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| Name | Class |
|---|---|
| Diagnostic Technologies Ltd. | INDUSTRY |
| Perkin Elmer Inc. | INDUSTRY |
| Medical University of Graz | OTHER |
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Assessment of biochemical and sonographic marker to predict the risk for developing preeclampsia Among biochemical markers are serum level of Placental Protein 13 (PP13) and Placenta Growth factor (PIGF). For sonographic marker Doppler pulsatility Index of the blood flow through the uterine maternal arteries is assessed.
PP13 is produced by the placenta and released to the maternal blood circulation. It has been shown to be an effective serum marker for early onset preeclampsia (Nicolaides KH et al., 2005). The purpose of this study is to combined the assessment of the biochemical markers with Doppler in the first and the second trimester to provide a comprehensive evaluation of various methods for sequential and combined analysis to assess the risk for developing preeclampsia.
This is a prospective observational study enrolling all comers who attend the prenatal clinic for first trimester assessment of the risk for Down syndrome. All women are providing medical and obstetric history, demography and blood samples along with Doppler pulsatility Index during the first and the second trimester at GA 10-13 weeks and 21-23 weeks. When possible - blood will be drawn at hospital admission for delivery. Measurements of sonography and serum markers are done blinded to pregnancy outcome.
Patients will be assigned to three groups:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | Control not treated, no placebo |
|
| 2 | Experimental | Patient treated with low molecular weight heparin after repeated pregnancy loss |
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| 3 | Experimental | Patient super from first trimester bleeding treated with progesterone |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Progesterone | Drug | 40 units daily admission |
|
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| Measure | Description | Time Frame |
|---|---|---|
| Preeclampsia (hypertension >140/90, proteinuria >2+ or 300 mg/Dl in 24 hr collection | pregnancy week >20 till 41 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| intra uterine growth restriction, preterm delivery, spontaneous abortion and Intra uterine fetal death | fron conception to until a week after delivery |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Reli Hershkovitz, MD | Contact | 972-8-6403070 | ralika@bgu.ac.il | |
| Vered Kivity, PhD, MBA | Contact | 972-4-9937722 | 0 | vered.kivity@pregesys.com |
| Name | Affiliation | Role |
|---|---|---|
| Reli Hershkovitz, MD | Ben-Gurion University of the Negev | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Soroka Medical Center, Ben Gurion University | Beersheba | Israel |
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| Label | URL |
|---|---|
| The website of Ben Gurion University | View source |
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| ID | Term |
|---|---|
| D011225 | Pre-Eclampsia |
| D047928 | Premature Birth |
| ID | Term |
|---|---|
| D046110 | Hypertension, Pregnancy-Induced |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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| ID | Term |
|---|---|
| D011374 | Progesterone |
| D006495 | Heparin, Low-Molecular-Weight |
| ID | Term |
|---|---|
| D011282 | Pregnenediones |
| D011283 | Pregnenes |
| D011278 | Pregnanes |
| D013256 | Steroids |
| D000072473 |
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| Low molecular weight Heparin | Drug | 40-80 mg/day |
|
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| No Drug | Drug | no treatment |
|
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| D007752 | Obstetric Labor, Premature |
| D007744 | Obstetric Labor Complications |
| Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D003339 | Corpus Luteum Hormones |
| D042341 | Gonadal Hormones |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D045167 | Progesterone Congeners |
| D012739 | Gonadal Steroid Hormones |
| D006493 | Heparin |
| D006025 | Glycosaminoglycans |
| D011134 | Polysaccharides |
| D002241 | Carbohydrates |