Status:

COMPLETED

Prevention of Maternal and Perinatal Complications by Enoxaparin in Women With Previous Severe Preeclampsia

Lead Sponsor:

Assistance Publique - Hôpitaux de Paris

Conditions:

Preeclampsia

Eligibility:

FEMALE

18+ years

Phase:

PHASE3

Brief Summary

Preeclampsia (PE) complicates 2-8% of pregnancies. It is associated with an increased risk of adverse maternal (death, eclampsia, abruptio placenta, HELLP syndrome) and perinatal (perinatal death, gro...

Detailed Description

1. Purpose of the study: To determine whether low molecular weight heparin (LMWH) enoxaparin decreases the rate of maternal and perinatal composite morbidity in women who previously had a severe preec...

Eligibility Criteria

Inclusion

  • Patient ≥ 18 years
  • Patient with a previous severe preeclampsia that occurred at less than 34 weeks' gestation
  • Patient between 7 and 13 weeks +6 days at first prenatal visit
  • Singleton pregnancy
  • Affiliation to social security
  • Informed consent given after receiving information on the study.

Exclusion

  • Patient under law protection
  • Inability to sign written consent
  • Inability to follow the protocol because of a psychiatric disease
  • History of deep venous thromboembolism during previous pregnancy
  • Need of low molecular weight heparin during pregnancy
  • Previous arterial thrombosis
  • Patient having a cardiac valvular prosthesis that necessitates anticoagulation during pregnancy
  • Renal failure (creatinine clearance \< 30 ml/min, or serum creatinine \> 180 µmol/L
  • Previous hemorrhagic disease
  • A disease that might bleed (gastric ulcer)
  • Antiphospholipid antibody syndrome
  • Allergy to Aspirin
  • Allergy to heparins
  • Thrombocytopenia related to heparin use
  • Thrombocytopenia \<100,000 /µL at first prenatal visit
  • Antecedent of osteoporosis
  • Inability to do subcutaneous injection of heparin
  • Weight \> 100 kg
  • Patient included in another interventional trial
  • Patient positive for anti-phospholipids antibodies
  • Patient positive for HIV or HCV or HBS

Key Trial Info

Start Date :

June 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

November 1 2015

Estimated Enrollment :

257 Patients enrolled

Trial Details

Trial ID

NCT00986765

Start Date

June 1 2009

End Date

November 1 2015

Last Update

January 20 2016

Active Locations (1)

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Centre Hospitalier Intercommunal de Créteil

Créteil, France

Prevention of Maternal and Perinatal Complications by Enoxaparin in Women With Previous Severe Preeclampsia | DecenTrialz