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临床试验/ISRCTN23410175
ISRCTN23410175已完成4 期

A proof of principle, double-blind, randomised placebo-controlled, multicentre trial of pravastatin to ameliorate early onset pre-eclampsia

niversity College London Hospitals NHS Foundation Trust (UK)0 个研究点目标入组 62 人开始时间: 2009年5月8日最近更新:
适应症

试验速览

阶段
4 期
状态
已完成
发起方
入组人数
62

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

性别
Female

入选标准

  • Current inclusion criteria as of 27/09/2010:
  • To be eligible for the StAmP Trial, the women must:
  • 1. Be between 24+0 weeks' and 31+6 weeks' gestation
  • 2. Have a singleton pregnancy
  • 3. Have a diagnosis of early onset pre-eclampsia
  • 4. Be considered capable of safely continuing the pregnancy for 48 hours or more, as determined by the attending clinician
  • 5. Obstetrician and neonatologist believe the fetus is likely to be viable
  • 6. No major anomalies evident on the 20-week anomaly scan. Any anomaly should be assessed by the Principal Investigator and discussed with the Chief Clinical Investigator, following classification of the anomaly according to the ICD-10 codes. All major anomalies will be excluded, but minor anomalies, subject to agreement between the PI and CI will be included
  • 7. Be capable of understanding the information provided, with use of an interpreter if required
  • 8. Give written informed consent
  • Previous inclusion criteria:
  • To be eligible for the StAmP Trial, the women must:
  • 1. Be at least 24 weeks and less than 33 weeks' gestation (no age limits on participant)
  • 2. Have a diagnosis of pre-eclampsia
  • 3. Have a normal cardiotocograph
  • 4. Be considered capable of safely continuing the pregnancy for 12 hours or more
  • 5. Be capable of understanding the information provided, with use of interpreter if required
  • 6. Give written informed consent

排除标准

  • Current exclusion criteria as of 27/09/2010:
  • Any women, who at the point of randomisation, exhibit any of the following are not eligible for the trial:
  • 1. Eclampsia
  • 2. Current use of statins
  • 3. Contraindications to statin use (other than pregnancy) including:
  • 3.1. Hypersensitivity to pravastatin or any of its excipients
  • 3.2. Active liver disease or elevation of serum transaminases not thought to be related to pre-eclampsia
  • 3.3. Pre-pregnant renal insufficiency (creatine clearance less than 30 ml/min)
  • 3.4. Concomitant administration of potent CYP3A4 inhibitors
  • 4. Imminent transfer to a non-trial centre due to unavailability of neonatal cots
  • 5. Participation in any other blinded, placebo-controlled trials of investigational medicinal products in pregnancy
  • 6. Significant uncertainty regarding gestational age. Under 24 weeks' gestation, pregnancies are often not considered viable and therefore women with pre-eclampsia less than 24 weeks gestation will be excluded. Women with pre-eclampsia around 32 weeks' gestation are often delivered when the mother is stable and therefore we will exclude women who develop pre-eclampsia over 32 weeks' gestation. For this reason, if there is any uncertainty about the gestational age, the mother should not be approached for randomisation.
  • Previous exclusion criteria:
  • Any women, who at the point of randomisation, exhibits any of the following symptoms or contraindications, are not eligible for the trial:
  • 1. Eclampsia
  • 2. Absent or reversed end-diastolic flow
  • 3. Pre-pregnant or continuing use of statins
  • 4. Contraindications to statin use (other than pregnancy)

研究者

发起方
niversity College London Hospitals NHS Foundation Trust (UK)

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