcomes
Exclusion Criteria:
- At high risk of side effects from ASA therapy
- Hx of hemorrhagic stroke
- Hx of GI bleed, G6PD
- Liver disease
- NSAID or Salicylate allergy)
- Patients confirmed to be not compliant with therapy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Intervention with 162 mg aspirin
Aspirin 162 mg daily for prevention of preeclampsia in pregnant patients at Family Medicine Clinic
|
Daily aspirin 162 mg during pregnancy to prevent preeclampsia
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of participants with preeclampsia
Time Frame: Through study completion, estimated 18 months
|
Dangerous pregnancy complication characterized by high blood pressure
|
Through study completion, estimated 18 months
|
|
Number of participants with eclampsia
Time Frame: Anytime during pregnancy and 3 months post partum
|
new onset of seizures in pregnant woman with preeclampsia
|
Anytime during pregnancy and 3 months post partum
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of participants with placental abruption
Time Frame: Through study completion, estimated 18 months
|
Separation of placenta from the uterus prior to delivery
|
Through study completion, estimated 18 months
|
|
Number of participants with post partum hemorrhage
Time Frame: Through study completion, estimated 18 months
|
blood loss after delivery
|
Through study completion, estimated 18 months
|
|
Number of participants with aplastic anemia
Time Frame: Through study completion, estimated 18 months
|
deficiency of all blood cell lines
|
Through study completion, estimated 18 months
|
|
Number of participants with agranulocytosis
Time Frame: Through study completion, estimated 18 months
|
deficiency of granulocytes
|
Through study completion, estimated 18 months
|
|
Number of participants with anaphylaxis
Time Frame: Through study completion, estimated 18 months
|
serious allergic reaction
|
Through study completion, estimated 18 months
|
Collaborators and Investigators
Publications and helpful links
General Publications
- ACOG Committee Opinion No. 743: Low-Dose Aspirin Use During Pregnancy. Obstet Gynecol. 2018 Jul;132(1):e44-e52. doi: 10.1097/AOG.0000000000002708.
- Roberge S, Nicolaides K, Demers S, Hyett J, Chaillet N, Bujold E. The role of aspirin dose on the prevention of preeclampsia and fetal growth restriction: systematic review and meta-analysis. Am J Obstet Gynecol. 2017 Feb;216(2):110-120.e6. doi: 10.1016/j.ajog.2016.09.076. Epub 2016 Sep 15.
- Rolnik DL, Wright D, Poon LC, O'Gorman N, Syngelaki A, de Paco Matallana C, Akolekar R, Cicero S, Janga D, Singh M, Molina FS, Persico N, Jani JC, Plasencia W, Papaioannou G, Tenenbaum-Gavish K, Meiri H, Gizurarson S, Maclagan K, Nicolaides KH. Aspirin versus Placebo in Pregnancies at High Risk for Preterm Preeclampsia. N Engl J Med. 2017 Aug 17;377(7):613-622. doi: 10.1056/NEJMoa1704559. Epub 2017 Jun 28.
- Seidler AL, Askie L, Ray JG. Optimal aspirin dosing for preeclampsia prevention. Am J Obstet Gynecol. 2018 Jul;219(1):117-118. doi: 10.1016/j.ajog.2018.03.018. Epub 2018 Mar 26. No abstract available.
- Rolnik DL, Wright D, Poon LCY, Syngelaki A, O'Gorman N, de Paco Matallana C, Akolekar R, Cicero S, Janga D, Singh M, Molina FS, Persico N, Jani JC, Plasencia W, Papaioannou G, Tenenbaum-Gavish K, Nicolaides KH. ASPRE trial: performance of screening for preterm pre-eclampsia. Ultrasound Obstet Gynecol. 2017 Oct;50(4):492-495. doi: 10.1002/uog.18816. Epub 2017 Aug 24. Erratum In: Ultrasound Obstet Gynecol. 2017 Dec;50(6):807.
- Atallah A, Lecarpentier E, Goffinet F, Doret-Dion M, Gaucherand P, Tsatsaris V. Aspirin for Prevention of Preeclampsia. Drugs. 2017 Nov;77(17):1819-1831. doi: 10.1007/s40265-017-0823-0.
- Duley L, Meher S, Hunter KE, Seidler AL, Askie LM. Antiplatelet agents for preventing pre-eclampsia and its complications. Cochrane Database Syst Rev. 2019 Oct 30;2019(10):CD004659. doi: 10.1002/14651858.CD004659.pub3.
- Kumar N, Das V, Agarwal A, Pandey A, Agrawal S, Singh A. Pilot Interventional Study Comparing Fetomaternal Outcomes of 150 mg Versus 75 mg Aspirin Starting Between 11 and 14 Weeks of Pregnancy in Patients with High Risk of Preeclampsia: A Randomized Control Trial. J Obstet Gynaecol India. 2020 Feb;70(1):23-29. doi: 10.1007/s13224-019-01277-5. Epub 2019 Sep 20.
- Levy G. Clinical pharmacokinetics of aspirin. Pediatrics. 1978 Nov;62(5 Pt 2 Suppl):867-72.
- Needs CJ, Brooks PM. Clinical pharmacokinetics of the salicylates. Clin Pharmacokinet. 1985 Mar-Apr;10(2):164-77. doi: 10.2165/00003088-198510020-00004.
- Rolnik DL, Nicolaides KH, Poon LC. Prevention of preeclampsia with aspirin. Am J Obstet Gynecol. 2022 Feb;226(2S):S1108-S1119. doi: 10.1016/j.ajog.2020.08.045. Epub 2020 Aug 21.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pregnancy Complications
- Hypertension, Pregnancy-Induced
- Pre-Eclampsia
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Peripheral Nervous System Agents
- Enzyme Inhibitors
- Analgesics
- Sensory System Agents
- Anti-Inflammatory Agents, Non-Steroidal
- Analgesics, Non-Narcotic
- Anti-Inflammatory Agents
- Antirheumatic Agents
- Fibrinolytic Agents
- Fibrin Modulating Agents
- Platelet Aggregation Inhibitors
- Cyclooxygenase Inhibitors
- Antipyretics
- Aspirin
Other Study ID Numbers
- 1732470-3
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- SAP
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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
-
Comanche BiopharmaRecruitingPreeclampsia | Preterm Preeclampsia | sFlt1 Mediated Preterm PreeclampsiaAustralia
-
MemorialCare Health SystemActive, not recruitingPreeclampsia | Preeclampsia Postpartum | Preeclampsia Severe | Preeclampsia MildUnited States
-
Christiana Care Health ServicesTerminatedPre-Eclampsia | Preeclampsia | Preterm | Preeclampsia Severe | Preeclampsia Second Trimester | Preeclampsia Complicating Childbirth | Preeclampsia PuerperiumUnited States
-
University Medical Centre LjubljanaCompletedPreeclampsia Postpartum | Preeclampsia SevereSlovenia
-
Anna Stanhewicz, PhDActive, not recruiting
-
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
-
Saint Thomas Hospital, PanamaRecruitingPreeclampsia | Severe PreeclampsiaPanama
-
Alexander HarrisonNot yet recruitingPreeclampsia Postpartum | Preeclampsia SevereUnited States
-
Washington University School of MedicineCompletedPreeclampsia Postpartum | Preeclampsia SevereUnited States
Clinical Trials on Aspirin 162 mg
-
Vanda PharmaceuticalsCompleted
-
Vanda PharmaceuticalsCompleted
-
Ohio State UniversityPatient-Centered Outcomes Research Institute; Northwestern University; Preeclampsia...RecruitingPreeclampsia | Gestational Hypertension | Hypertensive Disorders of PregnancyUnited States
-
BiocadCompletedSeropositive RARussian Federation, Belarus
-
Johns Hopkins UniversityNational Heart, Lung, and Blood Institute (NHLBI)RecruitingPulmonary Disease, Chronic ObstructiveUnited States
-
University of PennsylvaniaEunice Kennedy Shriver National Institute of Child Health and Human Development...RecruitingPre-Eclampsia | Pregnancy LossUnited States
-
Montreal Heart InstituteHeart and Stroke Foundation of CanadaRecruitingDiabetes Mellitus, Type 2 | Type 2 Diabetes | Platelet Aggregation | Aspirin | Platelet Aggregation InhibitorsCanada
-
The University of Texas Health Science Center,...CompletedObesity | Pre-Eclampsia | Hypertension in PregnancyUnited States