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| ID | Type | Description | Link |
|---|---|---|---|
| 2012-000622-22 | EudraCT Number |
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To establish wether a prophylactic intervention from first trimester with low-dose of aspirin improves trophoblastic invasion evaluated at third trimester in women defined as high-risk by abnormal uterine artery Doppler at first trimester
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ASPIRIN | Experimental | 150 mg milligram(s)/ day oral use |
|
| PLACEBO | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Aspirin | Drug | 150 mg/day oral use |
| |
| placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Uterine artery mean pulsatility | at 28 weeks of gestation |
| Measure | Description | Time Frame |
|---|---|---|
| Pre-eclampsia | pre-eclampsia defined as: diastolic blood pressure (DBP)> = 90 mmHg) or systolic (SBP)> = 140 mmHg on two separated determinations (> 4h) with proteinuria> 300 mg/24 h -Gestational age at debut of preeclampsia | delivery |
| Severe preeclampsia |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| FRANCESC FIGUERAS, MD, PhD | Hospital Clinic of Barcelona | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Clinic of Barcelona | Barcelona | Barcelona | 08028 | Spain | ||
| Institut Dexeus |
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| ID | Term |
|---|---|
| D010927 | Placental Insufficiency |
| ID | Term |
|---|---|
| D010922 | Placenta Diseases |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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| ID | Term |
|---|---|
| D001241 | Aspirin |
| ID | Term |
|---|---|
| D012459 | Salicylates |
| D062385 | Hydroxybenzoates |
| D010636 | Phenols |
| D001555 | Benzene Derivatives |
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| Drug |
1 capsule / day oral use |
|
Severe preeclampsia defined as: preeclampsia criteria + DBP> = 110 mmHg, proteinuria> 5g/24h, oligouria (<400 ml/24h), neurological symptoms (brain or visual), acute pulmonary edema (gasometric and radiological criteria), persistent epigastric pain, abnormal liver function (AST or Alanine aminotransferase(ALT)> 70 IU), analytical signs of hemolysis (LDH> 700 U / L) and / or thrombocytopenia (<100.000/ml). |
| at delivery |
| Intrauterine Growth Retardation | Intrauterine Growth Retardation: birth weight below the 10th percentile of our population + pulsatility index in umbilical artery in the third trimester (on two separate occasions >48h)above the 95th percentile. | at delivery |
| Significant neonatal morbidity | Significant neonatal morbidity (convulsions, intraventricular hemorrhage> grade III, periventricular leukomalacia, hypoxic-ischemic encephalopathy, abnormal electroencephalogram, necrotizing enterocolitis, acute renal failure (serum creatinine> 1.5 mg / dl) or heart failure (requiring inotropic agents | at delivery |
| number of cesarean | Emergent cesarean section due to fetal wellbeing loss Birth weight | at delivery |
| Neonatal acidosis | Neonatal acidosis (arterial pH <7.10 + Base excess(BE)> 12 milliequivalent (mEq) / L) | at delivery |
| Perinatal mortality | Perinatal mortality (> 22 weeks gestation, <28 days postpartum) | 28 days post partum |
| Days in the Neonatal Intensive Care Unit | 28 days post partum |
| Barcelona |
| Barcelona |
| 08028 |
| Spain |
| Hospital ClĂnico Lozano Blesa | Zaragoza | Zaragoza | 50009 | Spain |
| D006841 |
| Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |