NCT03321292

Brief Summary

Intrauterine growth restriction is an important problem in neonatal care. Intrauterine growth restriction (IUGR) is defined as a fetal weight below the 10th percentile for gestational age. One of the main causes of IUGR is placental insufficiency. Nitric oxide(NO) increases placental blood flow. So,it might be useful to improve IUGR pregnancy outcome .

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
260

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Oct 2017

Geographic Reach
1 country

1 active site

Status
unknown

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

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 28, 2017

Completed
17 days until next milestone

Study Start

First participant enrolled

October 15, 2017

Completed
10 days until next milestone

First Posted

Study publicly available on registry

October 25, 2017

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2018

Completed
29 days until next milestone

Study Completion

Last participant's last visit for all outcomes

December 30, 2018

Completed
Last Updated

August 14, 2018

Status Verified

August 1, 2018

Enrollment Period

1.1 years

First QC Date

September 28, 2017

Last Update Submit

August 13, 2018

Conditions

Outcome Measures

Primary Outcomes (1)

  • Birth weight

    neonatal birth weight will be measured immediately following delivery and compared with the estimated fetal weight measured by ultrasound

    15 min

Secondary Outcomes (3)

  • Apgar score

    at one and five minute after birth.

  • Amniotic fluid index

    evey one week from 28 weeks gestation till 40 weeks gestation

  • Umbilical artery Doppler

    every from 28 weeks gestation till 40 weeks gestation

Study Arms (2)

L-arginine and Acetylesalicylic acid

EXPERIMENTAL

L-arginine 1000mg capsules( manufactured by Putriant Pride,INC Holbrook,NY 11741 U.S.A.) every 8 hours Acetylesalicylic acid 75 mg tablet(manufactured by Multi\_Apex Pharma , Egypt) once daily will be given for patients of group A starting from diagnosis till birth

Drug: L-arginine 1000 mg and Acetylesalicylic acid75mg

Acetylesalicylic acid75mg

ACTIVE COMPARATOR

acetylsalicylic acid 75 mg tablet(manufactured by Multi\_Apex Pharma , Egypt) orally once daily will be given for patients of group B starting from diagnosis till birth

Drug: acetylsalicylic acid 75 mg

Interventions

l-arginine 1000mg capsule will be given every 8 hours till delivery and acetylesalicylic acid75mg tablet once starting of diagnosis till birth.

Also known as: L- arginine 1000mg capsule and Ezacard 75 mg tablet
L-arginine and Acetylesalicylic acid

acetylsalicylic acid 75 mg will be given orally once daily for group B starting of diagnosis till birth.

Also known as: Ezacard 75mg
Acetylesalicylic acid75mg

Eligibility Criteria

Age20 Years - 40 Years
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • All pregnant women diagnosed with IUGR from 28 weeks
  • Singleton pregnancy
  • No maternal systemic disease
  • No congenital fetal malformation
  • Estimated fetal weight below 10th percentile

You may not qualify if:

  • All pregnant woman diagnosed with IUGR before 28 weeks
  • Multiple pregnancy
  • Maternal systemic disease
  • Congenital fetal malformation

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Ain Shams University

Cairo, Egypt

RECRUITING

MeSH Terms

Interventions

ArginineTabletsAspirin

Intervention Hierarchy (Ancestors)

Amino Acids, BasicAmino AcidsAmino Acids, Peptides, and ProteinsAmino Acids, DiaminoAmino Acids, EssentialDosage FormsPharmaceutical PreparationsSalicylatesHydroxybenzoatesPhenolsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic Chemicals

Study Officials

  • Hayam FA Mohammad, MD

    Ain Shams University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Hayam FA Mohammad, MD

CONTACT

Manar LO Kamal, MBBCH

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Group(A) 130 pregnant women diagnosed with IUGR will receive L-arginine and Acetylesalicylic acid 75mg Group(B) 130 pregnant women diagnosed with IUGR will receive Acetylesalicylic acid 75mg
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor of Obstetrics and Gynecology , Ain Shams University

Study Record Dates

First Submitted

September 28, 2017

First Posted

October 25, 2017

Study Start

October 15, 2017

Primary Completion

December 1, 2018

Study Completion

December 30, 2018

Last Updated

August 14, 2018

Record last verified: 2018-08

Locations