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Exporatory clinical study for preeclampsia with oral nicotinamide

Phase 1
Conditions
preeclampsia
Registration Number
JPRN-jRCTs021180005
Lead Sponsor
Sugawara Junichi
Brief Summary

In this clinical study, the study medication was terminated and delivery occurred on the second day of administration due to worsening of the underlying disease caused by elevated blood pressure, without any effect of the study medication. Since only one patient was enrolled, the efficacy of the study drug could not be determined.

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
Female
Target Recruitment
1
Inclusion Criteria

1)preeclampsia;
diagnosed after preganancy 20wks with
BP>=140/90
Proteinuria: Proteinuria is diagnosed if any of the following:
1. 24-hour urine>=300 mg / day.
2. Spot urine: Protein / creatinine (P/C) ratio>= 0.3 mg / mg-CRE.
3. Proteinuria qualitative test: >= 1+ is detected twice or more consecutively by paper test using two or more spot urine.

2)clinical limitations;
chronic hypertension
renal dysfunction (creatinine>=1.5mg/dl)
vascular disease, SLE, DM
hepatitis
cerebrovascular disorder

3)clinical examination value;
AST, ALT<=105 IU/L
Creatinine<=1.5mg/dl
Platelet>=100,000

4)written informed consent

Exclusion Criteria

1)Past history of
Renal disease with creatinine concentration over 13.3mg/dl
Vascular disease (cardiovascular disease, lupus, diabetes mellitus)
Liver dysfunction (hepatitis B, C, HIV, INH use)
Brain damage(convulsion, brain edema, uncontrollable headache)
Lung edema
2)HELLP syndrome
3)Abnormal fetal heart rate monitoring pattern (Level 5, JSOG criteria)
4)Fetal growth<5th %tile, oligohydramnios5)Diagnosis of induced delivery by Biophysical Profile Scoring
6)Suspicious of placental abruption
7)Suspicious of eclampsia
8)Ongoing preterm delivery
9)Past history of allergy by Nicotinamide

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Prolongation of gestational period
Secondary Outcome Measures
NameTimeMethod
Decrease of proteinuria, Increase of fetal growth, Decrease of feto-maternal complications
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