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临床试验/2025-524646-94-00
2025-524646-94-00招募中4 期

Optimizing Aspirin Use for Preeclampsia Prevention

Fundacio Hospital Universitari Vall D’Hebron Institut De Recerca23 个研究点 分布在 1 个国家目标入组 11,836 人开始时间: 2026年6月1日最近更新:
适应症
干预措施

试验速览

阶段
4 期
状态
招募中
发起方
入组人数
11,836
试验地点
23

研究概览

简要总结

To evaluate whether stopping ASA between weeks 24 and 26 is non-inferior in preventing preterm preeclampsia compared to the control group, which will continue ASA until week 36

入排标准

年龄范围
18 years 至 64 years(18-64 Years)
性别
Female
接受健康志愿者

入选标准

  • Patients older than 18 years
  • Ability to read and understand the informed consent
  • Singleton pregnancy
  • Having undergone first-trimester preeclampsia screening (11+0 to 13+6 weeks) using a multiparametric algorithm and being classified as high risk.
  • Voluntary informed consent signature and willing to comply with study protocol (including acceptance of aspirin [ASA] treatment, additional blood tests and ultrasounds, and the assigned treatment duration at randomization).

排除标准

  • Early pregnancy loss, stillbirth or fetus with major malformations
  • Fetus affected by a known genetic or chromosomal disease
  • Contraindication, allergy, or intolerance to aspirin (AAS)
  • Inability to discontinue aspirin (e.g., antiphospholipid syndrome, etc.)

研究组 & 干预措施

ACETYLSALICYLIC ACID

Test

干预措施: ACETYLSALICYLIC ACID (Drug)

结局指标

主要结局

未指定

次要结局

  • Carry out a comprehensive clinical and economic analysis to assess the cost-effectiveness of the screening program and the incremental value of incorporating specific markers (PlGF, UtA-PI, and ophthalmic artery Doppler) in different socioeconomic contexts.
  • Determine optimized risk thresholds specific to each population and performance metrics that facilitate the translation into evidence based policies and resource allocation in both European and African healthcare systems.
  • Compare different methods for determining the placental growth factor (PlGF): point-of-care devices versus ELISA/ECLIA.
  • To evaluate the role of the ophthalmic artery in the prediction of preeclampsia (PE).
  • Develop models using clinical data, ultrasound markers, and biomarkers to predict cases that will develop preeclampsia despite adequate treatment with ASA.

研究者

发起方
Fundacio Hospital Universitari Vall D’Hebron Institut De Recerca
申办方类型
Laboratory/Research/Testing facility
责任方
Principal Investigator
主要研究者

Manel Mendoza Cobaleda

Scientific

Fundacio Hospital Universitari Vall D’Hebron Institut De Recerca

研究点 (23)

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