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临床试验/ISRCTN16123934
ISRCTN16123934已完成未知

Randomised controlled trial with pravastatin versus placebo for prevention of preeclampsia

Fundación para la Formación e Investigación Sanitarias de la Región de Murcia0 个研究点目标入组 1,129 人开始时间: 2018年4月16日最近更新:
适应症

试验速览

阶段
未知
状态
已完成
发起方
入组人数
1,129

研究概览

简要总结

2021 Results article in https://pubmed.ncbi.nlm.nih.gov/34162218/ (added 25/06/2021) 2023 Other publications in https://doi.org/10.3389/fphar.2023.1166123 (added 10/05/2024)

研究设计

研究类型
Interventional

入排标准

性别
Female

入选标准

  • Current participant inclusion criteria as of 01/07/2020:
  • 1. Pregnant women without established preeclampsia
  • 2. Singleton pregnancy
  • 3. Live fetus at 35+0-36+6 weeks’ gestation
  • 4. Informed and written consent
  • 5. Age =18 years
  • 6. Not unconscious or very ill
  • 7. No serious mental illness
  • 8. No learning difficulties
  • 9. Fluent in local language or translation by interpreter
  • Inclusion criteria for participant selection for RCT:
  • 1. Same as for screening
  • 2. Identified at screening as being at high-risk for term-PE by the algorithm combining maternal history and characteristics, MAP, PLGF and sFLT-1
  • 3. Informed and written consent
  • 4. No planned delivery within 7 days of planned randomisation date;
  • 5. No major fetal abnormality;
  • 6. No statin use within 28 days prior to randomisation;
  • 7. None of the following contraindications for statin therapy:
  • 7.1. Hypersensitivity to pravastatin or any component of the product
  • 7.2. Lactose intolerance
  • 7.3. Current or previous cancer
  • 7.4. Previous solid organ transplant
  • 7.5. Active liver disease (acute hepatitis, chronic active hepatitis) in the past 6 months
  • 7.6. Chronic renal disease/insufficiency with baseline serum creatinine =1.5mg/dL
  • 7.7. History of myopathy or rhabdomyolysis
  • 7.8. ALT and/or AST levels = 2 x the upper limit of normal
  • 7.9. Creatine kinase levels = 5 x the upper limit of normal
  • 7.10. Concurrent and chronic (>6 months) use of medications with potential drug interactions with statins, such as immunosuppressive drugs, fibrates, gemfibrozil, therapeutic doses of niacin for hyperlipidaemia (low doses found in dietary/nutritional supplements such as pregnancy supplements may be used), protease inhibitors, efavirenz (non-nucleoside reverse transcriptase inhibitor), erythromycin, clarithromycin, itraconazole, cholestyramine, digoxin, rifampicin (patients will not be excluded if the drug has been discontinued, or is prescribed for a short duration of time)
  • 7.11. Participating in another intervention study that influences the outcomes of this study
  • Previous participant inclusion criteria:
  • 1. Pregnant women without established preeclampsia
  • 2. Singleton pregnancy
  • 3. Live fetus at 35+0-36+6 weeks’ gestation
  • 4. Informed and written consent
  • 5. Age >18 years
  • 6. Not unconscious or very ill
  • 7. No serious mental illness
  • 8. No learning difficulties
  • 9. Fluent in local language or translation by interpreter
  • 10. No major fetal abnormality
  • 11. No statin use within 28 days prior to randomisation
  • 12. None of the following contraindications for statin therapy:
  • 12.1. Hypersensitivity to pravastatin or any component of the product
  • 12.2. Lactose intolerance
  • 12.3. Current or previous cancer
  • 12.4. Previous solid organ transplant
  • 12.5. Active liver disease (acute hepatitis, chronic active hepatitis) in the past 6 months
  • 12.6. Chronic renal disease/insufficiency with baseline serum creatinine >1.5mg/dL
  • 12.7. History of myopathy or rhabdomyolysis
  • 12.8. ALT and/or AST levels = 2 x the upper limit of normal
  • 另有 3 项未显示

排除标准

  • Current participant exclusion criteria as of 01/07/2020:
  • For the randomised trial, same as for screening, but in addition:
  • 1. Major fetal abnormality
  • 2. Women with established PE
  • 3. Statin use within 28 days prior to randomisation
  • 4. Women with contraindications for statin therapy:
  • 4.1. Hypersensitivity to pravastatin or any component of the product
  • 4.2. Lactose intolerance
  • 4.3. Current or previous cancer
  • 4.4. Previous solid organ transplant
  • 4.5. Active liver disease (acute hepatitis, chronic active hepatitis) in the past 6 months
  • 4.6. Chronic renal disease/insufficiency with baseline serum creatinine = 1.5mg/dL
  • 4.7. History of myopathy or rhabdomyolysis
  • 4.8. ALT and/or AST levels > = 2 x the upper limit of normal
  • 4.9. Creatine kinase levels > = 5 x the upper limit of normal
  • 4.10. Concurrent and chronic (>6 months) use of medications with potential drug interactions with statins, such as immunosuppressive drugs, fibrates, gemfibrozil, therapeutic doses of niacin for hyperlipidaemia (low doses found in dietary/nutritional supplements such as pregnancy supplements may be used), protease inhibitors, efavirenz (non-nucleoside reverse transcriptase inhibitor), erythromycin, clarithromycin, itraconazole, cholestyramine, digoxin, rifampicin (patients will not be excluded if the drug has been discontinued, or is prescribed for a short duration of time)
  • 5. Participating in another intervention study that influences the outcomes of this study
  • Previous participant exclusion criteria:
  • For the randomised trial, same as for screening, but in addition:
  • 1. Major fetal abnormality
  • 2. Women with established PE
  • 3. Statin use within 28 days prior to randomisation
  • 4. Women with contraindications for statin therapy:
  • 4.1. Hypersensitivity to pravastatin or any component of the product
  • 4.2. Lactose intolerance
  • 4.3. Current or previous cancer
  • 4.4. Previous solid organ transplant
  • 4.5. Active liver disease (acute hepatitis, chronic active hepatitis) in the past 6 months
  • 4.6. Chronic renal disease/insufficiency with baseline serum creatinine > 1.5mg/dL
  • 4.7. History of myopathy or rhabdomyolysis
  • 4.8. ALT and/or AST levels > = 2 x the upper limit of normal
  • 4.9. Creatine kinase levels > = 5 x the upper limit of normal
  • 4.10. Concurrent and chronic (> 6 months) use of medications with potential drug interactions with statins, such as immunosuppressive drugs, fibrates, gemfibrozil, niacin, protease inhibitors, efavirenz (non-nucleoside reverse transcriptase inhibitor), erythromycin, clarithromycin, itraconazole, cholestyramine, digoxin, rifampicin (patients will not be excluded if the drug has been discontinued, or is prescribed for a short duration of time)
  • 5. Participating in another intervention study that influences the outcomes of this study

研究者

发起方
Fundación para la Formación e Investigación Sanitarias de la Región de Murcia

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