NCT02780414

Brief Summary

Preeclampsia (Pre-E) is a hypertensive disease of pregnancy with multi-system involvement that usually occurs in the second half of pregnancy. Pre-E occurs in 5% to 7% of U.S. pregnancies, and is the third-leading cause of U.S. maternal death. Improvements to the current diagnostic paradigm have been evaluated. However, no stand-alone diagnostic method has emerged that more accurately identifies women at risk for preeclampsia, warranting improvements in diagnosing Pre-E. This sample collection study will obtain serum and urine samples from pregnant women who present with clinical signs, symptoms, or conditions contributing to the suspicion of Pre-E. Samples will be used to evaluate and validate the performance of an assay intended to aid in assessing the risk of Pre-E.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,730

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Jan 2016

Longer than P75 for all trials

Geographic Reach
1 country

20 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2016

Completed
4 months until next milestone

First Submitted

Initial submission to the registry

May 12, 2016

Completed
11 days until next milestone

First Posted

Study publicly available on registry

May 23, 2016

Completed
4.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 29, 2020

Completed
24 days until next milestone

Study Completion

Last participant's last visit for all outcomes

October 23, 2020

Completed
Last Updated

March 11, 2022

Status Verified

March 1, 2022

Enrollment Period

4.7 years

First QC Date

May 12, 2016

Last Update Submit

March 10, 2022

Conditions

Keywords

HypertensionProteinuriaThrombocytopeniaRenal InsufficiencyImpaired Liver FunctionPulmonary Edema

Outcome Measures

Primary Outcomes (1)

  • Suspected and Pre-E cases determined by institutional standards

    about 2 years

Study Arms (2)

Study Cohort

A group of at least 1,541 pregnant women with NO Pre-E diagnosis

Positive Pre-E Control

A group of at least 250 pregnant women diagnosed with Pre-E

Eligibility Criteria

Age18 Years - 45 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64)
Sampling MethodNon-Probability Sample
Study Population

Pregnant women 18 to 45 years of age and 28 0/7 to 36 6/7 weeks gestational age with a singleton fetus presenting to clinic/triage/Labor \& Delivery for evaluation of, but not limited to, one or more of the following: * new onset elevated blood pressure * pre-existing hypertension * new onset proteinuria or worsening of pre-existing proteinuria * other organ system findings including thrombocytopenia, renal insufficiency, impaired liver function, pulmonary edema, and cerebral or visual symptoms

You may qualify if:

  • Subject is willing to provide informed consent and comply with study procedures
  • to 45 years of age
  • Patient presenting with clinical suspicion of Pre-E based on either: New onset elevated blood pressure in otherwise normotensive patient, worsening hypertension in a patient with pre-existing hypertension, new onset proteinuria or worsening of pre-existing proteinuria, or any other clinical finding requiring a workup to rule-out Pre-E.

You may not qualify if:

  • Pregnancy is non-viable or absence of fetal cardiac activity
  • Diagnosis of Pre-E or anticipated delivery within 24 to 48 hours because of Pre-E with severe features including: persistent severe hypertension (systolic ≥160 or diastolic ≥110; thrombocytopenia \<100,000; liver enzymes 2x above upper normal limit or \>70 with severe persistent right upper quadrant (RUQ) or epigastric pain, new development of renal insufficiency; pulmonary edema; new-onset persistent cerebral or visual disturbances.
  • Major fetal anomaly or chromosomal aneuploidy
  • Current dialysis for kidney failure, including continuous ambulatory peritoneal dialysis
  • Eligibility criteria for the POSITIVE CONTROL group:
  • Subject is willing to provide informed consent and comply with study procedures
  • to 45 years of age
  • Patient diagnosed with Pre-E using 2013 ACOG guidelines
  • Pregnancy is non-viable or absence of cardiac activity
  • Major fetal anomaly or chromosomal aneuploidy
  • Current dialysis for kidney failure, including continuous ambulatory peritoneal dialysis

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (20)

Center of Research in Women's Health

Birmingham, Alabama, 35294, United States

Location

University of Colorado

Aurora, Colorado, 80045, United States

Location

Yale Medical

New Haven, Connecticut, 06520, United States

Location

Northwestern

Chicago, Illinois, 60611, United States

Location

Indiana University Health Physicians Women's Health

Indianapolis, Indiana, 46202, United States

Location

Johns Hopkins Medicine

Baltimore, Maryland, 21287, United States

Location

University of Mississippi Medical Center

Jackson, Mississippi, 39216, United States

Location

Washington Univ School of Medicine - Dept of OB-GYN

St Louis, Missouri, 63111, United States

Location

Winthrop Clinical Trials Center

Mineola, New York, 11501, United States

Location

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, 27599-7516, United States

Location

Duke University

Durham, North Carolina, 27705, United States

Location

Good Samaritan Hospital

Cincinnati, Ohio, 45220, United States

Location

University of Oklahoma

Oklahoma City, Oklahoma, 73104, United States

Location

Geisinger Medical Center

Danville, Pennsylvania, 17822, United States

Location

Regional Obstetrical Consultants, PC

Chattanooga, Tennessee, 37403, United States

Location

Austin Maternal Fetal Medicine

Austin, Texas, 78758, United States

Location

University of Texas Medical Branch, Galveston

Galveston, Texas, 77555, United States

Location

UT Health Medical School

Houston, Texas, 77030, United States

Location

University of Utah Hospital, OB/GYN Dept.

Salt Lake City, Utah, 84132, United States

Location

Medical College of Wisconsin - Department of Obstetrics & Gynecology

Milwaukee, Wisconsin, 53226, United States

Location

Related Publications (1)

  • Costantine MM, Sibai B, Bombard AT, Sarno M, West H, Haas DM, Tita AT, Paidas MJ, Clark EAS, Boggess K, Grotegut C, Grobman W, Su EJ, Burd I, Saade G, Chavez MR, Paglia MJ, Merriam A, Torres C, Habli M, Macones G, Wen T, Bofill J, Palatnik A, Edwards RK, Haeri S, Oberoi P, Mazloom A, Cooper M, Lockton S, Hankins GD. Performance of a Multianalyte 'Rule-Out' Assay in Pregnant Individuals With Suspected Preeclampsia. Hypertension. 2022 Jul;79(7):1515-1524. doi: 10.1161/HYPERTENSIONAHA.122.19038. Epub 2022 May 12.

Biospecimen

Retention: SAMPLES WITHOUT DNA

This research study will collect 20 mL of whole blood and a 5 mL urine sample at one or more clinic visits from pregnant women carrying a single fetus with no known fetal abnormalities.

MeSH Terms

Conditions

Pre-EclampsiaHypertensionProteinuriaThrombocytopeniaRenal InsufficiencyLiver DiseasesPulmonary Edema

Condition Hierarchy (Ancestors)

Hypertension, Pregnancy-InducedPregnancy ComplicationsFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesVascular DiseasesCardiovascular DiseasesUrination DisordersUrologic DiseasesFemale Urogenital DiseasesMale Urogenital DiseasesUrological ManifestationsSigns and SymptomsPathological Conditions, Signs and SymptomsBlood Platelet DisordersHematologic DiseasesHemic and Lymphatic DiseasesCytopeniaKidney DiseasesDigestive System DiseasesLung DiseasesRespiratory Tract Diseases

Study Officials

  • Peter Stiegler, PhD

    Progenity, Inc.

    STUDY DIRECTOR

Study Design

Study Type
observational
Observational Model
FAMILY BASED
Time Perspective
PROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 12, 2016

First Posted

May 23, 2016

Study Start

January 1, 2016

Primary Completion

September 29, 2020

Study Completion

October 23, 2020

Last Updated

March 11, 2022

Record last verified: 2022-03

Data Sharing

IPD Sharing
Will not share

Locations