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RECAB-ASA; Treatment of Recurrent Abortion With Aspirin

Not Applicable
Completed
Conditions
Abortion, Habitual
Interventions
Drug: Placebo
Registration Number
NCT02823743
Lead Sponsor
Göteborg University
Brief Summary

The aim of this study is to examine whether treatment with 75 mg aspirin daily compared with placebo could reduce the risk for a new miscarriage. The treatment starts when the pregnancy is detected on transvaginal ultrasound (around gestational week 6+) and continues to week 35/36. The study is a single center, randomized, placebo-controlled, double blind and stratified for age. 400 participants with the diagnosis idiopathic recurrent abortion are enrolled, 200 in each arm aspirin / placebo.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
400
Inclusion Criteria
  • recurrent abortion (≤ 3 consecutive abortions in first trimester)
  • unknown etiology after work-up
  • willingness to be randomized
Exclusion Criteria
  • previous participation in the study
  • known cause of recurrent abortion, requiring specific management
  • age ≥ 40
  • BMI above 35
  • IVF pregnancy if the reason for IVF was recurrent spontaneous abortion
  • ongoing treatment with aspirin for other reason
  • Sjoegren syndrome

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlaceboPlacebo pill orally daily from gestational week 7-35
Low dose aspirinAspirin75 mg aspirin orally daily from gestational week 7-35
Primary Outcome Measures
NameTimeMethod
Live birthdelivery
Secondary Outcome Measures
NameTimeMethod
Spontaneous abortionup to 22 weeks
Vaginal bleedingup to 42 weeks
Premature deliveryAt delivery
intrauterine growth retardation, measured by ultrasound as percentage deviationup to 42 weeks
Preeclampsiaup to 42 weeks
Pregnancy induced hypertensionup to 42 weeks
Placenta praeviaup to 42 weeks
Perinatal mortalityThird trimester and 28 days after delivery
Perinatal morbidity28 days after delivery
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