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difficulties acquiring the drug and funding for the drug
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Randomized controlled trial to assess efficacy of Sildenafil in addition to expectant management for the treatment of preterm preeclampsia
Preeclampsia is a major cause of maternal mortality. When preeclampsia presents prior to thirty-four weeks of gestation, expectant management is the standard practice in stable patients with the goal of extending pregnancy and therefore decreasing the risk of adverse outcomes in the premature neonate. Our aim was to assess the efficacy of Sildenafil, a phosphodiesterase inhibitor, versus placebo, in addition to expectant management, for the treatment of preterm preeclampsia to prolong pregnancy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sildenafil | Experimental | Sildenafil 40mg oral tablet three times a day from randomization until delivery |
|
| Placebo | Placebo Comparator | Matched to oral capsule of active treatment three times a day from randomization until delivery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sildenafil | Drug |
| ||
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Latency (duration of pregnancy from diagnosis/randomization until delivery) | earliest randomization can occur at 24 weeks gestation | Diagnosis (randomization) until delivery, up to 34 weeks) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Robyn P Roberts, MD | The University of Texas Health Science Center, Houston | Principal Investigator |
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| ID | Term |
|---|---|
| D000068677 | Sildenafil Citrate |
| ID | Term |
|---|---|
| D013449 | Sulfonamides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D013450 | Sulfones |
| D013457 |
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Color and size matched to active drug (sildenafil) |
|
| Sulfur Compounds |
| D010879 | Piperazines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D011687 | Purines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |